tag:blogger.com,1999:blog-8856030010029791557.post5605598912518973130..comments2023-06-11T09:28:29.271-06:00Comments on Baby Medic: A Reminderfiznathttp://www.blogger.com/profile/01887628791335787626noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-8856030010029791557.post-44686748203830632842009-06-12T17:46:14.269-06:002009-06-12T17:46:14.269-06:00Interesting case. I would imagine that the respir...Interesting case. I would imagine that the respiratory acidotic output is in someway a compensation for a metabolic PH condition. Maybe this patient overdosed. We are unsure of the initial pulseless rhythm or cause, right? <br /><br />Either way, you are right to think that the ETCO2 levels should have comedown after your advanced airway with supplemental O2. I'm interested to know if bicarb was administered and if a profound amount of NS was infused. <br /><br />Air leaks, such as uncuffed tube, may result in persistent hypercapnea, but not at those levels.<br /><br />I'll try to find the answer for ya.Adam Thompson, EMT-Phttps://www.blogger.com/profile/18107359165856983910noreply@blogger.comtag:blogger.com,1999:blog-8856030010029791557.post-75025413885459309082009-06-06T18:01:58.522-06:002009-06-06T18:01:58.522-06:00Don't fret, I'm applying this summer, the ...Don't fret, I'm applying this summer, the applying process alone seems like a killer. And studying for the MCATs, what a blast! Coming from a family of many doctors I can say this: medicine is far from a pretty and glorious profession as people may think it is like on TV. Actually its probably one of the worst professions to get into if you want to ever actually enjoy your life and family. Or my family members are just workaholics, that could be it too :) I don't know why I'm hooked to medicine knowing all the tough times that lay ahead, but honestly I can't see myself doing anything else. Good luck, just take it one step at at time.Docwannabenoreply@blogger.comtag:blogger.com,1999:blog-8856030010029791557.post-14728279476186671782009-06-04T00:20:29.552-06:002009-06-04T00:20:29.552-06:00Just thinking out loud here but isn’t that a 3rd d...Just thinking out loud here but isn’t that a 3rd degree heart block. Disassociation could prevent pulse, pacing may help. Not sure that I would think of that while bouncing down the streets with lights and siren but that’s what jumps at me in the quiet of my den and computer. <br /><br />Unrelated, but I had a status epilepticus patient today with a ETCO2 of 104, RR=44, O2 sat of 99 on 15 LPM. After seizing for 10 minutes, despite copious versed, I’m sure she was retaining. Seems like a similar effect.<br /><br />Just thoughts, not really answers.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8856030010029791557.post-76614420031280620302009-06-02T03:09:54.066-06:002009-06-02T03:09:54.066-06:00I wish I had the courage to go to medical school e...I wish I had the courage to go to medical school earlier in my life. Don't get me wrong, I LOVE being a paramedic, but I often wonder, what if......<br />I'm sure you will do absolutely fine, it's going to be really hard, but imagine the satisfaction when you come out the other side.<br />Whatever happens, at least you have gone for it!<br />And we will all be here, reading how you get on too. Should be quite a journey!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8856030010029791557.post-64144948890035501092009-05-27T13:28:37.041-06:002009-05-27T13:28:37.041-06:00My guess is that she was retaining. I've intubated...My guess is that she was retaining. I've intubated asthmatics with EtCO2 readings at 99 mmHg.<br /><br />As for medical school, don't give up the good fight. Setbacks are going to happen; how you come out of them define what kind of person you are.Herbiehttps://www.blogger.com/profile/04983841837966551290noreply@blogger.comtag:blogger.com,1999:blog-8856030010029791557.post-46398624158518958512009-05-27T00:53:07.769-06:002009-05-27T00:53:07.769-06:00I took Ochem 1 and 2 last summer. As accelerated c...I took Ochem 1 and 2 last summer. As accelerated classes and working two jobs, I found it most tortuous. I literally went days without sleep, practically ODing on caffeine pills. And the worst thing of all, I have seem to forgotten most of what I learned, or tried to learn. Stick with it! I have many residents tell me they did worse in O-Chem than in medical school.Shaggyhttps://www.blogger.com/profile/10687847155700323439noreply@blogger.comtag:blogger.com,1999:blog-8856030010029791557.post-19476398626569841932009-05-26T05:32:42.188-06:002009-05-26T05:32:42.188-06:00If it makes you feel any better, you're in good co...If it makes you feel any better, you're in good company: I too just barely scraped through my second semester of orgo. Even though I doubled my hours working in the ER--something that usually reminds me why I'm doing a post-bacc--watching my GPA plummet made me question whether I was really meant to do this. <br /><br />Some days I'd go to work sure that I needed to pick a different career. But I can't tell you the number of residents, fellows and attendings who told me about their long road to medical school. My favorite ER attending got straight Cs in orgo and was told by her adviser to "consider a different career path." A pulmonary critical care fellow had to take the MCAT three times before he got above a 27. Another ER attending applied six years in a row until he finally got in; now he's the academic director of the EM program at my hospital's medical school. <br /><br />If you want this, which I think you do, don't let anything--not a bad grade in orgo, not a rejection from a post-bacc program--stop you from reaching your goals. The medical community needs more people like you.<br /><br />I'm glad you remembered. Don't forget again. :)Karihttps://www.blogger.com/profile/06536304934620317376noreply@blogger.com