Dallas

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This is a Medical Site for Medical Professionals, Please keep your comments Professional. Any "Ouch" or comments not pertaining to treatment will be deleted. Scythe You off duty hiking with some friends, upon waling up a narrow ravine your friend who is a 21 year old white female slips down about 6-8 feet to a dry creek bed. She screams loudly and i crying. When you arrive at her this is what you find. Initially no pedal pulse. She screams "Don't touch it" The only other injuries is "road rash" to her hands and she is complaining of some mild lumbar pain. Your 3 miles into the woods, No Cell service, No sat phone, no radio. JUST YOU and 1 non-medically trained friend. You DID NOT bring your first aid kit. How are you going to package this and extricate her to the road 3 miles away where you can get cell service?

Nursing Drug Handbook

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Bicep tendonitis. - Reaper Keep Calm and Shock On available until 06/23 in unisex SHIRTS and HOODIES! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

I wish it were that easy. - Reaper Keep Calm and Shock On available until 06/23 in unisex SHIRTS and HOODIES! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

From a Fan, with the Scythe spin... -Scythe Your dispatched to a single car MVC on a local interstate. You arrive to find what you see in the photo. 6 Total patients. #1 Ejected from the rear in the median unresponsive but breathing. obvious head trauma and bilateral femur fractures. #2 Ejected from the rear laying in the middle of the lanes of traffic, massive head trauma, breathing 4-6 times per min, non-responsive. #3 Restrained driver still in vehicle, awake but very confused, pinned under steering wheel. Says he "cant move his legs. #4 Restrained front seat passenger, still in vehicle awake and crying, no major trauma noted. #5 3rd row passenger, lethargic, blood from mouth, appears to be breathing adequately. #6- 6 month old child in car seat in center of 2nd row, hematoma to frontal head area, will respond to touch and retract. Here's your dilemma... You have 1 helo and 1 only, your only other ALS unit is responding from a neighboring area, 15-20 min ETA. Fire and Rescue are on scene. Nearest Children's Center is 40 min away by ground, Nearest Level 1 is 15 min, level 2 is 20 min. How are you going to triage your patients and how do plan on transporting each one? Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! Ships WORLDWIDE! Remember to SHARE this pic! For every 500 shirts we sell, we will GIVEAWAY 10 SHIRTS! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Right and Left Brain -Scythe Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! Ships WORLDWIDE! Remember to SHARE this pic! For every 500 shirts we sell, we will GIVEAWAY 10 SHIRTS! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Subdural and Epidural Hematomas.. -Scythe Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! Ships WORLDWIDE! Remember to SHARE this pic! For every 500 shirts we sell, we will GIVEAWAY 10 SHIRTS! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Cervical Strain Injuries -Scythe Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! Ships WORLDWIDE! Remember to SHARE this pic! For every 500 shirts we sell, we will GIVEAWAY 10 SHIRTS! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Ringworm. -Scythe ONLY 5 DAYS LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Auscultating the valves of the heart. - Reaper 5 DAYS LEFT! Keep Calm and Shock On in unisex SHIRTS and HOODIES! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Talk about thorough. - Reaper 5 DAYS LEFT! Keep Calm and Shock On in unisex SHIRTS and HOODIES! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

The spine is curved. Backboards are flat. Discuss. - Reaper 4 DAYS LEFT! Keep Calm and Shock On in unisex SHIRTS and HOODIES! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Spine disorders. You can see a larger image here: http://www.physiostuff.com/repository/product/user/img_img_9781587794650.jpg - Reaper 3 DAYS LEFT! Keep Calm and Shock On in unisex SHIRTS and HOODIES! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Normal and abnormal heart sounds. - Reaper 3 DAYS LEFT! Keep Calm and Shock On in unisex SHIRTS and HOODIES! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Law Enforcement News

This Facebook post is no longer available. It may have been removed or the privacy settings of the post may have changed.<p>Law Enforcement News. 15,002 …

Stent Procedure.-Scythe ONLY 3 DAYS LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Ganked from https://www.facebook.com/OriginsComics - Reaper ONLY 2 DAYS LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Anatomy of the eye. - Reaper ONLY 2 DAYS LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

We know all about this. - Reaper Larger pic - http://thumbnails.visually.netdna-cdn.com/TheDangersofSleepDeprivation_5141de3623a50.png ONLY 1 DAY LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

What? - Reaper ONLY 1 DAY LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

The spine. Mine is about to be in bed. Tomorrow my best friend is getting married so I'll be in an ugly bridesmaid dress, sweating in places I didn't know where even there (it's an outside wedding, in June, in Louisiana). Be safe out there. - Reaper ONLY 1 DAY LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

The love cycle. - Reaper ONLY 1 DAY LEFT! Keep Calm and Shock On available NOW in unisex shirts and hoodies! Comes in navy, black, red and gray! http://www.teespring.com/keepcalmshockon http://teespring.com/keepcalmshockonhoodie

Why is a heart attack that afflicts the left coronary artery called the "widowmaker"? The coronary arteries are the sole suppliers of clean arterial blood to the heart muscle itself. They deliver 200 -250 mL of blood to the myocardium per minute at rest.The left coronary artery carries about 85% of the blood supply to the heart, while the right coronary artery carries the remainder. The coronary arteries begin just above the aortic valve where the aorta exits the heart. The left main coronary artery supplies the left ventricle, interventricular septum, and parts of the right ventricle. The two main branches are the left anterior descending and the circumflex arteries. The right coronary artery supplies the right atrium & right ventricle. It supplies a small part of the left ventricle and the conduction system. It's two main branches are the right anterior descending and the marginal branch. In addition to the two main arteries many smaller connections between arterioles provides back-up circulation.

Fun Friday: Stewie knows the deal!

Fun Friday: Great attitudes make great Fire/EMS professionals! "Practice saves lives...period!"

Seems At the Start of Every Summer I have several of these Cases. .............. Scythe The most common shock-related injury is a burn. Burns suffered in electrical incidents may be one or more of the following three types: Electrical burns cause tissue damage, and are the result of heat generated by the flow of electric current through the body. Electrical burns are one of the most serious injuries you can receive and should be given immediate attention. High temperatures near the body produced by an electric arc or explosion cause arc or flash burns. They should also be attended to promptly. Thermal contact burns occur when skin comes in contact with overheated electric equipment, or when clothing is ignited in an electrical incident. Internal Injuries Excessive electricity flowing through the human body can cause serious damage to internal organs. Resulting medical problems include hemorrhage (or internal bleeding), tissue destruction, and nerve or muscle damage. These internal injuries may not be immediately apparent to the victim or observers; however, left untreated, they can result in death. Involuntary Muscle Contraction Normal muscle contraction is caused by very small amounts of electricity that are created within our bodies. Muscles violently contract when stimulated by excessive amounts of electricity. These involuntary contractions can damage muscles, tendons, and ligaments, and may even cause broken bones. If the victim is holding an electrocuting object, hand muscles may contract, making it impossible to drop the object and prolonging contact with the current. Also, injury or death may result when violent muscle contractions cause workers to fall from ladders and scaffolds or inadvertently strike other objects. " Ems Misguided Children" http://teespring.com/emsmisguidedchildren Ends June 4th at 9pm EST Available in Black, Navy and Red Now Available up to 5X in Navy.

Cirrhosis............Scythe The liver weighs about 3 pounds and is the largest solid organ in the body. It performs many important functions, such as: Manufacturing blood proteins that aid in clotting, oxygen transport, and immune system function Storing excess nutrients and returning some of the nutrients to the bloodstream Manufacturing bile, a substance needed to help digest food Helping the body store sugar (glucose) in the form of glycogen Ridding the body of harmful substances in the bloodstream, including drugs and alcohol Breaking down saturated fat and producing cholesterol Cirrhosis is a slowly progressing disease in which healthy liver tissue is replaced with scar tissue, eventually preventing the liver from functioning properly. The scar tissue blocks the flow of blood through the liver and slows the processing of nutrients, hormones, drugs, and naturally produced toxins. It also slows the production of proteins and other substances made by the liver. Recommended Related to Digestive Disorders Short Bowel Syndrome Important It is possible that the main title of the report Short Bowel Syndrome is not the name you expected. Please check the synonyms listing to find the alternate name(s) and disorder subdivision(s) covered by this report. Read the Short Bowel Syndrome article > > According to the National Institutes of Health, cirrhosis is the 12th leading cause of death by disease. What Causes Cirrhosis of the Liver? Hepatitis C, fatty liver, and alcohol abuse are the most common causes of cirrhosis of the liver in the U.S., but anything that damages the liver can cause cirrhosis, including: Fatty liver associated with obesity and diabetes Chronic viral infections of the liver (hepatitis types B, C, and D; Hepatitis D is extremely rare) Blockage of the bile duct, which carries bile formed in the liver to the intestines, where it helps in the digestion of fats; in babies, this can be caused by biliary atresia in which bile ducts are absent or damaged, causing bile to back up in the liver. In adults, bile ducts may become inflamed, blocked, or scarred, due to another liver disease called primary biliary cirrhosis. Repeated bouts of heart failure with fluid backing up into the liver Certain inherited diseases such as: Cystic fibrosis Glycogen storage diseases, in which the body is unable to process glycogen, a form of sugar that is converted to glucose and serves as a source of energy for the body Alpha 1 antitrypsin deficiency, an absence of a specific enzyme in the liver Diseases caused by abnormal liver function, such as hemochromatosis, a condition in which excessive iron is absorbed and deposited into the liver and other organs, and Wilson's disease, caused by the abnormal storage of copper in the liver Although less likely, other causes of cirrhosis include reactions to prescription drugs, prolonged exposure to environmental toxins, or parasitic infections. Do People Who Drink A Lot of Alcohol Always Get Cirrhosis of the Liver? Most people who drink large amounts of alcohol harm their livers in some way, but not all of these people get cirrhosis of the liver. Women who are heavy drinkers are at higher risk than men. People who have hepatitis B or hepatitis C are more likely to suffer liver damage from alcohol. " Ems Misguided Children" http://teespring.com/emsmisguidedchildren Ends June 4th at 9pm EST Available in Black, Navy and Red Now Available up to 5X in Navy.

Random Ouch Pictures...................Scythe " Ems Misguided Children" http://teespring.com/emsmisguidedchildren Ends June 4th at 9pm EST Available in Black, Navy and Red Now Available up to 5X in Navy.

Thanks to Misty Carey-Storar ........Scythe This is the medication order sent home with my son last week when he was released from the hospital after a lap chole. I really hope that no one would try to give an epi pen this way! " Ems Misguided Children" http://teespring.com/emsmisguidedchildren Ends June 4th at 9pm EST Available in Black, Navy and Red Now Available up to 5X in Navy.