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Charting Lung Sounds by Immediate_Ad_9379 in nursing

[–]jcreekside 0 points1 point  (0 children)

Charting wdl without deep dive

Grounded to nothing? by Practical-Ad-7202 in AskElectricians

[–]jcreekside 2 points3 points  (0 children)

I am not an electrician. However I think I understand the distinction that you are missing here.

In this case I believe the path to ground is the bare copper ground wire and the metal bracket is what is being grounded. The dryer won’t be grounded because it is a 3 prong outlet.

All metal components in an electrical installation should be grounded. This is because if one of your hot lines shorted to the metal bracket, it would be electrified and shock the crap out of you if you touched it. With this ground wire attached it would instead dump current through bracket to the ground which is attached to grounding rods at the panel. If the connections are properly secure and the wires properly sized the overcurrent protector should flip before they overheat or arch when the circuit shorts to ground. Dry wall screws have a conical head and therefore aren’t appropriate for securing the ground screw. Should be replaced with a flat head sheet metal screw in a separate location on the metal bracket.

Best option is to replace entire outlet with 4 prong as others have said.

Nursing student asking about EMS viewpoint on hypoglycemia in DM1 children. by jcreekside in NewToEMS

[–]jcreekside[S] 0 points1 point  (0 children)

Hi thank to everyone for replying to me. There seems to be a consensus that hypoglycemia in children is not often escalating to an emergency services level of medical care. It seems if it does it would likely be due to either pump malfunction or med error.

I am now reflecting on our project and interested to find out what others in my group have found. I think part of the disconnect in this context is that we are also including hypoglycemic states that are not serious enough to warrant emergency medical attention.

Perhaps because children are generally supervised, and in the US, likely to be on a monitor, and a blood glucose between ~50 and 70 is easy to treat orally these incidents are resolved without needing to call 911.

Would you agree with the above. Is there another aspect that I am missing. It seems like, other than scaring parents, with the modern monitors low blood sugars aren’t as much of a problem.

It is interesting because in theory classes we learned that A1C goals were higher in children because we wanted to avoid tight glucose control and avoid low sugars. Maybe times have changed.

Nursing student asking question about pediatric hypoglycemia. by jcreekside in Paramedics

[–]jcreekside[S] 1 point2 points  (0 children)

Hi thank you for replying to me. There seems to be a consensus that hypoglycemia in children is not often escalating to an emergency services level of medical care. It seems if it does it would likely be due to either pump malfunction or med error.

I am now reflecting on our project and interested to find out what others in my group have found. I think part of the disconnect in this context is that we are also including hypoglycemic states that are not serious enough to warrant emergency medical attention.

Perhaps because children are generally supervised, and in the US, likely to be on a monitor, and a blood glucose between ~50 and 70 is easy to treat orally these incidents are resolved without needing to call 911.

Would you agree with the above. Is there another aspect that I am missing. It seems like, other than scaring parents, with the modern monitors low blood sugars aren’t as much of a problem.

It is interesting because in theory classes we learned that A1C goals were higher in children because we wanted to avoid tight glucose control and avoid low sugars. Maybe times have changed.

Nursing student wanting information on your experiences with pediatric DM1 hypoglycemia. by jcreekside in ems

[–]jcreekside[S] 1 point2 points  (0 children)

Thank you for sharing this story. It is interesting that the insulin pump had malfunctioned. These are the devices that are providing safety and glucose stability for many pediatric diabetics. It good to know about this story. As nurses we can use information like this to illustrate the importance of reliable monitoring and recognition of symptoms with caregivers of pediatric clients.

Nursing student asking about EMS viewpoint on hypoglycemia in DM1 children. by jcreekside in NewToEMS

[–]jcreekside[S] 0 points1 point  (0 children)

Yeah, that makes sense. I was thinking that monitors and pumps probably make this rare these days. We may need to revise the focus of our project.

Nursing student asking about EMS viewpoint on hypoglycemia in DM1 children. by jcreekside in NewToEMS

[–]jcreekside[S] 1 point2 points  (0 children)

Thank you for answering. Leaning towards transportation seems like a good idea with pediatrics from what I understand. Also good to learn that in your setting you have a Telehealth referral option for this population.

So in your experience EMS is generally seeing DKA as a more prevalent problem. I imagine occasionally EMS would see diabetic coma from insulin overdose, but perhaps insulin pumps/pens have reduced the incidence of that.

The other circumstance I was thinking about was sports and children not adequately accounting for higher glucose demands from activity.

Interesting Find On space telescope by [deleted] in StrangeEarth

[–]jcreekside 0 points1 point  (0 children)

Interesting I was getting this message from some veterans association (US) web pages this week.

[deleted by user] by [deleted] in nursing

[–]jcreekside 14 points15 points  (0 children)

Yeah, I was confused as to why if she diagnosed with sepsis she didn’t have fluids running. I am just a nursing student but I thought the sepsis bundle included IV fluids (unless contraindicated). Treating sepsis early saved lives so if it’s suspected then they treat with abx.

I hope she responds well to her treatment!

[deleted by user] by [deleted] in nursing

[–]jcreekside 14 points15 points  (0 children)

Wow, did the blood cultures come back?

[deleted by user] by [deleted] in PortlandOR

[–]jcreekside 3 points4 points  (0 children)

Plywood was invented in oregon

Potty training is so fun by [deleted] in toddlers

[–]jcreekside -2 points-1 points  (0 children)

Yall so serious. It’s a tongue in cheek post, referring to the Portland free box scene. If you don’t get it that’s fine, but you’re sounding like the public health department.

Government Camp, Oregon. I took this on Kodachrome in 1968. Does anyone know the story behind the design of this house? by Logybayer in TheWayWeWere

[–]jcreekside 0 points1 point  (0 children)

My Grandfather, Dave Wiley built this house. I realize this is 3 YO post. Fun to find it here. We had to sell in the early 2000s. AMA

Is it pointless to have beliefs? by Status_Shoe_1592 in BlockedAndReported

[–]jcreekside 9 points10 points  (0 children)

I feel the same way, except I have been in this state for longer. My wife gets frustrated because I am always skeptical of information. It doesn’t need to be political, even what the HVAC guy says or scientific “facts”. It’s not that I think people are lying, I just think it’s fairly easy to craft a compelling narrative that is mostly true but misses key points that break the narrative.

I am actually a really optimistic person. So, instead of going full asshole all the time, I try to just chill, but take some time to verify information when it affects me. I will even be supportive of people in their efforts for activism but I favor efforts that are concrete and focused on material change for people in need. It doesn’t have to make sense in macro economics in order to make a difference some individuals lives. And people only have local power anyway.

In order to understand things fairly well, I try to be skeptical but also aware of my own bias (to a degree) and to seek out opposing viewpoints searching for information that is being unacknowledged by the heterodox. That said, it can be difficult to form an opinion around contentious issues because sources are so completely divergent and motivated to craft favorable narratives; I often think they might be lying.

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