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Arteriosclerosis!
Arteries are the blood vessels that carry oxygen and nutrients from your heart to the rest of your body. Healthy arteries are flexible and elastic. Over time, however, too much pressure in your arteries can make the walls thick and stiff, sometimes restricting blood flow to your organs and tissues. This process is called arteriosclerosis, or hardening of the arteries.
Atherosclerosis is a specific type of arteriosclerosis, but the terms are sometimes used interchangeably. Atherosclerosis refers to the buildup of fats and cholesterol in and on your artery walls (plaques), which can restrict blood flow.
These plaques can also burst, triggering a blood clot and possibly an MI or CVA. Although atherosclerosis is often considered a heart problem, it can affect arteries anywhere in your body. Atherosclerosis is a preventable and treatable condition.
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14 hours ago

Arteriosclerosis! 
Arteries are the blood vessels that carry oxygen and nutrients from your heart to the rest of your body. Healthy arteries are flexible and elastic. Over time, however, too much pressure in your arteries can make the walls thick and stiff, sometimes restricting blood flow to your organs and tissues. This process is called arteriosclerosis, or hardening of the arteries.
Atherosclerosis is a specific type of arteriosclerosis, but the terms are sometimes used interchangeably. Atherosclerosis refers to the buildup of fats and cholesterol in and on your artery walls (plaques), which can restrict blood flow.
These plaques can also burst, triggering a blood clot and possibly an MI or CVA. Although atherosclerosis is often considered a heart problem, it can affect arteries anywhere in your body. Atherosclerosis is a preventable and treatable condition.

You respond to the scene of a shooting. Your patient has a tender, firm, and distended belly and is showing signs of shock. Bleeding is controlled at the entry wound in the left upper quadrant. There is no exit wound. Which of the following interventions would be of the MOST benefit to the patient?

A) Rapid transport to a trauma center
B) Administer fluids
C) Full spinal precautions
D) Apply PASG

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16 hours ago

Jesus Reyes, Misti Nalls and 71 others like this

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Gina JordanA Ideal answer! B if time allows en route! D...is almost unheard of these days, but is absolutely Not a Wrong answer! I am Old School! So I love "Mass Trousers " they are just not widely used anymore and some programs do not cover their use at all! I still think they are a good resource to have

16 hours ago   ·  2

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Travis SternFluid will buy time and maintain BP but it doesn't carry oxygen. This pt needs blood and an OR yesterday... answer is A.

15 hours ago   ·  7
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Debbie ArcherA. If medic wants to run fluids great, preferably while we are en route to the hospital

15 hours ago   ·  5
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Matt JohnsonIs the scene safe lol

15 hours ago   ·  8
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Curt SmithDiesel therapy.

15 hours ago   ·  2
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Matt JohnsonA simple answer

15 hours ago   ·  1
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Jc MassieDo b enroute to a

15 hours ago   ·  1
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Jc MassieEasy A

15 hours ago   ·  1
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Michelle Napiera and b

15 hours ago   ·  1
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Heather WilsonA

15 hours ago   ·  1
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Stace BoA

16 hours ago   ·  1
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Allan MaglenteA 😁

16 hours ago   ·  1
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Chris CoombsA

15 hours ago   ·  1
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Teresa SilvestriA

16 hours ago   ·  1
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Kim BoothA

16 hours ago   ·  1
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Michelle LizarragaA

15 hours ago   ·  1
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John NogueiraA

16 hours ago   ·  1
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Bob McGeeA

16 hours ago   ·  1
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Jodie A LivelyA

16 hours ago   ·  1
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Mary VanceA

14 hours ago   ·  1
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Scott AnkleyA

16 hours ago   ·  1
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Ruby Annette ChildressA

16 hours ago   ·  1
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Shane YorkEh

15 hours ago   ·  1
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John SmithA

16 hours ago   ·  1
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Rodney BullockA

16 hours ago   ·  1
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How conduction is displayed on an ECG for the visual learner! ... See MoreSee Less

18 hours ago

How conduction is displayed on an ECG for the visual learner!

Ashley Rae Balentine, Travis Hedden and 225 others like this

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Kenyon MartinTrina Scaife Matt Pagliero see this is what i need

42 minutes ago   ·  1
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John GardnerRed Donaldson ooh 😲

11 hours ago
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Craig HalfordCeri

8 hours ago   ·  1
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Potter McneeMelissa

6 hours ago
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20 hours ago

Leslie Brewster-Johnson, Kristin Lignowski and 646 others like this

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Stephanie CarsonStaphany Blizard this made me think of our conversation a few days ago. 😂

20 hours ago   ·  1

2 Replies

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Brittany BromleyDavid Landa Brandon Mills exactly how i felt the last two days... lol 😂

9 hours ago

2 Replies

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Brandie McFallJosh Russell made me think of you for some reason!

18 hours ago   ·  1
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Laura Gleason-GauvinYup!!

19 hours ago
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Katelin RodgersLuke Lenhart all my feels right now

11 hours ago   ·  1

1 Reply

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Debbie Larson-PermanApril... me every day

10 hours ago   ·  1
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Murray BrookesSvetlana Lakic me starting Monday 😔

19 hours ago   ·  1
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Lauren Capanna@msleuca

13 hours ago
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Louise BellNathan. Now that your friend has gone.

18 hours ago
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Connie Pruitt KalichAwwwww miss you so much

16 hours ago
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Victoria CharoAwww miss you so much friend!!!

14 hours ago
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Felicia SwearenginSucks ass.....almost every day.....

16 hours ago

1 Reply

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Cheech CherelloWilson!!!!!

20 hours ago
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Kate VeyAmanda Brown!! Get back to work 😂

20 hours ago

1 Reply

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Ashlee GastonTaylor Rogers me on this OT shift

10 hours ago

1 Reply

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Jessica AyalaMaria Robles Me this Thursday night 😭

12 hours ago
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Nicholas Andrew McGeeWILSON!!!!!!!!!

13 hours ago
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Tiffany HagyKrystal Lopez Damar Soto Heather Lovesey this will be me the next couple of days!! 😕 lol

19 hours ago   ·  1

1 Reply

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Nathan DobbsTony Felt Derek Wochholz Tony on B shift 😂

12 hours ago   ·  2

1 Reply

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Javier Arturo RomayCarlos Alcázar,Fani Gómez, como ya acabaron servicios 😒😒😒😒

18 hours ago
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Rance McMastLlance Doore my night shifts

14 hours ago

1 Reply

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Aaron NielsenBobby Love Jade Bladon missing bump in already

12 hours ago   ·  1

1 Reply

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Ashley WardJeremy Tindol Bryars Allen this is gonna be me....

20 hours ago
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Scene size-up and Assessment

Scene size-up and assessment are the first steps taken during every EMS response. These steps ensure EMS crew, patient and bystanders safety. The assessment of the scene and setting offers key info of the situation. The priorities in scene size up and assessment include:
- Determining nature of call
- Determine accurate number of patients in need of help
- Assess for obvious Hazards
- Initiate mass casualty plan as needed
- Notify dispatch of additional resources needed
- Secure the scene
- Begin triage if needed
Even scenes that appear safe may not be! EMS should never enter a potentially dangerous scene until you are sure it is safe to do so.
We have been taught the importance of safety repeatedly and it is very important to verbalize this at every practical station; the examiners want to make sure you understand the importance in this order:
1. BSI
2. Scene Safety
3. Mechanism of illness/injury
4. Number of Patients
5. Request additional resources as needed
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2 days ago

Craig Rywolt, Bandrix Phatsimo and 68 others like this

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Melinda ClaraI use ENAMES for my scene size up. Same thing though. Environmental Hazards Number of Patients Additional resources Mechanism of Injury Extrication Spinal Immobilaziation

1 day ago   ·  2
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Robert Caballero2,3,4,5,1

2 days ago
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Jodie A Lively1.2.3.4.5

17 hours ago
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You are treating a 16-year-old male involved in a MVA. Rescue found the child unresponsive and not breathing and started ventilating the child with a BVM. They noticed the left side of the chest moving but not the right. You notice lung sounds are absent on the right side, and trachea is deviated to the left, Your immediate action should be to:

A) give a fluid bolus
B) intubate and reassess the ventilations
C) decompress the left side
D) decompress the right side

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2 days ago

Riya Mavi, Martin George Linggong and 103 others like this

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Calvin WhiteI really hope people wouldn't waste time trying to intubate a Pt with a deviated trachea. This is a very late sign and an immediate life threat. My protocols are probably a little bit different than some people on here. Where I'm from BLS can not intubate. Being a medic D would be my answer.

2 days ago   ·  7

1 Reply

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Georg PleningerHurry up with D before tension pneumothorax develops and other complications present. Then of course airway via intubation, reassessing pt. often and watching out for another development of tension pneumothorax. Decompress with a needle about 3 1/2 " long and 14G or 10G if available.

2 days ago   ·  5

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Muhanad AbujumahD) Tension pneumothorax in the right side because absent breath sound on right side with trachea shift to Unaffected side it need needle decompression in the right side

2 days ago   ·  1
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Glenn BrockFire up the compressor, attatch a high pressure nozzel to the BVM and set the regulator to 250 psi. Continue with selective bursts until the effected lung has fully inflated.

2 days ago   ·  8
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Tabitha Whitley FarmerB on a basic level.. but rescue found the pt unresponsive and not breathing so I'd reassess pulse and adjust airway but depending upon # of pts. Triage.

2 days ago   ·  1

23 Replies

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Lieta KGD...decompress e tension pneumo..intubating a deviated trachea?? B wud follow after D

1 day ago
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Scott AnkleyD, then B. That's a definite crash airway if pulse is still present

2 days ago   ·  2

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Taylor RothI'm thinking b depending is a acp is around Patricia Hartley

2 days ago

4 Replies

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Shane YorkDeeh

21 hours ago
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Micheal WoodsAnswer is D. Absent breath sounds on right side with trachea shift to unaffected side indicates tension pneumothorax. Needle decompression is indicated because if not treated increased thoracic pressure will impede function of heart. Once this is corrected intubation is not indicated.

2 days ago   ·  3
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Desmond ArenasFuck it , CPAP THAT SHIT!

2 days ago   ·  2

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Cody RipleyD. Tension Pneumothorax

2 days ago   ·  2

3 Replies

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Corey HillHe needs some milk!

2 days ago   ·  1
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Susan NolanB

2 days ago   ·  1

1 Reply

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Heather WilsonD 1st

2 days ago
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Stace BoD, due to the fact that it's a Tension pneumothorax.

2 days ago
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Mark DuttonD, then B.

2 days ago   ·  1
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Matt JohnsonD with the NCD

2 days ago
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Jay WilsonD.....all day

1 day ago
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Sean R EvansD, but a late finding indeed.

2 days ago
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Newt CobrayWe cant decompress here

2 days ago
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Pamela ArmsD) decompress the right side.

22 hours ago
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Dayna BalcomD. Tension pneumo has taken place

2 days ago
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Kim HeissD then B

2 days ago
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Endocrine Glands!
Endocrine glands release hormones directly into the bloodstream instead of secreting it into a duct. The body has a network of endocrine glands throughout the body that release hormones into the bloodstream to achieve physiological responses.
For example, the hormone adrenaline is released by the adrenal gland during the sympathetic (fight or flight) response to an event in order to allow a person to run faster or fight harder.
These are a basic list of the Endocrine Glands within the human body:
•Anterior Pituitary Gland
•Posterior Pituitary Gland
•Hypothalamus Gland
•Parathyroid Gland
•Adrenal Cortex Gland
•Adrenal Medullar Gland
•Pancreatic Islets Gland
•Ovary Gland
•Testis Gland
•Thymus Gland
•Placenta Gland
•Atria Natriuretic Gland
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2 days ago

Endocrine Glands!
Endocrine glands release hormones directly into the bloodstream instead of secreting it into a duct. The body has a network of endocrine glands throughout the body that release hormones into the bloodstream to achieve physiological responses.
For example, the hormone adrenaline is released by the adrenal gland during the sympathetic (fight or flight) response to an event in order to allow a person to run faster or fight harder.
These are a basic list of the Endocrine Glands within the human body:
•Anterior Pituitary Gland
•Posterior Pituitary Gland
•Hypothalamus Gland
•Parathyroid Gland
•Adrenal Cortex Gland
•Adrenal Medullar Gland
•Pancreatic Islets Gland
•Ovary Gland
•Testis Gland
•Thymus Gland
•Placenta Gland
•Atria Natriuretic Gland

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2 days ago

Angela Carter, Alison Joannou and 323 others like this

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Ferdinando CostaAndrew Wood - me with that massive wolf spider on night shift together....

2 days ago
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Arfon HughesI had more than one fly to deal with, thanks for helping me to solve the problem Jay NOT.

2 days ago   ·  1

2 Replies

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Andrew PerezAndre Guieb Carlos Barba man I'm not sure why but this picture reminds me of something... ?🤔

2 days ago
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Matt PetersonMichael N Rebecca Bills you driving one of my ambulances???

19 hours ago

1 Reply

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Nicholas ThackerYeah I remember that day. Seriously considered jumping out of the ambulance

2 days ago
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Justin DawsonBrayden Strandlund Kristie Bosch that's what really happened it wasn't a deer.

2 days ago

1 Reply

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Wes HoltSean this would be 545

2 days ago   ·  1

1 Reply

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Tia Hoen GalvinHa ha. Only right too😃

1 day ago   ·  1
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Malin HenriksenIda Tveiten Hahah hadde vært deg

2 days ago   ·  1

1 Reply

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Susan NolanAll due to a bee oh wow

2 days ago
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Barton DianeWhat really happened

15 hours ago
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Marla Barnes WilliamsBee..no..spider..yes!!!

2 days ago
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Shannon StrandlundMaybe a deer...lol

2 days ago
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Samantha MooreFrank DeAnda were you on this call?

24 hours ago
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Joseph EbyDerek Eby my brother be like as an EMT 😂😂😂

2 days ago

1 Reply

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Christy CrowleyKyle Romany LOL yes it would

1 day ago
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Linda ElliottOmg you scared me for a minute

22 hours ago
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Sarah StewartJosé Rivera me 😂😂😂

2 days ago
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Kayla FaithTeala Marina Camryn Chrissy & Stephen

2 days ago   ·  2

5 Replies

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Sharon EllisonNeil Fusco 🙄🙄🙄

2 days ago   ·  1

1 Reply

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Jay HarrisArfon Hughes Flies 😂

2 days ago
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Hannah HarrisonTasha Randall 😂😂

2 days ago   ·  1

1 Reply

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Brie ShefflerOlivia Chappell 😂😂

2 days ago   ·  1
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The major functions of the lungs include to provide tissue oxygen and to expel carbon dioxide. This exchange occurs at the alveolar and pulmonary capillary junction. This exchange is required for optimal utilization of energy and metabolism.
The respiratory system consists of the upper airway and lower airway. The upper airway is comprised of the nose, mouth, and pharynx. The lower airway consists of the epiglottis, glottis, larynx, trachea, bronchi, bronchioles, and alveoli. The right lung has three lobes, and the left lung has two lobes with a smaller lingual lobe.
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2 days ago

The major functions of the lungs include to provide tissue oxygen and to expel carbon dioxide. This exchange occurs at the alveolar and pulmonary capillary junction. This exchange is required for optimal utilization of energy and metabolism.
The respiratory system consists of the upper airway and lower airway. The upper airway is comprised of the nose, mouth, and pharynx. The lower airway consists of the epiglottis, glottis, larynx, trachea, bronchi, bronchioles, and alveoli. The right lung has three lobes, and the left lung has two lobes with a smaller lingual lobe.

Hemophilia
Hemophilia or hemophiliacs (free bleeders) are patients that are suffering from a bleeding disorder; disrupting the normal clotting process (platelet production), therefore making it very difficult to control bleeding in these patients.
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3 days ago

Hemophilia
Hemophilia or hemophiliacs (free bleeders) are patients that are suffering from a bleeding disorder; disrupting the normal clotting process (platelet production), therefore making it very difficult to control bleeding in these patients.

Mike Rifenburgh, Abraham G. Shannon and 94 others like this

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Brad EadsHemophilias are NOT free bleeders.

3 days ago
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You are called to treat a 4-year-old female having difficulty breathing. She has a barking cough but is not drooling. Mom states all this started about 3 hours ago and she just seems to be getting worse. She has a fever of 102.2. You should suspect:

A. Epiglottitis
B. Asthma
C. Upper Airway Infection
D. Croup

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3 days ago

Abraham G. Shannon, Atsushi Takahashi and 90 others like this

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Marcella MolloyI'm going with D , my youngest son had croup a couple of times , one of the best cures for it is to put them in an small area and boil a kettle to create steam in there , it always worked for me , sorry it's not a fancy medical cure but it works .

2 days ago
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Kip HathewayE. Allergic reaction By the onset of 3 hrs. An inhalation could have occurred with inflammation of the upper airway followed by dry barking cough and elevated temp.

2 days ago

1 Reply

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Eddie ArnoldI'm going with D. Epiglottis will have drooling, and dysphagia.

3 days ago   ·  3
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Harry BookerSometimes I hate these Q's . we are not in the business to make diagnosis.

2 days ago   ·  2

2 Replies

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Denisha SimonsD my son has had croup twice!

3 days ago   ·  2
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Aaron SuggsDon't infections cause a temp because the body will try and fight off the infection ???? I say C !

3 days ago   ·  2

4 Replies

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Igp Peter AhunarhUpper way infection that might be blocking the airway. I will take D.

3 days ago
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Zach ReedProcess of elimination, I can rule out B & C... my overall answer would be D if I had to choose

3 days ago

1 Reply

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Cơ Động Thônvẫn còn nhớ ho như chó sủa đợt đi nhi hihi Vũ Hồng Quân

3 days ago

4 Replies

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Katie ElizabethI say C or D ...administer 02 keep the pt comfortable reassess and transport

2 days ago   ·  1
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Callie MalloryBarking cough is hallmark of croup. D

3 days ago   ·  1
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Rita WasielewskiD, barking cough with croup

3 days ago
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Troy SerticchioTake her outside for some fresh air. It's D

3 days ago   ·  3
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Lisa JonesD croup patient presents with barking cough . Most common in children.

3 days ago
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Senta ChristineD the cough says it

3 days ago
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Tammy EdwardsD croup

2 days ago
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Peggy SickenbergerCroup = barking

2 days ago
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Joseph MeschesShe's a little old for croup

2 days ago
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Gina GreggD barking cough !

3 days ago
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Wendi GillardCroup.

2 days ago
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Matthew TatomIt is D. Epiglottitis will present with drooling.

2 days ago
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John SmithSeen it with my grandkids, D is the answer

3 days ago
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Linda JordanIt could be C or D and A is possible

3 days ago
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Eric RosasCroup

2 days ago
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The cerebrum or cortex is the largest part of the human brain, associated with higher brain function such as thought and action. The cerebral cortex is divided into four sections, called "lobes": the frontal lobe, parietal lobe, occipital lobe, and temporal lobe.

What do each of these lobes do?
Frontal Lobe- associated with reasoning, planning, parts of speech, movement, emotions, and problem solving
Parietal Lobe- associated with movement, orientation, recognition, perception of stimuli
Occipital Lobe- associated with visual processing
Temporal Lobe- associated with perception and recognition of auditory stimuli, memory, and speech

Note that the cerebral cortex is highly wrinkled. Essentially this makes the brain more efficient, because it can increase the surface area of the brain and the amount of neurons within it. We will discuss the relevance of the degree of cortical folding (or gyrencephalization) later. (Go here for more information about cortical folding)
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3 days ago

The cerebrum or cortex is the largest part of the human brain, associated with higher brain function such as thought and action. The cerebral cortex is divided into four sections, called lobes: the frontal lobe, parietal lobe, occipital lobe, and temporal lobe.

What do each of these lobes do?
Frontal Lobe- associated with reasoning, planning, parts of speech, movement, emotions, and problem solving
Parietal Lobe- associated with movement, orientation, recognition, perception of stimuli
Occipital Lobe- associated with visual processing
Temporal Lobe- associated with perception and recognition of auditory stimuli, memory, and speech

Note that the cerebral cortex is highly wrinkled. Essentially this makes the brain more efficient, because it can increase the surface area of the brain and the amount of neurons within it. We will discuss the relevance of the degree of cortical folding (or gyrencephalization) later. (Go here for more information about cortical folding)

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3 days ago

Samantha Pancoast, Amanda Mead and 1077 others like this

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Erin McQuillianI had a patient ask my partner to "take a walk" so he could be alone with me. 😂😂😂

3 days ago   ·  1
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Chris CollinsAt least she will forget when you cheat on her with a younger woman 😂

3 days ago   ·  1
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Irene Kemperyou should feel honored

3 days ago   ·  1
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Jamie Fringer😂😂😂 remind you of anything? Jerry Jr. Misner

3 days ago   ·  1

1 Reply

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Roswell BrandonBrett McGee remember these days! Ha

3 days ago   ·  2
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Lisa-Jayne Pearce😂😂😂

3 days ago   ·  1
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Red DoveI found out during a transport how flirty those old guys at retirement homes can be. I think some of them are using dementia as a cover. You were A/O times 3 yesterday you old pervert! 😂

3 days ago

1 Reply

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Chelsea McDanielIs the 95yo with dementia worse, or a guy who comes in for an STD check and just got a positive GC/Chlamydia swab who tries to ask you on a date? Hmmmm. 🤔

3 days ago
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Meagan KennardNico Elliott When that guy reached up and tickled my chin in slow motion... BRO WHAT ARE YOU DOING

3 days ago   ·  1

1 Reply

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Bri KelleyCarmen Rogers Morgan Sees the cute old man in ER3 the other night! Lol

3 days ago   ·  2

1 Reply

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Debra WeaverOr if they think I'm someone with enough authority to get them discharged home at 3am. ❤

2 days ago
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Karen JuarezDayana Yannett Vanessa nuestra triste historia 😩🙄😒

3 days ago   ·  1

17 Replies

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Kelsie FloresYou just make sure you flirt back but no touching Flores Andrew

2 days ago   ·  1
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Joe TippeneskumYup, on my first week of placement a few years back lol

2 days ago
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Anna BartmanTiffany Klippi or the men that wear shorts shorter than me 😂😂

14 hours ago   ·  1

1 Reply

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Maria McMonagleChristian Schuster.... maybe he wasn't EXACTLY 95 but he sure was into you 😂🙈

3 days ago   ·  1

1 Reply

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Mat CornishLol Dana, maybe not the second part but definitely the first

18 hours ago
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Sarah TurnerTim Schultz 😂 this reminds me of the old folks home yesterday.

2 days ago

1 Reply

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Chris DavisTony Banda or a nasty pregnant girl in a house that smells of......well not sure what that smell was.

3 days ago
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Janae MillerMine too!!! Haha one guy said to me "you are going to be an attractive woman when you grow up"

13 hours ago
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Nicole WiemannKayla Ann Studdard We use to hear stories about when you worked with old people almost every night.... good stuff lol

19 hours ago   ·  1

1 Reply

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Wade Beez BeesleyHaha..... Or women's lockup at the jail.

2 days ago   ·  2

1 Reply

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Dianne BarnesTracey Cooke all your old boyfriends 😂😂😂

2 days ago   ·  2

2 Replies

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Caren Traylor MurphreeLol !

15 hours ago   ·  1
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Dominique DillagueHahaha oh my goodness Vincent John Walker so relevant

2 days ago   ·  1
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Periorbital Ecchymosis!

Periorbital ecchymosis or Raccoon eyes is a sign of basal skull fracture, a craniotomy that ruptured the meninges, or (rarely) certain cancers. Bilateral subconjunctival hemorrhage occurs when damage at the time of a facial fracture tears the meninges and causes the venous sinuses to bleed into the arachnoid villi and the cranial sinuses. In layman's terms, blood from skull fracture seeps into the soft tissue around the eyes. Raccoon eyes may be accompanied by Battle's sign, an ecchymosis behind the ear. These signs may be the only sign of a skull fracture.
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4 days ago

Periorbital Ecchymosis!

Periorbital ecchymosis or Raccoon eyes is a sign of basal skull fracture, a craniotomy that ruptured the meninges, or (rarely) certain cancers. Bilateral subconjunctival hemorrhage occurs when damage at the time of a facial fracture tears the meninges and causes the venous sinuses to bleed into the arachnoid villi and the cranial sinuses. In laymans terms, blood from skull fracture seeps into the soft tissue around the eyes. Raccoon eyes may be accompanied by Battles sign, an ecchymosis behind the ear. These signs may be the only sign of a skull fracture.

Faith Tarr, Abraham G. Shannon and 135 others like this

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Chantel StreblowAndrew Behnke, mid-medic school shenanigans for you

4 days ago   ·  2
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Kelley ThomasBut be warned battle signs and racoon eyes in regards to basal skull fx's are normally a late sign. When in doubt especially with head trauma remember the Ambulance has wheels. Or call for medievac

3 days ago
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Caryn BoucherDylan Saunders thought you might find this informative

3 days ago   ·  1
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Lorraine NeliswaYa too much in terms of medical jargan bt thanx very informative

3 days ago
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Aaron SuggsWas rough to read I need to work on medical term I guess

4 days ago
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Lieta KGQuin Bede trauma ea 10marks

3 days ago

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You are dispatched to the scene of a 5 year old boy who fell off of his bike. He is complaining of neck pain and a "needle prick" feeling in his arms and legs. You have decided to transport this patient on a backboard. What is important to remember when packaging this patient for transport?

A) Use the feet for initial IV access
B) Never fasten the top strap of the backboard for kids
C) Pad behind the shoulders when boarding this patient
D) Kids are boarded upside down on the backboard because of their large heads

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4 days ago

Atsushi Takahashi, Debbie A. Heissler Sheppard and 91 others like this

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Carmen GraceC Kids have larger heads requiring more packing underneath for neutral alignment of their C Spine

4 days ago   ·  2
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Edward Albert ChastainC. Heads are anatomical larger on peds in relation to adults. Helps with airway, comfort and precautions.

4 days ago   ·  6
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Glenn BrockC, because of the large head on a youngster that seems to shrink after 18 years of age, after that you want to smack'em with the pad.

4 days ago   ·  3
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Cory WhyteC. D would make sense if it wasn't for such a stupid reason

4 days ago   ·  1
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Davey BowenC. But what could the needle prick sensation be?

4 days ago   ·  1

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Rikke ElkinsC. Kids have big goose-egg noggins.

4 days ago   ·  1
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Nate HaberC pad behind shoulders

4 days ago   ·  1
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Stace BoC

4 days ago   ·  2
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Josh CauseC

4 days ago   ·  2
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Heather WilsonC

4 days ago   ·  1
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Jimmy BradshawC

4 days ago   ·  1
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Erika Remlinger LansfordC.

4 days ago   ·  1
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Sean R EvansC.

4 days ago   ·  1
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Bethany HuffC

4 days ago   ·  1
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Brent DeMarkC

4 days ago   ·  1
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Julie Montgomery NelsonC

4 days ago   ·  1
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Michelle NapierC

4 days ago   ·  1
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Lisa Gail HarawayC

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Jamie FringerC

4 days ago   ·  1
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Ryan BradyC

4 days ago   ·  1
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Aaron HedgesC

4 days ago   ·  1
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Teresa SilvestriC

4 days ago   ·  1
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Bobby GarmonC

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Brittany StevensC.

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Mary VanceC

4 days ago   ·  1
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Dextrocardia!
Dextrocardia situs inversus is a rare congenital condition in which, instead of being in the left side of the chest, the heart is horizontally inverted, or mirrored. With this condition, most of the heart is on the right side of the sternum.

ECG Findings for Dextrocardia:
A negative P-wave, QRS complex and T-wave in lead I
Negative P-wave in lead II
Reverse R-wave progression in leads V1-V6
Positively deflected QRS complex in aVR
Right axis deviation
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4 days ago

Dextrocardia!
Dextrocardia situs inversus is a rare congenital condition in which, instead of being in the left side of the chest, the heart is horizontally inverted, or mirrored. With this condition, most of the heart is on the right side of the sternum.

ECG Findings for Dextrocardia:
A negative P-wave, QRS complex and T-wave in lead I
Negative P-wave in lead II
Reverse R-wave progression in leads V1-V6
Positively deflected QRS complex in aVR
Right axis deviation

Eric Sosa, Abraham G. Shannon and 180 others like this

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Matthew Robert DrakeHow many paramedics would do a 12 lead on a pediatric patient? All of them should be the Answer....

3 days ago
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Brett ForemanSean David Alex Maddy where are those heart sounds

4 days ago   ·  1

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Courtney McDonald JovanovicHeather Ryall We just talked about this!!! 😳

2 days ago   ·  1

1 Reply

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Carol MazeAndrew Maze has a horizontal heart.

4 days ago
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James CoutureMUTANT!!!

1 day ago
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Cass O'waryRyan Winters this is what your skeleton had!! 😂

4 days ago
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Ryan DrakeLee

4 days ago   ·  1
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4 days ago

Clayton DeWees, Abraham G. Shannon and 93 others like this

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Anthony LockwoodIt is too an acceptable term XD

4 days ago
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Referred Pain!

Referred pain is phenomenon where pain from a diseased or injured organ is felt in places remote from the affected organ. This visceral pain is quite different from somatic pain that affects somatic organs such as the skin, muscles, joints and bones. In hollow organs such as the stomach, pain is described as a cramping pain and is not clearly localized. On the other hand in solid organs pain may be described as deep and accompanied by pressure or described as a stabbing pain. Referred Pain from MI.
Visceral pain receptors share the same sensory pathways that somatic organs use to convey sensory information. This ‘viscero-somatic convergence’ is why pain from an internal organ might be felt at another place.
Visceral pain can occur when an internal organ experiences compression, infection, pressure, and/or stretching. An example of referred pain is the classic signs of myocardial infarction where pain is referred to the left arm.
It is important to consider referred pain and the underlying organs involved when performing a patient assessment. Assessing pain can be a real pain since pain itself is so subjective. Referred pain can further complicate things if you are not aware of what it is and how it presents.
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4 days ago

Referred Pain! 

Referred pain is phenomenon where pain from a diseased or injured organ is felt in places remote from the affected organ. This visceral pain is quite different from somatic pain that affects somatic organs such as the skin, muscles, joints and bones. In hollow organs such as the stomach, pain is described as a cramping pain and is not clearly localized. On the other hand in solid organs pain may be described as deep and accompanied by pressure or described as a stabbing pain. Referred Pain from MI.
Visceral pain receptors share the same sensory pathways that somatic organs use to convey sensory information. This ‘viscero-somatic convergence’ is why pain from an internal organ might be felt at another place.
Visceral pain can occur when an internal organ experiences compression, infection, pressure, and/or stretching. An example of referred pain is the classic signs of myocardial infarction where pain is referred to the left arm.
It is important to consider referred pain and the underlying organs involved when performing a patient assessment. Assessing pain can be a real pain since pain itself is so subjective. Referred pain can further complicate things if you are not aware of what it is and how it presents.

Danny Banda, Abraham G. Shannon and 233 others like this

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Lieta KGQuin Bede Refhilwe

4 days ago   ·  1

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Kyle FischerChris MV Kambouris

4 days ago   ·  2
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Heidi ProwsJim McDiarmid

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Signs of Increased Work of Breathing
★Bony Retractions - sternum and ribs pull back into the chest during inhalation
★Soft-tissue retractions- soft tissue drawn in around the bones during inhalation
★Nasal flaring - nostrils open wide during inhalation
★Tracheal tugging - downward movement of the trachea during inspiration
★Paradoxical respiratory movement - the epigastrium is pulled in as the abdomen is pushed out, causing a seesaw effect as the two move independently of each other.
★Pulsus paradoxus - weak or absent peripheral pulses on inhalation
★Pursed-lip breathing - patients purse their lips (like a kiss) and exhale slowly over a longer period of time. This is seen in patients with obstructive disease.
★Grunting - heard during exhalation in pediatric patients a maneuver that provides a small amount of pressure that keeps the alveoli open.
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5 days ago

Motor Neuron Pathways in the Somatic and Autonomic Nervous Systems! ... See MoreSee Less

5 days ago

Motor Neuron Pathways in the Somatic and Autonomic Nervous Systems!

Abraham G. Shannon, James M. Charo and 115 others like this

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Brittni BrooksAdela Webb where was this page when we needed it 😂...wish i knew about it 2 years ago! Lol

5 days ago   ·  1

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Potter McneeMelissa

5 days ago
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Happy EMS Week Everyone! ... See MoreSee Less

5 days ago

Happy EMS Week Everyone!

Nichole Froedden, Jamie Brown and 2387 others like this

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Cara WhiteThank you for all you do to help the community!🤚

5 days ago   ·  1
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Kathryn BalfanzThank each and everyone of you and your families

5 days ago   ·  1
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Michelle Napierthank you

5 days ago   ·  1
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Irene Kemperbeen in ems 32 yrs this month

5 days ago   ·  1
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Janet SlateThank u for all u do!!!!! God bless

5 days ago   ·  1
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Fran GuardThank you all for your services and sacrifices!!

4 days ago
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Dana HanuszczakLoven it!

5 days ago
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Helena FazioThanks to all who serve! 🚑

4 days ago
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Caroline Lynn FrodermannKeep it up guys we all need you

4 days ago
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Angelica LaurennKatie Meade ❤️

4 days ago   ·  1

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Jennifer DaltonJacob Kroening

3 days ago   ·  1
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Gianna DingilloChris Merriman

5 days ago   ·  1
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Emily SchmidtBrian Bagdon

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