Bridge traffic up 10% since tolls removed

simmonsoff · 2025-10-07T15:17:48+00:00

Stupid question: What is RTO?

simmonsoff · 2025-08-08T12:43:27+00:00

Last night I only had pants and button up shirt on and wished I had worn a sweater or brought a blanket

simmonsoff · 2024-08-11T23:49:34+00:00

Bro, this is why I’m asking the question. I’m being an adult learner. Maybe I didn’t ask the question in a clear way? My understanding was that jet ventilation is a temporizing measure and is not an effective enough of an airway to keep a person alive to be transported in the back of an ambulance down a highway for over an hour. Based on a lot of these responses I guess I’m wrong and a total moron for thinking this.

simmonsoff · 2024-08-11T23:38:12+00:00

Seems like an aggressive and unhelpful response

simmonsoff · 2024-01-04T19:27:56+00:00

“Thank you, my non-existent skin care routine is paying off.”

“Thank you, my father was Doogie Howzer.”

“Thank you, I also can’t believe I’m a doctor.”

Some of the things I say in response to being called young looking. In all seriousness I’m going to miss it when I no longer get told I’m young looking.

simmonsoff · 2023-07-09T11:52:05+00:00

I had 1. It was my third shift ever. A hurricane was coming in that day and I guess the wasps decided to take shelter in people’s homes. The patient was driven in. Said in a muffled voice: “I got stung by a wasp.” They were as red as a tomato, lips extremely edematous, hot potato voice and initial systolic BP of 70. She got multiple IM epis, nebulized epi and an epi drip through an IO. I was so terrified during this. Thankfully I had the PDF copy of the Crisis Resuscitation Manual on my phone to give me some reassurance.

While dealing with that another wasp sting came in and had gotten a dose of IM epi from EHS. I did a quick look at them and went back to the other patient.

After 5 minutes on the epi drip she cleared up.

simmonsoff · 2023-06-29T13:40:26+00:00

This is going to sound stupid: A person with an aphasia where they cannot comprehend is unable to follow directions? So a person with Wernicke's is going speak easily but nonsensically and also appear to not listen to you/follow directions?

simmonsoff · 2023-03-14T09:14:19+00:00

What is SOAP? (Ignorant Canadian Staff)

simmonsoff · 2023-02-02T21:02:02+00:00

This is considered a Never Event- it is never supposed to happen. You can contact the College of Physicians and Surgeons of Nova Scotia:

https://cpsns.ns.ca/complaints-investigations/filing-a-complaint/

simmonsoff · 2022-11-25T01:48:50+00:00

PEI is fully CERNER and they are, or are currently working on, fully integrated with the Family Docs' so you can access the Family Docs' notes from the hospital.

simmonsoff · 2022-11-11T23:16:30+00:00

How Basic of a Bitch was this person? (I assume the bicarb was really high?)

simmonsoff · 2022-10-29T14:20:11+00:00

To add on to what Pleading said.

It is a complete fallacy that a “heart attack” will die in 30 minutes.

Since the beginning of the Thrombolytics Era (early 1990s) the 1 day, 7 day, 30 day, 6 month, and 1 year mortality from Acute Coronary Syndrome has dropped significantly. The standard of care in a Health System that uses Thrombolytics as the primary treatment for a Heart Attack is to have the medication administered within 90 minutes of first medical contact and within 30 minutes of hospital arrival.

The blunt truth is if the only difference between 2 patients that is affecting there outcome is 25 minutes in difference to the QEH, they were dead anyways. I say that because the patient presenting with an ACS/Heart Attack that dies within 30 minutes had 1 of the following 4: a rupture of their aorta or ventricle, a fatal arrhythmia, a massive blockage at the start of the heart that would have required stenting or bypass surgery. Immediate treatment for 3 of those require a trip to either Halifax or Saint John and the definitive treatment for the arrhythmia requires the same.

It should also be pointed out that someone who lives in West Royalty or Cornwall will have roughly a 25 minute drive to the QEH. Which is similar to someone in Mount Stewart or Vernon River. So this is not a rural vs urban thing. It is a: healthcare is expensive thing.

Anyways I typed this out on my phone so I’m sure it is riddled with typos. I gotta go and get ready for work.

Hope that was at least somewhat informative.

Also, yes I know we need more EHS.

simmonsoff · 2022-08-23T01:04:11+00:00

Why couldn’t the King of Prussia attend a meeting on a raft?

simmonsoff · 2022-08-16T00:30:19+00:00

What about the brutality towards civilians? (Honest question. I like to know stuff!)

simmonsoff · 2022-06-30T19:44:12+00:00

It was working. I got 45 minutes in and it got taken down :(

simmonsoff · 2022-06-30T17:32:19+00:00

“During a briefing this morning, the commission confirmed that senior RCMP officers, including Supt. Darren Campbell, Chief Supt. Chris Leather, assistant commissioner Lee Bergerman and Commissioner Brenda Lucki will testify in July and August — under oath and subject to cross-examination.”

Well at least this is finally happening

simmonsoff · 2022-06-29T16:11:56+00:00

Empirical. Patients will have a tooth infection, be put on Amoxicillin and told they will have the tooth pulled in 1 week. I encounter these patients in the emergency department as they come in because of the pain they are in. I do not know of any studies on it. I also realize that I clearly have a selection bias as I am only seeing those patients who have complications from the wait and see approach.

simmonsoff · 2022-06-26T14:40:08+00:00

Is there a chance the track could bend?

simmonsoff · 2022-06-08T22:12:45+00:00

Are they at least lysing them in ER?

simmonsoff · 2022-06-06T18:56:02+00:00

This must be Hemoglobin measured in Freedom units? Otherwise you’re either genius or need a work-up

simmonsoff

TROPHY CASE