matthewjdouma

matthewjdouma

ED, Critical Care, Street Outreach

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All Content by matthewjdouma

  1. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

    matthewjdouma replied to matthewjdouma's topic in CCU, Coronary, Cardiac

    Thanks so much for your reply. I love learning new stuff and challenging prior conceptions.

  2. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

    matthewjdouma posted a topic in CCU, Coronary, Cardiac

    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...

  3. Cardioversion without 5-lead monitoring with Phillips Heartstart Mrx?

    matthewjdouma replied to matthewjdouma's topic in CCU, Coronary, Cardiac

    Without the leads the pads must identify the cycle and deliver shock, then continue to monitor. I'll keep you posted, thanks for your

  4. Triage Scores

    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?

  5. Triage Scores

    matthewjdouma posted a topic in Emergency

    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...

  6. Triage Scores

    matthewjdouma replied to matthewjdouma's topic in Emergency

    Thanks. That's what I think we need to start doing, moving the 4-5 up as

  7. Spine board policy

    matthewjdouma replied to ermurse's topic in Emergency

    Well said ZippyGBR, very eloquent. I concur. Thank

  8. Spine board policy

    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...

  9. Spine board policy

    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...

  10. ED nurses with critical care knowledge & experience?

    matthewjdouma posted a topic in Emergency

    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...

  11. Management of violent Patient's in ED ?

    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,...

  12. ACNP Trauma Specialization

    matthewjdouma posted a topic in Nurse Practitioners, NP

    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...

  13. CEN Exam Prep

    matthewjdouma posted a topic in Emergency

    I've just started studying for the CEN exam, any recommendations or tips from those studying or who have written the exam?

  14. CEN Exam Prep

    matthewjdouma replied to matthewjdouma's topic in Emergency

    Thanks, I found an interesting review guide and textbook on

  15. CEN Exam Prep

    matthewjdouma replied to matthewjdouma's topic in Emergency

    Thanks for your reply, I'll keep the most right answer in mind. Did you use any specific resources to aid your

  16. pulse pressure

    matthewjdouma replied to phiposurde's topic in Emergency

    this explains it well: http://www.emedicine.com/med/topic283.htm i thought this was a great summary: reddy et al describe 3 phases of hemodynamic changes in tamponade. phase i: the accumulation of...

  17. pulse pressure

    matthewjdouma replied to phiposurde's topic in Emergency

    I think a sign of cardiac tamponade is narrowing pulse pressure. [Kowalak, P. & Hughes, A. (2002). Handbook of signs & symptoms - 2nd ed. Lippincott Williams & Wilkins. New York.] But I've...