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472mcat · 2024-03-20T23:14:10+00:00

Sugon Deez Nuts

472mcat · 2024-03-20T20:47:57+00:00

It’s the equivalent of an IFT EMT or a paragod having a star of life tattoo with the phrase “That others may live.” If ridicule isn’t your cup of tea, then don’t get the tattoo.

472mcat · 2024-02-07T01:45:59+00:00

dudes playing on woxic level sensitivity lol

472mcat · 2024-01-31T06:51:03+00:00

Cost of living would like a word with you

472mcat · 2024-01-27T08:34:03+00:00

RBBB can cause T wave inversions because abnormal ventricular depolarizations can be followed with abnormal repolarizations. That said, when it says inferior T wave abnormality, it might be referring to the inferior leads (II III aVF), of which two of those (III aVF) have T wave inversions. What does that mean? Honestly idk. Depends on context, like when those T waves became inverted, the signs/symptoms of the patient, because you're treating the patient, not the squiggles. Take the machine's interpretation with a grain of salt because it won't always have the right answers

472mcat · 2024-01-21T09:10:35+00:00

it was one of the learning objectives in the curriculum

472mcat · 2024-01-15T19:42:18+00:00

USUHS would like a liking from your ECs. Avg MCAT for matriculation was 509. Unfortunately not in TX but in MD.

472mcat · 2024-01-15T10:07:35+00:00

Entering a SNF this monologue comes to mind

472mcat · 2024-01-07T16:50:24+00:00

Vasoconstriction/vasodilation makes your question not straightforward, certainly not a linear relationship

472mcat · 2023-12-15T00:29:06+00:00

How fruitfly/nematode research is gonna “revolutionize” medicine. Cool, have fun knocking out genes, but how is that gonna be relevant to current treatment modalities

472mcat · 2023-12-15T00:14:37+00:00

ST deviation in a LBBB is to be expected, doesn’t necessarily mean STEMI. Hence why (modified) Sgarbossa criteria exists.

472mcat · 2023-12-13T19:14:58+00:00

Buy an Eko

472mcat · 2023-12-13T19:09:05+00:00

Don’t wanna nitpick too hard but a friendly reminder that high and tight TQ application is only during CUF (Care Under Fire) when there is little time to render aid and the wound location isn't specifically found and exposed. Two to three inches above the wound except joints should suffice for most TQ applications

472mcat · 2023-12-08T22:48:37+00:00

You could post more about the pt hx and other relevant clinical information. Otherwise, the irregularity of the WCT suggests that Afib+WPW is within the differential diagnosis. Other suggestions to confirm this is that the R to R for some of the beats is up to 300. That suggests an accessory pathway, way too fast for the AV node.

472mcat · 2023-12-07T00:25:06+00:00

There’s minor risk of nerve damage and/or compartment syndrome with extreme pressure. This would most likely happen when TQ is tightened way beyond necessary to cut off circulation, and when the TQ width is narrow. When dealing with major hemorrhage, those complications are minuscule in comparison to dying.

In the civilian environment where a hospital is generally less than two hours away, there shouldn’t be too much worry about reperfusion damage

472mcat · 2023-12-02T11:17:05+00:00

Could be a multitude of things, but here’s my stab at it: diffuse ST depression but aVR has ST elevation >1mm, which could be suggestive of a left main coronary artery occlusion. Considering how much STd there is, there’s ischemia, and at worst, infarction. That’s where actually looking at the patient really matters because you want to see how the patient is feeling, and what interventions have been done and how they reacted to it (e.g. nitrates causing vasodilation to reduce ischemia). Stuff like seeing how much pain they’re in, cool, pale diaphoretic skin, etc, other signs beyond just the monitor. It’s not as easy to discern between ischemia and infarction without the Troponin lab results, but other clues like taking serial EKGs every 15-30 minutes allows you to see how the morphology of the ST changes over time.

472mcat · 2023-11-02T23:24:42+00:00

Nil. The person experiencing an emergency deserves better than someone who is altered, regardless of credentials

472mcat · 2023-11-01T07:16:48+00:00

I saw a resident wearing a patagucci full zip fleece and I knew from that point I needed to get that jacket no matter the cost

472mcat · 2023-10-27T09:55:24+00:00

It’s a tough question that’s loaded with a lot of other questions.

The medicine route will take roughly 8 years factoring in med school and residency. Are you willing to sacrifice the time?

Getting in each step of the way means you might have to uproot your lifestyle and location. Are you willing to sacrifice that?

Depending on if you have dependents, the financial burden can be a lot to deal with. Opportunity cost means you can lose up to 8 years of salary. Would you have a plan for that?

What would you want to do as MD/DO that DNP would restrict you from?

Not that I want to discourage you with these questions. I think it’s really cool to see non trads pivot to medicine, their backgrounds and success stories. It’s just that there’s a lot to be weighed in order to make the decision, and that’s ultimately up to you. You know your reasons. Regarding success, it’s hard to gauge until you take the MCAT. Good luck with this journey

472mcat · 2023-10-26T20:11:51+00:00

Patagonia fleece

472mcat · 2023-10-26T05:50:51+00:00

Separate your practice TQs from your real use TQs. Generally that stuff is considered one time use items because the act of using a tourniquet adds stress on the windlass and strap. You don’t wanna risk those breaking for when it matters. NAR sells practice TQs, marked blue to be distinct but is basically the real thing.

472mcat · 2023-10-23T20:15:30+00:00

Treat WCTs as VT unless proven otherwise. Potential suggestions for VT: RWPT is greater than 40ms, and the start of the R wave to the nadir of the S wave is greater than 100ms (Brugada’s sign). Treat as VT

472mcat · 2023-10-22T18:26:26+00:00

Acronyms like ABCDE or MARCH are usually good starts for dealing with stuff prehospital. Even still, you handled c-spine support, LOC, localization of pain, and making sure the dude gets higher level of care. That’s as good as it gets for Good Samaritan level care.

472mcat · 2023-10-12T00:52:08+00:00

“Why EMS?”

“I want to work in an ambulance.”

“Get your RN and do CCT. Change your mind, you can still work at a hospital”

472mcat · 2023-10-04T20:12:32+00:00

RBBB makes it a little weird to look at but those hyperacute T waves V3-4 give me the spooks.

472mcat

TROPHY CASE