Recent content by DesertMedic66

I never had an issue with using it when we still had the kings. Use the right size and place a little bit of lube over the opening and it would glide straight down.

The king packaging was much better than the iGel. The king was just simply the airway inside the paper/plastic package so it was much more comparable to a normal ETT. We carry the CMACs and have over a 94% first pass success rate

We have had some issues with the gel in the desert heat and also in some super hyperthermic patients. The downward pressure that you identified is also an issue. If you use the elastic band you may have to readjust it during use as the band gets easily stretched. We stopped using the bands and...

You don’t have to preload the king with a gastric tube. You can place the OG after the King is inserted. The King also advertises that you can place a bougie down the main BVM port and it should be directed towards the glottic opening at which time you could essentially do a tube exchange via...

So in 1 post you are making a huge deal about medications being used for off label use, which is very common practice in all of medicine, and then in another you are saying to run down to your local hardware store for something patient care related?

In a decent number of systems in the US there are paramedics on both the ambulance and fire engine that respond to medical calls so there would be 2 full sets of ALS gears. In some systems there would be a paramedic on the ambulance and then a paramedic supervisor in another response vehicle...

What do you mean your patients have trouble triggering it? There isn’t anything to trigger on CPAP

This. How long have we been taught and been teaching to never place a patient in the prone position and yet it still still happening

For what it’s worth, we buy the ventilator tubing for ~$47 per circuit.

I don’t have any experience with the Zoll ventilator. I have used the LTV, Revel, and Hamilton. To date the Hamilton T1 has been the best ventilator that I have used. One of our competitors went from the LTV to the Zoll for about 2 years and they are now switching to the Hamilton. Pros...

A lot of the ones I am familiar with (west coast) are a 3 year full time commitment to the company.

First: as a 30 year medic you really need to get off your high horse with the “I’ve handled high pressure stuff that most medics will never face”. You are not super medic and you are not above any other medic. Second: successfully complete means pass the test. In order to be successful you...

Roc is not a controlled substance as there really isn’t a concern for diversion of it. For my company we keep it separated from our controlled substances but I have heard of some agencies having a “RSI box” where they keep all their meds for an RSI together.

A lot of questions on this one. During your treatment of this patient you thought her blood sugar was low but did absolutely nothing to test it or to treat it? You said she ended up being severely septic at the hospital but then her blood sugar also ended up being 13. Is that 13 in mg/dL where...

Everything released so far only references a small right turn that was followed by a slight left turn and then a steep decent with a max altitude of 1,500 with the flight in the air for less than a minute. A lot of things would have had to go wrong for them to enter a stall