Recent content by 12R34Y

  1. 1

    Ok, young guns...

    Wow. Appollyon. I haven't logged into this site since 2010. Joined SDN in 2000. I remember you as a regular back then so, very funny I log in and see a post. I've kept my Paramedic Cert since 1997 or so and never let lapse. I'm also board-certified in EMS now however. long time since on board.
  2. 1

    Best EKG reference/review/app?

    Garcia and Holtz Art of Interpretation of 12 leads is hands down the single best 12 lead book EVER. enjoy!
  3. 1

    Dilated on a Carotid

    No worries. I have dilated 2 carotids (one as a 4th year medical student with my senior resident in ICU helping). Second one as an intern in the ICU with my senior resident "teaching" me how to put an US guided IJ in. Both were dilated and placed. Both were pulled. Both had pressure held and...
  4. 1

    EM Student Loan Repayment

    don't forget to take away 5% more of your income yearly in 2011 when the Bush tax cuts are repealed. very depressing. also your investments/capital gains/dividends will all be taxed much higher as well. the pain is just starting. later
  5. 1

    So how many others became Paramedics before Medical School?

    Medic for 5 years (worked 911), then medical school now ED attending. later
  6. 1

    Oral Board Results

    passed baby!!!! it's finally over. no more tests for a little while anyway. later
  7. 1

    Pre-Hospital Pressors

    I'm a medical director (big city) and we took dopamine off. never used, fast transport times, wasn't met with any resistance. later
  8. 1

    sedative of choice for head ct after pediatric head trauma?

    pentobarb 2mg/kg with two doses available. works almost every single time, never seen an adverse event/outcome, our nurses give it. its protocol at the children's ED. later
  9. 1

    skipping the ct for renal colic in the young patient?

    I do this frequently. I often do bedside ultrasound myself and look for hydronephrosis and oftentime will get formal as they can frequently see stones that I can't. pain control and able to take PO is the name of the game in kidney stone management. If they fail outpatient therapy and...
  10. 1

    cut thrombosed hemorrhoids?

    Since they are usually present with almost intolerable pain I consider that an "emergency", not the I'm going to die kind, but how could you send someone home with that kind of pain kind of emergency. I do them. I've done many and they give such immediate relief. never heard of a complication...
  11. 1

    chart review/research tool?

    Anybody have any good ideas for database templates/database making technology for a retrospective chart review? What have you guys used in the past? I've just used plain ole' self generated spreadsheets on excel, but I hear there are much nicer ways to manage data. anyone? thanks, later
  12. 1

    indications for the FAST exam in the trauma patient?

    I like the residents doing a FAST exam on every single trauma patient they see (as an attending at a teaching hospital). That's how you see positives. It takes literally 2 minutes at most. We frequently use it on penetrating trauma as well. Shot in the belly, stable...
  13. 1

    CT for all kidney stones?

    I'd love to see the literature review!
  14. 1

    CT for all kidney stones?

    Earlier thread brought this up...... I'm kind of sick of scanning every 30 y/o with "I have another kidney stone." Not only do I think I'll eventually give him his radiation induced cancer, but I'd rather just treat his pain, make sure its not infected, and have him follow up with urology if...
  15. 1

    The Flu Pandemic

    Check out the announcements by WHO today AND CDC. WHO: swine flu vaccine not coming along as planned now many not till the end of the year! CDC: Swine flu remarkably similar to 1918 flu and has enhanced ability to infect lung tissue (ie kill you). Foxnews front page and yahoo news...
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