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Never forget

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Physics: More pencil tricks
Source
i.e. why when you or someone else gets stabbed or impaled, you should leave the object in the wound until medical help arrives.
THIS. RIGHT HERE. This is an amazing example!!
If you take the thing out, they’re going to bleed a lot more.
SO. DONT.
News Flash from the Medical Help ™ — we don’t touch it either! Unless the object they’re impaled with is literally too big to fit in the ambulance, We. Don’t. Touch. The. Thing.
The only people qualified to Take-The-Thing-Out are surgeons. End of story.
Okay, but for the love of God, please, PLEASE, if you did, if you panicked and took the thing out…. DON’T…. PUT IT BACK IN.
Or else, congratulations, you just stabbed them AGAIN. I reeeeeally shouldn’t have to say this guys, but I do.
As the person who IS qualified to take the thing out, please leave all metaphorical pencils in metaphorical water bags unless there seems like a very very good reason to take it out.
And basically the only thing that trumps bleeding to death as an emergency is not breathing, so take a pencil out of a water bag only if it is obstructing one of the water bag’s regular air holes.
The crit care doc wants to prone the patient that won’t stop coding...
I’m a bit lost here… for what purpose would the doctor want the patient prone?
So there’s this thing called ARDS (acute respiratory distress syndrome) that really sick (usually vented) patients can get… if they aren’t intubated, they will be ASAP. Their lungs become full of fluid and the patient cannot get good gas exchange. These are the patients we prone. This is similar to the pulmonary edema that occurs with CHF exacerbation when they get fluid overloaded, but it is much worse and the mortality rate is high.
The reason for that is that there is much more lung surface area at the back, so we use gravity to help pool all the fluid to the front of the lungs, leaving the larger area free for oxygenation. Also, let’s be honest, most of the adult patient population is overweight, therefore their body habitus is working against them as well. Taking all the pressure of the excess weight their body is storing on their chest off of their lungs also allows them to expand more freely. In addition to being proned they’ll be on pretty high vent settings (PEEP - positive end expiratory pressure) in an attempt to push the fluid back into circulation and keep those alveoli open for gas exchange.
Hopefully that was helpful. If you want more info, check out the link I added above… it’s to the Mayo clinic’s website, so the information should be legit (full transparency, I didn’t read through everything… because I am lazy).
Let us not forget the horrific tragedy that befell our country that day and the innocent lives that were lost. Let us not embolden our enemy by allowing us to live in despair. Let us prove that we are still the beacon of hope and liberty in the world that they envy and seek to destroy. Let us not forget those that have sacrificed their lives to ensure those freedoms. We are Americans. We will not tremble. We only overcome.
Stay strong, America.
Here She Stands. Like a 1776 foot 🖕 to those that tried to Break US!
We Don’t Break! We’re
AMERICA 🇺🇸🇺🇸🇺🇸
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Today, we remember the events of Tuesday, September 11, 2001, when radical Islamist terrorists hijacked four planes and flew them into buildings, killing nearly 3,000 people, both civilians and government officials. We also remember the bravery of Flight 93, whose passengers overwhelmed the terrorists and downed the plane in a field near Shanksville, PA before it could reach Washington DC.
FDNY members doing rescue and recovery work in the days following Sept. 11, 2001.

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Please take the time out of your day to reblog this and remember all those who died on 9/11/01.
United we stand.
Never Forget!
THIS Needs to be on every form of media there is everyday of the week!
9/11 Memorial
New York City on this date (9/10) 16 years ago. Not so much one day later. Never EVER forget.
Don't disrespect EMS.
Admitted a STEMI from cath lab. Story was he called the ambulance and ambulance activated the STEMI team prior to arrival. My orientee said “So the ER just takes the ambulance crews word for it that it was a STEMI?” I replied “Well, they are all trained to spot EKG changes for that reason so yes.” He said “That’s stupid. What if they were wrong?” So I pulled out the patient’s ambulance EKG which had very minute elevation in leads II, III, & avf & asked him to find the elevation. He was unable to so I showed him the changes & the reciprocal depression. I said “You don’t get to act better than someone just because you get paid more & went to school longer. Without those guys out there to catch that this patient could have had major heart damage from precious minutes being wasted.” He shut up for a bit at least. 😠

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"If you can't figure out your purpose, figure out your passion. For your passion will lead you right into your purpose." -T.D. Jakes #emslife🚑 #ambulance #AlphaOne (at Sacramento, California)