Feivel,

Sorry if you mentioned this earlier, are there any vaccines that you believe that should be mandatory?

Physicians treat patients not symptoms, if you do not like the way your pediatrician manages your child’s health care, such as believing in vaccinations feel free to switch over to a different pediatrician.

On the other hand, if you have a different belief on how your child’s health care should be managed then your pediatrician, your pediatrician has the right to exclude your child from their practice. Although it would be appropriate for your pediatrician to sit down and explain to you on why they believe in vaccinating children (as the CDC recommends doing) rather then just excluding the child from the practice.

Most pediatricians I have bumped into are pretty reasonable, they usually agree in delaying vaccinations or giving them more spread apart.

Also, there were some very reasonable posters with valid and reasonable concerns with regards to the current vaccination recommendations, however this is not the thinking of the main stream anti vaxxers, they are full of conspiracy theories and non sense.

This IS a Halacha question and needs the psak of someone that is qualified to pasken.

Also, doing your own research is a great way to keep yourself informed, do NOT rely on any online sites for diagnosis and treatment.

Could be I do not know enough about you or the situation at hand or what is considered an appropriate relationship in your circles to even make a bystander comment, but you having non Jewish friends or taking rides with non Jewish Girls is no where the same as you befriending a boy that is in what you call a sad situation.

The risk of him pulling you over to his ‘sad’ situation is probably greater than you being able to change him.

If you learn Hilchas Tefilin, you will see that both shitos are mentioned by the Geonim, it predates Rashi and R”T.

not sure why my post is marked as edited. I dont think I wrote anything other than what is posted.

I edited out the insult.

Looking forward to what spin?! Is it the one sentence you will find someplace in a google search on the 100th page?

Or you mean spin on something you found in an EMT book like Trauma are there medical causes?

Anyways, a Gut Vuch and take life easy

There is no point in discussing anything with someone that will never admit that they were wrong and that always will have the last word.

Health is not even good at twisting the facts and the literature in his favor in fact he doesnt even point to the places where one would research emergency medicine data.

You always have the choice not click on this thread, there are many threads that focus on topics such as latke recipes or shidduchim issues.

I think that this thread is a very important thread, when someone establishes themselves as a medical provider and provides medical advice it is very important to expose them for who they really are.

Its one thing to have an informative discussion (which I dont think this blog is made for, there are a lot of other blogs in which cases are presented and debated geared towards people involved in medicine) yet dangerous when one has an online persona as a medical authority so whatever they write should be accepted at face value.

Also, it’s important to point out, in an MCI it’s one patient per crew the care the pt gets is the same in a single car mva as would be in an MCI.

So for those that claim to be knowledgeable enough to teach others.. And wrongly pointed out that by a multi car accident there will be to many patients to be able to focus on possible Medicals, resources are based on the need and most ems systems can manage to have multiple crews if needed

ubiquitin, you already made your point, you really think Mr Health will admit that he was incorrect?

It’s apparent from his posting that he will never retract, defend his so called degree in medicine and make sure to have the last word.

Before I throw in the towel I will post this very last response.

Mr Health, you are a big fool! since you are using personal insults as a response, you have no clue who I am or if I have any degree in medicine. So to answer your question, Why I think that you have no experience in emergency medicine, that is because you have established a fact, pushed everyone to the ground and resorted to personal insults YET ARE UNABLE TO SIMPLY POINT TO THE SOURCE!!

Just in case you are interested, MVAs (single and Multi car MVAs) are all included in the Trauma category, as with all trauma Pts the providers should (if appropriate) rule out any possible medical causes. this has nothing to do with your statement of a single car accident.

In no way does a single car accident require one to do more of a medical assessment than a multi car accident would. Trauma is trauma, every trauma has something that caused it as the trauma itself is not an illness (with rare exceptions), therefore all providers should look for possible medical causes, regardless of the type of MVA. The argument that with multi car accidents one patient might have the medical problem and the other one is the one that got hit, changes nothing in assessment.

One last thing, since you seem to have missed it from my previous post, please stop sending people to previous posts, if you have something to respond just write it.

Have a happy Chanukah.

So its about believing you?! your own anecdotal results?

EMS responds to MVAs on a regular basis I hope they dont use this blog for medical practices. You posed a question tried to appear superior and push everyone down. your response was go research it.

In medicine they say not always is more better, same here the more you post the more it shows that your not what you say you are.

There would be a huge difference, between a one car MVA with just one pt than with multiple cars.

If there are a lot of pts, it would be an MCI, assessment and treatment are much different, the unresponsive traumatic arrest pt in a one pt MVA would get treated, in an MCI that pt would be tagged Black and not be treated as well.

Its ridiculous that Health challenges everyone even goes so far as to ask posters their affiliation or medical degree.

really?! You put out a statement people question you, all you can do is make them reveal a personal detail, as if I tell you Im an emergency medicine physician you would believe me. Its the substance that matters.

Mr Health, the probability is your own logic, is there any studies or assessment protocols that state this?

That is purely your own logic, but there is no difference in real life on assessing a pt of a one car crash vs multi.

Health care providers will always make sure that there is no underlying medical problem once the apparent threats to life are taken care of.

Assessment is ALWAYS, ABCs, airway (patent or established), Breathing (spontaneous or Positive Airway Ventilation and Make sure there are no signs of tension Pneumo), Circulation (control any bleeding, and maintain MAP of at least 60)

Depending on the findings, further assessment is done according to the situation. For example if pt is is still unresponsive after stabilizing ABCs , BGL 12 lead and if possible Neuro exam.

The same is for Patients from a one car or multi car MVA. the fact that you believe (and could very be true) that pts from single car MVAs are more likely to have an underlying medical that caused the accident does not change the assessment or treatment at all.

Regardless of the fact if there is suspicion of a medical, the receiving facility will level the trauma accordingly, if necessary consider CT Scan, FAST if suspicion of internal injury and have sub specialties as needed and resources the facility has.

this is a cookbook scenario, of course each case is different and should be assessed and treated accordingly but in reality there is no difference in the amount of cars involved.

Feivel that is not correct, first as Popa pointed out, all of these factors can be the cause of a multi car MVA.

Also, assuming its a trauma pt unless there is reason to believe that there is a medical cause, pt will not get a medical workup such as 12 lead, especially if its a multi system trauma pt.

All of that changes if there is suspicion of a medical cause.

so we agree on somethings..

It’s not a segula, he writes that since he doesn’t have children as his only son past away, whoever learns his Sefer will be a zchus for his neshama, and in return he should have children.

Agreed. And the sefer is a very difficult one to learn. It is more of a “gift of hakaros hatov” than a segula

There is no difference in treating a pt that was involved in a one car accident vs a multi car accident, unless it becomes an MCI which means that the pts get triage’d and treated according to their injuries.

If you truly want an answer you must give a more detailed scenario.

so your saying that you really dont know of any fix, and what you mentioned was bogus?

it take a few minutes of my time trying to google what you wrote, found a wall within seconds and moved on.. still not able to sync my blackberry on windows 10

thanks for posting this information, can you please simplify the steps for me.

How do I download the 6S3.4?

Thanks

Being that I am very familiar with the process of most sites that were doing IV, some had the IV lock inserted before Yom Kipur, others had a non Jew establish the line on Yom Kipur.

No one had a Yid establish the line on Yom Kippur, most poskim hold that creating IV access is a ???????? and any patient that is sick enough that requires IV should probably not be fasting.

Getting flashback while creating IV confirms IV placement so its not really a mekalkel.