paviva

10 ms·

61.
by paviva 10y ago
It was in the sense of that kind of discussion probably not interesting to most people on HN. I don't doubt you place IVs in sick patients, I only doubt those IVs make any difference. I am not very familiar with prehospital/EMT li
62.
by paviva 10y ago
HN is not a place to argue medicine, but given that you're an EMT, I'll comment a little further. 1. Placing an IV in a sick, clamped patient IS difficult, even for experienced ER nurses. If the patient is not sick, he doesn&#x2
63.
by paviva 10y ago
I'm in Canada. That being said, I've review your first link, and I'm not impressed. * Sphygmonanometer = useless. You can't hear fuck. Just taking the pulse is accurate enough in life or death circumstances. * Stethoscop
64.
by paviva 10y ago
[1] BVM : https://en.wikipedia.org/wiki/Bag_valve_mask
65.
by paviva 10y ago
Interesting story and I can partially confirm. I have responded to a few on-flight emergencies on international flights and experience varies according to the airline. Lufthansa has a really great kit to deal with agitated passengers, but
66.
by paviva 10y ago
I responded to a few in-flight emergencies on international flights. Each airline has its own idea of what should be in the emergency kit, and there really no standards/regulations that I am aware of. Aspirin is easy to ask for from
67.
by paviva 10y ago
OP's quote : > the racial bias observed in police shootings in this data set is not explainable as a response to local-level crime rates actually means that there is racial prejudice, and it cannot be explained away by a higher cr
68.
by paviva 10y ago
Rising health care costs are a classic example of the tragedy of the commons[1]. In general, human needs are boundless, and as long as the people who make decisions about healthcare use do not bear the associated costs, health care costs wi
69.
by paviva 10y ago
You have no clue, sorry.
70.
by paviva 10y ago
> The right answer depends on many factors including the capabilities of your hospital [...] Absolutely ! I'll add that the physician himself is a kind of test, in the sense that his own sensitivity/specificity to diagnosing a
71.
by paviva 10y ago
No, as I explained, when disease prevalence is low, most tests -- even when clearly "positive" -- don't shift probabilities in any appreciable way, and just add to the noise, and render decision making even harder. Of all pat
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by paviva 10y ago
You are incorrect. All kinds of "shotgun testing" (i.e. indiscriminate testing for everything like you recommend) have been studied, and proven worthless at best, and more often than not, actively harmful. First, there is the issu
73.
by paviva 10y ago
It is indeed a pity blood tests are regulated, and not available not anyone who wants them -- I would be making millions out of people like you'd draw bloods before, after, and during migraine, and test for who-knows-what for who-knows
74.
by paviva 10y ago
This is an obviously biaised text by an author with a fundamentalist religious agenda. He cites all well-known and not at all surprising problems with peer review, which means that a sizeable proportion of published science is wrong -- wro
75.
by paviva 11y ago
The volume of venous blood for everyday blood test is indeed well known, and has been established decades ago. Take a look at your test tubes then next time you have your blood drawn. The required volumes are always clearly indicated. This
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by paviva 11y ago
> Google: study fatigue doctors. It's literally there on the first page. And it confirms exactly what I said. Among the first three results : [1] http://www.cbc.ca/news/health/surgeon-performance-unaffecte
77.
by paviva 11y ago
"the dangerous situations created by tired doctors." These concerns are seriously overblown. Most errors from fatigue occurs on routine, non critical tasks, whereas I have never seen any evidence of a significant increase in criti
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by paviva 11y ago
Hospitals fail patients all the time. Patients absolutely need determined advocates among the staff, or they're fucked -- and they'll never know it.
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by paviva 11y ago
The difference between doctors and engineers is that doctors indeed know which parts of the workflow are critical, and which will indeed cause children to die. To this date, I'm not aware of any record-keeping software that's at l
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by paviva 11y ago
When you got the meningioma, you better hope that your surgeon will work until the work is done, instead of delaying it because somebody's unable to find a babysitter. Medicine was always about putting the patients' needs abov
81.
by paviva 11y ago
I'm a doctor, and very into free speech, but the problem here is that in healthcare, patients' choices are paid with other people money.