Signs and Symptoms of Acute Radiation Sickness- From Atomic Bomb Attack

If you are unlucky enough NOT to be vaporized by an atomic bomb, and you are close or in the fallout pattern, this is what you probably have to look forward to:

Mild to severe headache.
High fever
Diarrhea
Vomiting
Dizziness and disorientation
Hypotension
Electrolyte disturbance
Severe leukopenia (Wipes out your white blood cells resulting in inability to fight off infections from burns and pneumonia, stuff like that.)

Shock logically follows where lowing blood pressure fails to supply needed organs, cold, wet, blue skin, tachycardia, lose carotid and femoral pulses, say good bye to Mama.
The good part in all of this is that all of us...our children, too,... will be doing the same thing so none of us will notice the other's suffering.
Yes. This is straight from Hell.
And our President is busy reassuring Iran that they will be able to build nuclear weapons in the long...10 year...run. The same Democrat who's only bona fide is that of having been a college teacher , some senate experience of politics, and a community organizer.
This is the same Iranian Ayatollah that swears destruction of Israel is what he is all about and whose military drills at attacking American Aircraft Carriers for fun and training. Democrats. Liberals. Planning for failure. Taking us with them. Please pass this along and vote.   Jim Self

 Resource Wikipedia       http://en.wikipedia.org/wiki/Acute_radiation_syndrome  Check out the first graph of effects for the whole story.  Note especially the time of onset and the percentages of mortality for various exposures.

Hillary's Success is a Symptom of What is Wrong With the US.

This article has some age on it but it is even more relevant because we now have some hindsight on how it actually went.

 http://www.postandcourier.com/article/20121031/PC1601/121039838?fb_action_ids=10206428684614731&fb_action_types=og.comments

I like that..."40 years in retail politics". The author thinks this is wonderful stuff, great for the Clintons. I couldn't have said it better myself. Retail sales of what? Of access. Political access...of what they can do for you, their contributor, when they get elected. The entire political system has been replaced by "Retail sales of access and, to make sure this is clear, favors". That's what it is all about. It's a dance and the Clintons are the hosts.All three of them. Yes. $75,000 apiece to hear Chelsey Clinton talk for an hour. $200,000 for Hillary for 1 hour. Yes. Retail sales of access and favors.
Hillary has three charitable foundations. What is the bet that she has funneled tens of millions of dollars illegally from them into her political action efforts and that the accounting is non-transparent, which is to say that it is forever hidden away, destroyed by some accident or oversight or that she just considered it private and none of our business...that she broke the law. In speculation, would it surprise you?
   TV News finds out that laws have been broken and puts pressure on the Government to do something about it, pressure on officials to go the extra mile and do their jobs. Remember Watergate? That is the way it worked then. But the TV News has been compromised by managers who won't allow their investigative reporters to follow these stories to their ends anymore. TV News managers have owners as bosses and this must be placed at their feet. Owners are in the backgrounds calling the shots. TV News is no longer reliable and except for the new news stations that are fighting this phenomenon, and being attacked by liberals for it, the politicians find themselves without public oversight. The cat is away, the country's leadership has been for sale for years. My estimate is for 15 or 20 years. "Clinton's" time. That is what happened to the economy. All of those worthless mortgages sold to sub-prime, meaning "unlikely to perform", borrowers and politicians paid to turn their heads and deny the inevitable crash, while  busy selling access and favors for contributions for re-election and lining their pockets.
   I am not sure how to fix all of this, but building  strong, credible, and persistent TV Media is a "must". Another "must" is electing responsible, moral, intelligent political leaders who are more interested in the country's future than getting re-elected and lining their own pockets. In choosing our political leaders, insisting on moral character and an unblemished record is NOT a superflous, religiously based discrimination that we should throw to the winds. A record that shows an affinity to telling the truth and facing up to responsibility in one's purpose in life  is absolutely necessary for a politician. Especially for a politician.  Access and favors should not be for sale by a politician! This is poison to our political system!
   To me, the Clintons are exactly what this country does not need. Their history is full of doubtful enterprises covered by thin excuses and reads like a badly written  novel. What the heck are we doing allowing our country to get itself into a situation where we appear about to elect this person whose integrity has been called into question in so many instances it confounds the imagination why they weren't cast aside long ago? Their apparent success is a symptom of the diseased condition of our political system.  From where I stand, it doesn't look good.

Liberalism: Americans Planning to Fail

    Fred Hiatt is The Washington Post's editorial page editor  and he has a outlook on Social Security reform that is enlightening and unfortunate.  See Fred's editorial here: http://www.washingtonpost.com/opinions/the-new-party-of-no/2015/03/22/05c5fc3a-cf07-11e4-a2a7-9517a3a70506_story.html
    What I read there is a liberal tactic that goes something like this:  when someone is talking about cutting, liberals start talk about expanding...and meet in the middle...if they have to. In case of the Social Security debate it "has taken on a life of itself."  And that being a liberal agenda, it must include expanding Social Security to include other generous social giveaway programs..so much so that THAT may be the last big social welfare expansion necessary to bring the numbers of employed down far enough...and bring the number of those on the entitled teat up enough, to tilt Capitalism over into Socialism.  Liberalism: Americans Planning to fail. Where we all are equally poor and miserable.

It's pretty good reading.

6.7 Million SS Numbers 112 years old or older No Big Deal

   When we report that Social Security has found some 6.7  million SS numbers of people who would be at least 112 years old, we should include the rest of the news about it. No, it does not mean Social Security has been paying these people. And no, it does not mean they  represent Medicare fraud. In fact, many are employed and contributing money...over 3 billion dollars a year...whether they are legal or illegal... it's a positive...not a negative...So you can calm down. NOT saying anything about illegal aliens...for Christ's sake! It is what it is.
   And what it does mean is that they need to do their accounting for the dead a little better. You don't have to take my word for it. Go to:  http://oig.ssa.gov/sites/default/files/audit/full/pdf/A-06-14-34030_0.pdf and read the analysis of the Social Security Inspector General's report for yourself.
Doesn't look like any more than that.
Jim Self

Trust Netanyahu, Not Obama and Kerry on Nuclear Iran

The IAEA, International Atomic Energy Agency, the  United Nations watchdog group says Iran is "slow to cooperate" with their efforts to monitor production of what everyone believes is weapons grade plutonium. Obama and Kerry are saying Iran is cooperating. In this case, Benjamin Netanyahu is telling us the truth and Obama and Kerry are not. It's simple. 

How To Figure Drip Rates.

For My Friends and  Paramedic Students:
From hardest to easiest.
How To Figure Drip Rates:
Dopamine Infusion How to
Need three things for figuring a drip rate.
1. Dosage called for
2. Concentration of your supply  (RATIO..  "Some number : 1")
3. What are the Drops per CC in your Drip Set?

Example:
Doctor says to start a dopamine drip and start at 10 mcg/kg/minute.

1.Dosage is 10 mcg/kg/minute. She weighs 137 pounds. 137/2.2 is 62.3 or just 62 kgs. 62kgs x 10 equals 610 mcg/minute.
2 Concentration.  You have 400mg Dopamine in 250cc in a preloaded bag.
Do this in your head. How many times will 250 go into 1000? 4.
Multiply both numbers, 400 and 250, by 4 and you get 1600mg/1000cc. For the ratio you need some number to 1. 1000 is the magic number for the ratio computation because once you get it you can move the decimal point to the left three places in both numbers, reducing it down to a useable "some number to 1".  In this case it is 1600mcg:1cc or 1600:1.

 (Ask your instructor how to include extra fluid if you use a vial to mix into your fluid. Probably won't include it in you computations.)
3. You use a mini drip (60 drops/ml, 60 gtts/ml) for Dopamine. After you figure it a few times you will understand why a 10, 20, 30 won't work well with Dopamine. Be patient.

To compute simple infusion: It's easy. The dosage is 610mcg/minute. Ratio is 1600:1. So, 610mcg/1600mcg/ml= .38 ml. The mcg,s cancel out. (By inspection you can easily see that it will be less than 1/2 cc a minute at 10, checking your answer.)
Then, to find out how many drops per minute that is you multiply by the drops per ml in your set. .38x60=22.8 or 23.




For a simple IV KVO line like NS, 150/hour. Simple.
150cc/60minutes=2.5ml/minute multiplied by the gtts of your drip set. Let's say it is a 10 gtts/ml set.. 2.5 x 10 =  25gtts/minute.

If it is a simple drip of a drug, like Lidocaine, 1-4 mg/minute:
Dose...1-4 mg/minute.
Ratio...1 gram in 250...1000/250. You CAN simply do the math...1000/250 is 4. 4:1. 4mg/ML.
By inspection, 1 mg equals 1/4 ml. 1/4 of 60 is 15. So the rate range is 15-60 drops per minute.
You will be doing these in your head easily with a little practice.
Do a few of these. If your get stuck give me a call at 270-1374.  Jim Self