Search results

That is actually pretty awesome.

What do you give with the ketamine for RSI?

Are you using actual fitted N95's at work - the same one you wore when you had the fit test done? If not, the fit test is irrelevant, as the non-fitted masks are all different. I don't know if there is a really good, objective way to tell how good your seal is. My method for doing so is to...

As others have said, it depends largely on how many calls you get during those two shifts. Everyone has a certain amount of experience that they need to get in order to obtain the level of competence and comfort that they desire. That experience depends on how quickly you pick things up, how...

15 years......this has got to be a new record!

Are you sure they can't intubate in the hospital? "Not allowed to intubate per their scope of practice as defined by the state BON" and "can't intubate due to hospital policy" are different things. Scope of practice questions like this depend entirely on state BON and EMS regulations and they...

Again, you technically don't need any breaths to maintain a decent Sp02, especially when a high Fio2 is being delivered. As long as oxygen is flowing to the lungs (i.e. you have an open airway and 10 lpm of oxygen being administered), it will diffuse across the alveocappilary membranes into the...

With oxygen supplementation a person can easily maintain an adequate Sp02 while breathing 8 times per minute. In fact, respiratory rates in that range are common during sleep for many people, who survive the night just fine without supplemental oxygen. Passive airway obstruction is likely a...

Like most people, I've never especially enjoyed seeing or smelling vomit. But it has never especially bothered me, and unlike many HEMS folks, I never got nauseous flying in the old non-air conditioned BO-105's, even on hot summer days during aggressive maneuvers. Until one especially hot and...

They were state of the art when I got into the game......

You will figure it out. Dealing with vomiting patients can be unpleasant, but focusing on your responsibilities helps a lot. It gets easier the more you deal with with it.

I've really lost track of what this discussion is even about.

Parents certainly should be the ones enforcing limits on screen time for their kids. I think the overall point here is that there's no shortage of authorities telling us that things we know probably aren't the best idea are "just fine", and in some cases even encouraging actions and habits that...

Same here. After seeing so many examples of people acquiring and transmitting COVID repeatedly even after being vaccinated multiple times, and in some cases having more severe cases of it AFTER being vaccinated, I am more skeptical than ever of the necessity of the vaccination. My wife and I...

Why is an EMS forum the wrong place to discuss a relatively new topic that has important implications to EMS providers? Whether you are looking at the issue from a clinical or social context and regardless of how you feel about it personally, it is something that we all need to learn to...

Your Logical Fallacy is: Ad Hominem Ad hominem attacks can take the form of overtly attacking somebody, or more subtly casting doubt on their character or personal attributes as a way to discredit their argument. The result of an ad hom attack can be to undermine someone's case without actually...

I know you said you might move to Phoenix, but if you are considering the other side of the country as well, look into MedCenter Air in Charlotte, NC. Unless something has changed in the past few years, they do HEMS and CCT with RRT's and not just specialty transports, scene calls and everything.

Because of the corporatization and commodification of everything. Locally owned and operated businesses may be more agile in their ability to respond to market demands and the owners have more incentive to do so. But when businesses are owned by investment firms and hedge funds, there is no such...

Wisdom, a sore back, a nearly daily desire for naps, all of it comes with age.... I wouldn't have let mine go either, but I had to let my NRP go due to the NREMT's archaic and self-defeating recertification requirements, which I simply didn't have time to meet during grad school when I was...

The CFP was definitely awarded directly by the NFPA from the time that the credential was instituted (late 2000 or early 2001) until at least the middle of 2002, when I took it. In late 2002 or early 2003, the NFPA was issued a cease and desist by lawyers for the organization that administered...