Sounds like a very tough call. I can't say I would change much from what you did. I might try BiPAP, if available (probably wasn't). If I had standing orders (I don't) for Versed to improve CPAP tolerance, I would probably give him a bit of that. I would use ETCO2 monitoring and maybe duoneb...
There's an EMS Trivial Pursuit, and I have brought it to drill. Closest thing I know of to what you are looking for. There is also a phone app called "Resucitation" which turns cases and scenarios into a game.
Perhaps one day we will no longer carry 1:10,000 1mg amps. I would like to see prefilled 100mcg/10ml syringes in its place if PARAMEDIC 2 determines 1mg boluses are worthless in cardiac arrest. At least then we could cut a step out of prepping push doses for other uses.
Thanks for the reply.
I do work for one of the 3 counties, as well as one of the local IFT services. What catches my eye at MUSC is the ongoing training program that includes ICU rotations monthly. Or at least that's what the website says. Wouldn't be the first misrepresented training program...
He probably learned in the military that the trigger must be pulled on an empty chamber before storing a weapon. This removes the stress on the spring, but it should be noted that cycles, not prolonged compression, wear out springs in firearms.