Ask A Medic

Hahahaa we can't RSI in my county.

 

Really Stupid Idea. Flight Medic wanna-be's..JK before you go all hostile on me.

 

Every EMS practical test requires a basic airway adjunct like head positioning, OPA/NPA then advanced airway like an ET tube or a King airway. BLS before ALS.

 

Not really a question just a story my Dad told me.
My Dad works as the Emergency Systems Operation Manager, big fancy name for dispatch but if it's your job do it proudly, and they had young buck about mid 20's driving home from graveyard shift in his little new to him Audi. He works in a pretty out of the way part of the plant so traffic and leo is minimal so he decided to get a little speed in his new car with wet roads and Pirelli PZero's, well summer tires on a cold wet night don't mix about 45-50*F I assume. He broke traction and hit a tree broad side on the drivers side head trauma, broken humerus, and compound break of the clavicle. Ambulance got there and he was fading in and out with irregular heart rhythm so the called the para rescue in and got in and got going while cleaning up the scene they heard the the chopper was coming in with a bio hazard on board(Not sure what it's called) my Dad thought that the guy had been bleeding out into the chopper. Well it turns out that the co-pilot was a newbie to the medical chopper and turned around and saw is bone sticking out of his shoulder and puked everywhere including the instrument panel and himself. It was a load from the back style heli so the pt's head was right behind the pilots. lol Just something funny I figured y'all would get a laugh out of. Ever have anything like this happen? ie newbie emt puking or a pt's loved one?

 

So for a hangover do you recommend 500cc of Lactated Ringers or or 250cc of Hextend stacked with 250cc of Lactated Ringers and what drip rate do you recommend?

 

I dont get it, jealous?

600mg ibuprofen. 32oz Gatorade. Sleep.

 

Another question, why would you use LR? If anything straight NS

 

why gatorade instead of Pedialite?

Although NS is used for dehydration LR can be used for dehydration and also has the benefit of countering Acidosis in the liver or something along those lines.

 

Gatorade taste better.

We only use LR for serious trauma. So my knowledge of LR is small

 

civilian medicine and army medicine are a bit different too. They want use to use hextend for volume loss but since hextend pulls about 300cc (per 500 administered) of fluid from the superstitial areas to the interstitial areas they also want us to use LR to help with the dehydration or shift of fluids due to how it combats acidosis . Not sure how it does it but hey its what the Army teaches us so it must have some value to it

Do you guys have Hextend or is that a mil thing?

 

Never heard of hextend. I sometimes take for granted that I work in a decent size metropolitan area

 

haha yeah that could be it. Google it , its worth a read.

In a nutshell its used to treat volume loss/hypovolemia by pulling fluid around the veins into the veins . So the theory is for every 500cc of the fluid administered you actually get 700-800 of fluid back into the veins

 

The back of my head has been hurting and sometimes feel really dizzy, I do need new glasses it might be that but you got Any more ideas, Im thinking it's the glasses

 

jealous, of what?

 

Do you wear contacts? Does it go away when you wear them?

 

nah i just wear regular glasses

 

Definitely go to an Optometrist.

Last thing you want is to find out you got some rare fucking brain cancer. (Doubtful, but why go through life in pain if you can get a pair of specs that won't cripple your head.)

 

not ruling out brain cancer here but do you close your eyes for a few seconds when taking off your glasses? I know that when you have a prescription thats out of date or new glasses you are supposed to close your eyes for a few seconds when taking off/putting on the glasses it helps prevent headaches

 

too much fapping, and tw....j/k get yourself checked out before its something serious and can kill you.

 

Here's a scenario, you arrive on a Mva in your personal vehicle, the car is upside down. Your patient is barely conscience with clearly visible head trauma. The key points are upside down with head trauma and not an ambulance worth of equipment. What would you do.