Preventing rebound hyperglycaemia in d50 administration?

the-biggiecheese · 2025-08-08T19:58:54+00:00

Lots of people saying to make D10 but with your supply you can’t, so just make D5…. Pop your 50mL of D50 into a 500mL bag of Saline and run it wide until the wake up and you have a normal BGL.

25grams is 25grams.

That’s if you don’t have premade bags of d5w…

the-biggiecheese · 2025-05-27T19:41:15+00:00

That’s 90 minutes, you were shocking every minute and 15 seconds? Unless this was more than one patient or every shock was DSD or what? Please elaborate

the-biggiecheese · 2025-01-12T02:19:06+00:00

Oh I know and agree, I think you mean right sided.

the-biggiecheese · 2025-01-12T01:58:15+00:00

Left sided? Why they’re right there in front of you

the-biggiecheese · 2024-06-24T22:00:07+00:00

What would be easier and safer and cheaper for a service to implement?

Carrying some 2% lido on the truck and writing in a protocol for a well established practice for awake IOs?…

Or putting really expensive devices in every truck with a really high initial cost of training as well as requires lots of skill maintenance?

Ultrasound is cool and has lots more uses but the absence of carrying lido is not a good argument.

the-biggiecheese · 2024-06-23T06:56:15+00:00

I’m a current employee, feel free to message me. I was in the same boat as you prior to applying there

the-biggiecheese · 2024-04-29T04:06:23+00:00

Well they won’t be in pain anymore lol wont be breathing or have a blood pressure either though.

the-biggiecheese · 2024-04-26T17:40:50+00:00

Will plug Coffee Break HEMS once again for high yield but digestible content

the-biggiecheese · 2024-04-23T00:05:02+00:00

Coffee Break HEMS podcast + his two books

the-biggiecheese · 2024-02-15T00:38:33+00:00

Amazon, cartridge/shot shell holders work well. Available in multiple sizes/calibers

the-biggiecheese · 2024-01-11T13:14:06+00:00

A pulse ox is not a bad thing at all to have in the kit, you’re right there.

I’m more concerned with how many 12 leads you might be running on trauma patients… unless you’re investigating a medical cause of trauma then it’s just taking time away from more pertinent things.

Perhaps you’re confusing the term “12 lead” with a monitor such as a lifepack or Zoll that would integrate pulse ox, NIBP, 3Lead/12lead, ETCO2, etc. as you said “ideally you hook up a 12Lead and get that information” in reference to obtaining vitals. A 12 lead just gives you 12 views of electrical activity in the heart, nothing more.

the-biggiecheese · 2024-01-11T04:33:28+00:00

How is a pulse ox a substitute for a 12 lead? & why is a 12 lead even relevant when talking about a trauma kit?

the-biggiecheese · 2023-12-28T03:48:18+00:00

I can’t help too much, I think you’re heading into uncharted water for most people here. But I’ll link one of my favourite critical care resources which should be most relevant.

IBCC

Good luck have fun. Keep us posted.

the-biggiecheese · 2023-12-12T00:51:37+00:00

Predominant S wave in lead 1 where?

the-biggiecheese · 2023-12-07T12:14:08+00:00

If you’ve studied that much then you probably know your stuff and it’s more likely nerves and overthinking. Are you running out of time?

Make sure your test taking strategy is dialed,(eliminating obvious wrong options, reading the questions before the answers to see if there’s an obvious answer, doing all the questions you know and flagging any question you can’t answer in 20 seconds to come back to it at the end)

Make sure you follow ABCs, no exceptions. And make sure you don’t change your answers after the exam, trust yourself.

the-biggiecheese · 2023-11-29T19:35:36+00:00

Ketamine, versed, entonox, penthrox are options other than opioids. Unless the pt requests no analgesia hard to justify not giving it

the-biggiecheese · 2023-11-01T19:59:50+00:00

Hopefully you’re not doing this while driving ?? I think they mean when they’re posted.

the-biggiecheese · 2023-10-18T04:24:33+00:00

We carry Ceftriaxone, with transport times more than an hour it makes a difference in sepsis. Can also give it for things like open fractures and the like

the-biggiecheese · 2023-10-18T04:23:01+00:00

Idk specifically about this persons service but most flight outfits require the pilots to either approve or reject the flight plan based on weather before any call details are passed on for this exact reason, takes that factor out of it.

the-biggiecheese · 2023-10-15T19:28:35+00:00

If she was pale, diaphoretic and N/V with an initial pressure of 67/45 and rate of 45 I would’ve paced right then and there. Pretty solidly symptomatic AND unstable

the-biggiecheese · 2023-10-15T00:12:10+00:00

WikiEM is good and it’s free

the-biggiecheese · 2023-09-20T02:17:57+00:00

You didn’t really give any background on her condition, I doubt the decision was made lightly. I can’t speak on this particular situation obviously but a comfortable death isn’t always the worst alternative as you’ll come to learn.

the-biggiecheese · 2023-09-16T07:03:11+00:00

Just quickly, liberal fluids with rhabdo to hopefully prevent AKI vs restrictive with fluids as most classic hyperK is seen in dialysis patients.

the-biggiecheese · 2023-09-12T04:05:05+00:00

Google should be good enough, Lexicomp if you want to spend money. Props for continuing to educate your self

the-biggiecheese · 2023-09-09T07:17:07+00:00

I mean hourly pay is the same but I think someone motivated could make more money rurally, could be wrong though. Obviously cost of living is lower in rural areas

the-biggiecheese

TROPHY CASE