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    Recommendations for wilderness/mountaineering first aid kit?

    I'll second the wilderness first-aid / first-responder course. I haven't taken one myself, but I know people who have and they all seemed to enjoy it. Re: a first-aid kit, I keep things pretty simple myself: - gloves - sterile roller gauze (I've never been a fan of 4x4s) - steri-strips -...
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    2000 FL60 extended cab ALS ambulance

    I'm trying to come up with a business plan for it, but without a second / backup unit I can't figure out how I could make it work.
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    2000 FL60 extended cab ALS ambulance

    Wow. I feel like that's an awesome price for a low-mile, clean unit. Are there any outstanding repairs? Do you know the reason behind the sale?
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    Staying Cool

    Icebreaker UPDATE: Just got my shirt in the mail. Looks like it's 13% nylon, 85% merino. Does nylon qualify as an FR undershirt??? Also, it's kind of a 'square' cut. I prefer slim / long t-shirts, but I'll still keep it.
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    Should Tactical Medics be armed?

    Here's one such example of how tactical paramedics are being used... Equipment list: http://ottawacitizen.com/news/local-news/battle-tested-ottawas-tactical-paramedics-are-using-war-zone-devloped-gear *note the lack of a side-arm Unit Integration...
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    Pre-Hospital Chest Tubes/Thoracostomy

    I just want to make sure I understand you correctly. It sounds that are you saying a complete unilateral thorasic hematoma would be self-tamponading and life-sustaining despite the loss of approx. 50% of the circulating volume. Do I understand you correctly? If so, I'm asking if this is...
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    Pre-Hospital Chest Tubes/Thoracostomy

    If you take the John Hinds approach, every traumatic arrest would involve a finger thorascostomy to relieve and/or rule-out pneumothorax and detect hemmothorax. It is a primary element of that protocol. Detecting and relieving a hemothorax and reprofusing lost fluid are two separate...
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    versed vs mag for postpartum eclampsia.

    Can you please elaborate more on this. What are you using the calcium for? I only have protocols that indicate calcium for hyperkalemia and beta-blocker OD. Oh man I wish I had this. Only one of the four jurisdictions I'm registered in has protocols for Mag Sulfate for eclampsia and they...
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    Should Tactical Medics be armed?

    I suppose my thought is if the Tactical Medic is required to wear body arnour due to risk of being shot, I believe having the ability to protect ones self with the same force is only appropriate. Thoughts?
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    Should Tactical Medics be armed?

    ***see POLL above*** In my area, tactical medics are a 'newer thing' with each city and its local EMS service taking a slightly different approach to the selection process and how they are implemented. The general consensus is that Tac medics are employed by and report for duty to their local...
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    Tactical Physician?

    @luke_31 - what is 'AAR'?
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    fentanyl

    Perhaps I need to clarify what I'm implying when I'm talking about this stuff. I'm simply talking about the physiology of apnic oxygenation DURING the lyringoscopy procedure.
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    Tactical Physician?

    I recently came across a Tactical Medicine Fellowship at Johns Hopkins (talk about life goals) and it got me wondering if anyone here has ever worked along-side a Tactical Physician. I'm curious to learn how exactly they're integrated into the system and how -if at all- the role is...
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    fentanyl

    So I've been reading through Costanzo's Physiology (4th ed.) and came across something that rang a bell. They state for a person at rest, the O2 consumption rate is 250ml O2/min (p.209) which is identical to the passive flow rate of oxygen Rich Levitan describes. So there's the hard numbers...
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    Staying Cool

    Accidentally sent the Canadian link. Here's the US link: http://www.icebreaker.com/en/web-specials/cool-lite-sphere-short-sleeve-crewe/103608_WS.html?dwvar_103608__WS_color=401 I'll also note, they make the same shirt in a 150g/m2 weight which is more like your 'standard' cotton t-shirt...
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    Propofol/Ketafol

    The only benefit to mixing Ketamine and Propofol is to balance the pros and cons of each. The Ketamine would provide analgesia (none for Propofol) and catecholamine release (to counteract the hypotension associated with Propofol). That would, in theory, balance-out the hemodynamic effects of...
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    Staying Cool

    @Chase - merino wool! So far as I'm concerned it's the greatest material ever. - flame-resistant (great for HEMS or fire medics) - NO odor (the bacteria that create odor in synthetic textiles don't like to live in wool) - quick drying - lightweight (Icebreaker has an 'ultralight' 130g/m2...
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    Generalized weakness and SOB

    So many acronyms... o_O CAH? NOS? SRC?
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    Any woodworkers here?

    I had a look into wood bleaches. That looks like a great idea to get into the grey-tones. I'll give that a go and post the results. Thanks for the info everyone.
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    Any woodworkers here?

    Thanks for the quick reply. The canoe paddle is one I've had for a few years. I've never loved the natural colour of cherry. The paddle company once made a run of walnut paddles. They were absolutely beautiful but the wood was too stuff and brittle to really use. I did see one person on the...
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