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    WWYD: Butane inhalation & ignition

    Good point about the packaging taking up far too much space, but if I recall correctly - the king packaging wasn't much better. Just get a McGrath and get better at intubating... (I kid)
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    WWYD: Butane inhalation & ignition

    Data showed frequent over inflation of the large balloon which was causing airway damage and carotid circulation issues. i-gel was coming out at the same time which didn't have those issues. King airway faded away
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    WWYD: Butane inhalation & ignition

    FWIW I had to look it up because the king airway is so out of date now that I couldn’t remember.. King isn’t designed to intubate through..
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    WWYD: Butane inhalation & ignition

    Hang on, lets let our ACLS trained paralegal impart their wisdom..
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    Sedation Deaths

    I’m at “weak troll” or bot with this one.
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    Sedation Deaths

    My dude - the disrespect started exactly on your end.
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    accountability of controlled substance

    I have quite a lot of experience of working with the state board of pharmacy and DEA to ensure compliance for tracking controlled medications.. you?
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    accountability of controlled substance

    I'm really not sure where you came from or why you ended up here, but you really seem to be out of your element here..
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    Sedation Deaths

    You are wrong.
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    Sedation Deaths

    Ketamine is widely used for chemical restraint in EMS, protocols written by physicians. There’s plenty of support for ketamine.
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    How do you treat this.

    Long term maybe, but they’re generally not first line in the acute phase.
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    Dual Sequential Defibriliation

    You may be right there, time will tell. Local major city (30+ ALS transport units, 30+ ALS engine companies, over 120k ems runs annual) did a DSD trial a few years ago. Numbers are fuzzy, but I believe it was something like 30 cases over 2 years with no appreciable improvement in outcome -...
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    Not a good look

    Extreme example - In the months leading up to this run, this guy has been working 100 hour weeks to support his family because his wife has been feeling terrible and unable to work. The day before this incident, this guys wife found out she had stage 4 cancer. The run before this incident was...
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    Not a good look

    What an interesting example of the topic at hand.. If I were to take this post out of context I’d think “wow this tigger guy is an unhinged ******* to go off on a longstanding member of this forum” much the same as seeing a 3 second video clip of a firefighter going off on a patient.. Alas...
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    Not a good look

    I’m not saying this is the case, because there’s not enough info to say, but are you honestly saying you’ve NEVER lost your cool with an unruly frequent flier??
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    Not a good look

    And of course grandma comes out of the woodwork to say she’s appalled. Look I don’t condone cussing at a 10 year old, but just remember - 1. Read between the lines, “it’s like this with you every week” - abuse of 911? Pain in the ***? Patient verbally/physically abusive? We ALL have our...
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    Boulder (CO) Paramedic Charged With Manslaughter After Sedating, Restraining Man

    Respectfully, I disagree.. Leaving the patient prone, adding a spit mask, then “strapping the crap out of him” turned a medically sound decision into reckless and negligent behavior.
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    Vents

    I know I’m late to the party but when I was speccing vents, the Hamilton was the front runner. Supposedly their ASV mode is a game changer and essentially self adjusts to the patient. I did reach out to the local helicopter service who is using them and they confirmed ASV wasn’t just a...
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    The anxiety-driven kiddo is back. The one who posted a month ago (check post history if you're curious)

    Liters of fluid are still the standard of care for sepsis/suspected sepsis.. As for aortic aneurysms - I’ve seen several in the ED. The majority were actually quite stable, but the ones who weren’t were dead quick. The most recent I can think of complained of the typical “tearing” type...
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    Civilian EMS?

    @CCCSD your posts are the epitome of “my opinion is the only one that matters” and “I need to be the ‘smartest guy in the room’”. Hopefully you allow yourself to be humbled at some point before you kill someone with your arrogant pride. Based on your self reported tenure in this business, I’d...
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