TransportJockey
Forum Chief
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Im doinh the same. I woke my *** up early today to get to the gym and burn off some annoyance... Im sore and might have overdone it lol
the 100% directionless thread
- Thread starter KEVD18
- Start date
PotatoMedic
Has no idea what I'm doing.
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I did it for about a month before I moved to Boise. But the budget has been to tight to spend on extra food till now. Probably going to do the keto diet again soon once I can get some meal planning going again. But for now, first class at orange theory is complete. Tomorrow is number two.
CALEMT
The Other Guy/ Paramaybe?
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Passed this yesterday headed to a call. If you wanna rock crawl you’re gonna need a different/ more capable rig.
Reddit is your friend. r/fitness. r/mealprep.
I've heard good things about Keto for weight loss. Nsuns 531 is a popular program for many. Volume intensive, but it's good. Plenty of other useful subs if you want to get better at running, swimming, or whatever.
Jim37F
Forum Deputy Chief
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Hmm...guess who my captain wants to give a company drill to the station tomorrow on Pediatric and Infant CPR? Lol
Pediatric and Infant? CPR? Those things don't go together.
VentMonkey
Family Guy
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It sounds as though Ketamine, and TXA will be making their way to our county over the course of the next year or so.
DesertMedic66
Forum Troll
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Trial study I’m assuming since CA hasn’t placed them on their approved medication list
VentMonkey
Family Guy
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Nope. Thanks to counties such as yours conducting trial studies it sounds as though the CA EMS commission really is in favor of Ketamine as an approved alternative to Fentanyl.
I’m guessing we’ll keep both in our county. We stockpile MS, and Valium somewhere in anticipation of shortages of Versed, and/ or Fentanyl.
As far as TXA goes, it too showed promise and will most likely be added to an optional scope, so a county-by-county basis. Our medical director is all in favor of progressive EBM, so I don’t sense much resistance on his behalf with either of these items.
This was all sent via memo from our company VP who attends these meetings religiously. The state EMS commission will reconvene in June to elaborate on timelines for the both, respectively.
ChewyEMS13
Forum Crew Member
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I can personally attest to the Keto diet!! I did the diet coupled with "time restrictive eating".. essentially not eating before noon or after 8 o'clock at night. I also did Brazilian Jiu Jitsu (killer cardio). I lost 50 pounds and looked damn good in a suit for my buddy's wedding. I attest
DesertMedic66
Forum Troll
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Ahhh. I haven’t heard anything on when our TXA trial will finish. Once it’s does then it will be putting together all the data and presenting it to the state, unless they approve it before hand.
We start our Ketamine trial April 1. We don’t think it will take very long to get the required data as opposed to the TXA.
CALEMT
The Other Guy/ Paramaybe?
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From what it sounded from the last meeting it sounds like we haven’t even come near the target number for administrations. It sounds like CA is just going to approve it as optional.
RocketMedic
Californian, Lost in Texas
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Welcome to the 211st century!
CALEMT
The Other Guy/ Paramaybe?
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The study wasn't really to determine if TXA works. We know it works from other systems that have it in place and primarily the military. I believe the main focus is/ was can paramedics administer it correctly in the field and recognize patients that do not meet the criteria. Its the same mentality for special K. We know it works, its already proven, can we administer it correctly in the field? Personally I believe some are going to withhold ketamine and give fentanyl just so they don't have to do the math associated with ketamine. They'll just give the 50 mcg of fent and give another repeat of 50.
What's sad though is if people actually sat and did the math, it isn't hard. Don't get me wrong, I go 50/50 quite a bit for lower end injuries, but I wouldn't do it just because it's easier mentally if given a wider range of pain control options.
RocketMedic
Californian, Lost in Texas
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Math is hard lol....why not just a 20mg set dose for the D students?
CALEMT
The Other Guy/ Paramaybe?
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To be honest I don't know why CA is choosing to go weigh based IV piggyback over IVP. The dose is 0.3mg/kg IVPB in a 50-100cc bag over 5 minutes.
Edit: Max single dose it 30mg and we can repeat once.
DesertMedic66
Forum Troll
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In the studies that the county has looked at they found there were less side effects that followed the drip over the IVP.
michael150
Forum Crew Member
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I got on this thread thinking it was great reading and I was going to read the entire thing.......... then I realized there were 64,000 posts. Light reading?
PandaNin
Forum Probie
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Few trips to the restroom and voila, you're done