Archive for April2008

Minimally Interrupted CPR

There is another new study out (published in the March 12 Journal of the American Medical Association that may change the way we do CPR, continuing the emphasis on “Minimally Interrupted CPR.” Minimally Interrupted Cardiac Resuscitation for Out-of-Hospital Cardiac Arrest Here the jist of the protocol: This novel approach, aimed at maximizing cerebral perfusion, involves: […]

Zen Masters and Gizmos

I’ve been precepting a new part-time intermediate. He needs 15 IV starts in the field. He may have five or so. (We only work together once a week.) He doesn’t quite have the hang of it yet. I tell him not to worry about missing because when you miss you learn what not to do […]

Epistaxis-Syncope, SYNCOPE-HYPOTENSION-epistaxis

The call is for a nosebleed. Person unconscious in a car. We get updated that the patient is now conscious, but still some bleeding from the nose. The first responder tells us the man has had a nose bleed all day and finally called a neighbor to drive him to the hospital. On the way, […]

A Choice

A couple years ago I decided I wanted to become a triathlete. Call it a middle aged crisis, but I started training regularly and last year completed six triathlons. These triathlons were not the same distance as the famous Ironman triathlons, which include a 2.4-mile swim, a 112-mile bike and a full 26.2-mile marathon at […]

Hands-Only CPR

The AHA has issued a new Hands-Only (Compression Only) CPR advisory. The advisory applies to bystanders, not professional rescuers. When you see an adult suddenly collapse, use Hands-Only CPR: that’s CPR without mouth-to-mouth breaths. And it can help save lives. Hands-Only CPR is CPR without mouth-to-mouth breaths. It is recommended for use by bystanders who […]

Driver's Seat

We’re called for an unresponsive at the movie theatre, but are soon updated that the patient is conscious and breathing. As we pull into the parking lot, we see a police car next to a green Oldsmobile, and the officer looking in the passenger door. The officer comes over and talks to me as I […]

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