GilaRRT

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  1. GilaRRT

    Anyone else feel like they don't know basic first aid?

    GilaRRT replied to blondy2061h's topic in General Nursing

    My post was not designed to respond to any one specific comment. Simply want to emphasize that your abilities are going to be limited on the scene of an accident. With that, if you as a nurse are...
  2. GilaRRT

    Is a backboard for transport only, or immobilization while in the ER?

    GilaRRT replied to vampireslayer's topic in Emergency

    I agree. As far as EMS and hospital differences, I agree and disagree. The environments may differ; however, many of the techniques can be utilized from one environment to the other. In fact, some...
  3. GilaRRT

    Anyone else feel like they don't know basic first aid?

    GilaRRT replied to blondy2061h's topic in General Nursing

    Well, we are not going to be placing traction splints and such as a first responder on the scene. I have been first on scene for a couple of situations and as soon as EMS arrived, I got out of the...
  4. GilaRRT

    Anyone else feel like they don't know basic first aid?

    GilaRRT replied to blondy2061h's topic in General Nursing

    Well, we need to realize that there are only a few things we can do on the scene of an accident. The most critical is to ensure we do not become part of the situation. As far as actual patient care,...
  5. GilaRRT

    Preemptive Horizontal Violence, Get 'em Before They Start

    GilaRRT replied to hvlqodvhiniyc's topic in General Nursing

    This is not about having a soft heart. The TOS clearly states that legal issues are not for this forum. Frankly, it is not a prudent idea to discuss such sensitive material on a public forum. These...
  6. GilaRRT

    Is a backboard for transport only, or immobilization while in the ER?

    GilaRRT replied to vampireslayer's topic in Emergency

    Well, I understand your argument from an anecdotal stand point; however, the reverse is true and in the literature. People who spend time on backboards become uncomfortable. Uncomfortable people tend...
  7. GilaRRT

    Is a backboard for transport only, or immobilization while in the ER?

    GilaRRT replied to vampireslayer's topic in Emergency

    However, we have to at least admit there is allot of research that really does not support the prolonged use backboard. I do not expect any guidelines to change overnight; however, we simply cannot...
  8. GilaRRT

    Is a backboard for transport only, or immobilization while in the ER?

    GilaRRT replied to vampireslayer's topic in Emergency

    In a way it really is about changing overall hospital policy. In the defensive medicine based health care system within the US, it can be very difficult to change attitudes, policies, and ultimately...
  9. GilaRRT

    Is a backboard for transport only, or immobilization while in the ER?

    GilaRRT replied to vampireslayer's topic in Emergency

    Ok then. Hopefully we can all agree that getting somebody off of a board as soon as possible should be a goal. Obviously, in a smaller facility with limited resources, people may need to stay on...
  10. GilaRRT

    Flight Nurse One Day

    GilaRRT replied to SeriphumRN2b's topic in Flight, Surface Transport

    All other things equal, I think prior military experience could give you the advantage. Recent solid critical care experience will be one of your greatest assets
  11. GilaRRT

    Nursing's image

    GilaRRT replied to haitianrn's topic in General Nursing

    Ok, we need to step back and gain a little perspective. Everybody is just an "average" person in some way or another. Do you know anything about what a bagging clerk does at your grocery store?...
  12. GilaRRT

    Worldwide travel

    GilaRRT replied to griffly's topic in Travel

    Will
  13. GilaRRT

    Worldwide travel

    GilaRRT replied to griffly's topic in Travel

    Depends on what you want to do. I understand many people consider UAE for contracts. Dubai specifically. However, from my experience, Dubai is hot, humid, and expensive. Nice place to visit for a few...
  14. GilaRRT

    Gas Laws

    GilaRRT replied to Gas Me 2010's topic in Certified Registered Nurse Anesthetist, CRNA

    I presume you are asking about Boyles law and the such. Remember many long hard days remembering these for the CFRN. Allow me to present you the idiots guide to gas laws? Boyles Law- At a constant...
  15. GilaRRT

    Using Fibrinolytics in the Remote Setting

    GilaRRT posted a topic in Cardiac

    Thought I would throw this out for consideration by other providers. The current situation: I am currently working in a small remote medical clinic. We provide care for several thousand clients. Our...
  16. GilaRRT

    Sinus Brady vs. Junctional?

    GilaRRT replied to Virgo_RN's topic in Cardiac

    Any way to scan the strip and attach the image to this thread? With P waves buried in the QRS and wide QRS morphology, I would consider third degree AV block as well. A ventricular pace maker would...
  17. GilaRRT

    Non-blood products for raising hemoglobin

    GilaRRT replied to blondy2061h's topic in General Nursing

    It is a mute point. What synthetic blood product is available for use? Polyheme? The study was ended early because it looked like people were dying from the polyheme instead of the trauma. What does...
  18. GilaRRT

    emt-basic good idea to get it before i apply to an ER/ED?

    GilaRRT replied to 8jimi8ICURN's topic in Emergency

    May learn about combitubes. Advanced airway adjuncts are not part of the core curriculum for the EMT-B. Many states may allow Basic EMT's to place advanced airway devices; however, this is not a...
  19. GilaRRT

    emt-basic good idea to get it before i apply to an ER/ED?

    GilaRRT replied to 8jimi8ICURN's topic in Emergency

    Online EMT-B is not a bad idea IMHO. Look, the EMT-B curriculum is essentially a 110 hour advanced first aid course. At least you actually have a two week clinical component. This is more than many...
  20. GilaRRT

    emt-basic good idea to get it before i apply to an ER/ED?

    GilaRRT replied to 8jimi8ICURN's topic in Emergency

    Yeah; however, we are talking about a nursing student who wants to look at EMT-B as a way to give him an advantage at nailing a job in the ER as a new grad or working as an ER tech to gain a bit of ER...
  21. GilaRRT

    emt-basic good idea to get it before i apply to an ER/ED?

    GilaRRT replied to 8jimi8ICURN's topic in Emergency

    Depends, some states allow NREMT credentialed candidates to obtain reciprocity while others require a state exam or course. I would not call NREMT a multi state license. In fact, NREMT does not...
  22. GilaRRT

    Non-blood products for raising hemoglobin

    GilaRRT replied to blondy2061h's topic in General Nursing

    Nothing on the market. The polyheme trial ended early after patient morbidity and mortality increased in patients given polyheme. I understand a bovine hemoglobin product is undergoing trials in...
  23. GilaRRT

    Pediatric Head Injuries

    GilaRRT replied to Mistify's topic in Emergency

    How does sleeping adversely effect the central nervous system of the patient with a suspected brain injury? What is the rationale for not allowing people to sleep? If you cannot wake somebody up for...
  24. GilaRRT

    Wife with BSN with NO drive, what to do??

    GilaRRT replied to Tony1790's topic in General Nursing

    Perhaps you are correct. However, let us look at the original question. "My wife has a BSN, no longer nursing, she doesn't want to be in nursing, fine. But she refuses to look at other areas that she...
  25. GilaRRT

    Wife with BSN with NO drive, what to do??

    GilaRRT replied to Tony1790's topic in General Nursing

    Does it really matter? Who cares where a person works. Yeah, contract killing may raise a few eyebrows; however, it sounds like the said person is productive and maintaining steady employment. I fail...