medic182

medic182 has 5 years experience and specializes in Emergency Nursing..

Latest Activity

1. Lactate Monitoring

   medic182 replied to medic182's topic in Emergency

   Does a lactate level effect the way you treat a patient. I know it is a great indicator of cellular hypoxia and mortality, but is there a set protocol you follow. I.E. patient with stable vital signs but a lactate level of 5.0 would it change your ...

2. Lactate Monitoring

   medic182 posted a topic in Emergency

   I am wondering if any ERs out there are doing bedside lactate monitoring via capillary to venous sample. Our flight crews do it, but we are not doing it in the ER, in fact it's not routinely ordered on patient's, even critical patients. If your ER...

3. Needle Stick Protocol - Antiretroviral?

   medic182 replied to NCindasun21's topic in Disease

   The patient should have been tested. The gold standard of care is a rapid HIV test and you should have results in less than 12 hours, usually with in an hour. If the source patient is HIV positive then starting on the anitretrovirals is extremely i...

4. Bad code

   medic182 replied to sk8rn's topic in Emergency

   First things first. You can only do much with a code like this, so congrats on doing what you can do. Let's tackle one thing at a time. Difficult IV access. Gotta love the IV drug users with no veins, then with nothing circulating only makes thin...

5. paramedics in the ER

   medic182 replied to blufoxtrot's topic in Emergency

   I agree.. I have been a medic for 7 years and now an ER RN. there is a huge difference! never in a hospital based setting should an EMT-P outrank an RN, that is the simple truth. Look at flight programs, they are required to have an RN on board t...

6. Triage Regulations

   medic182 posted a topic in Emergency

   I am trying to find information about triage regulations in the state of PA or anywhere really and I am unable to find anything concrete. Here is the situation our ER is in. We are a small community ER (11 beds), see an average of 70 patient's per ...