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Thursday, August 25, 2005

Free Stuff, Surgery, and Rants

Howdy again everyone,

If you're interested in some free stuff, you can get a free sample of the SafeSeal for your stethoscope http://www.safesealdiaphragm.com/free.shtml. It's an antimicrobial diaphragm replacement; kind of important since there've been studies revealing antibiotic resistant bacteria on stethoscopes. I've used it and love it. You can't tell any difference between their diaphragm and the one it came with.

Also been watching some surgical videos: http://www.lifespan.org/staywell/videosurgery.html and http://www.websurg.com/index.php?url=toc/theme.php&s=2&id=2_2_1_1. Nothing like a good appendectomy.

I go back on duty this weekend. The day crew will probably have ER on when I walk in. There's nothing quite as irritating as ER on TV; you can't shock asystole. On ER you can. If you shock asystole the chances of the patient surviving go from slim to even slimmer. But I guess it's more glamorous to defibrillate the patient than to do CPR for half an hour pushing epinephrine and atropine in. Also precordial thumps don't work half as many times as it does on ER.

Apparently the Army and the rest of the armed services are in need of field surgeons. Sounds like I might have a calling. Maybe the Army gives guaranteed med school? I've always toyed with the idea of becoming a field surgeon anyway.

posted by bravomedic @ 8:15 PM   2 comments

2 Comments:

I know they're already dead. What I'm saying is that studies show that shocking someone in asystole takes the chance of the person converting from very slim to even slimmer in the future. I'll try to find the report and will post it later.

On the other hand though, some paramedics shock asystole because it might not be asystole but instead a very fine v-fib. That's why some medics just let the AED do the original shocks and analyses; they're very accurate.

By Blogger bravomedic, at 10:43 AM  

Going in to the forces as a medic is quality over here in the UK, and they are desperate for them.

Over here, going in as a standard Physician into the armed forces, you start at something like £70,000 a year with the rank of Captain and things only go upwards. If you have higher qualifications then it's bling bling all the way baby.

By Anonymous Anonymous, at 12:54 PM  

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