Recent content by E tank

Harbor General. Pretty crazy an actor (s...Kevin M.) playing a character on TV during an abysmal time in television leaving such a broad swath across probably every single medical specialty and sub specialty. I bet the motorcade for his funeral will be massive (if there's any decency in the...

I actually looked up some pre hospital sepsis protocols, and sure enough, right behind MAP/SBP, RR and lactic acid was end tidal CO2 less than/equal to 25. The one I was looking at (can't remember whose) said any ONE or more meets criteria, which means the least reliable, least objective and...

Yeah, just saying using ETCO2 through a nasal cannula to determine fluid responsiveness is about as good as flipping a coin.

I was getting at the fact that they've become way less wacko from the 80's and 90's

The Ninth Circuit today is not in the same galaxy as the same court, say, 20 years ago.

...including waveform capnography. If the patient meets the protocol, then a 500 mL NS bolus is to be given regardless of SBP. Is this an intubated patient? What ventilation mode?

Do not test me when I say I will not tolerate any political comments in this thread. eye roll....

No mention of meds/hx, but whatever fluid that runs in in the time it takes to get to the hospital, assuming, again, that you're not extended, won't make a difference in the grand scheme, IMHO. Running in a half liter during transport might even take her pressure down as her vasomotor tone...

Yeah...you can straight up bolus 100 mcgs of fentanyl in most adults not even having pain and all that will happen is their becoming stoned and maybe barf.

come up with an EMDR app an you'll have something....

For the purposes of CCT, 'critical care' is initiated in the hospital, parameters for management are set there and the patient isn't going to get any more stable during transport. A 911 call is not that. Presumably, when a critical patient is being transferred, he's been the subject of a...

IV pumps/portable vents nowadays are so compact and user friendly, any service with a 30 minute (or so) travel time to the hospital prolly has them, or should....not an either/or thing...

‘Emergency surgery was carried out, and the object was found to be an artillery shell dating back to the First World War. ‘Worse still, it had not, exploded, ... what's 'worse still' about it not having exploded?

...therapy animal...get a vest online...they won't touch you...

Definitely a position someone could take..