getoverit

getoverit BSN, RN, EMT-P

ER/ICU/Flight

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All Content by getoverit

  1. ECCO Program

    Our ICU uses it for new orientees. It is a good course and I think the interface problems have been worked out. It definitely helps to have exposure to the material before seeing it for the first...
  2. My 9 year old patient was raped and required surgery

    I'm so sorry for that little girl and bless you for taking care of her. My wife is a social worker and a few years ago we were at her office Christmas party. Someone had a 15 month-old boy there and...
  3. Scope of Practice?

    RedCell said it great (are you in training to be a cage fighter?). There isn't much you can do without equipment and if you were in a mass casulaty incident then there would be equipment around you....
  4. SWANS - Wedging

    or any place that experiences vicariously through others. I'm not personally aware of any incidents in the past 10-12 years, but we also shoot our own COs and use the PAD. I probably haven't wedged...
  5. Tired of EMS thinking they can walk in!

    That is
  6. Strange things found on (or in) a pt.

    very strange. reminds me of a guy who had one of those vacuum pumps that are supposed to make a member bigger. this guy had over-done it and got his whole scrotum stuck in there too. it hurt so bad...
  7. Strange things found on (or in) a pt.

    sorry, it's been awhile and I forgot about this thread. in answer to your questions, yes, it had to have crawled right in through her socket. I don't understand how it could have gotten back there...
  8. Strange things found on (or in) a pt.

    I hear ya! Parasites don't really bother me much, but eyeballs......different
  9. Strange things found on (or in) a pt.

    a friend of mine just took his family camping this past summer and his daughter had a tick attach itself to the posterior aspect of her eyeball. It was the weirdest thing as she kept complaining that...
  10. RN to Paramedic Bridge Course

    Like vamedic and medic09 have said, doing advanced airway techniques over and over again is essential, both with mannikins, in the OR and in the field. The more you do it, the more practice you have...
  11. a) 236 beds + multiple outpatient clinics which we will respond to as well b) honestly I rarely carry anything and rarely ever need anything that isn't there. every floor/department/etc has an AED and...
  12. Elevated K+--insulin?

    yeah, 10mg albuterol is what I've given too and I hadn't heard of it until maybe 2-3 months
  13. Elevated K+--insulin?

    I can't remember where it was, but if you google hyperkalemia treatment you'll get about 15K hits. I do remember it was an abstract written by a nephrologist and was within the past 3 months. I used...
  14. RN to Paramedic Bridge Course

    hey hherrn, i wish i had an irrational rant, but sadly...no. i hope you haven't misunderstood my position about bridge courses. for certain people they are fine and as you say, you would certainly be...
  15. Elevated K+--insulin?

    The insulin injection is just a hormone that stimulates glucose to cross the cell membrane and provokes the uptake of potassium as well. I believe it has something to do with the size of the molecule...
  16. Dumbest Pt Family Statement or Question

    As we were taking a patient to the helipad at a small hospital to transfer him back to the level 1 center, one of the family members grabbed my arm and said "Is anyone going to be in there with him...
  17. quik combo electrode placement

    are you talking about quick combo patches for defib? it really doesn't matter as long as there's a good path for the electricity through the myocardium. but yes, you can put the patch for the left...
  18. Socialized Medicine....WHAT IF?

    sure, our military is very socialized and so is the healthcare given to our service members. but as one poster mentioned, Obama isn't going to create a national healthcare service like what is seen...
  19. Nurse vs. Paramedic led transports

    Hey Steve, I may be out on a limb here, but I bet you'll have a hard time finding any airmed program specializing in peds/neo x-port that are run by paramedics. I used to fly at a program where the...
  20. Trasducer leveling

    one of the guys I work with bought a little laser pointer and rigged it up somehow. I can ask him where he got the materials and how much $ it cost if you're interested. All I can remember is him...
  21. Have you helped/saved anyone while off duty?

    Yeah, one time I was pulling into a gas station when an ambulance screamed into a dialysis center next door. I knew most of the medics and had taught one of the responders through paramedic school so...
  22. CASE STUDY??? Anyone interested in an interactice one??

    babs0512 I don't treat the monitor instead of the patient and if you'll read my posting, I didn't say anything about knocking down her respiratory drive and intubating her. I was referring to being...
  23. CASE STUDY??? Anyone interested in an interactice one??

    I had a feeling the 12 lead would change everything. Nice. So I'm assuming (and yes, I know what happens when I do that) her clinical picture has changed. Looks like multi-focal v-tach to me. the 2...
  24. I have been involved in emergency services for a long time (17 years) and I do agree that I would only render basic first aid (CPR, stop a bleeder, try to relieve an a/w obstruction, etc.) and I only...
  25. CASE STUDY??? Anyone interested in an interactice one??

    Hmm...good questions. And naturally there has to be a guy walking in with apparent chest pain! Even though no orders for O2, that's a nursing intervention and I'd have her on at least 2 liters while...