GilaRRT

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All Content by GilaRRT

  1. GilaRRT

    EMT to LPN

    You can check with the board of nursing; however, you are likely going to find out that the answer is
  2. I rented an apartment with a roomate. He loved to party and had people in and out at all hours. We had some fun for sure, but I lost a bunch of sleep during those years. I pulled it off back then, but...
  3. GilaRRT

    amp of D50

    One "amp" of D50 generally means giving the entire container of D-glucose 50%. this will be a 50 ml container. Since percent solutions refer to grams/100ml, a 1% solution will be 1 gram per 100ml....
  4. I did back in 2002. Older cancer patient for a routine blood draw. Nice, hollow, bloody needle stick. During the investigation, turned out the patient had HEP B. I should be a poster child for...
  5. GilaRRT

    Intubation and Sedation

    Hypotension is not uncommon with larger doses of midazolam. The literature varies, but you are most likely looking at least 0.1 mg/kg for an induction dose. Midazolam is not really an optimal RSI...
  6. GilaRRT

    Intubation and Sedation

    Okay, I am not sure what dose the OP is using, but I agree many people are using procedural sedation doses instead of induction doses. yeah, we are on the same page, and I absolutely think there are...
  7. GilaRRT

    Intubation and Sedation

    Im just not aware of compelling data that says patients intubated with midazolam are consistently at high risk for MI and so on from catecholamine dump versus other agents. Much of the data I've seen...
  8. GilaRRT

    Intubation and Sedation

    I'm not seeing how this special case can be generalised to all patients being at "high"
  9. GilaRRT

    Intubation and Sedation

    References?
  10. GilaRRT

    Concerns about 'modeling' pictures

    Possibly; however. my argument would be that said supervisor is morally degenerate for searching me out at looking at my nudie pictures. It works both ways if somebody wants to make an issue of it...
  11. GilaRRT

    Concerns about 'modeling' pictures

    What if somebody did see said photos? What does that say about said person? It's okay to be a pervert and look at nudie photos, but it's not okay to be the nudie person that said pervert observes? So,...
  12. GilaRRT

    Concerns about 'modeling' pictures

    Shouldn't matter, people shouldn't care; however, the lifestyle police are always out and about trying to cause drama. I wouldn't care if they were hard core pictures. It could be an issue at some...
  13. GilaRRT

    Intubation and Sedation

    Msn10, we are not talking about what is on an anaesthesia cart in the operating theatre. The OP is discussing a case specific to the emergency room. Thiopental is not an agent that you will likely...
  14. GilaRRT

    Intubation and Sedation

    Exactly, a good rule of thumb that I go by is 100 seconds per every 0.1 mg/kg. Using the common dose of 0.3 mg/kg, you only have about 5 minutes with etomidate. Msn10, rocuronium is also a generic...
  15. GilaRRT

    Intubation and Sedation

    The action of vecuronium is significantly longer than the action of etomidate, you are right to worry. I often wonder why physicians continue to utilise competitive, long acting neuro-muscular...
  16. There's a big difference between somebody physically touching you and some stupid comments made on a website that could very well be from a 10 year old Moroccan
  17. Do whatever you wish, just know that you are going to personally involve your self in this situation and it may lead to more
  18. So, we intentionally give somebody a substance that causes negative physiological consequences, and it's
  19. I may hurt some feeling's however, if the shoe fits? First, is it professional for a med student to start a Facebook flame war? No, we have this well established at this point. However, do you think...
  20. How exactly do you know this? Not every hypotensive chest pain following GTN will be a
  21. It's common with right sided involvement. I've gotten into the habit of assessing V4R prior to
  22. Unfortunately, if you are worried about nursing school being difficult, then you will probably struggle in respiratory school. There is a significant amount of math involved. In fact, I had to take...
  23. GilaRRT

    Paramedics in the ER

    Trauma, I can be a little dense; however, when admin suggests going back on topic it's a
  24. GilaRRT

    Paramedics in the ER

    Okay, what about medics in the ER? All this degree and critical care erotica is great, but going back to the original
  25. GilaRRT

    Paramedics in the ER

    Actually, the term "technician" has been officially removed from the paramedic title IAW the national SOP