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  1. usafmedic45

    Out of Hospital ECLS (Extracorporeal Life Support)

    Care to back up those contentions? I don't believe it is generally poor outcomes because of the technology or associated medications. It's because we (in EMS) tend to try to look at stuff like this in settings where it's not necessarily helpful because the patient's pathology is already...
  2. usafmedic45

    Male 30s CC: Unconscious/Unresponsive

    Not fail....just you are still learning. We do a piss poor job of teaching about intracranial processes and so we see the terms "cerebral hemorrhage" and "intracranial hemorrhage" used interchangeably and therefore incorrectly by a lot of folks.
  3. usafmedic45

    Male 30s CC: Unconscious/Unresponsive

    I think you mean intracranial hemorrhage. ;)
  4. usafmedic45

    Intubation question

    #11 blade. ;)
  5. usafmedic45

    Anyone ever been denied an intubation during clinicals?

    Seeing as how Maryland's protocols have not seen a serious revision in this century, it doesn't surprise me that you guys are still using terminology from the 1980s and 1990s before people started realizing that most "SIDS" cases were either missed homicides or deaths due to negligence.
  6. usafmedic45

    Anyone ever been denied an intubation during clinicals?

    No doc is allowed to sign off on that anymore unless there is a VERY lengthy medical history. The kid is going to get autopsied and there is going to be a police investigation. The case has to be reported to the coroner/ME as well as child protective services by law in every state. That death...
  7. usafmedic45

    Anyone ever been denied an intubation during clinicals?

    There is no reason we should be referring to a pediatric arrest as a "SIDS arrest". It's not SIDS until the pathologist has ruled out all causes of arrest. Most of them of what used to be classified as SIDS (you very seldom ever see it used anymore; most of them are just put down as "cause...
  8. usafmedic45

    the 100% directionless thread

    You're a sick :censored::censored::censored::censored::censored::censored::censored:. I'm proud to call you my friend.
  9. usafmedic45

    Narcan question.

    Another reason I want to go take a dump on the grave of Sigmund Rascher and into the box containing the bones of Josef Mengele.
  10. usafmedic45

    Head Injuries

    I think you misunderstood what was written. However, it is possible to have a skull fracture without related brain injuries. That said, the main problem with a field diagnosis of CSF coming out of the ears is that not all that pours out of the ears is CSF. Just as Battle's sign is a poor...
  11. usafmedic45

    Stuff you are just sick and tired of reading and hearing

    "A helicopter is faster at getting a patient to the hospital than a ground ambulance". "HEMS crews can do more for their patient on the way to the hospital than we can do while en route". "You have to wear gloves with all patient contacts."
  12. usafmedic45

    Walking out a broken leg

    I think this is more just the "We're lazy and don't want to work" sort of question. Making a suggestion that would require effort isn't going to be the advice the OP is seeking most likely.
  13. usafmedic45

    EMS in Germany

    Find the member on here "Rettsani" and talk to them (I think Rettsani's a woman....but don't hold me to that).
  14. usafmedic45

    Walking out a broken leg

    Please tell you're not serious because if you are, I'm going to ask the moderators for permission to smack the crap out of you.
  15. usafmedic45

    Ics 300?

    Yeah, but they largely serve no real purpose other than justifying someone's position at FEMA writing the material.
  16. usafmedic45

    Ics 300?

    You're now my favorite newbie. LOL
  17. usafmedic45

    Spinal Immobilization and Cardiac Arrests

    Coroner or medical examiner.
  18. usafmedic45

    Paramedic Math

    "Advanced math"? LOL I will tend to agree with the comment that MMiz made. Medical math is pretty simple. The most complicated thing you're likely to encounter is a concentration calculation.
  19. usafmedic45

    Miramar College - Are they stringent on vaccinations?

    The other question is why the hell would you go to a pediatrician for an uncomplicated case of chicken pox?
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