@NealMcCluskey It has been disheartening to see how much angst my nursing friends have had over this. I wish they would have chosen a different way to categorize this.
@VerumVulnero1 Government employees don’t get to “opt out” of Ss. That implies that there is a choice. Our employers made that decision decades ago. We do not have a choice in whether or not we participate in SS as long as we work for a government that agreed to provide and alternative.
@chriswithans The employees do not have a choice in this. To say they opted out is not accurate. The government employers opted out of SS in exchange they offer a different retirement plan that does not accrue SS credits.
@TheStingisBack The entire cast was great but James Woods was definitely the stand out. Great film. Basic is another John Travolta military thriller that was a lot of fun.
@BlastingThrough@MAC_VSOG I know that Dick Measows led the team that crash landed a helicopter in the courtyard of the building they thought the prisoners were in.
@BlastingThrough Do you know if there was a memorial service at Arlington on the 10th Anniversary? I’m pretty sure I was there that day on my 8th grade trip to Washington DC.
@pagingdrsank@chaossapphicc Paramedic here. I was thinking the same thing. Most ED’s push us right through the door to L and D as long as the baby isn’t crowning. Not realistic but made for intense TV.
Sodium Bicarb in DKA
Don't treat the number, treat the physiology.
3 Indications for Bicarb:
1. Refractory Hyperkalemia
2. Cardiac Arrest
3. Sepsis-induced Cardiomyopathy (to improve EF)
Use an infusion, not pushes. It’s a bridge, not the cure. Comment to discuss.