Recent content by Griff

That... would make me want to eat them even more.

It was me ^_^

I'm not disagreeing with you; I use protocols as a starting point because that is what they are there for.

Meh. That dosage is verbatim from my protocols (your protocols may be different). I am a student, which means I only have protocols to rest on (not experienced enough to be deviating without fully understanding the clinical implications of that deviation); I'm sure that opinions abound as to...

TL;DR. Note that I didn't disagree with you; I merely commented on the state of your overall party-worthiness. I would like to subscribe to your newsletter, etc, and I am happy that epic lulz occurred anyway. ^_^

I bet you're a lot of fun at parties. :P

Absolutely! You'll be doing field abdominal aortic surgeries in no time!

To be on the safe side (and the pt isn't going to enjoy this, but it's better than being dead I suppose)- -Two LB IVs and start fluid replacement. -Atropine .5mg IV titrated to HR of >60/min. -Naloxone 2mg and monitor for effect, then another 2mg and monitor for effect. I'm looking for a change...

Good point. ^_^

When I was active duty I was taught an acronym for cranial nerves; it was quite sexist and rude, but now I am the only person in my medic class (five years later) that can recite/diagram them without trouble. I couldn't tell you the "official" acronym used in my program (the other students...

Hey did you hear that there's this new show on TV about EMS?!? It's called "Trauma"; check it out! ;)

LOL now naloxone (and possibly flumazenil) is indicated. Did we get a med hx, especially in regards to how long pt has been prescribed diazepam? Any needle tracks? What is her temperature? I would consider giving this pt atropine .5mg every five minutes up to .04mg/kg or until hemodynamically...

This is exactly my point; the (possible) reversal of opiate-induced AMS (assuming the Demerol alone is causing it) seems like a fairly weak benefit compared to the potential cost of reducing analgesia. Her vitals are WNL with opiates on board and reduced analgesia could compromise that stability...

Narcan is used in my region solely to correct respiratory depression secondary to opiate overdose. Perhaps your protocols are different, but I agree with JPINFV that naloxone isn't indicated in this case based on the available information. I would guess that benzodiazapine/opiate administration...

I would need detailed assessment findings and an ECG to make a more definitive treatment decision. Regardless, I agree with the above poster; IVO2Monitor (one word :) ) and transport. I wouldn't give narcan in route unless noted respiratory depression was observed (which it doesn't seem to be)...