Shock Advised

Angel, 34 Trauma queen Bandaid slinger If you fib I will paddle you Live life with lights and sirens blaring 💕🚑💉

[spider-hornet]

It's called practicing medicine because it's all just training for when the alien invasion happens btw.

[iglovequotes]

https://iglovequotes.net/

[purplebuddhaproject]

“Do not let the behavior of others destroy your inner peace.”

— (via purplebuddhaquotes)

[meatball-surgeon]

Inktober:

I just can’t, I just can’t, I just

Can’t Intubate, Can’t Oxygenate

[catchymemes]

#Tetrischallenge

Swiss police department started a challenge, to show what is in their vehicle. Soon a lot off other public services joined in.

[project0066]

Patient Assessment - Medical

I’m going to walk you through the basic patient assessment. I’ve outlined this using the NREMT practical station for Patient Assessment/Management - Medical. This is a guide to help those who are taking their practical exams or who just want to learn a little bit about it!

As an EMT, the most important skill you can have is basic patient assessment. This assessment is broken down into 5 main parts:

Scene size-up

Primary assessment

History taking

Secondary assessment

Reassessment

Keep reading

[generousblizzardsuit]

The Anti-Hypertensive Rap for Medical Students — How to Learn Your Pharmacology with Style.

A great way to learn pharmacology

Now this is a fun little way to enjoy learning the pharmacology for hypertension. All credits must go towards a certain person (with permission to share) who not only made this hilarious and fun rap but actually sang it. Shout out to these amazing people who keeps us motivated in medicine!

Use Vanilla Ice - Ice Ice Baby (Official Video) for the song. The version without the singing in it.

All right STOP… now listen

to this important lesson

I’m MC Pharm and this is my crew

And were here tonight, to help you 

get a HD for pharmacology

its not that hard its pretty easy

this wack ain’t crap

it’s the antihypertensive rap

When your patient has got high BP

that’s hypertension to you and me

medication is a good way to go

but there’s so many drugs that you need to know

so when your swattin’ for exams in November

Here’s a little trick for you to remember

classes of drugs to lower BP

its just A, A, A, B, C and D

High blood pressure 

(drugs to lower) high blood pressure

1st A is ACE-Inhibitors who 

block synthesis of angiotensin II

decrease all the actions of this hormone

block release of ADH and aldosterone

decrease sodium and water retention

reduce AngII-mediated vasoconstriction

increase bradykinin which makes you cough 

names all end in pril, that’s not so tough !

2nd A is angiotensin II 

receptor antagonists but you

can just call them ARBs

Pete’s gonna want you to remember all these drug names, but don’t get disheartened

cause their names all end in “sartan”

work mostly the same as ACE-Is

but no cough, good stuff

3rd A it stands for  alpha -1 

receptor antagonistsand they 

block alpha-1 receptors 

on smooth muscle of your blood vessels

not used much anymore you’ll see

cause they cause hypotension, make you dizzy

there’s only 2 that you need to know-so

its easy cause they both end in “zosin”

B is beta blockers

they block beta-1 receptors in lots of places

reduce heart rate and CO

also decrease sympathetic outflow

block release of renin by the kidneys

also cause negative dromotropy 

no longer first line for BP control

but easy to know cause they all end in LOL

High blood pressure 

(drugs to lower) high blood pressure

C is calcium channels blockers

you can just call them CCBs

there’s two main groups you need to know

the first is dihydropyridines

they relax vascular smooth muscle

and their names all end in “dipine”

the others also act on the heart, and for

arrhythmias there more often seen

D is for diuretics yo

they all make your urine flow

lower blood volume to reduce BP

there’s 3 main types youre gonna see

Loop diuretics on loop of Henle 

thiazides act on the DCT

Potassium-sparing on collecting ducts

they’re not strong but don’t lower K plus 

High blood pressure 

(drugs to lower) high blood pressure

These drugs will get your BP down to normal ranges

but dont forget to implement lifestyle changes

So when your swattin’ for exams in November

the easy way for you to remember

classes of drugs  to lower BP

its just A, A, A, B, C and D

A, A, A, B, C and D

classes of drugs  to lower BP

[resuscitationist]

Marfan syndrome is a genetic disorder that affects the body’s connective tissue. Connective tissue holds all the body’s cells, organs and tissue together. It also plays an important role in helping the body grow and develop properly.

Connective tissue is made up of proteins. The protein that plays a role in Marfan syndrome is called fibrillin-1. Marfan syndrome is caused by a defect (or mutation) in the gene that tells the body how to make fibrillin-1. This mutation results in an increase in a protein called transforming growth factor beta, or TGF-β. The increase in TGF-β causes problems in connective tissues throughout the body, which in turn creates the features and medical problems associated with Marfan syndrome and some related conditions.

Because connective tissue is found throughout the body, Marfan syndrome can affect many different parts of the body, as well. Features of the disorder are most often found in the heart, blood vessels, bones, joints, and eyes. Some Marfan features – for example, aortic enlargement (expansion of the main blood vessel that carries blood away from the heart to the rest of the body) – can be life-threatening. The lungs, skin and nervous system may also be affected. Marfan syndrome does not affect intelligence.

Knowing the signs of Marfan syndrome can save lives

People with Marfan syndrome are born with it, but features of the condition are not always present right away. Some people have a lot of Marfan features at birth or as young children – including serious conditions like aortic enlargement. Others have fewer features when they are young and don’t develop aortic enlargement or other signs of Marfan syndrome until they are adults. Some features of Marfan syndrome, like those affecting the heart and blood vessels, bones or joints, can get worse over time.

This makes it very important for people with Marfan syndrome and related conditions to receive accurate, early diagnosis and treatment. Without it, they can be at risk for potentially life-threatening complications. The earlier some treatments are started, the better the outcomes are likely to be. https://www.instagram.com/p/B0wbiscB4Se/?igshid=1gykkve64q3qg

[resuscitationist]

#Repost @med.index ・・・ EKG changes in different electrolyte anomalies. . . . . . . #study #medical #medschool #medstudents https://www.instagram.com/p/B0rmvKYBI4E/?igshid=19suaxbv5hfjj

[resuscitationist]

ROME Respiratory Opposite, Metabolic Equal https://www.instagram.com/p/B0hH6cZhs9n/?igshid=ie29cd359l6g

[resuscitationist]

Cushing’s syndrome is a disorder caused by the body’s exposure to an excess of the hormone cortisol. Cortisol affects all tissues and organs in the body. These effects together are known as Cushing’s syndrome.

Cushing’s syndrome can be caused by overuse of cortisol medication, as seen in the treatment of chronic asthma or rheumatoid arthritis (iatrogenic Cushing’s syndrome), excess production of cortisol from a tumor in the adrenal gland or elsewhere in the body (ectopic Cushing’s syndrome) or a tumor of the pituitary gland secreting adrenocorticotropic hormone (ACTH) which stimulates the over-production of cortisol from the adrenal gland (Cushing’s disease).

Signs and Symptoms Associated with Cushing’s Syndrome/Disease:

- Weight gain in face (moon face) - Weight gain above the collar bone (supraclavicular fat pad) - Weight gain on the back of neck (buffalo hump) - Skin changes with easy bruising in the extremities and development of purplish stretch marks (striae) particularly over the abdomen or axillary region - Red, round face (plethora) - Central obesity with weight gain centered over the chest and abdomen with thin arms and legs - Excessive hair growth (hirsutism) on face, neck, chest, abdomen and thighs - Female balding - Generalized weakness and fatigue - Blurry vision - Vertigo - Muscle weakness - Menstrual disorders in women (amenorrhea) - Decreased fertility and/or sex drive (libido) - Hypertension - Poor wound healing - Diabetes mellitus - Severe depression - Extreme mood swings https://www.instagram.com/p/B0cNJx0hhbf/?igshid=1piubjy3igwwq

[ironinkpen]

me: [listens to a new song]

my brain, upon receiving one single hit of Döpamine™: we shall listen to only this until we have wrung every last neurotransmitter out of it

[books-n-quotes]

“Heroes aren’t always the ones who win. They’re the ones who lose, sometimes. But they keep fighting, they keep coming back. They don’t give up. That’s what makes them heroes.”

— Cassandra Clare, Lady Midnight (via books-n-quotes)

[resq-chick]

💕🚑

[theunknownmedic]

Someone got stabbed, and then a puppy peed on my boot.

Being a paramedic is like reliving your party days, but now you’re the sober one at the party.

[storiesandmusingsofanemt]

101 Things We Should Teach Every New EMTs 1) You aren’t required to know everything. 2) You are required to know the foundational knowledge and skills of your job. No excuses. 3) Always be nice. It’s a force multiplier. 4) There is no greater act of trust than being handed a sick child. 5) Earn that trust. 6) Don’t ever lie to your patient. If something is awkward to say, learn to say it without lying. 7) Read Thom Dick’s, People Care. Then read it again. 8) You can fake competence with the public, but not with your coworkers. 9) Own your mistakes. We all make them, but only the best of us own them. 10) Only when you’ve learned to own your mistakes will you be able to learn from them. 11) Experience is relative. 12) Proper use of a BVM is hard and takes practice. 13) OPAs and NPAs make using a BVM less hard. 14) Master the physical assessment. Nobody in the field of medicine should be able to hold a candlestick to your physical assessment skills. 15) Keep your head about you. If you fail at that, you’ll likely fail at everything else. 16) There is a huge difference between not knowing and not caring. Care about the things you don’t yet know. 17) Train like someone’s life depends on it. 18) Drive like nobody’s life depends on it. 19) Pet the dog. (Even when you’re wearing gloves.) 20) Have someone to talk to when the world crashes down. 21) Let human tragedy enhance your appreciation for all that you have. 22) Check the oil. 23) Protect your back. It will quite possibly be the sole determining factor in the length of your career. 24) Say please and thank you even when it’s a matter of life or death. 25) Wipe your feet at the door. 26) When you see someone who is really good at a particular skill say, “Teach me how you do that.” 27) Nobody can give you your happiness or job satisfaction. It is yours and yours alone. And you have to choose it. 28) We can’t be prepared for everything. 29) We can be prepared for almost everything. 30) Check out your rig. It’s more meaningful that just confirming that everything is still there. 31) Tell your patients that it was a pleasure to meet them and an honor to be of service. 32) Mean it. 33) Keep a journal. 34) Make it HIPAA compliant. 35) Thank the police officer that hangs out on your scene for no good reason. 36) Recognize that he or she probably wasn’t hanging out for no good reason. 37) Interview for a job at least once every year, even if you don’t want the job. 38) Iron your uniform. 39) Maintain the illusion of control. Nobody needs to know that you weren’t prepared for what just happened. 40) Apologize when you make a mistake. Do it immediately. 41) Your patient is not named honey, babe, sweetie, darling, bud, pal, man or hey. Use your patient’s name when speaking to them. Sir and Ma’am are acceptable alternatives. 42) Forgive yourself for your mistakes. 43) Forgive your coworkers for their quirks. 44) Exercise. Even when it isn’t convenient. 45) Sometimes it’s OK to eat the junk at the QuickyMart. 46) It’s not OK to always eat the junk at the QuickyMart. 47) Don’t take anything that a patient says in anger personally. 48) Don’t take anything that a patient says when they are drunk personally. 49) Don’t ever convince yourself that you can always tell the difference between a fake seizure and a real seizure. 50) Think about what you would do if this was your last shift working in EMS. Do that stuff. 51) Carry your weight. 52) Carry your patient. 53) If firefighters ever do #51 or # 52 for you, say thank you. (And mean it.) 54) Being punched, kicked, choked or spit on while on duty is no different than being punched, kicked, choked or spit on while you’re sitting in church or in a restaurant. Insist that law enforcement and your employer follow up with appropriate action. 55) Wave at little kids. Treat them like gold. They will remember you for a long time. 56) Hold the radio mike away from your mouth. 57) There is never any reason to yell on the radio….ever. 58) When a patient says, “I feel like I’m going to die.” believe them. 59) Very sick people rarely care which hospital you’re driving toward. 60) Very sick people rarely pack a bag before you arrive. 61) Sometimes, very sick people pack a bag and demand a specific hospital. Don’t be caught off guard. 62) Bring yourself to work. There is something that you were meant to contribute to this profession. You’ll never be able to do that if you behave like a cog. 63) Clean the pram. 64) Clean your stethoscope. 65) Your patient’s are going to lie to you. Assume they are telling you the truth until you have strong evidence of the contrary. 66) Disregard #65 if it has anything to do with your personal safety. Trust nobody in this regard. 67) If it feels like a stupid thing to do, it probably is. 68) You are always on camera. 69) If you need save-the-baby type “hero moments” to sustain you emotionally as a caregiver you will likely become frustrated and eventually leave. 70) Emergency services was never about you. 71) The sooner you figure out #69 and #70, the sooner the rest of us can get on with our jobs. 72) People always remember how you made them feel. 73) People rarely sue individuals who made them feel safe, well cared for and respected. 74) You represent our profession and the internet has a long, long memory. 75) Don’t worry too much about whether or not people respect you. 76) Worry about being really good at what you do. 77) When you first meet a patient, come to their level, look them in the eyes and smile. Make it your habit. 78) Never lie about the vital signs. If the patient’s vital signs change dramatically from the back of the rig to the E.R. bed, you want everyone to believe you. 79) Calm down. It’s not your emergency. 80) Stand still. There is an enormous difference between dramatic but senseless action and correct action. Stop, think and then move with a purpose. 81) Knowing when to leave a scene is a vital skill that you must constantly hone. 82) The fastest way to leave a scene should always be in your field of awareness. 83) Scene safety is not a five second consideration as you enter the scene. It takes constant vigilance. 84) Punitive medicine is never acceptable. Choose the right needle size based on the patients clinical needs. 85) Know what’s happening in your partner’s life. Ask them about it after you return from your days off. 86) If your partner has a wife and kids, know their names. 87) No matter how hard you think you worked for them, your knowledge and skills are not yours. They were gifted to you. The best way to say thank you is to give them away. 88) Learn from the bad calls. Then let them go. 89) When you’re lifting a patient and they try to reach out and grab something, say, “We’ve got you.” 90) Request the right of way. 91) Let your days off be your days off. Fight for balance. 92) Have a hobby that has nothing to do with emergency services. 93) Have a mentor who knows nothing about emergency services. 94) Wait until the call is over. Once the patient is safe at the hospital and you’re back on the road, there will be plenty of time to laugh until you can’t breathe. 95) Tell the good stories. 96) You never know when you might be running your last call. Cherish the small things. 97) You can never truly know the full extent of your influence. 98) If you’re going to tell your friends and acquaintances what you do for a living, you’ll need to embrace the idea that you’re always on duty. 99) Be willing to bend the rules to take good care of people. Don’t be afraid to defend the decisions you make on the patient’s behalf. 100) Service is at the heart of everything we do. The farther away from that concept you drift, the more you are likely to become lost. 101) There is no shame in wanting to make the world a better place.

The EMT Spot (http://theemtspot.com/2014/03/22/101-things-we-should-teach-every-new-emt/#sthash.JNTgtwBn.dpuf)

[studentparamedicsaus]

If y’all could stop trying to assault paramedics that’d be great

[thecodethreechronicals]

#relatable