the doctors out, but i know something!

"Shut up! you don't really work! you played borderlands for eight hours!" He spat.  I had complained I was never home.  I wanted him to get off his ass and stop playing games and help me clean up after I had worked 48 hours in three days. I had to bite my tongue.  He wouldn't get it.  He was right in a sense.  I had  spent a whole 8 hours playing borderlands.  Once.  The last 24 hours hadn't been like that.  Had not been like that at all.  The area I cover is fairly quiet most days, most days being a key component in that statement.  My favorite saying at work, to the point I would call it a mantra is "No rest for the wicked".  Assuming I'm a wicked person, it's about as true as they come. Like some dispatcher somewhere was watching me, as soon as I kicked my boots off the tones dropped for another call.  I was running on fumes by the time I got home. I wanted to tell him to go pound sand. I had  worked for the la...

Terrible things happen to good and/or undeserving people.  The drunk driver walks away from heaps of scrapped metal.  Parents do the exact opposite of take care of their children. One persons stupidity leads to another persons demise.  Sometimes people just die because of unintended side effects. I had the misfortune to help with one of these cases the other day.  A young female, no medical history.  Only medication was oral contraceptives (Now I'm hoping as I write this that it doesn't turn into the catholic churches next stand against contraceptives).  Started complaining of not feeling well a few days ago and had fainted earlier on the day I met her.  When I met her she was already intubated and waiting to go to a major hospitals.  She had coded a half dozen times already.  In EMS we have this silly notion of an "EMS code save" which means very little for people we treat.  It just means that we got them to the hospital with a...

The first thing I have to say about a Critical Incident Stress Debriefing(CISD) is that they are like civil fight clubs. They have a very sensitive, confidential nature about them, so like fight club it has 2 rules. You don't talk about the CISD.  You DO NOT talk about the CISD. Jk...

     You're called to residence for an unknown medical.  Short response time to scene.      Once you arrive you gain access by unlocked door and find patient slumped to the right in a kitchen chair and moaning "oh my head, it hurts" over and over.  Patient responds to speech by only continued moans.  Patients medications suggest significant cardiac history.  Patient rapidly moved to stair chair and moved to ambulance.  While moving patient from the house he stops moaning and is no longer responding to voice, only painful stimulus.

It never fails! April always showers us with new technology and useful things to spend out time on! Why just checking my tumblr this morning I found that they had finally  released the new and improved tumblr pro... Look at that daperness! I know. It's a major overhaul of a previously amateur look and feel! I honestly can't thin of anything that say sophisticated professional like a top hat! I mean look at that profile picture. I've been waiting for that hat for ages... I just wish I could be as fancy in my hat as some of the new Google improvements! First off. Google has made it even easier to be the best employable geek you can be! Thanks to new innovations with Google+ AutoAwesome!  As If you needed another  reason to ditch facebook for the new and wonderful Google+!(  Hit me up when you get there!) Anyways! I don't need to explain when this wonderful tutorial can walk you through making your resume (auto)awesome. *sniff sniff, sigh* Google really ...

Wow. Just Wow! This was my first ever Con so I had no idea what to expect. In many aspects it was great and terrible. Having lived in Maine my whole life I've never really ran into the problem of literally thousands of people trying to fit into a much smaller space. Trying to get into the first showing of Attack on Titan  was comparable to going to a Best buy on black Friday. The line almost circled the hynes convention center... The line went from outside exsibit hall D down the small hallway, all the way down and back Boylston hallway and half way to pre function hall C! That's when I got in a half hour before. we didn't make it into the showing on Saturday. Luckily they added one one Sunday. It was amazing and worth the wait. From what I've learned a large part of the issue was the fact that Anime  Boston is trying to slim down and focus on just anime. Panels were cut and sadly panels had to turn many people away because thy couldn't fill slots like in year...

From the ME EMS Protocols : A. Preperation - Mix NOREPINephrine 8 mg in 250 ml NS.  B. Dosing - Starting Dose is NOREPINephrine 0.03    μg(mcg)/kg/min. Titrate by 0.03  μg(mcg)/kg/min every 3-5 minutes. Usual dose is 0.03-0.25  μg(mcg)/kg/min. Usual max dose is 0.6  μg(mcg)/kg/min. Absolute max dose is 3  μg(mcg)/kg/min C. Titrate to maintain SBP greater than 90 mm Hg. For 2013 the  Medical Direction and Practice Board decided to move away from Dopamine to  Norepinephrine. I am no doctor (yet) but I'm guessing it has to do with some of these studies  ( 2 , 3 ).   A subgroup analysis showed that dopamine, as compared with norepinephrine, was associated with an increased rate of death at 28 days among the 280 patients with cardiogenic shock but not among the 1044 patients with septic shock or the 263 with hypovolemic shock -   Daniel De Backer, M.D., Ph.D., Patrick Biston, M.D., Jacques Devriendt, M.D....  for...