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Great article and touches on what I was talking about. I definitely support the modified two handed as shown in those pictures for two person BVM. Doesn't touch on what I described for single provider BVM in there and it's hard to describe I guess. I should take a picture and report back. I am...

👏👏👏 Can't agree enough on this.... Also, far too often we give the task of BVM ventilations to some of the least trained or experienced providers on scene during those scenarios when in reality I want to be the person in charge of that situation if I am about to management an airway or they're...

Same per protocol...

911 or IFT service?

Have never administered a 1mg/kg dose for RSI so I'm not sure if you would get the same effect Our protocol was 1.5mg/kg and that was plenty to see hypotension in certain patient populations.

Glad someone gets it... While Ketamine has been all the rave lately in many organizations, it certainly isn't a fix all medication like some believe. We implemented it pretty heavily a few years ago and you will get plenty of hypotension in very sick and/or catecholamine depleted patients. I am...

Is nasal intubation with a trigger tube and BAAM device not a thing there? Not a fan of DAI personally. Either you have the full toolbox or you don't.

Dumbest thing I have ever heard. Or you can totally get your *** handed to ya all shift for less money. I guess if there are still people willing to tolerate that crap from employers and work for less money just because of the shift they do the employers will continue to pull that crap.

Why the hourly rate difference between 12 hour shifts and 24's? Work is work. Do they just not want to pay overtime?

Although not common in the least bit there are certainly some circumferential chest burns that require/get escharotomies in the trauma bay. I have seen two working clinical in our trauma/burn bays in the last 16 months. True full thickness burned skin becomes extremely tight and the inability to...

Well based on your consult they're either going to say "go ahead" and the patient might make the transport, or they're going to say no and the patient dies. Those are the two scenarios. When a patient truly needs a chest escharotomy if they don't get one you will not be able to ventilate them...

PM me if you’re serious but it’s not all that great. The money sounds great until you realize the cost of living in D.C., MD, or VA then it becomes just needed to live comfortably. That being said we are well paid (most likely the top if not one of the top paid for medics in the nation) but...

Maybe EMS instructors are well paid around your area, the local community college around my way wants to pay 45,000 for a Paramedic program instructor, department head makes around 85k with a Master's requirement, and this is in the expensive area of the D.C. Metro. Hardly well paid when you...

I'm in the exact same position pissedoffmedic.... Currently flying HEMS, but I have become frustrated at the system issues and over utilization for BS stuff in the IFT world, mostly driven by MD's schedules or desires to have non time sensitive patient's perfectly suited for cost effective...

I have done 1 as a HEMS provider with my previous program, and this was the exact scenario. Scene call at a farm, using gas to start a bonfire. Was standing order in our protocols. Typically the high PIP's on the vent, or even inability to move the chest with BVM ventilations and circumferential...

I may get flamed for this reply, and if so that's fine because my reply is strictly based off experience. The WHY is because Captain Chuck, who has LIKELY (not always) had more training due to his rank and likely more experience with commanding incidents that's why. Can "the ink is still wet on...

Hopefully by "educated" you mean one of the most trained and experienced people on the incident? Formal education has little to nothing to do with who should/being an effective incident commander. If I have a Captain (no formal college degree) who has taken classes such as Fire Officer I, II...

Incident command for a larger scale incident needs to be established by the first arriving unit, or second arriving unit if units are arriving together. If this is a fire unit then you should let them setup the command and you as the first arriving EMS unit can focus on triage. Incoming units...

Your company is lying to you..... SOMEONE is getting a bill. HEMS programs aren't typically in the game to give away free Jet A (unless it's coming out of a PR allowance or something). Whether they're getting any reimbursement for those medically unnecessary flights is the question, with the...

This..... If you can't move lights remain on as to not cause driver confusion and then when you get the green and are moving siren goes back on. If there is an open on-coming lane I will chose that almost always over pushing people through an intersection at a red light. If they have a red...