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  1. rmabrey

    King County TXA trial

    I believe Gibson county EMS in Indiana is using it.
  2. rmabrey

    GCTI Ambulance Raided

    The boxes were probably old runs or billing information. As far as searching staff, I'm sure I cant comment without violating a forum rule.
  3. rmabrey

    the 100% directionless thread

    This
  4. rmabrey

    the 100% directionless thread

    Followed up on the etomidate and vec shortage. Looks like we arent expecting any issues with etomidate. Looking at nimbex and roc to replace vec. The shortage will be over before that ever happens.
  5. rmabrey

    the 100% directionless thread

    That would explain why I can't restock vec. First ive heard of it.
  6. rmabrey

    the 100% directionless thread

    Getting excited. New spinal immobilization protocol (still using backboards thanks to local trauma surgeons, although more freedom there), freedom with pain control with the exception of headaches, and sedation protocols are rolling out.
  7. rmabrey

    Paramedic programs for RN-EMTs

    The local community college where I live created a curriculum for RN to meduc bridge. You essentially just have to take operation and do the required clinical hours. That would take more than 2 weeks though.
  8. rmabrey

    Best Call with Death

    This wont end well
  9. rmabrey

    the 100% directionless thread

    thanks for posting. admittedly I was going the v-tach route. good catch
  10. rmabrey

    Ambulance Ride Alongs!

    I get held over routinely, usually cause everyone is doing transfers. I expect it from a for profit company. I wish I knew more about the hospital side and why they cant discharge more patients at 10am when we aren't doing anything.
  11. rmabrey

    South African EMS (how things work here)

    Nice write up. I watch the documentary "tell me and I will forget". Passed it on to coworkers so they could see how easy they have it.
  12. rmabrey

    Bloused boots in ems?

    Shorts would be awesome, but then I would have to wear a leg condom.
  13. rmabrey

    the 100% directionless thread

    Got to partake is some range therapy this morning. Broke my latest project gun. Fixed a newish gun. Shot three new onrs for the first time. Then I ruined my good day by going into work and finishing my reports. At least it was OT
  14. rmabrey

    Bloused boots in ems?

    Ive never seen anyone do it
  15. rmabrey

    the 100% directionless thread

    I hope it's a BLS day
  16. rmabrey

    the 100% directionless thread

    From what im heaeing PHTLS is moving away from backboards and ITLS isn't even considering it. Just hearsay as I havent taken ITLS
  17. rmabrey

    Refusals

    1. It typically ends up being paramedic discretion. Were SUPPOSED to do a refusal for all patient contacts. At car wrecks, if you're not the injured one and you did not request an ambulance, then you are not a patient to me. 2. No can do for me. Second unit gets called. Paramedics write...
  18. rmabrey

    Prices + Charges of Your Company to Patients

    Dependent on the dispatch code (AlS assessment or not) the base rate changes. Then there is an ALS 2 charge for 3+ med administrations, defib, intubation, etc. Oxygen charge, bariatric charge, CCT charge, mileage etc etc. I dont know what the prices are, nor do I want to know.
  19. rmabrey

    Mechanical Ventilation

    We use the impact 731. No protocol per say, we only use it IFT at whatever settings the RT says. I used it for the first time today (as a medic). It truly is idiot proof. We rarely change anything other than FiO2 and BPM. I change alarm maximums as needed dependant on whether the patient is...
  20. rmabrey

    Sunglasses on duty

    I wore Oakley before EMS and the usstandardissue discount helped to continue that trend.
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