Hi Everyone, I've been through a few monitors in my career now, codemaster, LP12, Zoll and now Phillips Heartstart MRX. This is the first monitor/defib that I've ever used where our education team is telling us it can provide syncronized cardioversi...
matthewjdouma replied to matthewjdouma's topic in Emergency
Thanks for the replies. For those who do not change triage score how do you track acuity changes when it will be hours before the patient is seen? Thanks
Hi everyone, A debate is ongoing with my colleagues as to whether triage scores can be altered one they have been initially applied. We're an overcrowded inner city ED, patients wait in our waiting room for many hours, when their condition change do...
matthewjdouma replied to ermurse's topic in Emergency
there's evidence that rn's and medics can apply the canadian c-spine rules: [color=dimgray]podichetty, v. k, morisue, h. (2009). prediction rules in cervical spine injury. bmj 339: b4139-b4139 stiell, i. g, clement, c. m, grimshaw, j., brison, r. j...
matthewjdouma replied to ermurse's topic in Emergency
This is not an uncommon nursing intervention. Trauma trained registered nurses initiate spine board removal frequently, all over the world. The original poster is correct to be writing a policy on this. The harm of immobilization is serious, often EM...
Hi everyone, Our busy inner city ED sometimes boards ICU & CCU patients for days. We often resuscitate pt's and hold onto them for a long time. We're a tertiary care center with about 55 beds. I want to know how many departments out there provid...
matthewjdouma replied to fawnsternurse's topic in Emergency
I'm in the process of writing an interdisciplinary guideline for managing violent / aggressive patients in our Trauma Center. If anyone has any SOP / policies / guidelines that can be emailed to me, please PM me for my email address. Also if anyone c...
Hi, I'm an experienced Canadian RN with ER/Critical Care experience, all the alphabet courses (ACLS, TNCC, CATN-2, PALS, ENPC, NRP, ATLS etc) and I'd like to contact ACNP's who work in trauma settings. I'm preparing my MSN-ACNP application and wish ...