the 100% directionless thread

Tigger

Dodges Pucks
Community Leader
7,844
2,794
113
Exactly. This is one of the reasons why I'm not a fan of any pre-loaded bougie techniques. The hold-up at the carina when you have a lousy view and aren't completely sure you are in the trachea is 90% of the reason to use a bougie in the first place.

That, and the unnecessary added steps and complexity of assembling the two pieces into a unit.
Several of my jobs have tubes with no stylettes in them anyway so at that point it's just easier to load it with a bougie anyway.
 

NomadicMedic

I know a guy who knows a guy.
12,098
6,845
113
Some days.

Worked a code today that simply irritated me. VF arrest, great bystander CPR... 11 shocks. 3 from the AED before I got there, one as I arrived and another 7 from my box.

We did great CPR, I mean 100% awesome. Capno was in the 30s and 40s. I kept thinking the next shock would do it.

And... PEA.

Damn. I was really thinking I was gonna win this one.
 

StCEMT

Forum Deputy Chief
3,052
1,709
113
Damn, that's irritating. With as many poor prognosis/nonviable arrests as I've had this year, I'd be stoked to have one start off like that for once this year. The ones that should be the "good ones" and aren't are so frustrating.
 

RocketMedic

Californian, Lost in Texas
4,997
1,461
113
I'm a big fan of a good video laryngyscope, plus a bougie. However, the Kingvision rigid stylette is a great tool too.
 

RocketMedic

Californian, Lost in Texas
4,997
1,461
113
Oh, I just like it for the times a standard blade comes in handy- limited space and the like. Had a legendary day today- unresponsive GI bleed + vomiting feces blood through a clenched airway; SpO2 80%, GCS 6, crash airway. Reckoned it was time to channel Roy Desoto and dropped a nasal tube for the first time in a long time without a hitch; worked amazingly and got some funny (good) looks. Then we picked up a car v bike collision with a significant head injury. I've got a new medic riding with me, and our cloud is @TransportJockey black with thunderbolts the last few shifts.

Yesterday was pretty decent too. And the day before that...don't seize at the bottom of a pool. I am the storm!
 

StCEMT

Forum Deputy Chief
3,052
1,709
113
Oh, I just like it for the times a standard blade comes in handy- limited space and the like. Had a legendary day today- unresponsive GI bleed + vomiting feces blood through a clenched airway; SpO2 80%, GCS 6, crash airway. Reckoned it was time to channel Roy Desoto and dropped a nasal tube for the first time in a long time without a hitch; worked amazingly and got some funny (good) looks. Then we picked up a car v bike collision with a significant head injury. I've got a new medic riding with me, and our cloud is @TransportJockey black with thunderbolts the last few shifts.

Yesterday was pretty decent too. And the day before that...don't seize at the bottom of a pool. I am the storm!
I just drove all day....
 

Qulevrius

Nationally Certified Wannabe
997
545
93
IMG_1113.jpg


ER, business as usual.
 

RocketMedic

Californian, Lost in Texas
4,997
1,461
113
So our nasal intubation patient turned out to have an intestinal rupture...terrible thing to happen.
 

Akulahawk

EMT-P/ED RN
Community Leader
4,926
1,325
113
So our nasal intubation patient turned out to have an intestinal rupture...terrible thing to happen.
Yeah, that sucks... and that's putting things mildly.
 

RocketMedic

Californian, Lost in Texas
4,997
1,461
113
Barely a week into this CCP course and I am already seeing so much science that I haven't seen since about year 2-3 of college....and plenty that I haven't at all.
Which one?
 

Akulahawk

EMT-P/ED RN
Community Leader
4,926
1,325
113
RIP Sen. McCain
Like him, hate him, or something in-between, you gotta respect him for doing what he thought was right, even if others didn't like him for what he did.
 

luke_31

Forum Asst. Chief
993
341
63
Like him, hate him, or something in-between, you gotta respect him for doing what he thought was right, even if others didn't like him for what he did.
He stuck with his principles, not everyone does that anymore. I didn't always agree with what he did, but he didn't do things for politics alone, there was always a reason behind it.
 

Jim37F

Forum Deputy Chief
4,300
2,876
113
I voted McCain/Palin back in 2008. I remember reading his autobiography before that election, and when I heard he had ambitions for president, I was like "Yasss" (ok not literally, but you get the idea).
 

RocketMedic

Californian, Lost in Texas
4,997
1,461
113
I think it's quite telling that McCain went from being a right-wing conservative to RINO in conservative media.
 

Akulahawk

EMT-P/ED RN
Community Leader
4,926
1,325
113
I think it's quite telling that McCain went from being a right-wing conservative to RINO in conservative media.
He did his own thing and sometimes that thing he did wasn't what the GOP wanted him to do. He did what he thought was right and sometimes that put him on the same side as the Democrats on an issue. In his later years, that happened often enough that people started thinking of him as a RINO.
 

VFlutter

Flight Nurse
3,728
1,264
113
That awkward conversation when you have to explain to your patient that the reason he can't feel his leg is that it's sitting in a box of ice next to you.
 
Top