04-22-2004, 02:11
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#16
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Good thread indeed.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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NousDefionsDoc is offline
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04-22-2004, 04:01
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#17
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Area Commander
Join Date: Jan 2004
Location: MD
Posts: 1,012
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A while back I began wondering if having seizures from one origin made me susceptible to having seizures from other origins. I asked, and this was confirmed. In other words, I have seizures because of a head injury, but that makes me more likely to have seizures from heatstroke than someone who doesn't already have seizures.
Wouldn't this make it very hard to determine the cause of the seizure?
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lrd is offline
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04-22-2004, 04:27
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#18
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Quiet Professional
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Location: LA
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I would say the difficulty would depend on several factors.
Given the same examples you gave, if it is December, I wouldn't expect seizures from heat injury. And it doesn't matter to me in the field if you were more succesitable o not - point is, you have it now. See what I mean? A little common sense on the part of the medic can go a long way, as can the the simple question "What happened?"
Usually, what you see is what you have.
Just a thought.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-22-2004, 04:48
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#19
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Guerrilla
Join Date: Jan 2004
Posts: 215
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x
Last edited by DoctorDoom; 07-29-2013 at 11:23.
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DoctorDoom is offline
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04-22-2004, 06:52
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#20
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Guest
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Re: Seizures
Quote:
Originally posted by Team4medic
2. There is an enormous pressure to DO SOMETHING! about a sz in process. A few said the right thing, protect the patient is the main thing. Most seizures will be self linited and do not require meds. By the book, meds aren't even indicated until the sz has lasted 15 minutes.
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is this the military protocol? Not to give meds unless a seizure lasts 15 minutes? I agree that most seizures last less than 3 minutes and do not require meds but the protocols I am familiar with recommend meds if sz last longer than 5 minutes...
Just curious what book you are referring to?
thanx.
doc t.
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04-22-2004, 06:57
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#21
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Quiet Professional
Join Date: Jan 2004
Location: Wherever my ruck finds itself
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Protocol for admin of meds for seizures here is 5 minutes from onset of first or as soon as possible after onset of each subsequent seizure.
I cant imagine waiting 15 minutes.
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-22-2004, 07:12
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#22
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JAWBREAKER
Join Date: Jan 2004
Location: Gulf coast
Posts: 1,906
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Ahhh...the sweet sound of professional hazing. 
I was writing a rebuttal and decided to delete it out of "niceness" to our new medic. LOL
Team4Medic... Welcome. Please make sure you comply with NDD's profile request as we are all curious as to what "the book" you have been reading is. HaHA
Note, Most of your post that you felt you "just can't let it get by without saying a few things" is just a rephrased version of information already covered in this thread. Well, except that part which was wrong concerning the 15 minute seizure. Haha
Don't take this the wrong way.. this is actually a TMC 14 version welcome (if your legit).
Last edited by Sacamuelas; 04-22-2004 at 07:47.
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Sacamuelas is offline
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04-22-2004, 07:29
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#23
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Guest
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Quote:
Originally posted by Sacamuelas
Ahhh...the sweet sound of professional hazing.
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no hazing involved...just critiquing. Such a more pleasant word..... 
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04-22-2004, 11:34
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#24
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Guerrilla
Join Date: Jan 2004
Posts: 215
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x
Last edited by DoctorDoom; 07-29-2013 at 11:24.
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DoctorDoom is offline
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04-22-2004, 11:47
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#25
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Quiet Professional
Join Date: Jan 2004
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I was taught SE is continuous seizure activity lasting 30 minutes or longer or recurrent seizure(s) without an intervening period of consciousness.
Again, I am not waiting 15 minutes. If the PT is seizing when I arrive they are getting either Valium or Ativan as soon as IV access can be established, or rectally if IV access is unattainable.
And speaking of Valium how many, by a show of keyboard stroke, have given valium rectally, either Ped or Adult?
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-22-2004, 11:52
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#26
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Quiet Professional
Join Date: Jan 2004
Location: LA
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Quote:
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And speaking of Valium how many, by a show of keyboard stroke, have given valium rectally, either Ped or Adult?
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To a patient?
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-22-2004, 11:52
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#27
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-22-2004, 11:56
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#28
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Quiet Professional
Join Date: Jan 2004
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Yes to a patient.
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-22-2004, 11:58
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#29
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Quiet Professional
Join Date: Jan 2004
Location: LA
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Quote:
Originally posted by Surgicalcric
Yes to a patient.
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Ok, never mind.
__________________
Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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04-22-2004, 12:02
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#30
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Quiet Professional
Join Date: Jan 2004
Location: Wherever my ruck finds itself
Posts: 2,972
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I am afraid to ask.
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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