Recent content by morbusstrangularis

Haha, that's great! Senna would also work... On a side note, I was under the impression that loperamide (Immodium) worked as an opioid receptor agonist that was too hydrophilic / lipophobic to cross the BBB. Mixing it with something to act as a carrier protein or increase its affinity for...

Agreed, my feelings on ACLS as well. My point to the OP was more of not focusing on or taking those courses until you understand the reasoning behind the treatments outlined. My feeling is you will get more out of the class if you already have a working (or better) knowledge of the foundational...

Good to hear you're taking the foundation seriously! In most medic schools the foundation isn't well taught or emphasized. If I were you, though, I'd stay away from any course that's algorithm based. Never taken PHTLS, so if I'm wrong, could someone please correct me, but that sounds a lot like...

And that was my fifth! Sorry for so many posts, but now I can bring you this: http://socmob.org/2013/04/evidence-based-management-of-acute-heart-failure-forget-lmnop-think-pond/

Also, my bad, I recognize the difference between a retrospective analysis and controlled trial, my bad for my initial description.

For a great blog post by an er doc, google socmob lmnop, It's the first article talking about changing mnemonics. Apparently I can't post links until I have 5+ posts under my belt, can someone post it for me? The data came from the ADHERE registry data as cited above, still searching for a...

Good discussion. With everything that I've read, it doesn't really matter which opiate you use for ACS/cardiac-ischemic chest pain. It boils down to provider's discretion, and this is where really knowing your pharmacology comes in. Most of my experience with pain control is intra- and...

Interesting. I as well would have loved to see the 12 lead. Electrolyte abnormality is definitely on my list of ddx, however it is unlikely to be caused by the sudden water consumption, doesn't sound like enough time or water to absorb and cause it. Perhaps an underlying one? PE is something to...

Interesting thread. I've worked for private companies only, one providing 911 services with the fire department (a horrible arrangement, don't get me started on that) and another that ran IFT and had contracts with nursing facilities. They would call us instead of 911, because just about anytime...