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It’s a decent class, but unless you’re doing a ton of high risk OB transfers the opportunity to participate in a true newborn resus is pretty limited for most folks. Even doing peds and neo CC transport for 5 years I only attended and participated in the resus of 2 kids, both know cardiac kids...

We aren’t seeing a huge uptick in impella’s in my region. When they first came out our program felt like they were going to be all the rage. But I felt like a lot of facilities struggled with deployment and correct placement issues and to date I have seen/transported one. This is in the D.C...

Intermountain is a cool *** program. Good luck. I think 2 Bear Air is all volunteer isn't it?

Yeah I was so glad I was on a ground shift and they didn’t try to fly this lady because the sending has a remote LZ and is pretty close to our tertiary center. All that crap in a 135 just becomes a logistical nightmare and is more of a hassle then what it’s worth/the minimal time saved IMO...

Top 5 sickest transports of my career last night. ECMO, IABP, A/V paced, 8 drips, open chest with Finochietto retractor still in the chest. Luckily it was via ground, sadly we were held over 5 hours to complete the run and chart :(

I have been fortunate, or I guess unfortunate enough to have 2 surgical airways under my belt. One medical scenario and one trauma, performed with a different technique each time with the second one being dictated by my medical director's (at the time) preferred method. Honestly, there is some...

If you optimize positioning prior to procedure, use good DL technique & ELM as needed you really should have a great view of the glotic opening and no need to use a stylette in the large majority of the airways (the 95% we discussed earlier). If you need a stylette to force the tube in then you...

Remi, I think a lot of people sadly don’t have the routine and frequent exposure to the O.R. to realize all of the points made in this post, and I couldn’t agree more. I know I thought I was decent at airway management until I started rotating through the the O.R. every quarter, and then finally...

To each their own like you said. If it works for you then keep on with what you're doing I guess. I'm curious though, after flying for a pediatric team for many years why you think this technique would be of benefit in pediatric airways? The last thing I want to do when managing a peds airway...

Agree with both posts 110%. We actually focus on teaching these exact things in the cadaver lab for the CCEMT-P program I instruct for. I think now a days there are too many people coming up with a "new technique" or something fancy to rework a procedure, and a lot of people who already may...

Nice ZT blade!

Yup this 110%. I think they're wacker-ish. Everything I need is in my gear bags and knowing where you're equipment is will allow you to access it in a timely fashion. I have never seen anyone with a chest rig pull out something I needed in a hurry and save the day vs. just pulling it from a bag...

You need to find a program or company to be affiliated with before you can test. No sure about a skills class, but you need a MD protocol exam completed. Alot of places will have someone designated at the MD Protocol Review person. So you either need to find an employer to affiliate with, you...

Sounds like you just deal with some crappy services.... As far as sedation for neurotrauma, the patient is going to get as sedated as I need to complete the transfer safely and effectively. If they’re a little over sedated and providers aren’t able to examine them as soon as we crest the door...

Totally agree. Luckily we have a huge volume inbound to our main hospital, as it serves as a trauma center but also tertiary center for cardiac services and ECMO, L&D, NICU, and burn. We also do stuff for other programs as backup and scene work. Our problem is our medical director has been here...

Yeah Vandy has a good program and has their hands in alot of things. I love that the staff there has alot of options for outreach and opportunities to work special events and such. Only downfall is they have like 3-4 different aircraft throughout the system, which doesn't make a ton of sense to...

You caught the drift :)

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