Path's lead is shrinking..

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Nothing like starting off a EMS shift with a case of severe abdominal pain with a rigid distended belly
 
The patient let out a burp that lasted a good, oh, 15 seconds and was loud enough it echoed in the bathroom we were in. I literally watched this guy's stomach deflate.
 
ME: "Feel better now?"
PATIENT: "Lots! Guess I don't need you boys after all." :laugh:
 
Man am I tired... 7-12 lecture today, then 12-7 work..... Then some sleep..
 
Im finally gonna be able to get *some* sleep tonite...
 
sleeeeeeeeeeep goooooooooooooooood
 
Who needs sleep when you can watch tour de france?
 
docB said:
Peds day. Crap. I hate peds day. It's not quite as bad and vaginal day but it's close.
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LOL.. i dont mind Peds day.. but man I hate Vag day..
 
I did an EMS ride along yesterday and they were raving how it has improved outcomes of CPR 2-3 fold.. thoughts? The thing is I heard that it is only used in the city of tucson and NOWHERE else...
 
EctopicFetus said:
I did an EMS ride along yesterday and they were raving how it has improved outcomes of CPR 2-3 fold.. thoughts? The thing is I heard that it is only used in the city of tucson and NOWHERE else...
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There was a paper in the annals a couple months back that showed decreased mortality for cpr initiated in the field by bystanders like this. Can't seem to find it right now but when I do I will let you know. It seems to be where BLS is going, stepping away from the A in ABC's in favor of Circulation. Most adults go into cardiac arrest primarily secondary to a cardiac cause and early intervention leads to better outcomes, where Peds primarily arrest secondary to respiratory causes. I think that the paper even addressed this recommending that it not be followed in cases of pediatric arrests. Anyway, when I find it I'll post the paper.
 
I was under impression that the breaths in CPR were to provide the body with new oxygen. If no breaths are given, won't the oxygen be used up and converted into CO2? Or does that process stop once the hearts stops pumping blood? I thought all that stuff was done by process of diffusion.
 
#1 if you exclude those where I either puked and/or passed out afterwards.
 
🙂 Maybe my OB rotation isn't something I should fear after all :laugh:
 
DropkickMurphy said:
🙂 Maybe my OB rotation isn't something I should fear after all :laugh:
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I've been sayin! 😉

I need a birth fix.... *sigh*
 
Oh lord. I am so fracking sore from working out and I have to work overnights. Just call me granny as I gimp around the ED tonight.....
 
roja said:
Oh lord. I am so fracking sore from working out and I have to work overnights. Just call me granny as I gimp around the ED tonight.....
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granny.
 
roja said:
Oh lord. I am so fracking sore from working out and I have to work overnights. Just call me granny as I gimp around the ED tonight.....
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Granny Roja.....

I can hear her now: "Back when I was a resident....." :laugh:
 
I just had the *most* charming lady (who incidentally has a troponin of 10 and abnEKG's) ask me if I was old enough to be a doctor and that I was an idiot and she was fine.

I pleasantly told her she was free to leave after signing out AMA and that she understood that she could quite easily drop dead of a heart attack.... to which she said, "That's not a nice thing to say to someone".

And i my head, I said "no saying that your a psycho b*tch and probably would make the world a better place by dying" isn't nice.......
 
roja said:
I just had the *most* charming lady (who incidentally has a troponin of 10 and abnEKG's) ask me if I was old enough to be a doctor and that I was an idiot and she was fine.

I pleasantly told her she was free to leave after signing out AMA and that she understood that she could quite easily drop dead of a heart attack.... to which she said, "That's not a nice thing to say to someone".

And i my head, I said "no saying that your a psycho b*tch and probably would make the world a better place by dying" isn't nice.......
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haha. I look kinda young too, I think I'm gonna grow some facial hair, maybe that will stop the comments. You can do this too, and maybe recieve some comments too haha. Or you can paint some facial hair in.
 
Still nothing tops the incident I had happen to me a few years back......
 
We got called to go out on a cardiac arrest....we rolled up and I'm the only certified EMT-I on the scene (there was an EMT-I student riding with us) and I am intubating while my partner is doing compressions and the student is trying to get the IV.....
 
The patient's wife (a lady of maybe 70) is standing by watching all of this. I tell the student to go ahead and give epinephrine once he has the line. I ask my partner to stop compressions and give me cricoid pressure as I try to tube....
 
The patient's wife (who apparently knew my partner....gotta love working in small towns) asks "Brian, why is that twelve year old telling y'all what to do?"
 
*tubes the patient*
"Because I've been doing this longer than he has ma'am. And by the way, I'm 20 thank you." :laugh:
 
DropkickMurphy said:
*tubes the patient*
"Because I've been doing this longer than he has ma'am. And by the way, I'm 20 thank you." :laugh:
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I got carded for an R movie about 3 years ago (they were convinced enough to make me go back to my car to get my ID). I am 27. :laugh: I think you have to be 16 for an R movie. 😀 I am going to be a rockin' 60 year old!
 
JackBauERfan said:
haha. I look kinda young too, I think I'm gonna grow some facial hair, maybe that will stop the comments. You can do this too, and maybe recieve some comments too haha. Or you can paint some facial hair in.
Click to expand...

I get the young comments, too, which is particularly funny when I'm older than some of my attendings. I think I'll pass on your facial hair suggestion, but I *am* getting noticeable gray hair now...that should slow the young comments down. :laugh:
 
Post pad folks.. life is grand here in AZ even if it 101 right now..
 
docB said:
Holy crap! We're getting killed. Every hospital in Vegas is bursting. I've got vents in the hallways. It's like it's the middle of winter.
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So in other words, you're telling me if I drink way too much this weekend, I don't want to end up in your ED? 😎
 
trkd said:
I got carded for an R movie about 3 years ago (they were convinced enough to make me go back to my car to get my ID). I am 27. :laugh: I think you have to be 16 for an R movie. 😀 I am going to be a rockin' 60 year old!
Click to expand...

I am routinely told that my ID MUST be a fake (because there's no way I'm 25, apparently), even though it's not outdated, not past the expiration date, and doesn't look like it's been scratched up/altered.

GRRRRRRRRRRRR...
 
Well, now, you *do* have a baby face
 
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