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  1. TXmed

    Helicopter Stuff and Things

    @Carlos Danger the rotor wash on them 430s was no joke
  2. TXmed

    MCHD or Acadian (CO to TX)

    Do the paid fire guys ever work shifts on the medic ? Or is it completely separate ? I know they've only recently shifted to paid fire
  3. TXmed

    MCHD or Acadian (CO to TX)

    Does anyone have any working knowledge of cy-fairs new structure? Are their medics also FF?
  4. TXmed

    TPATC

    Dumb question. Is the CE hours able to be used for my NREMT medic recert ?
  5. TXmed

    Helicopter Stuff and Things

    @GMCmedic I used to fly in 206/407 down by the border of Mexico and very rural Texas, yea I dont miss it. The 145's give me everything I could need in HEMS. Although........them aw169 be looking Fuego
  6. TXmed

    Helicopter Stuff and Things

    @Tigger I believe they just turned the old BK 117 into the EC-145, and now they turned them into the H-145 T2 model. Supposed to be legitness. We still fly the EC-145, great aircraft, we've just put alot of miles on them.
  7. TXmed

    Cadaver lab

    Just recently started helping with my services cadaver lab training. Does anyone have any tips or tidbits to help make it interesting? Anything they've seen at another cadaver lab or have done
  8. TXmed

    Critical Care Topic of the Month

    Theres an impella app for Android and I phones that's very detailed
  9. TXmed

    Airway Management and Intubating without Drugs

    @DesertMedic66 @GMCmedic same here. We've seen it go up in non-critical patients in whom BP isn't a concern. But we've seen a significant decrease in our critical patients
  10. TXmed

    Predicting a difficult airway is darn near impossible

    Thats not super uncommon in the very rural parts of texas. If there is a physician in the small ER then he probably isnt board certified and it will be known to him that the local medics or flight crews will be more experienced at airways than him. Plus they will end up taking the patient out...
  11. TXmed

    To Degree or Not to Degree. That is The Question.

    Just throwing my 2 cents in. I obtained my paramedic certification THEN went on to get my associates in EMS and should graduate with my BS in may. Working towards my degree has made me a better clinician and caregiver. Formal science classes taught me things that I either never knew or took me...
  12. TXmed

    CPAP vs BiPAP

    How about this question. If you're a MD at an ER and are told EMS is bring in a patient in sever respiratory distress. They arrive with a patient with significantly decreased GCS, maybe from ketamine or maybe from hypercapnia, on BiPAP/CPAP. Do you ride with that or do you take their airway ?
  13. TXmed

    CPAP vs BiPAP

    @NPO given low doses of ketamine for anxiety isnt really the best thing to do. Giving ketamine to a cardiac patient with pulmonary edema really isnt the best thing to do. Ketamine has been shown to reduce LV function and increase PA pressure. I would just focus more on making the BiPap work and...
  14. TXmed

    ECPELLA

    Ive read and heard of several places doing this. At my current service they seem to prefer the IABP instead of the impella to prevent LV stunning. But then again this is what ive observed on the aircraft, im just a medic and am not in the CVICU
  15. TXmed

    Pain Score and Analgesia

  16. TXmed

    PHTLS vs ITLS

    @PotatoMedic transport provider advanced trauma course ? TPATC?
  17. TXmed

    PHTLS vs ITLS

    Ive done both. I personally like PHTLS better but i also think its up to the instructors.
  18. TXmed

    Debatable 12 lead

    I can see why people are debating over the ECG. If it was just the ECG alone i would probably lean towards not calling it (although it would be close). But given the rest of the patients presentation, CP + hypotension + Tachycardia/Tachypnea, i would definitely call it and would just base it on...

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