The purpose of this blog is to frighten, intimidate or cause emotional distress to those who intend to keep EMS from improving.
The only reason we get away with giving such large doses of epinephrine to these patients is that they are already dead.
Just another EMSBlogs.com site
The only reason we get away with giving such large doses of epinephrine to these patients is that they are already dead.
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Rogue Medic
The purpose of this blog is to frighten, intimidate or cause emotional distress to those who intend to keep EMS from improving.
RogueMedicBlog@gmail.com
The purpose of this blog is to frighten, intimidate or cause emotional distress to those who intend to keep EMS from improving.
There are no forbidden questions in science,
no matters too sensitive or delicate to be probed,
no sacred truths. -
Carl Sagan. -It is better to not understand something true, than to understand something false. - Neils Bohr.
-God does not play dice with the universe. - Albert Einstein
Stop telling God what to do with his dice. - response by Neils Bohr.
-All things are poison and nothing is without poison, only the dose permits something not to be poisonous. - Paracelsus.
-what is not true, as everyone knows, is always immensely more fascinating and satisfying to the vast majority of men than what is true - H.L. Mencken.
-Every valuable human being must be a radical and a rebel, for what he must aim at is to make things better than they are. - Niels Bohr.
-How wonderful that we have met with a paradox. Now we have some hope of making progress. - Niels Bohr.
-An expert is a man who has made all the mistakes which can be made in a very narrow field. - Niels Bohr.
-Every sentence I utter must be understood not as an affirmation, but as a question. - Niels Bohr.
-Some subjects are so serious that one can only joke about them. - Niels Bohr.
-I have no special talents. I am only passionately curious. - Albert Einstein.
-Few people are capable of expressing with equanimity opinions which differ from the prejudices of their social environment. Most people are even incapable of forming such opinions. - Albert Einstein.
-Never memorize what you can look up in books. - Albert Einstein.
-The prestige of government has undoubtedly been lowered considerably by the prohibition law. For nothing is more destructive of respect for the government and the law of the land than passing laws which cannot be enforced. It is an open secret that the dangerous increase of crime in the United States is closely connected with this. - Albert Einstein.
-the chance is high that the truth lies in the fashionable direction. But, on the off-chance that it is in another direction - a direction obvious from an unfashionable view of field theory - who will find it? Only someone who has sacrificed himself by teaching himself quantum electrodynamics from a peculiar and unusual point of view; one that he may have to invent for himself. I say sacrificed himself because he most likely will get nothing from it, because the truth may lie in another direction, perhaps even the fashionable one. - Richard Feynman. - Nobel Prize speech
-So we really ought to look into theories that don't work, and science that isn't science. - Richard Feynman. - Cargo Cult Science
-I call these things cargo cult science, because they follow all the apparent precepts and forms of scientific investigation, but they're missing something essential, because the planes don't land. - Cargo Cult Science - Richard Feynman.
-If you've made up your mind to test a theory, or you want to explain some idea, you should always decide to publish it whichever way it comes out. If we only publish results of a certain kind, we can make the argument look good. We must publish both kinds of results. - Cargo Cult Science - Richard Feynman.
-If a reasonable launch schedule is to be maintained, engineering often cannot be done fast enough to keep up with the expectations of originally conservative certification criteria designed to guarantee a very safe vehicle. In these situations, subtly, and often with apparently logical arguments, the criteria are altered so that flights may still be certified in time. They therefore fly in a relatively unsafe condition, with a chance of failure of the order of a percent (it is difficult to be more accurate).
Official management, on the other hand, claims to believe the probability of failure is a thousand times less. One reason for this may be an attempt to assure the government of NASA perfection and success in order to ensure the supply of funds. The other may be that they sincerely believed it to be true, demonstrating an almost incredible lack of communication between themselves and their working engineers. - Richard Feynman. - Rogers' Commission Report
-For a successful technology, reality must take precedence over public relations, for nature cannot be fooled. - Rogers' Commission Report - Richard Feynman.
-Science is a way of trying not to fool yourself. The first principle is that you must not fool yourself, and you are the easiest person to fool. - Richard Feynman.
-Science alone of all the subjects contains within itself the lesson of the danger of belief in the infallibility of the greatest teachers in the preceding generation ... Learn from science that you must doubt the experts. As a matter of fact, I can also define science another way:
Science is the belief in the ignorance of experts. - Richard Feynman.
-The only way to have real success in science, the field I’m familiar with, is to describe the evidence very carefully without regard to the way you feel it should be. If you have a theory, you must try to explain what’s good and what’s bad about it equally. In science, you learn a kind of standard integrity and honesty. - Richard Feynman.
-Some people say, "How can you live without knowing?" I do not know what they mean. I always live without knowing. That is easy. How you get to know is what I want to know. - Richard Feynman.
-I don't know anything, but I do know that everything is interesting if you go into it deeply enough. - Richard Feynman.
-So, to test the prevailing intellectual standards, I decided to try a modest (though admittedly uncontrolled) experiment: Would a leading North American journal of cultural studies . . . publish an article liberally salted with nonsense if (a) it sounded good and (b) it flattered the editors' ideological preconceptions?
The answer, unfortunately, is yes. - Alan Sokal - A Physicist Experiments With Cultural Studies.
-Medicine is a science of uncertainty and an art of probability. - William Osler.
-Common sense in matters medical is rare, and is usually in inverse ratio to the degree of education. - William Osler.
-The greater the ignorance the greater the dogmatism. - William Osler.
-The desire to take medicine is perhaps the greatest feature which distinguishes man from animals. - William Osler.
-One of the first duties of the physician is to educate the masses not to take medicine. - William Osler.
-In the fields of observation chance favors only the prepared mind. - Louis Pasteur.
-Science knows no country, because knowledge belongs to humanity, and is the torch which illuminates the world. Science is the highest personification of the nation because that nation will remain the first which carries the furthest the works of thought and intelligence. - Louis Pasteur.
-Not far from the invention of fire must rank the invention of doubt. - Thomas Henry Huxley.
-The great tragedy of Science — the slaying of a beautiful hypothesis by an ugly fact. - Thomas Henry Huxley.
-The foundation of morality is to have done, once and for all, with lying; to give up pretending to believe that for which there is no evidence, and repeating unintelligible propositions about things beyond the possibilities of knowledge. - Thomas Henry Huxley.
-My business is to teach my aspirations to conform themselves to fact, not to try and make facts harmonise with my aspirations. - Thomas Henry Huxley.
-There must have been a time, in the beginning, when we could have said – no. But somehow we missed it. - Tom Stoppard
-All men can be criminals, if tempted; all men can be heroes, if inspired. - G. K. Chesterton
-There is no such thing on earth as an uninteresting subject; the only thing that can exist is an uninterested person. - G. K. Chesterton
-Good taste, the last and vilest of human superstitions, has succeeded in silencing us where all the rest have failed. - G. K. Chesterton
-Men become superstitious, not because they have too much imagination, but because they are not aware that they have any. - George Santayana
-The Constitution is not an instrument for the government to restrain the people, it is an instrument for the people to restrain the government — lest it come to dominate our lives and interests. - Patrick Henry
-It is difficult to get a man to understand something, when his salary depends upon his not understanding it! - Upton Sinclair
-Freedom is what you do with what's been done to you. - Jean-Paul Sartre
-Where goods do not cross frontiers, armies will. - Frédéric Bastiat
-The ultimate result of shielding men from the effects of folly is to fill the world with fools. - Herbert Spencer
-Political language — and with variations this is true of all political parties, from Conservatives to Anarchists — is designed to make lies sound truthful and murder respectable, and to give an appearance of solidity to pure wind. - George Orwell
-Malo Periculosam Libertatem Quam Quietum Servitium. - Better freedom with danger than peace with slavery.
-Whatever inspiration is, it's born from a continuous "I don't know." - Wislawa Szymborska
-All sorts of torturers, dictators, fanatics, and demagogues struggling for power by way of a few loudly shouted slogans also enjoy their jobs, and they too perform their duties with inventive fervor.
Well, yes, but they "know." They know, and whatever they know is enough for them once and for all.
They don't want to find out about anything else, since that might diminish their arguments' force. -
Wislawa Szymborska. -Theory helps us to bear our ignorance of fact. - George Santayana
-Miracles are propitious accidents, the natural causes of which are too complicated to be readily understood. -
George Santayana. -Fanaticism consists in redoubling your efforts when you have forgotten your aim. - George Santayana
-There is a fundamental difference between religion,
which is based on authority,
and science,
which is based on observation and reason.
Science will win because it works. -
Stephen Hawking. -I am attempting to make it easier, when I use footnotes, to navigate to the information in a footnote, look at the information, and return to where you were before you clicked on the footnote. If you click on the number of a footnote in the text[1] <- click on the bracketed and underlined number - in this case [1], it will bring the footnote to the top of the screen.
A blog post that has been very helpful in teaching me this is How to make real footnotes from TypePad versus WordPress.
[1] If you click on the bracketed and underlined number of a footnote in footnote section, the [1] at the beginning of this paragraph, it will take you to where you clicked on the footnote in the text, with the footnote along the top of the screen. [To top of footnotes]
If you wish to modify the size of the text, you can press the CTRL key and roll the mouse wheel forward or back, or you can press the CTRL key and the + or - keys to make text larger or smaller. Another way is to adjust the font in your browser controls.
This is a mostly medical blog, so here is the HIPAA incantation to ward off evil whiny HIPAA-obsessed spirits.
HIPAA (Health Insurance Portability and Accountability Act of 1996) is generally misrepresented by those in health care, but there are no violations of HIPAA here. There are some patients I could not discuss without changing details, so details may be omitted, or changed. That may decrease the dramatic effect of some of what I write, but patients are entitled to their privacy and have been since before HIPAA became the ignorant administrators' justification for imitating a two year old yelling NO!
I am not dispensing medical advice. If you get your medical advice off of a blog, instead of consulting a physician (such as your medical director), you probably should not be treating anyone, not even yourself. I could include your dog, but that would suggest that veterinarians do not provide excellent care. The veterinarians I know take pride in the care they deliver and deliver excellent care, more so than many people I know in EMS.
I do point you to research to support what I write, but you still need to make sure that you have the authorization of your medical director before changing any of your treatments. If your medical director does not agree, you can point to the research I write about. Most doctors do understand research, they just have trouble keeping up with the amount of research that is produced.
What I write does not change your protocols. If you do not like a protocol, take it up with the medical director. I have several inadequate protocols, too. I call medical command and attempt to persuade the physician that what I am requesting is in the best interest of the patient. It is rare that I am turned down, but the dose is often inadequate. I call back before I need more, so the patient does not have to put up with the On Line Medical Command delay in treatment. Health care providers should be anticipating where the care of the patient is headed - both for good and for bad.
I do not have any connection to the products I mention, other than using them and being satisfied, dissatisfied, or some combination of the two. If I have any potential conflict of interest, I will mention it clearly.
If I write about a book by an author I know, I will encourage you to buy the book from the author's web site. This means that any money goes to the author (or to where the author wants the money to go, such as a charity) and you have an opportunity to sample the author's writing for free on the author's blog before buying the book.
I may be blunt, but I do not intend it personally. There are few mistakes that can be made that I have not made. I continue to try not to be stupid; you may conclude that I fail.
I welcome any relevant comments and much that is not relevant. I reserve the right to delete any inappropriate comments. I decide what is appropriate based on my own nebulous standards. Criticism of ideas is expected. Criticism of writing style is appreciated.
I avoid obscenity because I believe that the English language provides enough opportunities for creativity that resorting to the words that may not be said on TV (and a growing group of words that may) is unnecessary. I may quote something that contains some of these words, or I may link to something that does, but that is as bad as I expect to be with these words.
On the other hand, you may feel that the ideas I present are offensive. My aim is to encourage thought, dialogue, and creativity - not to tell you everything is OK. You may leave this blog at any time and bury your mind in comfortable, familiar ideas.
If you feel that the ideas I present are not challenging, please encourage me to address whatever you feel I do not adequately address.
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