thanatos

thanatos

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All Content by thanatos

  1. Patients who steal from the ER

    stuff is constantly "walking" off...stethoscopes, reflex hammers, thermometers, diapers, tube gauze holder, and a doppler U/S. I had this one guy who was acting reeeeaaal weird...he took some...
  2. RSI meds

    out of curiosity... what meds do your docs like to use for RSI. anybody using ketamine, read that it can be useful in hypotensive pt.s and especially with status
  3. difficult IV starts

    This topic has been addressed numerous times. If you do a search, you will find a plethora of useful
  4. Help, teaching 6th graders about handwashing

    I taught the same thing to my college speech class. I arrived to class early and put the glow stuff on the tables. I gave my presentation about halfway through the class (plenty of time for them to...
  5. interesting...almost all of the kidney stone patients I have taken care of were not obese. I can only think of one that was. I wonder if there is an increase of a particular type of kidney stone,...
  6. HELP!!! with ACLS Drugs!

    yup...valium is no longer recommended to be given via
  7. PDA in the ER

    PDA = Personal Data Assistant, e.g. palm
  8. Challenge: 25 Words or Less

    flu. flu. flu. r/o appy. "fell on butt". flu. suicide attempt. positive M.I. . frequent flier..."sciatica". and dental pain. didn't have to speak spanish
  9. puncture wound... what to do?

    All animal (including human) bites should be treated urgently. Antibiotics is the key. I've seen some cat bites turn ugly very rapidly which required hospitalization and IV abx. Even with thourough...
  10. CCRN Preparation

    I found the following books very helpful: Critical Care Cerification: preparation, review, & practice exams. Thomas Ahrens & Donna Prentice. Pass CCRN! Robin Dennison. Core Curriculum for...
  11. CEN test coming up

    ok, back to those mast trousers.... 2. what is the tx of choice for cat bites? tridil, Are you still using MAST pants for hypotension? Haven't seen them used in years. Also, regarding cat bites, I...
  12. Identifying main medical problem...

    If their GCS drops to a 5, they have, or will soon have, a serious problem with "A" & "B" of the ABCs, i.e. they will need assist with maintaining the airway & ventilating. C-collar (if...
  13. Kids and Gun powder!

    I agree w/ above poster re not using ice. But I don't understand about the Doc's comment about the cold water. Stopping the burning process is number one priority, i.e. douse w/ water. Was he...
  14. Identifying main medical problem...

    uuuummmmmm...how about all of the above. The fall caused the head injury...that caused the epidural bleed...that then caused increased ICP...and now it sounds like he may be herniating. Okay,...
  15. svt question

    aaaahhhhhh! sustained VT, not supraventricular tachy. In order to be "sustained" it has to last 30 seconds or more. Here's a reference: http://www.merck.com/mmhe/sec03/ch027/ch027g.html Be careful...
  16. svt question

    I'm confused (more so than usual)...could you please clarify? V tach and SVT (SUPRAventricular tachy.) are mutually exclusive. It's either one or the other. The length of time does not matter....
  17. Anyone know what ANGILNEYNOTICENEMA is?

    This sounds like hereditary angioedema (HAE) which results from a deficiency of C-1 esterase inhibitor. Here is a link on the disorder and the blood test: http://www.hereditaryangioedema.com/...
  18. Reasons not to use rib belts?

    We still use them on occasion. Patients seem to like them. I have heard the argument against their use, but I haven't seen any scientific
  19. Preceptorship in ER

    I do see your point. Again, I'm sorry you've had such a bad experience with med/surg nurses. Where I work, most of them are excellent. Also, I used to work med/surg, and I believe this speciality...
  20. Preceptorship in ER

    It is too bad you have had such a bad experience w/ med/surg. Since I know & work with some outstanding med/surg nurses, I don't want you stereotyping these nurses. I would rather have a staff...
  21. RN Functions

    ditto what needsmore$
  22. fluids/electolytes

    In general terms, there are different causes of hypovolemia. Dehydration is one. So to answer the OP: protracted N/V/D will lead to hypovolemia, specifically dehydration. Contrast this to a trauma...
  23. SHAVING & WAXING

    not weird...it is "none-of-your-business". the anonymity of this b.b. allows some people to be more "revealing" about themselves than they would be in person. btw I always like your avatars, quite...
  24. SHAVING & WAXING

    yea...it wasn't that long ago. I tried a search but couldn't find it. I do remember that most of the responding posts were defensive and basically "why do you want to know?". Now everyone is...
  25. SHAVING & WAXING

    the same thought crossed by mind. that poster was critisized and the thread didn't last