Recent content by HardKnocks

Mission Before Self The Title says it all. Operating in a Hot AOR without GPS Navigation above everything else.

FAA Part 135 rules for Air Ambulance Crewmember require 10 hours of consecutive rest in a 24hr period with a mandatory 24hr continuous rest period every 7 days. These rest periods also apply to maintenance personnel.

There was a committee that drafted the attached Crew Rest Guidelines and submitted them to the FAA in 2021. Part 135 Pilot Rest and Duty Rules Aviation Rulemaking Committee Here we are in 2023 and its still being discussed March 2023. Part 135 Rest, Duty Regs Review Leads to Calls for Change

Here's something to ponder; Are we going to trust the Silicone-Valley Types who have ignored the damage created by continuing to allow the unrestricted internet access to children? In their opinion, unrestricted internet access for children is healthy and safe. Today we have the American...

How's AI going to replace a Practitioner's ability to; Feel; Smell; Listen, (when examining a Pt?). There's more to examining and treating a Pt than entering Data into a Search Engine. Then there's the old computer adage of; "Garbage In = Garbage Out." There's a whole Legal, Ethical and...

One aspect that as Emergency Medical Providers need to recognize in dealing with this class of Patients is that they suffer from a high percentage of mental illness, one being delusional. If have a Pt who claims to be an Elephant and, wanted to prove he was an Elephant by showing me his...

Initial call was for a FALL. With a fall, the first thing I do is check for ALOC and the suspected cause, (AEIOUTIPS). Then go for baseline vitals, then trauma sweep, while my partner is taking a complete history. I would of asked if the Pt speaks English as a first language. Many times I've...

+1 Medical Tourism is huge in Arizona, (with Texas running a close 2nd). Medical Tourism in Arizona

It will in most Rural areas that I work in.

Hot Wash = After Action Report Any incident where a low time-in-grade employee's performance is subpar during an incident we're going to de-brief it. Any incident with major media attention will definitely get QC'd, (as you can expect subsequent lawsuits). Do you guys realize that the...

Why do you ask a question to which you know the answer? Do they not teach triage in California? In the original scenario, two GSW's more than 1 hour away from a Level 1, necessitated an Air Medivac. The medic also dis not specify ALS, only two Ambo's. Btw, Don't you Guys in California do...

In AZ. any first responder/medical professional, (both on and off-duty) can request HEMS, as its recognized under the ICS protocols he/she is first on scene and is the first on-scene command. That's why I brought up the Medical Operations Plan. Usually when I've seen a Medical Ops Plan...

In the last two years Ive assisted in EMT Refresher Courses in AZ and we cover GSW's treatment both in the Classroom and in a practical. Hemostratic Agents and Chest seals, for Chest incursions were a must.

From what I can gather, the EMT was first employed as a Set Employee before becoming an EMT-B in California, (then recently licensed in NM).

See page 147 for the EMT's interview with Law Enforcement. GSW Victims Seems like the EMT failed to use several immediate treatments for a GSW. I had a few questions for those of you that are familiar with the Scope of Practice for EMT-Bs in California; 1) Do they currently teach and...