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Gold star if you tell me who said "Someone's got to cook the french fries..." A true statement if there ever was one.

Thank you! Duh. We administer medication for INDICATIONS, not LACK of indications. "It couldn't hurt" is not an indication.

A CSF leak anywhere can be a very big deal, whether post-trauma, post-surgery, or post spinal/epidural anesthetics. With trauma, besides being a sign of a significant head injury/skull fracture, there can be a very high risk of infection. With post-op or post-anesthesia CSF leaks that persist...

THIS!! Thank you! Nobody will be alert and oriented and talking to you with a BP of 40/23. Any time you get a reading like that, use those things you have hanging around your neck and take a real blood pressure.

ERdoc said This thread got closed a little quick, but this response is one I wanted to address. Some of you think this attitude is, well, a little snotty perhaps. It's not. I had a professor in anesthesia school that had crazy hard tests. Fortunately he graded on the curve - the high...

I see the point - I just don't agree with it much. :) Like I said before - it doesn't hurt anything. Does it help much? I doubt it - it's certainly not some magic cure-all or it would be used everywhere all the time.

On or high works well for almost any situation that EMS needs suction.

So I'm curious - is the problem mainly poor management/scheduling or people calling out?

Thank you for some common sense. We never put C-collars on as a way of securing ETTs anywhere in the hospital. Tape it/secure it so it doesn't come out - period. Our respiratory folks take off the tape we put on in the OR and put on a fancy adhesive thing with a tube clamp and a tie that goes...

And the corollary is "Why do I have cottonmouth this morning after tying one on last night?" ;)

I haven't found a reference for that particular estimation, although I did find something similar on http://www.ncbi.nlm.nih.gov/pubmed/15558774 that does take heart rate into account. Regardless, they're all estimations, and a few mmHg difference is probably not that significant in most...

SImply based on the numbers given, it has not changed.

Lighten up Francis. Local is local. End of story. Cardiologists each have their own way of doing things as well, depending on the exact rhythm, history, etc. I give sedation for cardioversions all the time. Most of our guys use 100-120 joules for STABLE A-Fib, but some are as low as 50, and...

You'll never Doubt you'll ever see it in the US again. There's absolutely zero commercial interest in it and it's no longer FDA approved. Nobody is or will be interested in attempting to bring it back to market due to the potential side effects, so it would never be a commercially viable...

I don't believe MOF is commercially available in the US - as I recall, Australia is the only developed country in the world where it's commonly used. It is in fact nephrotoxic, which in the US means it's dead from a medicolegal standpoint (meaning plaintiffs lawyers would be all over it). It...

Your superior is uninformed at best, and the protocol, if that is actually a protocol, is just plain stupid. Stick anything in your nose - it's irritating as hell - but once it's there, it's not that bad. Think of NG tubes that stay in for days on end. That's why NPAs can be used on conscious...

A physician cannot give you an order that violates state law. A physician's delegatory authority is limited in each state by statute and/or board of medicine regulations, but in general, they can only delegate a medical act to a person who has adequate training to perform that act. A physician...

I have no experience with LVAD's and I'm kinda playing devil's advocate here, but who pays for an EMS EKG every two months? I'd be pretty surprised if that's covered by insurance.

Nothing wrong with the EKG. Look at your long Lead II strip - that same fluctuation is there as well. It's just respiratory variation (which you already noted) - totally normal.

As I mentioned previously, Remi is a little less blunt than I am. I don't let my emotions dictate my actions - never have in the 40 years I've been in healthcare. Maybe we're a lot alike and just arguing to argue. But there are certainly patients that are more stressful than others. My first...