Guest374845

Guest374845

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All Content by Guest374845

  1. Podcasts

    Guest374845 replied to HoosierRN06's topic in Emergency

    In order of preference, AZ EMCast, FlightBridgeED, FOAMCast, Core EM, and EM Clerkship. There's many more but they're either too dull, too dogmatic and douchey (EM Crit), or subscription-only...

  2. Air reserve flight nursing

    Guest374845 replied to Weeksrachn's topic in Government, Military

    The AF has a 2-week commissioned officer training for prior service, physicians/dentists who can't afford 5 weeks away from their practice

  3. Air reserve flight nursing

    Guest374845 replied to Weeksrachn's topic in Government, Military

    This is copy/pasted directly from my recruiter: 1. Reserve Officer Training School/ 5 Weeks or 12 days at Maxwell AFB AL 2. SERE Training/ 19 days at Fairchild WA 3. Water survival/3 days at...

  4. New ER RN- Normal to feel this way?

    Guest374845 replied to nursebabyxoxo's topic in Emergency

    Sorry to typify the strong personality stereotype but... if you have more than 5 room-worthy patients in an ED in the United States - and that's pushing it - your institution is retarded and you're...

  5. tips and tricks for difficult IV starts?

    Guest374845 replied to amzyRN's topic in Emergency

    We've published that failure rates decrease as IV length increases. When we go back and QC USGPIVs placed in our department in patients who are still admitted, they're often still being used beyond 4...

  6. Favorite Apps in ED

    Guest374845 replied to NurseHeart&Soul's topic in Emergency

    I found one I use for codes called Tidy Resus, it's free in the Apple app store. It's very easy to use and intuitive: it's a code timer/metronome that has separate clocks for compressions and epi....

  7. Hourly charting

    Guest374845 replied to russianbear's topic in Emergency

    If you don't know what the OP means by "soft 3 or 4" ESI patients, then it doesn't surprise me you wouldn't understand hourly/q2h ER charting. It's pretty standard in medium-to-large EDs in the US. My...

  8. tips and tricks for difficult IV starts?

    Guest374845 replied to amzyRN's topic in Emergency

    ^lol hgb of 4 and na of

  9. tips and tricks for difficult IV starts?

    Guest374845 replied to amzyRN's topic in Emergency

    Continued... EJs. Inquire if your facility lets RNs put them in and see if you can get checked off. There are often times lots of EJs where there aren't any other veins. Basillic vein is skinny...

  10. tips and tricks for difficult IV starts?

    Guest374845 replied to amzyRN's topic in Emergency

    - 2 tourniquets (one up in the axilla, one at the wrist), creates more venous engorgement and pressure so you might feel veins you previously couldn't but also helps prevent going all the way through...

  11. Resources (books) for new grad in ED?

    Guest374845 replied to frequentFLyER's topic in Emergency

    I've found that EM clerkship medical student resources are helpful because they're condensed without being dumbed down. They strike a good balance between being too algorithmic and simplistic (like...

  12. Combined use of nicardapine and esmolol drips for aortic dissection

    Guest374845 replied to R8T3D_RN's topic in Emergency

    B-blockade without simultaneous vasodilation (nicardipine) doesn't do anything to protect the patient from developing a retrograde enlargement of the defect back toward the heart. Conversely,...

  13. Why are you listening to the heart?

    Guest374845 replied to grizun's topic in Emergency

    Maybe it's habits from before working the ED, but I listen to every heart, lung and gut in all my rooms. It takes longer to argue for or against it than it does to just do it. Heart tones aren't...

  14. ICU vs ED

    Guest374845 replied to medicalninja's topic in Critical Care

    I agree with CCU, and I would add that there's a bit of comfort to be had in a "routine" at times in the ICU. Just like how not everyday in the ED is a shitstorm trauma codefest, not every day in the...

  15. CEN 2016!

    Guest374845 replied to Lev's topic in Emergency

    The CEN exam felt harder because the questions or answer choices were more vague at times compared to the practice tests, but I scored better on the exam than my practice average. So my n of 1 says...

  16. Anyone seen an MI from septic shock?

    Guest374845 replied to Lev's topic in Emergency

    Interesting! I love a good case... So the RCA is reflected in the inferior or posterior leads, or maybe reciprocally in the lateral leads if it's a posterior MI. Did any of his later EKGs start to...

  17. CEN 2016!

    Guest374845 replied to Lev's topic in Emergency

    Just got back from taking it and I passed. It was nice to have the print-out as you walk out instead of having to wait around for an email or checking the board. I only studied by taking the 7 online...

  18. Anyone seen an MI from septic shock?

    Guest374845 replied to Lev's topic in Emergency

  19. Anyone seen an MI from septic shock?

    Guest374845 replied to Lev's topic in Emergency

    I can easily see a non-stentable NSTEMI due to myocardial vasospam or demand ischemia in any kind of

  20. Triage Resources

    Guest374845 replied to NurseHeart&Soul's topic in Emergency

    ESI has an easy to follow algorithm that I occasionally have to look up at (mostly for differentiating 4s and 5s), e.g. what is and isn't a "resource". Trauma activation (or transfer) criteria are...

  21. Ultrasound Guided IV insertions

    Guest374845 replied to pluckyduck's topic in Emergency

    We have a very well-run and heavily QI'd USGPIV program in our ED. Our docs did a literature review recently and the mean number of sticks needed to achieve 88% success was somewhere between 15-26...