Recent content by KingCountyMedic

  1. KingCountyMedic

    Reliable Street Names for narcotics

    I prefer “Electric Lettuce” 😎
  2. KingCountyMedic

    the 100% directionless thread

    We called it "The Aurora Bridge" procedure. It's a huge bridge in Seattle that folks have been jumping off pretty much since it was built in the 1930's. Everyone that jumped would get bilateral 12g or 14g Angiocaths. Very few of these ever survived. Now days it's rare that we do bilateral unless...
  3. KingCountyMedic

    Airway Management and Intubating without Drugs

    Nope, we don't RSI many CHF patients at all. We use Nitro and good BVM "Firefighter CPAP" you could say. Love us or hate us we have never done anything without running studies first to see if it is something we need to do as a county wide system. Our Medical Directors make the decisions with...
  4. KingCountyMedic

    Airway Management and Intubating without Drugs

    We know how to take care of sick people. I’d wager we have more Physician involvement than just about any other system in the country, especially California! Our Docs haven’t seen a need for it in our first 50 years of our program but we are going to start a study and see if it’s worth adding it...
  5. KingCountyMedic

    Airway Management and Intubating without Drugs

    Nope! 🙂 A study is getting ready to kick off using both transport vents and CPAP. ALNW has it on their choppers, we use them for the long distance stuff.
  6. KingCountyMedic

    Airway Management and Intubating without Drugs

    Possibly.... Seattle is already undergoing all kinds of changes, there is talk up north of transport vents and some bizarre witch doctor devices called CRAP or CCRAP or something? Scary times indeed. As long as my checking account stays well fed I'm good with whatever! :)
  7. KingCountyMedic

    EMT Badge? Yes or No.

    We have them on our Class A and Class B uniforms as well as caduceus on our collars. Silver = newer medic, Gold= old medic. Many of our folks wear the Smock or polo shirts or sweat shirts and those have no brass on them. Our Chiefs wear bugles on their collars as well as big shiny gold badges...
  8. KingCountyMedic

    Airway Management and Intubating without Drugs

    This has been a big push in our neck of the woods too. Spokane Fire in Eastern Washington even put out a study in 2018 and published it in Prehospital Emergency Care. We are using O2 sat, ETCO2, and BP as indicators and if they are low we work to fluid resuscitate, and BVM until we have a...
  9. KingCountyMedic

    Airway Management and Intubating without Drugs

    We don’t RSI unstable patients anymore. If your patient is hypotensive you address that first, the same with O2 sats. Get their pressure & sats up before RSI. Anyone remember 3 stacked shocks? Lol
  10. KingCountyMedic

    Airway Management and Intubating without Drugs

    The Thomas Splint from WWI was still in use in King County up until a few years ago! Lol We currently carry Sux & Roc but a few departments are dropping Anectine and only carrying Rocuronium. We’re going through a lot of changes, when our Mentor Dr. C left it created a weird new world. Lots of...
  11. KingCountyMedic

    Airway Management and Intubating without Drugs

    Those of you that have RSI drugs, what do you use on your CPR patients when they're fresh? (pulseless but still agonal, trismus etc.) We just use Succinylcholine, never had a problem but we are looking at going to mostly Rocuronium.
  12. KingCountyMedic

    Airway Management and Intubating without Drugs

    I can't speak for CO but I know here WA they went down after the Eschmann Bougie was added many years ago by most agencies and then they dropped even further once we added the iGel. I think the majority of surgical airways we end up doing in the last few years have mostly been burn patients. I...
  13. KingCountyMedic

    Airway Management and Intubating without Drugs

    You mean the UW Medical Program? It’s a pretty good one. You’d get to ride with us a lot. The ED Fellows have to ride Seattle Aid Cars, Medic One rigs, and I think they end up doing fixed wing and helicopter time with Airlift NW
  14. KingCountyMedic

    Airway Management and Intubating without Drugs

    I'm looking for some of our more recent data, I agree I think I'm off on my numbers a bit. A lot of our data that gets released is a combination of all King County and Seattle at times. In South King County where we are a true third service (not firefighters) we staff 9 Medic Units, 1 BC MSO...
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