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Old 15-08-2011, 22:07   #31
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re: Thinking Outside the Medical Box: Seizure & Diabetic

so once you realized you wanted to be a paramedic, your next step was?

and can i jam her with the epi pen now? i really wanna do it!
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Old 15-08-2011, 22:10   #32
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Lessons to take on your boat......
  • KNOW your crew's history
  • Download to hard drive or have a book listing what medications do (PDR is excellent)
  • Download or get a book that has a LOT of emergency medical info... not all mishaps at sea are trauma!
  • Be a detective! Look around and see what you have to work with. "Paging Dr. Mac Giver"
  • If you plan to make passages outside the coverage of modern medicine, take a course in emergency medicine (or if you're well heeled, HIRE crew that has the training)

Once again, this scenario is TOTALLY outside normal medical protocol, BUT you have to make due.
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Old 15-08-2011, 22:12   #33
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re: Thinking Outside the Medical Box: Seizure & Diabetic

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Originally Posted by dinosaur View Post
so once you realized you wanted to be a paramedic, your next step was?

and can i jam her with the epi pen now? i really wanna do it!
I NEVER wanted to be a paramedic.. I wanted to drive the big red truck and squirt water! They MADE me go to paramedic school!

Only if she is under 45!
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Old 15-08-2011, 22:17   #34
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re: Thinking Outside the Medical Box: Seizure & Diabetic

yeah, it is EMT > paramedic > firefighter right? that's of course IF you are somewhere where that rule exists.

damn, she is 46!!! but it's not a heart attack, she is a vegan!
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Old 15-08-2011, 22:19   #35
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Any thread that winds up with a xanax and sugar enema is

a. likely to get yanked.... wait a minute you are a mod

b. not likely to run more than 2k views

c. soon to be published in a reputable medical journal
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Old 15-08-2011, 22:22   #36
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Doesn’t matter.. MOST EMS agencies require OLMC for epi 1:1000 SC in anaphylaxis PTs over 40-45

In cardiac arrest the epi is 1:10,000 IV/IO and the PT is already dead... whaddya gonna hurt? LOL!
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Old 15-08-2011, 22:23   #37
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Quote:
Originally Posted by andrewsc View Post
Any thread that winds up with a xanax and sugar enema is

a. likely to get yanked.... wait a minute you are a mod

b. not likely to run more than 2k views

c. soon to be published in a reputable medical journal
Naaah we crushed up the valium, not the zannies!
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Old 15-08-2011, 22:27   #38
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re: Thinking Outside the Medical Box: Seizure & Diabetic

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Naaah we crushed up the valium, not the zannies!
maybe you crushed up the valium... i crushed up the zannies. put them in a nice rum punch for the road.

in all seriousness, this was a great exercise. i wouldn't mind having more scenario sessions like this in the future!
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Old 15-08-2011, 23:30   #39
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Great exercise Capngeo. Looking forward to round 2
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Old 15-08-2011, 23:46   #40
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Wow...keep these threads coming...
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Old 16-08-2011, 00:45   #41
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Great teaching moment.

I've been a lifeguard and have wilderness first aid, but after ABC, I did think of raising glucose levels, but got lost beyond that.

Just a suggestion for the next time around, less acronyms for us lay people, and although I know what about half the meds where, perhaps an idea of what meds listed are typically used for.

Thanks again.
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Old 16-08-2011, 02:43   #42
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re: Thinking Outside the Medical Box: Seizure & Diabetic

diabetic with epilepsy,check her bag for a glucogone pen,and valium supposatries.

check blood sugar if below 3mmol give glucogone injection ,stick the valium up her bum.
once she is choherent get some food or sugar water in her.
head for nearest port.

place crew wanted add on cruisersforum.......
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Old 16-08-2011, 06:11   #43
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Quote:
Lessons to take on your boat ...
... Download or get a book that has a LOT of emergency medical info... not all mishaps at sea are trauma! ...
Some FREE online medical books:

“Where There is No Doctor” ~ by David Werner
Where There Is No Doctor By David Werner

“Where There Is No Dentist”
~ by Murray Dickson
http://www.hesperian.info/assets/den...t_06_web_0.pdf

“Ship Captain's Medical Guide”

Ships Captain's Medical Guide
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Old 16-08-2011, 06:17   #44
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Thanks guys, but believe it or not, I've gotten PMs condemiming me for not allowing her to die! One suggested that I am going to encourage cruisers to play doctor. In light of that, I want to say one more time: THE ACTIONS DESCRIBED ARE NOT A SUBSTITUTE FOR SEEKING PROFESSIONAL MEDICAL CARE. THE SCENARIO IS ONLY A LAST DITCH EMERGENCY EFFORT TO SAVE A LIFE, AND IS CONTRARY TO STANDARD MEDICAL PROTOCOLS FOR A SIMILAR SHORE SIDE EMERGENCY!

OK that out of the way, it seems the majority has an interest in seeing more. I'll try to regularly drag one of these out of the closet. The above was a real event almost in real time. I'll see if I can adapt some land side scenarios to the water. I'll do it as a continuation of this thread. If any other medical people want to share a story, I'd be honored.
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Old 16-08-2011, 08:26   #45
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re: Thinking Outside the Medical Box: Seizure & Diabetic

Quote:
Originally Posted by capngeo View Post
Turns out she is a retired (medical) US Navy RN who has terminal pancreatic cancer. She signed on as crew to take “one last hurrah” but concealed her medical issues from the owner of the vessel in fear of rejection.
Quote:
Originally Posted by capngeo View Post
KNOW your crew's history
There is no place offshore for medical secrets. In your scenario (a very good one) the crew member actively concealed her issue.

My point, in support of your take-away lesson, is that the captain/owner/chief bottle washer should have a clear discussion with all crew to elicit any potential issues. There is no solution for dealing with lies or prevarication but the effort must be made.
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