51–60 of 61 posts
It's like an F1 pit stop.
http://img.pandawhale.com/post-41481-ferrari-f1-pit-stop-per...
But you know, maybe someday it will be like this. You suspect heart attack, ambulance pulls up, does procedure on the spot, and you're back in business in 60 minutes. If they detect major tissue damage, then a quick stem cell injection plus you have to call in sick for a week.
All of today's medicine would have been impossible to believe even a century ago.
Earlier quoted context omitted.
After I had my heart-attack last year[1], I was asked to participate in a clinical trial of a device called a "Life Vest". I did so briefly, although I ditched it pretty quickly because it was too uncomfortable to sleep in. But this thing was basically a wearable EKG/defibrillator. It monitored your heart rhythm and, if you went into a bad rhythm, would actually give you a shock from the defibrillator. Handy if you w…
Other than being slightly less invasive, this seems significantly inferior to an AICD [1] [1]: https://en.wikipedia.org/wiki/Implantable_cardioverter-defib...
A month ago, a friend who'd worked as a doctor in South Africa for decades was interning with me to learn about the procedures in our German ER. I remember the first time a patient with a heart attack came in while she was there, and the speed of the proceedings just blew. her. mind. What happens, if things go well, is this: The EMTs transmit a picture of the electrocardiogram to us[1]. We confirm that it's a STEMI (…
Interesting... I would have assumed Germany would be a bit more advanced in prehospital care. Here in the US (in a rural/suburban area outside a smallish city in upstate New York), the flow would look more like: A paramedic recognizes a potential MI and takes a 12-lead EKG. If it is indeed a STEMI, then we'll call the ER and transmit the EKG and other vitals (via a cell modem embedded in the monitor). If the ER doc a…
We've found that things go little more smoothly if we do some of the prep in the ER, where there's a little more space for people to undress the patient etc. without worrying about bumping into the expense catheter equipment or compromising sterility, but even stable patients aren't supposed to spend more than five minutes there before being rushed to cath.
I do wish we had some way to directly transmit EKGs and vitals. American hospitals seem to have more money available for electronic equipment like that. (On the other hand, in Germany, the whole hospital stay including the catheter and a day in the ICU, probably won't cost you more than 10.000 Euro, and usually less than that.)
A month ago, a friend who'd worked as a doctor in South Africa for decades was interning with me to learn about the procedures in our German ER. I remember the first time a patient with a heart attack came in while she was there, and the speed of the proceedings just blew. her. mind. What happens, if things go well, is this: The EMTs transmit a picture of the electrocardiogram to us[1]. We confirm that it's a STEMI (…
> By taking a picture of it on their phone and transmitting it via Whatsapp, which is just about the ugliest, hackiest and probably borderline-legal way of transmitting patient data imaginable, but it gets the job done. Congrats on the massive process improvement on using readily-available technology. I'm no lawyer but I'm pretty certain that this violates HIPAA, which means it's a new market just screaming for PII-m…
Earlier quoted context omitted.
After I had my heart-attack last year[1], I was asked to participate in a clinical trial of a device called a "Life Vest". I did so briefly, although I ditched it pretty quickly because it was too uncomfortable to sleep in. But this thing was basically a wearable EKG/defibrillator. It monitored your heart rhythm and, if you went into a bad rhythm, would actually give you a shock from the defibrillator. Handy if you w…
Other than being slightly less invasive, this seems significantly inferior to an AICD [1] [1]: https://en.wikipedia.org/wiki/Implantable_cardioverter-defib...
Earlier quoted context omitted.
To be fair to the author, not every ambulance crew is paramedic level. And the term "ambulance attendant" was, at one time, in widespread use - to the point that the first level of EMS certification was actually called "Ambulance Attendant", if memory serves correctly. I know it's annoying when non-domain-specialists misuse terminology, even slightly, but I could see giving them a pass on this one.
Yeah, hence my being 'irked' not 'really offended'. I suspect most folks here consider themselves more than just "typists".
A month ago, a friend who'd worked as a doctor in South Africa for decades was interning with me to learn about the procedures in our German ER. I remember the first time a patient with a heart attack came in while she was there, and the speed of the proceedings just blew. her. mind. What happens, if things go well, is this: The EMTs transmit a picture of the electrocardiogram to us[1]. We confirm that it's a STEMI (…
Interesting... I would have assumed Germany would be a bit more advanced in prehospital care. Here in the US (in a rural/suburban area outside a smallish city in upstate New York), the flow would look more like: A paramedic recognizes a potential MI and takes a 12-lead EKG. If it is indeed a STEMI, then we'll call the ER and transmit the EKG and other vitals (via a cell modem embedded in the monitor). If the ER doc a…
E.g. uncomplicated fractures getting brought to the fracture clinic?
Reading articles like this you suddenly realise that living in a sparsely populated rural area you sacrifice a hell of a lot in health care as as well as the more obvious career, education and entertainment benefits. Having some risk factors like age and weight and living hundreds of km from a cardiologist is a bit of a worry. Are there cheap, effective ways of screening people with no history of heart problems so pe…
This is a similar monetary basis for the cancer model - to extend the treatment period. Prolonging life has little to do with quality and meaning of life. The medical community is fundamentally corrupt.
A month ago, a friend who'd worked as a doctor in South Africa for decades was interning with me to learn about the procedures in our German ER. I remember the first time a patient with a heart attack came in while she was there, and the speed of the proceedings just blew. her. mind. What happens, if things go well, is this: The EMTs transmit a picture of the electrocardiogram to us[1]. We confirm that it's a STEMI (…
> By taking a picture of it on their phone and transmitting it via Whatsapp, which is just about the ugliest, hackiest and probably borderline-legal way of transmitting patient data imaginable, but it gets the job done. Congrats on the massive process improvement on using readily-available technology. I'm no lawyer but I'm pretty certain that this violates HIPAA, which means it's a new market just screaming for PII-m…
