usalsfyre

Level IV essentially says "We recognize that on occasion people suffer serious traumatic injuries. We also recognize they don't need to be here"

Granted I'm not a nurse, but I've never been yelled at by a physician, only nurses (yes, actually yelled at). I've also been accused of "yelling" at people,what I've found is usually any type of disagreement leads to a "yelling" accusation by these folks.

I've done a fair number of IOs, to the point I can probably perform an IO faster than a peripheral line. Agree completely with Akulahawk's order of access preference. There's not a good reason to do a "crash" femoral when one of the adult IO devices is available, there's much higher possibility of complications from the central line and a dirty line will have to be changed out later anyway. Usually it comes down to comfort levels. Most nurses and some physicians seem to be fairly uncomfortable with IO devices, likely because like of exposure.

See above for a very good explanation. The issue with dopamine in MI is the increase in SVR that comes along with inotropic effect. Dobutamine would have been a better choice as it has vasodilatory effects. That said, you've got to use what you have.

Realistically? Turf....

A 16 hour class does not a code manager make.... It's a skill. I could teach my four year old to do it in about 5 minutes. Not a big deal. The knowledge of WHEN to defib is the real worry.

Want to hit me with the literature I've missed? Cause I'm pretty sure the CAM folks would be crowing about something showing even minimal benefit.

Rude and insensitive, but there is absoloutely ZERO good evidence that naturopathy works. If we were talking about someone peddling an allopathic treatment regimen with zero evidence as a "cure" we'd call them a quack. Yet for some reason when we talk about CAM we're supposed to be "sensitive" about stuff that doesn't work.

If you wish to participate in quackery than why not?

Right, because you've got 20-30 patients of varrying acuity at any one time.For a profession that complains about getting disrespected by physicians, I sure see a lot of people willing to look down on other allied health providers.

Right, because you've got 30-40 patients of varrying

Bull puckey. Horse manure. Rabbit scat. I run into RNs on a regular basis who throw out the "not my job" excuse. Two days ago I had to wait 20 minutes for an aide because per the LVN it was "not her job" to change the patient. If I'd had the stuff I would have done it even though it's most assuredly not my responsibility. YOU personally choose to do a lot of that stuff, which is great. It shows me you care about patient care and the company. Or maybe just keeping the whining to a reasonable level. The "not my job" excuse is weak sauce for the lazy. But so is running another clinician down because you don't know what they are and aren't responsible for.

Think of how much extra time you'll have to study if you go with the Sinead O'Connor look...

The patient had a definite respiratory acidosis, but without more information it's difficult to say if a given strategy makes sense or not.

Better than having people's opinions to defend your actions have hard evidence, aka EBM.