tag:blogger.com,1999:blog-8255935895272962129.comments2023-05-24T01:28:53.295-07:00medical scene writerUnknownnoreply@blogger.comBlogger300125tag:blogger.com,1999:blog-8255935895272962129.post-10767477022372690502015-06-30T22:58:30.971-07:002015-06-30T22:58:30.971-07:00I do believe all of the ideas you've offered t...I do believe all of the ideas you've offered to your post. They are very convincing and will definitely work. Nonetheless, the posts are too short for newbies. May you please lengthen them a little from next time? Thank you for the post.<br /><br /><a href="http://www.unisonbiomed.com/index.php?route=product/product&product_id=269&search=Toshiba+PVT-375BT" rel="nofollow">Toshiba PVT-375BT</a> <br />Anonymoushttps://www.blogger.com/profile/15804633410834982744noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-72445137782687578532015-05-22T05:22:36.320-07:002015-05-22T05:22:36.320-07:00My daughter was found hanging in her bathroom on t...My daughter was found hanging in her bathroom on the door by her 12 year old daughter. We know she did not do this but the police say she did. The case is still open. My daughter married a man Feb. 20 and March 27 she is found hanging. There are 3 young women that this man has been with in 7 weeks all found hanging! I need help with this, no one is listening!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-45652825083077124972015-04-13T10:52:12.780-07:002015-04-13T10:52:12.780-07:00This is a comment I just posted on an older questi...This is a comment I just posted on an older question concerning a revived code blue:<br />Hi Kelly, I run simulations for nursing students and we do a code blue every semester. I don't have any emergency experience with adults. You mentioned above that the once a patient regains a pulse the blood pressure MIGHT be 90/50. If the patient comes back in sinus tachycardia wouldn't the blood pressure be higher than that? Or would a patient come back tachy?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-42004249992374550852015-04-13T10:23:51.815-07:002015-04-13T10:23:51.815-07:00Hi Kelly, I run simulations for nursing students a...Hi Kelly, I run simulations for nursing students and we do a code blue every semester. I don't have any emergency experience with adults. You mentioned above that the once a patient regains a pulse the blood pressure MIGHT be 90/50. If the patient comes back in sinus tachycardia wouldn't the blood pressure be higher than that? Or would a patient come back tachy?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-54876713495667285582014-09-11T20:43:58.069-07:002014-09-11T20:43:58.069-07:00Hi, Susanne.
Yes, yard work is a possibility. Ther...Hi, Susanne.<br />Yes, yard work is a possibility. There was a recent case in Texas where a kid brushed up against one of these while taking out the garbage. Even minimal contact can result in poisoning.<br />Scary!site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-38073781442299959092014-08-31T13:36:28.567-07:002014-08-31T13:36:28.567-07:00Hi, Kelly. Thanks for sharing this information. ...Hi, Kelly. Thanks for sharing this information. I would have never guessed that those were caterpillars in the pictures. When humans accidentally come in contact with the puss caterpillar, is it mostly when they are doing yard work around trees and shrubs? <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-1633919005968868382014-08-29T22:13:28.038-07:002014-08-29T22:13:28.038-07:00I think I'll use something plant based, since ...I think I'll use something plant based, since I don't think this world has a strong enough understanding of physiology to come up with and purify adrenal extracts. Thanks again for your help! You provide a great resource here.Stephanie Bittnerhttps://www.blogger.com/profile/05190545055990592234noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-41663128443306303032014-08-29T21:11:14.116-07:002014-08-29T21:11:14.116-07:00Yes, I think a plant-based drug that simulates epi...Yes, I think a plant-based drug that simulates epinephrine would be helpful. Like epi, it would help counteract the effects.<br />You might be able to use an animal adrenal gland extract as a fictional source (the adrenals make adrenaline as well as cortisol, a steroid, which is another thing we give to people in anaphylactic shock).site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-51245872388519192322014-08-29T18:52:19.948-07:002014-08-29T18:52:19.948-07:00Thanks so much for your suggestions and knowledge....Thanks so much for your suggestions and knowledge. I have been considering creating in this world a plant extract or some similar medicine that would stimulate her body to produce its own epinephrine surge. Do you think such an imaginary medicine could improve her chance of survival? Thanks again.Stephanie Bittnerhttps://www.blogger.com/profile/05190545055990592234noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-18400702659678004402014-08-29T16:12:33.497-07:002014-08-29T16:12:33.497-07:00Hello, Stephanie.
That's a difficult scenario....Hello, Stephanie.<br />That's a difficult scenario. The tracheostomy would allow breathing, but would do nothing for the swelling accompanying the anaphylaxis. Low blood pressure, fast heart rate, and fluid "leaking" into the lungs would all be impossible to treat. The best they could hope for would be to compress the legs and arms to centralize blood flow to essential organs and the brain. Birch bark and willow bark can be anti-inflammatory, which could help. <br />There is not much else to do.<br />As far as the exposure to the allergen--<br />Typically every exposure will have a worse reaction. <br />Allergy shots are based on building tolerance to small amounts of allergen. If she had had a number of tiny inhaled exposures, I suppose you could make a case for a somewhat milder attack--but this does not happen in real life.<br />Hope this helps!site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-72355963323250677662014-08-14T14:29:24.941-07:002014-08-14T14:29:24.941-07:00Hi, I have a question for you that I don't bel...Hi, I have a question for you that I don't believe you have previously answered. <br /><br />I am writing a book set on an alternative world with no epipens or epinephrine injections, and I have a character who has a severe allergy to an airborne substance. I need her to be exposed to a large amount of allergen and go into anaphylactic shock (with fainting and skin and throat swelling), but I also need her to survive. A doctor gives her an emergency tracheostomy (with a permanent tracheostomy tube) when her throat swells shut. Will this be adequate to allow her to live through the experience? If so, how long will it take her to recover without an epinephrine injection, and what other treatments could a doctor attempt to address her symptoms? They have a low level of technology available, so giving intravenous fluids is out of the question.<br /><br />Also, is it reasonable to have her experience milder allergy symptoms (rashes, itchy eyes) when exposed to trace amounts of the allergen, or would she have a severe attack every time?<br /><br />Thanks so much for running this blog.<br /><br />-Stephanie<br />Stephanie Bittnerhttps://www.blogger.com/profile/05190545055990592234noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-66952795727746922662014-07-09T16:17:12.439-07:002014-07-09T16:17:12.439-07:00Thank you so much! I kept looking in the wrong pla...Thank you so much! I kept looking in the wrong place for an answer. This helps a lot, and it's way more than I hoped for! So glad you've put up this blog!Anonymoushttps://www.blogger.com/profile/05819153428058391446noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-77785350461513979962014-07-05T21:35:56.998-07:002014-07-05T21:35:56.998-07:00Permanent paralysis of the vocal cords is less lik...Permanent paralysis of the vocal cords is less likely with this kind of injury; therefore not being able to talk at all would be less likely. It could happen, though. <a href="http://mymouthswabdrugtest.com" rel="nofollow">how to pass a swab test</a>Eliaz Bethhttps://www.blogger.com/profile/01447163583250073212noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-66268919736118296102014-07-04T19:22:26.179-07:002014-07-04T19:22:26.179-07:00Hello, Michelle. Sorry to be late seeing your requ...Hello, Michelle. Sorry to be late seeing your request.<br />Yes, death will be fast, within minutes using that much air; 50 cc should be plenty.<br />The patient will show stroke-like symptoms: weakness/paralysis on one side, progressing to brain damage within a few minutes. If the victim is found at this point, resuscitation might be tried. The more brain damage the worse it will be. It's not uncommon for a patient to have bleeding into the damaged area of the brain after 24-48 hours.<br />Hope this helps!site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-38067281027232171782014-07-04T19:16:31.116-07:002014-07-04T19:16:31.116-07:00Hello.
First aid will be assessing airway--is the ...Hello.<br />First aid will be assessing airway--is the guy's trachea open so he can breathe? Breathing--is he breathing? Circulation--is his heart beating? After these are addressed, firefighters/first responders will assess the degree of crush injury, how to best pull the truck back, and what will happen when the truck is pulled back. In other words, is the truck holding pressure on a vessel that might otherwise bleed? <br />Once the truck is off, he'll be laid flat on a backboard and assessed now that the truck is out of the way. Pulse rate, respiration rate, and blood pressure will be checked. A paramedic will use a stethoscope to listen to his chest and heart. Then a quick body survey: Is he bleeding? Is he going into shock? Are there obvious fractures that need to be stabilized? An IV will be placed, and possibly oxygen.<br />Assuming he is transportable by ground (not in need of airlifting) an ambulance he'll be taken to the nearest Emergency Department. A doctor there will do further assessment. Your guy is likely to end up with a number of X-rays looking for fracture, and a CT scan of the chest and abdomen to look for internal injuries like a ruptured spleen. Lab will be ordered, including a complete blood count and electrolytes, a clotting panel, and a blood typing. If bleeding is extensive, a type and hold (blood held for just in case) or a type and cross (blood the doctor plans to give) will be done.<br />A general surgeon is likely to be consulted, and is the most likely doctor to take care of him if he’s admitted to the hospital.<br />ER to surgery depends on the extent of the injuries and how stable the patient is. Contrary to TV, patients are not examined on the fly as the gurney whizzes into the ED, and then raced off to surgery. If the guy is unstable, they’re going to stabilize him as much as possible in the ED before CT scan. A surgeon needs a map to operate. They don’t go in up to their elbows in blood and “clamp a bleeder.” The long bone (extremity) X-rays can wait in an emergency unless a hip is fractured.<br />Off to surgery.<br />The surgeon will deal with whatever happened in the crush. If the spleen is ruptured, it might be removed. If the liver is lacerated, it will be repaired. If there’s a hole in the intestine, it’ll be fixed. He’ll need a tetanus shot. If he has his spleen out, he’ll also need a pneumovax (pneumonia shot) as he’ll be more susceptible without a spleen. <br />The time in ICU depends on stability. At least overnight.<br />The time upstairs after ICU depends on progress.<br />Patients vary widely in their responses to trauma and surgery. Young healthy adults do better than ill elderly or sick infants. You can tailor this interval to fit your story. He can’t go from critical to stable without intervention. He can’t fake critical unless he can control his blood pressure and heart rate.<br />The best ways to keep him in the hospital are: continued severe pain; can’t keep anything down orally; can’t ambulate; can’t pee.<br />Hope this helps!<br />site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-60646642362397291732014-06-26T09:30:49.860-07:002014-06-26T09:30:49.860-07:00First, thanks for putting this blog up; it's b... First, thanks for putting this blog up; it's been enlightening. I've got a question that's really a twofer:<br /> The story is an urban fantasy of sorts in which my main character and a (male) friend of his have a healing ability which makes them quasi-immortal, though far from invulnerable. The friend is pinned against his SUV by the nose of a truck driven by an unknown (female) attacker, who proceeds to try to stab the friend before the MC scares her away. The truck was powered by gravity alone and didn't have a straight and unimpeded shot at the friend, so I can control the impact velocity. The MC is also cut on the arm and whacked on the head, and though his healing factor reduces the urgency of his injuries, it cannot rapidly erase them under these circumstances. This goes double for his friend, who is effectively trapped until emergency personnel arrive.<br /> I'd like to know what sort of injuries I can expect for the friend and what to see in the emergency response to both characters. (I want to make the friend's bad enough for immediate removal by ambulance, but not so it requires a lot of long-term care and/or observation.) What happens, from first aid to ambulance, including whatever you can give me about non-medical responders?<br /> I'd also like to know what to expect from the MC's point of view while his friend is in the hospital. Assume slightly better than reasonable for his injuries, due to the healing factor. How long from ER to surgery to ICU, or whatever sequence, and until they're willing to release him? What condition will the friend be in at each stage? What continuing care will they advise, and how long will he have to fake being hurt? Throughout, how hurt must he pretend to be?<br /> I appreciate your giving time and attention to help me answer these questions.Anonymoushttps://www.blogger.com/profile/05819153428058391446noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-67916829993195664732014-06-01T18:40:10.851-07:002014-06-01T18:40:10.851-07:00Hi Kelly
I just came across your blog while doing ...Hi Kelly<br />I just came across your blog while doing a search on air embolisms and wondered if it wasn't too late to ask you a question. I write romantic suspense, and would love some help with a scene I'm writing. My killer is about to kill his victim via air embolism.<br />Given the victim's heart will be racing, is it fair to assume death would be reasonably quick if the air is injected into the carotid artery? Would 50cc be enough? Could death occur in a matter of minutes? What symptoms would the killer observe? Could that include shortness of breath and body stiffening, as if they have chest pain?<br />Thank you so much in advance. <br />Michelle SomersMichelle Somershttps://www.blogger.com/profile/12456587199949658362noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-38753301207970770212014-05-15T20:33:15.592-07:002014-05-15T20:33:15.592-07:00Hello, Abigail.
Was there a postmortem (autopsy)? ...Hello, Abigail.<br />Was there a postmortem (autopsy)? That would be the best way to find out the actual cause of death and manner of death. It sounds like some of the details may be unclear--closet versus ceiling fan. If there are police reports available that may help explain.<br />Hope this helps. Good luck!site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-16859051207901657622014-05-15T09:34:11.102-07:002014-05-15T09:34:11.102-07:00I have a question my mothers hanging was considere...I have a question my mothers hanging was considered a suicide and im not sure it was. I was told she did it in her closet with a belt but the way the closet is set up the bar in only 4 foot and she is 5'6". On top of that the bar wouldn't have been able to hold her weight.Then I was told from my grandmother that they told her it was from the ceiling fan which is in fact broke so it would not have held her weight either. I'm not sure how to go about this and my grandmother also told me her bruises were to low on her neck. Anonymoushttps://www.blogger.com/profile/15168858955934749870noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-53908640266210565102014-05-12T23:18:28.556-07:002014-05-12T23:18:28.556-07:00Article contains so many fruitful information whic...Article contains so many fruitful information which will be liked by the readers as in my opinion this is the best article in this category.<br /><br /><a href="http://doctorazad.com" rel="nofollow">obgyn el camino</a><br />Obgyn el caminohttp://doctorazad.comnoreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-28235815147668102752014-05-04T20:58:35.972-07:002014-05-04T20:58:35.972-07:00No problem, Kate. Happy to help. Check the May 5th...No problem, Kate. Happy to help. Check the May 5th post for your answer!site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-67071577769831092422014-05-04T18:54:52.763-07:002014-05-04T18:54:52.763-07:00Thanks for the support, dm.Thanks for the support, dm.site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-69194225087161427652014-05-04T18:54:25.567-07:002014-05-04T18:54:25.567-07:00Glad you found it useful, Kate.:)Glad you found it useful, Kate.:)site angelhttps://www.blogger.com/profile/03128382626007849917noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-41836708536762414482014-05-04T18:06:18.678-07:002014-05-04T18:06:18.678-07:00Sorry to resurrect a dead thread, but...
I'm ...Sorry to resurrect a dead thread, but...<br /><br />I'm writing a scene set in a pre-industrial society. Herbal medicines, folk treatments, etc.<br /><br />One of my characters is bitten by a venomous snake - I haven't really specified what kind. Can you think of ANY treatment for snake bite in this situation that would actually be effective? Right now I have them just sort of treating the symptoms - keeping the wound clean, applying snow when it starts to swell, etc. <br /><br />Are there any more effective things they could be doing, in the absence of antivenin?Kate Sherwoodhttps://www.blogger.com/profile/04004122981768351606noreply@blogger.comtag:blogger.com,1999:blog-8255935895272962129.post-70107730988469099302014-05-03T06:07:18.491-07:002014-05-03T06:07:18.491-07:00Yes, nice article to keep in the research file. Th...Yes, nice article to keep in the research file. Thanks!dmhttps://www.blogger.com/profile/01532663356995749008noreply@blogger.com