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2018_04_12 - Concept: CT & MRI

on Thu Apr 12, 2018 2:16 pm
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Insert patient to continue! Wink



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Re: 2018_04_12 - Concept: CT & MRI

on Thu Apr 12, 2018 4:20 pm
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Very cool, and in a choice of four colours! Will the radiographers operate these machines remotely like they do in real life? Would be a nice touch if we have to make the rooms for the machines (XRAY shielded or magnet safe zones) then construct the room for the radiographers to operate the machines with a viewport in!

Loving what you guys are doing, very excited to finally get to play this game!
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Re: 2018_04_12 - Concept: CT & MRI

on Sat Apr 14, 2018 2:19 am
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Yes, they will operate it remotly ... and the layout of rooms is completely up to player, only condition to make it work is "fill it with proper equipment" and hire radiologist of course Wink
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Re: 2018_04_12 - Concept: CT & MRI

on Sat Apr 14, 2018 4:23 pm
very nice - the rooms should be have speical room - techical room where speical machincry are located there - usually in ct rooms - there no extra room just control room
in MRI - there might be a extra room attached with it and extra proction for mri rooms
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Re: 2018_04_12 - Concept: CT & MRI

on Sun Apr 15, 2018 7:37 am
Do you guys planning to add randomly anaphylactic choc from the contrast product?
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Re: 2018_04_12 - Concept: CT & MRI

on Sun Apr 15, 2018 10:56 pm
Paramedic14 wrote:Do you guys planning to add randomly anaphylactic choc from the contrast product?

According to https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059752/

As the use of computed tomography (CT) is rapidly growing, iodine based radiocontrast media (RCM) is administered about 75,000,000 times per year worldwide

[...]anaphylactic deaths still occur in 1–3 per 100,000–1,000,000 administrations[...]

If we say 3 per 1 million, that's a 0.000003 risk for a patient to die from it. It is, however, evident that it would happen more often as these numbers only count deaths, but it is probably NOT way higher. I won't be researching further to find actual figures about occurrences of contrast anaphylaxis.
Would it be worth creating content for something that players most likely will never encounter? If they decide to, but instead make it more likely to happen, it would greatly misrepresent reality. They have the artistic freedom to do so, but I would probably advice to put their efforts and focus elsewhere, so the game does not lose the sought after scientific integrity.
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Re: 2018_04_12 - Concept: CT & MRI

on Tue Apr 17, 2018 7:26 am
Dysp wrote:
Paramedic14 wrote:Do you guys planning to add randomly anaphylactic choc from the contrast product?

According to https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059752/

As the use of computed tomography (CT) is rapidly growing, iodine based radiocontrast media (RCM) is administered about 75,000,000 times per year worldwide

[...]anaphylactic deaths still occur in 1–3 per 100,000–1,000,000 administrations[...]

If we say 3 per 1 million, that's a 0.000003 risk for a patient to die from it. It is, however, evident that it would happen more often as these numbers only count deaths, but it is probably NOT way higher. I won't be researching further to find actual figures about occurrences of contrast anaphylaxis.
Would it be worth creating content for something that players most likely will never encounter? If they decide to, but instead make it more likely to happen, it would greatly misrepresent reality. They have the artistic freedom to do so, but I would probably advice to put their efforts and focus elsewhere, so the game does not lose the sought after scientific integrity.

Yes i agree! i was just wondering because when i still was a paramedic we used to go about once a month in the radiology center of my city for anaphylactic chocs from the contrast product, i was wondering if this was something that occurs often or not. But none of my patient died from this so yeah, after thinking i dont think it will be realistic my bad Embarassed
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Re: 2018_04_12 - Concept: CT & MRI

on Tue Apr 17, 2018 2:58 pm
Paramedic14 wrote:
Dysp wrote:
Paramedic14 wrote:Do you guys planning to add randomly anaphylactic choc from the contrast product?

According to https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059752/

As the use of computed tomography (CT) is rapidly growing, iodine based radiocontrast media (RCM) is administered about 75,000,000 times per year worldwide

[...]anaphylactic deaths still occur in 1–3 per 100,000–1,000,000 administrations[...]

If we say 3 per 1 million, that's a 0.000003 risk for a patient to die from it. It is, however, evident that it would happen more often as these numbers only count deaths, but it is probably NOT way higher. I won't be researching further to find actual figures about occurrences of contrast anaphylaxis.
Would it be worth creating content for something that players most likely will never encounter? If they decide to, but instead make it more likely to happen, it would greatly misrepresent reality. They have the artistic freedom to do so, but I would probably advice to put their efforts and focus elsewhere, so the game does not lose the sought after scientific integrity.

Yes i agree! i was just wondering because when i still was a paramedic we used to go about once a month in the radiology center of my city for anaphylactic chocs from the contrast product, i was wondering if this was something that occurs often or not. But none of my patient died from this so yeah, after thinking i dont think it will be realistic my bad Embarassed

No worries, discussion is a good thing. Anaphylactic shock is definetly a relevant situation that could be somehow represented in the game, but I would probably say that it should be merged into just 'shock', which is severe hypotension that can be due to several reasons (where anaphylaxis is one of them). However if 'shock' is put in the game, it should probably be cardiogenic and hypovolemic shock. This could actually make for a very interesting 'ACT FAST!' event. Will you put the patient in Trendelenburg position? If the shock is hypovolemic, Trendelenburg will help. If the shock is cardiogenic, it will often make things worse.
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Re: 2018_04_12 - Concept: CT & MRI

on Tue Apr 17, 2018 3:03 pm
See! Your suggestion sparked so much discussion, that I had to read up on Trendelburg position and now I am unsure as to whether it should be used in Shock or not, due to the following article:

https://www.cambridge.org/core/journals/canadian-journal-of-emergency-medicine/article/myth-the-trendelenburg-position-improves-circulation-in-cases-of-shock/F9DA98ABD97594B0F857F9665049F88F
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Re: 2018_04_12 - Concept: CT & MRI

on Wed Apr 18, 2018 7:57 am
Dysp wrote:See! Your suggestion sparked so much discussion, that I had to read up on Trendelburg position and now I am unsure as to whether it should be used in Shock or not, due to the following article:

https://www.cambridge.org/core/journals/canadian-journal-of-emergency-medicine/article/myth-the-trendelenburg-position-improves-circulation-in-cases-of-shock/F9DA98ABD97594B0F857F9665049F88F

well that's something we can discuss, any other doctor out there ? from what i remember we used to put the patient in that position but maybe now things have changed Question
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Re: 2018_04_12 - Concept: CT & MRI

on Thu Apr 19, 2018 12:31 am
I can not uderstand how we have reached to trandelemburg discussion starting with a MRI and CT concept topic. Shocked
However Tren position is still used in prehospital above all in Basic Life Support where you have not other ways to treat low pressure or shock situation. Actually is controversial theres no clear evidenve against or supporting it so....I think it dependce of your equipment and where you are.
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Re: 2018_04_12 - Concept: CT & MRI

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