[BigBri.net] The official Brian Fields site

9Oct/100

I have to go potty!!!


We were flying to SoCal for my step- brother's wedding. We were late and had to run through the entire terminal. Devin stops 100 feet short of the gate and grabs his crotch: "I have to go potty!" he screams at the top of his lungs. I looked at my watch. The flight was scheduled for 6:20. It was 6:18. I yelled across the terminal: "Run, Devin, Run! You can go potty on the plane!" People began to stare. Devin didn't budge. In the end, we made it. Southwest rocks! they waited for us!

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11Jun/100

Moving

I'm finishing up here in SoCal, and Lara moved into our new place in Oregon.

The truck took a while to get there, and Devin and Lara had to spend a night on the floor.

Our new place has a beautiful back yard with a creek that backs up to forest.

Devin was so excited when his toys came!

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21Mar/100

SLO Days

We went for a walk in downtown SLO - we raced leaves down the creek and fed bread to the ducks. Devin saw some girls using sidewalk chalk, and just walked up and started talking to them. He charmed 'em, and next thing you know, they're all painting a birthday cake!

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3Mar/100

How [not] to Intubate

right mainstem

A common mistake - the ETT was 24cm at the lip.  I heard diminished breath sounds on the left, we pulled it back and taped it.  After the CXR came back, we rechecked - it was 28cm at the lip.  No wonder the vent was alarming high pressures.

right_mainstem_tight

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5Mar/090

New Plates

Here's Devin installing my new plates!

amp-epi

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4Mar/090

ED Mnemonics

Here are a few mnemonics I picked up that helped me out...

HAD CLOTS: PERC Rule - Risk factors for PE
Hormone use
Age >50
DVT/PE History
Coughing Blood
Leg Swelling - Unilateral
O2 Sat < 95%
Tachycardia
Surgery/Trauma History - Recent

AMPLE: Important history items in trauma patients
Allergies
Medications
Past Medical/Surgical History
Last Meal/Last Menstrual Period
Events/EMS/Environment

PHAILS: Toxins that cannot be decontaminated with charcoal
Pesticides
Hydrocarbons
Acid/Alkali
Iron
Lithium
Solvents

DUMB BELSS: Cholinergic Toxidrome
Diarrhea
Urination
Miosis
Bronchospasm
Bradycardia
Emesis
Lacrimation
Salivation
Sweating

ME DIE:
Differentials for Osmolar Gap
Methanol
Ethanol
Diuretics (Mannitol, Sorbitol)
Isopropanol
Ethylene Glycol

MUDPILES: Differentials for Anion Gap Acidosis
Methanol
Uremia
DKA
Paraldehyde
INH, Iron
Lactate
Ethanol, Ethylene Glycol
Salicylates, Starvation, Solvents

AEIOU:
Indications for dialysis
Acidemia
Electrolytes (Potassium)
Ingestion (Drugs)
Overload (Fluid)
Uremia

I STUMBLED: Toxins that can be removed by hemodialysis
Isopropanol
Salicylates
Theophylline
Uremia
Methanol
Barbiturates
Lithium
Ethylene Glycol
Depakote

AEIOU TIPS: Differentials for Altered Mental Status
Alcohol
Endocrine
Insulin
Opiates
Uremia
Toxins, Trauma, Tumor
Infection
Psychosis
Stroke, Seizure, Shock

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1Mar/090

Forty Inches

Now that I'm 40 inches, I can go on roller coasters! Today I went on Thunder Mountain, Gadget's Go Coaster, and Splash Mountain! When each one was done, I told Mommy and Daddy "AWESOME!"

I also got to meet Woody and Jessie, and I told Jessie "You're pretty". That made her blush!

1Mar/091

Living Connected

I'm writing this post from my iPhone using the WordPress app. It's nice to be more connected. I'm also using a cool FTP picture uploader to send photos from the iPhone to my gallery. Look for more up-to-the-minute updates and photos from wherever I am!

Here's a photo of us at Disneyland yesterday. There's more in the gallery!

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24Feb/092

Recycling the Lifedrive

iphone_lifedrive

After getting the iPhone, my wife and I had some toys that went into obselescence.  One of them was my old Palm Lifedrive.  Although the touchscreen was getting a little worn out, it still has a lot of life in it.  It has a decent battery life, a bright 480X320 screen just like the iPhone, wifi, bluetooth, and a 4GB hard drive. 

I ran across an interesting program - TCPMP.  It has since been discontinued, but here's a link to the Palm version: TCPMP

I loaded up the Palm with videos for my son, and bought a cheap $4 set of headphones for him.  I even have the car charger, so he can watch videos on long car rides. 

The only downside was that it can't handle some files with high bitrates (above about 1000k/s).  I use Avidemux to transcode the files and resize them to the Palm's native 480X320 resolution.

23Feb/090

COMLEX II Percentile Table

The three-digit COMLEX score is often difficult to interpret.  This table converts your score to a percentile so you can gauge your performance against that of your peers. This table is based upon the 1995 to present three-digit score with a  mean of 500 and a standard deviation of 83.  Passing score is 400.