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im sure there will come a day you feel differently

"The qualities you are looking for are lightweight and not too expensive" those may be the qualities YOU are looking for...I really dont care about weight....just price and performance

actually the reason i got a cardiology scope is cause they are a lot more insulated then any other types. besides i like to be prepared for ANYTHING that I will come across and yes as a medic, or even a medic student, sometimes you have to listen to heart tones....and wait....isnt that...

i say just go to 300.....cant miss many people that way

that was mentioned to me....but i dont do it that way. the way i do it....which doesnt always work for some people....is to place your stethoscope and start pumping up...you will start to hear Korotkov sounds on the way up (just like on the way down), so I pump it up until they go away then go...

whats the deal with morphine and bifasicular blocks? never heard of the correlation before.....

we do not have any device specific energy settings in our county. the only thing we have is 2J/kg for inital and 4J/kg for subsequent shocks.....nothing states any difference between mono or biphasic machines

haha good timing...i just found that article myself

i definitely agree.....even tho the hypokalemia leads to an interesting diagnosis....im thinking the way it marches out would definitely point towards a 2:1 Mobitz.....either way the lesson learned is dont always trust what your machine says as far as rhythm interpretation. it said a mobitz...

I was pretty sure that it was at least true for Medtronic Lifepaks also....Ive been trying to research it a little bit more though and cant seem to find anything yet

so what you have been told so far is true....however the biphasics going up to 360 J is a little deceiving..... heres how it works. biphasic machines will measure the impedence between the two pads and shock accordingly despite what you have the energy set at. however it will not shock with...

definitely with a 3rd degree.....but it could be a 2nd degree if they block is in the Bundle of His versus the bundle branches but you got me to thinking and it couldnt be a 3rd degree due to the lack of a wide QRS....thanks for pointing out my oversight Jeff

any muscle weakness? anything else to suspect DKA? any use of diuretics/any significant medical hx?

so lets talk signs of hypokalemia on an EKG. First the QRS widens, then your ST segment starts to depress, your T wave begins to flatten out, then you develop a U wave. The more and more hypokalemic they become the bigger your U wave gets and the smaller your T wave gets. Now lets talk what...

I agree that it is a common practice, and do not agree with failing a student for it. However at some point on a call you DO NEED to take an auscultated blood pressure. So you do need to be able to do it, reliably might i add, in any situation.

I have come across it once in the prehospital setting.....its nothing fantastic. exactly what you would think it is. You are taking a BP, you get your systolic pressure and continue letting air out. All the sudden you stop hearing that thump and mark that as your diastolic. You continue to...

usually wont you have a wide QRS with this also?

Guess it depends on how risky your cardiologist in the Cath Lab are.....Ive seen patients go straight from ROSC to the cath lab.....I would say you cant get anymore unstable than that. I was there for the procedure and the guy went into VT/VF about 25 different times but eventually made it out...

very true....i love getting BPs by palpation....but sometimes you do need the diastolic throughout your call

if you have a problem hearing it to begin with you can always feel for a pulse in the antecubital fossa (the inside of the elbow), then you will know exactly where to put your stethoscope. then your next step is to pump up the cuff, while still palpating the pulse until you cant feel it...