TopherSRN

I apologize if you're confusing a teaching opportunity with belittling. I was trying to offer insight as to why he turned the corner(the amio) and the advantage of biphasic defibs and discuss those issues. If you'd rather me just say 'gj on flogging ...

I apologize if you're confusing a teaching opportunity with belittling. I was trying to offer insight as to why he turned the corner(the amio) and the advantage of biphasic defibs and discuss those issues. If you'd rather me just say 'gj on flogging ...

I don't think the balloon 'solved' your VT, as it doesn't 'open' the coronaries, rather it facilitates their filling. An IABP isn't a substitute for PTCA. There was some other etiology, and Im sure the amiodarone gtt you started solved your arrhythmi...

I don't think the balloon 'solved' your VT, as it doesn't 'open' the coronaries, rather it facilitates their filling. An IABP isn't a substitute for PTCA. There was some other etiology, and Im sure the amiodarone gtt you started solved your arrhythmi...

Why would you want a monophasic? Biphasic has been proven more effective and you can crank a biphasic to 360. We do it very often.

Why would you want a monophasic? Biphasic has been proven more effective and you can crank a biphasic to 360. We do it very often.

"Calcium (chloride) is indicated for hyperkalemia during a code. And, it is indicated first line for severe hyperkalemia." Why do you keep repeating this? Its cookbook medicine and not even the point I was making. You were incorrect in saying that Ca...

"Calcium (chloride) is indicated for hyperkalemia during a code. And, it is indicated first line for severe hyperkalemia." Why do you keep repeating this? Its cookbook medicine and not even the point I was making. You were incorrect in saying that Ca...

So a Sa02, Abgs, ETCO2, EBBS and a PCXR (ALL done in a pt Why not just go for a CT to check ETT placement? Thats just as pragmatic as your bronch comment.

Your 2 quotes are contradictory. Ca has absolutely 0 effect on the potassium level. It only acts to normalize the normal resting membrane potential thereby rturning myocyte excitability to a more normal level. It is more of a cardioprotective measure...

Your 2 quotes are contradictory. Ca has absolutely 0 effect on the potassium level. It only acts to normalize the normal resting membrane potential thereby rturning myocyte excitability to a more normal level. It is more of a cardioprotective measure...

You 'coded' a person for 5 hours and 25 min s/p code they wer AAOx3? And 10 tries to get a fem cvl? No wonder it took 5 hours.

You 'coded' a person for 5 hours and 25 min s/p code they wer AAOx3? And 10 tries to get a fem cvl? No wonder it took 5 hours.

The decline of PACs probably has more to do with MDs than RNs.

I don't think it necessary for me to go browsing pubmed to 'prove' that PAd approximates PAWP in a NORMAL heart. That is common knowledge and I am far too busy. This text was handy so on pg. 211 of "Hemodynamic Monitoring: Invasive and Noninvasive Cl...

thank you both :icon_roll :icon_roll :icon_roll any other pearls of wisdom you wish to impart on me? i've been doing open heart for years taking care of vads, double valves, triple valves,robotic valves, thoracic aneurysms, aaa, cabgs with efs in the...

Why do people want to wedge so badly? The PAD usually correlates and if it doesnt and they're that sick I get a LA line at my new gig. I guess thats the one advantage to the ivory tower. I just don't understand the romanticism with wedging :/ PS: To ...

Its called ACLS protocol. if pt is dead -> give drugs. Do you not have protocols in place for repleting electrolytes? xfuse for Hct 38.3 give tylenol? Protocols are not dx'ing its cook book medicine that a monkey could carry out. You really don't...

Its probably 7 months too many.

This blows my mind. You have a fresh heart with wires and the first thing thats done is pound on his chest instead of hook his wires up to the pacer that should be at the bedside of EVERY open heart pt with wires. What about atropine, you know a vago...

They are not going to just give up after they do a cabg/valve on someone. To be honest those gtts and support devices (iabp/crrt) are pretty run of the mill in CVI. As far as him dropping his rate, did he not have epicardial wires?

Your getting Transmyocardial Revascularization (TMR) and a MAZE confused. TMR is where a laser is used to 'drill' holes through the myocardium in order to promote collateral capillary beds as a method of perfusion. A MAZE is a procedure where the atr...

If they are on high enough doses of pressors to develop mottled/hypoperfused extremities the odds of them walking out of the hospital are slim; so they don't need the toes/extremeities anyway. The whole levophed - leave em dead philosophy has fallen ...

they meant trying to pace and get capture first rather than immediately starting compressions. you'd be surprised how often peope forget about their wires. Though oftentimes you wont capture anyway :/ To not do compressions on a pt. with a non-perfus...

I would looove to work at a facility where balloons are mandated 1:1. While I have had sick balloons that were 1:1, they would have been 1:1 with or without the IABP. We get pre-op balloons and they are a breeze and it would be stupid to single them....