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  1. morbusstrangularis

    Zofran potentiates opiates?

    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...
  2. morbusstrangularis

    9 y/o M Diff Breathing and Chest Pain

    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...
  3. morbusstrangularis

    9 y/o M Diff Breathing and Chest Pain

    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...
  4. morbusstrangularis

    Morphine vs fentanyl myocardial o2 demand

    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/
  5. morbusstrangularis

    Morphine vs fentanyl myocardial o2 demand

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

    Morphine vs fentanyl myocardial o2 demand

    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...
  7. morbusstrangularis

    Morphine vs fentanyl myocardial o2 demand

    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...
  8. morbusstrangularis

    9 y/o M Diff Breathing and Chest Pain

    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...
  9. morbusstrangularis

    Light or No Lights?

    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...
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