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There are a few places that are taking refractory vf to the cath lab with ongoing compressions (through a mechanical device) and I think there's been a couple articles published with the initial results, but not with ECMO as far as I know. It does take both buy in from EMS agencies, hospitals...

Most likely not; my ego isn't that big. On the flip side, there are a surprising number of medical directors out there who are very involved in their departments and do care about how there people comport themselves, both on and off duty, and also care about how much their people understand...

Why yes, yes in fact I would love to have the name and contact information for your medical director. I think he'd very much like to hear from me on this. <moderator snip>

Pfffft...pedestrians :D

Weeeeeeell... I guess you do. Or you could just figure out how often people who will need aspirin also are having vomiting to the point that it can't be given. Here's a hint: it's a very small number. Or you could learn about how aspirin works and who it benefits. Or you could just learn...

It really just depends on what a department wants and is willing to do, and what the community wants/needs/is willing to pay for. A simple system like what you describe would be very effective (and has been repeatedly, even before the current buzz about this) and wouldn't require a major...

Can you go ahead and post some empiric evidence that a) the IM administration of aspirin will be more effective and "save many lives" when compared to the oral administration of same, b) there is an actual need for an alternate route of administration beyond oral and rectal? Thanks, it's much...

Oh, I thought you were actually on this call. From the original post it sounded like all that had been done prior to leaving; was curious what else was being done that took up 10 minutes of time. And as to the original question, this patient does need to be intubated. Who does it and where it...

What other interventions and assessments were being done for 10 minutes?

I agree. I don't know enough about the Army, especially in the current climate to say if what happened to him is normal or not. I do know enough to say that people in the OP's situation often leave things out so I wouldn't be shocked by that either. I more have a problem with the reaction's...

So...a guy is in Army Basic Training, likely heading to the infantry...is being taught to be aggresive and to have quick, forceful and often violent reactions/actions...gets surprised and/or attacked...reacts violently...and suddenly it's a major character flaw and the guy's a bad person...

No. Non-emergency transport services, services that strictly do non-emergent IFT's, dialysis, discharge, doctor's appointment, etc etc etc, ARE NOT EMS. They may advertise themselves as such, they may have EMT's working for them, they may be allowed to scam medicare and insurance companies...

Well...not only is body building not what you need to be doing, regardless of what your routine is, it isn't working. Time to change it up. If that means you need to either go to a different trainer, or better yet, figure out an effective routine on your own, that is what you need to do. I...

Meh...easy answer. Providers should stay on scene for as long as is necessary to perform the needed examination and treatements, and should do those things in the most appropriate location for the given situation. Course...knowing what is needed and what is appropriate is the trick...

Good luck. It's a good character trait to have; knowing when it is time to move on and do something else, versus refusing to acknowledge that and lingering on and on. It can be very unpleasant to watch someone who, over decades, has built up a solid and lasting reputation for excellence and a...

If it's a good department, absolutely. They will recognize that you do not have the needed attributes and personality for this, and have characteristics that are detrimental and dangerous and find a way to fire you post haste.

Don't worry, when you get old and crusty you won't even need to get off the couch to save a life, let alone actually look death in the eye. Death will just know you're working and not even show up.

I'm not. Eat a sandwich. In fact, eat a lot of sandwiches. Because at 5'6" and only 117 pounds I can see what the problem is, especially with a horid exercise routine like you have. Easy steps to follow: Start eating right and gain some weight; you'll want to figure out what "right" means...

So...until you get some fresh young BALS should we call you ak "old wrinkly BALS" flightmedic? :D

I'm sorry, but can you explain what part is trolling? I always thought that was something different than having a dissenting opinion, but I could be wrong.