Guest guest Posted May 28, 2002 Report Share Posted May 28, 2002 --- " D.E. " wrote: > Blatant commercialism! > > ;>) > > > Interesting call (Nice way > to start a long string on > > Ethics) > > > > > > > In support of Mr. , I'm just curious how > many services carry > > > physostigmine on their trucks. That was the > ultimate answer and it's > > > not in the Mosby texts..I don't think. I think > that is the point of > > > good scenarios: pulling to the front burner the > ability to use > > > various tools from various places in order to > figure out what is > > > really going on? The scenario presented could > not be remedied by > > > simply following an ACLS Bradycardia Algorythm. > And therein lies the > > > lesson. So does that mean screw the Airway, > NRB, screw the rest of > > > the assessment, give some physostigmine and > let's go get some ice > > > cream? Naw... come on. Just because I'm a > Basic doesn't mean I > > > don't have some idea what some of the cardiac > drugs are, or don't > > > know the difference between Type 1 and Type 2 > diabetes at the Alpha > > > Islet and Beta Islet cell level... nobody has > taught me that > > > though... yet. It doesn't mean that I would > give D5W or Glucose > > > without direction. > > > > > > Hell no, I didn't know the answer to the > scenario. Given the > > > information provided, and going to the cellular > and functional system > > > of the nervous system, I did what my professors > have told me to do > > > (under the new cirriculum, I guess). I pulled > some information in, > > > filtered some out, took SWAG and got in the > neighborhood. (I admit > > > that I probably would have tunnelled in real > life, and wouldn't have > > > noticed the glassine envelope in the trash > can... sounds like that > > > would have made the difference for this patient > and his > > > family/friends... I wonder if that got > communicated to the ER > > > Physician, if the scenario was 'real-like'?) > > > > > > The other day on one of the runaway posts, I > took a position that > > > considering EMS a passion is more important than > considering it a > > > profession which is more important than > considering it a job. > > > I also alluded to always wanting to know more > and never being > > > satisfied. This scenario and the responses to > it help to support the > > > points. > > > > > > By the way, thanks for the kind words and cool > challenge, Mike. It's > > > amazing how powerful words can be to build > someone's confidence ... > > > or break it down. I appreciate you taking the > few extra letters to > > > do the former. There's a good lesson in that, > too. > > > > > > Jeff Isbell > > > FF/EMT-B, Westlake Fire > > > Austin, TX > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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