Sounds like this patient went into a Pulseless VT that was below the detection rate of the AICD. Each AICD is programmed for a specific VT/VF "zone" that requires a specific rate and run count to activate the ACIDs set response. The patient can be ru...
It is all supply and demand. If they can not staff Med/Surg floors then they are going to offer incentives. When an ICU position opens up and 20 people apply then there have no reason to offer high pay rates. It would be nice to have the job you want...
Just be smart about the PIV you are using. Make sure it has a good blood return and will take a hard flush. If not, start a new one. I hate putting IVs in the AC but if the patient is getting Amio, Dobutrex, etc I will throw an 18 or 20 in the AC or ...
You can attempt to cardiovert Torsades de Pointes but it will most likely fail. With a synchronized cardioversion the device tracks the R wave of the QRS complex in an attempt to precisely deliver the shock during depolarization and avoiding the refr...
Certification Verification Search Personally, the first name on my badge is not the same as my license. You would not find me if you searched using only that.
ChaseZ replied to turnforthenurse's topic in Critical
I took the exam yesterday and passed with a 90%. The test was very Cardio/Pulm heavy. Like a previous person mentioned I had a couple WPW, A few MI Location/Artery, Long QT, Electrolyte effects on EKG intervals, and anticoagulant questions. The only ...
Pacemakers themselves do not create abnormal heart sounds. What you most likely heard was a valve murmur in a patient who happened to also have a pacemaker. The majority of patients who get pacemakers have significant cardiac disease which causes var...
So are you implying that females' motivations for entering the profession are intrinsically more altruistic than their male counterparts? Many of my female coworkers would cite the reasons you stated above as their motivation for becoming a nurse. I ...
But I like my pedestal....seriously. I do not think ADNs are any less competent than BSNs or vice versa but in today's economy and job market the BSN has a clear advantage (For new grads). My BSN classmates and I all had job offers prior to graduatin...
ChaseZ replied to Tiffany7205's topic in Uniform/Gear
The black edition is a very dark black with all the parts looking pretty much the same color. The smoke is a dark grey or gunmetal which is slightly lighter than the black tubing which adds a little contrast.
ChaseZ replied to Nguyenchester's topic in Uniform/Gear
With any of the cardiology stethoscope I would definitely invest in a Batclip. They are very heavy and get annoying around your neck. Amazon.com: The BATCLIP (BLACK): Health & Personal Care
That is what we were all told when applying for jobs but me and many of my classmates have positions and start in January before passing boards. As far as the job market goes I was told by HR that they received way more applications than available jo...
Congrats and good luck. I just graduated with my BSN and went through the new graduate application process. It can get complicated and stressful. Your best bet is to find personal contacts (floor managers) who will request your application from HR. I...
It is normal for a person to freeze or feel overwhelmed the first time they do CPR outside of the hospital. If someone collapses in front of you then check a pulse, tell someone to call 911, tell someone else to look around for an AED, and then begin...
ChaseZ replied to Nguyenchester's topic in Uniform/Gear
I have owned both the Master Cardiology and the Cardiology III. As far as sound quality goes I think they were pretty much even, both are fantastic. My problem with the Cardio III was the size/height of the dual head, it was cumbersome and awkward to...
We commonly used them in EMS for peri-code and code situations with poor venous access. Many medics will go straight for IO for codes. It's an great intervention prehospital but it has not really caught on in the hospitals I have been. EZIOs are amaz...
Don't even let it bother you. Just be confident in who you are and the profession you have chosen. Those who mock are usually ignorant and know little about what nurses actually do. A lot of my friends gave me crap for going to nursing school but now...
Short answer: Yes, a BiV Pacemaker can have to ventricular pacer spikes. Long answer: A BiVentricular pacemaker, also know as a cardiac resynchronization device (CRT), has two pacing wires; one in the right ventricle and another resting in the coron...
The QTc is the rate corrected QT interval. There are a few formulas but I think the most common is the QT divided by the square root of R-R. EKGs should automatically calculate it for you but on a telemetry monitor you should be able to use the elect...
If you are ever bored and want an interesting read search for some articles on "Double Sequential Extermal Defibriillation" or DSED. Pretty interesting concept of using two defibrillators for refractory VF.
ChaseZ replied to Whts_Ur_Emergency?'s topic in CCU
Glad to see another EMTLIFE'r on here Akulahawk. Others have already answered your question but I just want to echo what they said, definitely not a stupid question. I have seen numerous people in the hospital slap a Non-inflated NRB on their patient...
I am just a student but I will offer my input. I have always been trained (In EMS, so probably different priorities) that analgesia should be the main priority followed by sedation. A patient properly medicated with analgesics should require less se...
I had a pretty steep learning curve when it came to death when I was an EMT. Before getting into medicine I had never really experienced death, I was fortunate enough that all my grandparents were still alive and well and I had never been to a funer...