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NinFin
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Last On: 4:54AM, 21 Nov 09
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Medicare billing
Replied Oct 27
Bombardment or Spam?
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I don't mind having an IV in the back of my hand and, when placed well, I had no difficulty with movement. So why not use the hand if that's where the good vein is?
It really depends. For a trauma patient that needs immediate fluid then the largest you feel you can get. However, for the everyday patient I usually use a 20g. It really depends on location and patient comfort. I've seen too many people over the ...
I just had this conversation with somebody but the only reference I have left over is this one.
http://www.bmj.com/content/vol321/issue7262/images/large/deac6043.f1r.jpeg
I agree that an 18 or 20g should be your typical size. Cardiac patients no less than an 18. Trauma patients no less than a 16 in an older kid an 18 for trauma. It all depends on the patient. As far as pain goes it is a foreign object going into th...
You need to have her check on this. It definitely does not sound right that you cannot bill the patient's supplemental insurance for the balance of the bill. That is what supplemental insurance is for. I know that there are certain situations wher...
What do you call a person who graduated at the bottom of his class and barely passes the Boards? Oh, Doctor??
Im in agreement with most posts here. Take into account the medication to be administered along with the likelihood of being successful in your attempt. Its akin to racing to the scene of the emergency, if you get into a crash along the way you do...
Secondly, using a blood pressure number as the indicator for how much fluid to give does not appear to be the correct answer. You should actually look at the presence of a radial pulse and level of consciousness as the two main indicators if fluid...
You make a good point...and these extremity hits are perfect candidates for tourniquets; thus, minimizing the blood loss. The other thing that I have never asked is if the casualties that are not a part of the coalition are counted in the stats. I...
AYE!!! It's the flu folks!!
Sorry, just sick and tired of hearing about the sick and tired.
Our stateside victims typically aren't wearing 20lbs of Kevlar and ceramic plates. :) I thought a lot of GSWs in our current war zones are extremity hits, because the current armor vests can shrug off a couple 7.62x39mm rounds (and that's when the...
Let me add this.....Most GSW's in the war zones are typically with a 7.62 mm round from an AK-47, which is just a "little" bit more fire power than most of our gang bangers utilize in the States. With that said...mortality should still be higher o...
One of the points that people seem to be missing is that the blood pressure may not be the biggest contributer to the increased mortality rate in trauma patients who receive crystalloid fluids. This issue of systemic inflammation and destruction o...
Mike, actually it's the other way around.
"I am guessing you are asking because somebody had a problem with your decision?"
I find myself in a position where I have to explain why the use of large bore IVs is not appropriate in most of the patie...
Not to keep bringing up Seattle but they apparently have great results with their technique for any type of major trauma. There "if you bring in a patient who has significant or major trauma and you dont have to large bore IVs started and the pati...
“The need for Prehospital administration of intravenous fluid has recently been challenged and the use of MAST, military anti shock trousers, has largely been abandoned.”
I miss MAST for one reason: They were excelent Air Splints. Alas, too many ...
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As a newly-licenced paramedic, I also agree that the current system is flawed. My clinicals alternated between extremely good and a few situations where I was the most-senior person on the truck...as a student. The problem isn't limited to the civ...
doc,
You are also forgetting the relative call volumes and the effect they have. Law enforcement is the busiest function (crime fighting) so the cops have the least time to devote to other, non-crime-fighting functions.
That makes it intutively o...
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