the 100% directionless thread

[NYMedic828]

I just took my first Krav Maga class and it was exhausting but I can't wait for the next one already.

I did krav for a couple of months.

Its pretty cool but at level I at least, just about every move revolves around smashing your opponent in the groin and breaking their face.

 

[Napper820]

View attachment 1318

I think that flushing an EZ-IO reminds me of this scene in The Princess Bride when they suck 50 years off Wesley's life.

Glad I'm not the only one who's brain went there.

 

[ThirdCareerMedic]

Princiess Bride, eh?!

Yup, that's what I thought, too! LOL! (And, yes, I am Canadian! Silly "eh"! LOL!)

 

[TransportJockey]

Happy Birthday TransportJockey

Thank you! Spent the majority of it on a truck though But I had fun

 

[DesertMedic66]

Oh my gosh. Just saw my paycheck. I am making over 2 times per hour on this deployment over my normal pay. Truck=paid off.

 

[Handsome Robb]

Oh my gosh. Just saw my paycheck. I am making over 2 times per hour on this deployment over my normal pay. Truck=paid off.

Nice!

I think here is the only place where you can be driving through a whiteout and 6 inches of snow to a call, then turn around drive 15 minutes and it's a beautiful crystal clear night...why can't the snow be everywhere!?

Random observation of the night. Code 3 lights are borderline obnoxious in whiteout conditions while driving.

 

[NYMedic828]

I am so sick of everything people do at an MVA revolving around immediately backboarding everyone.

We had a rollover and this girl crawled out and was laying in the snow for probably 10 minutes shivering her *** off and people are concerned about holding her neck and putting a collar on her.

 

[DesertMedic66]

Nice!

I think here is the only place where you can be driving through a whiteout and 6 inches of snow to a call, then turn around drive 15 minutes and it's a beautiful crystal clear night...why can't the snow be everywhere!?

Random observation of the night. Code 3 lights are borderline obnoxious in whiteout conditions while driving.

Whiteout conditions = downgrading to normal driving for me.

We get brown out from blowing sand. That sucks because the sand stings when it hits you and it gets everywhere.

 

[Handsome Robb]

Whiteout conditions = downgrading to normal driving for me.

We get brown out from blowing sand. That sucks because the sand stings when it hits you and it gets everywhere.

It should but unfortunately SOPs don't allow us to. We call weather delays on the radio and provided it is substantiated it "removes the clock" from our response. We aren't any help if we slide into a ditch or worse on the way to the call.

We were doing maybe 20 mph with the disco lights going. One thing I will say is it keeps all the idiot drivers behind the ambulance and away from the sides of us so they don't have a chance to try and pass us and end up wadding up into us.

 

[Jon]

Nice!

Shame they won't deploy my base because PA is in a State of Emergency still for recovery. At least that's the excuse to not send DRT folks this time.

 

[DesertMedic66]

Nice!

Shame they won't deploy my base because PA is in a State of Emergency still for recovery. At least that's the excuse to not send DRT folks this time.

Yeah. They are trying to send units from states that weren't affected. I haven't heard about anyone getting more crews in in a while. Now we just have crew swaps for some people.

 

[TransportJockey]

Yeah. They are trying to send units from states that weren't affected. I haven't heard about anyone getting more crews in in a while. Now we just have crew swaps for some people.

You guys should be coming up on being rotated out... I will take your place

 

[Jon]

Yeah. They are trying to send units from states that weren't affected. I haven't heard about anyone getting more crews in in a while. Now we just have crew swaps for some people.

Thing is, we weren't really effected. It's just that our GM doesn't seem to want to deploy anyone. We had crews on standby several times that week.

 

[DesertMedic66]

You guys should be coming up on being rotated out... I will take your place

Day 14 is either today or tomorrow haha. Not too many people are getting rotated. I'm on the management command team so I'm not getting rotated out. Ill be going home after all the ambulances are gone.

 

[ThirdCareerMedic]

Hypothermia versus spinal imbolization.....

I am so sick of everything people do at an MVA revolving around immediately backboarding everyone.

We had a rollover and this girl crawled out and was laying in the snow for probably 10 minutes shivering her *** off and people are concerned about holding her neck and putting a collar on her.

I think use of a protocol to "clear c-spine" before an "emergency move" out of the severe cold would be a better approach.... Liability concerns go the best of patient care?

 

[Jambi]

I wish the EMS would universally adopt Nexus criteria.

 

[Jon]

I wish the EMS would universally adopt Nexus criteria.

Problem is, it isn't universal. Some of us like iOS better.

 

[ThirdCareerMedic]

Suggest you also check out this evidence-based research....

I wish the EMS would universally adopt Nexus criteria.

Note that NEXUS and the CCS Rule are tools for physicians and there is no evidence-based research on their use in the pre-hospital setting as far as I know. However, that doesn't mean that we shouldn't promote the use good research in a closely related fields in our protocols. (Sounds like a "dah" but it is important to make explicit when advocating for change....)


Check out this research in the prestigious New England Journal of Medicine...

The Canadian C-Spine Rule versus the NEXUS Low-Risk Criteria in Patients with Trauma

http://www.nejm.org/doi/full/10.1056/NEJMoa031375

Taken from the research above"

"Conclusions

For alert patients with trauma who are in stable condition, the CCR is superior to the NLC with respect to sensitivity and specificity for cervical-spine injury, and its use would result in reduced rates of radiography."

 

[ThirdCareerMedic]

I am so sick of everything people do at an MVA revolving around immediately backboarding everyone.

We had a rollover and this girl crawled out and was laying in the snow for probably 10 minutes shivering her *** off and people are concerned about holding her neck and putting a collar on her.

For those interested in the possible reduction of use in spinal immobolisation, check out the following links:

http://flobach.com/2012/11/02/ormskirk/
http://roguemedic.com/?s=immobilisation

Anyone up to doing a meta-annalysis on the available research?

 

[usalsfyre]

Note that NEXUS and the CCS Rule are tools for physicians and there is no evidence-based research on their use in the pre-hospital setting as far as I know. However, that doesn't mean that we shouldn't promote the use good research in a closely related fields in our protocols. (Sounds like a "dah" but it is important to make explicit when advocating for change....)


Check out this research in the prestigious New England Journal of Medicine...

The Canadian C-Spine Rule versus the NEXUS Low-Risk Criteria in Patients with Trauma

http://www.nejm.org/doi/full/10.1056/NEJMoa031375

Taken from the research above"

"Conclusions

For alert patients with trauma who are in stable condition, the CCR is superior to the NLC with respect to sensitivity and specificity for cervical-spine injury, and its use would result in reduced rates of radiography."

How exactly would prehospital specific data change things? The state of Maine has been applying NEXUS criteria for a decade without a huge outcome issue.

I've read the cited study. The data is pretty weak.