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For most types of moderate to severe acute pain, I believe it is highly overrated as a sole agent. You frequently hear folks refer to studies that show that 30mg of ketorolac is equivalent to 10mg of morphine, but I've always questioned the reality - or at least the reliability - of that...

Never heard of it until just now. Looks pretty interesting. Some of my favorite YT browsing involves penetration testing of hard cast 10mm ammo. I am a big fan of 10mm. I have a G20 and the next addition to my collection will be the new Sig P320 XTEN. And some day I'll have a Colt Delta Elite...

Personally I’m all for absolutism in property rights, but that just isn’t how things work in our society. Property rights are limited in all sorts of ways; there are many examples. Look at public accommodation laws, for instance. Why would we accept that a private business owner can be forced to...

Yeah, I guess. I would have never thought to question the motivation of any of that aspect of this scenario, because on it's face it appears so routine and reasonable. Sure two IV's are nice to have, but I'm not going to delay giving meds - especially in a compromised airway situation - to get a...

Oh I agree 1000%. I have always said that nothing is gained and much can be lost by trying to avoid NMB because they "look difficult". Give NMB = apnea + great intubating conditions. Give enough sedative to facilitate intubation = apnea + potentially still horrible intubating conditions. Of...

No mechanically more difficult necessarily, but positioning can be more difficult and they are more prone to desaturation and regurgitation.

I love the Garmin watches and if I could make and receive texts and phone calls on them I would definitely have one. Until then, I need to stick with my Apple Watch. It's so nice to not need to have my phone with me but still know that my family or work could still get ahold of me if needed.

What is wrong with only having one IV, and what is wrong with it being in the hand?

Keep in mind that DSI is a technique for pre-oxygenation of an uncooperative patient. If someone tolerates a NRB and is ventilating well - especially if they are able to take a few vital capacity breaths - there is no need to sedate them until immediately before you push the sux.

You'll never know for sure what would have happened if you'd made a different choice. Maybe it would've worked out even better, and maybe it would've been a train wreck. But either way, this kind of honest self-reflection and seeking of feedback will serve you well. It's probably the only way to...

My concern in this patient would obviously be airway edema, which can evolve rapidly. You said he's MP4 and obese, so you are already behind the curve in terms of potential difficulty even BEFORE his upper airway begins to swell. For me given what I do, this is very clearly a PROP-->SUX-->TUBE...

But they weren't born knowing how to use a gun. They learned through training.

Their existence shows that it is entirely possible for a well trained individual to engage in patient care while safely retaining their weapon and prioritizing their focus on a moment-to-moment basis. Handling a firearm with a high degree of competence isn't rocket science. It takes a fair...

Do they still have K-Marts in your neck of the woods?

Fake it till you make it. Or until you Google it. Same thing.

Yes, many PA programs require some form of clinical work experience in order to be accepted. Medical schools do, as well. Those are general work-experience requirements that exist in order to ensure that the applicant has the work ethic to be a good representative of the new profession and also...

There's no reason at all to require EMT certification or experience before starting paramedic school. It's definitely true that a general familiarity with prehospital care and ambulance operations is helpful, but there's no reason a paramedic program couldn't be structured to include that...

I have environmental allergy symptoms basically 24/7/365. Meds help for sure but never eliminate it. Still have never had a positive COVID test for myself or my immediate family. I don't personally know of any other family that can say that. I am definitely the only person where I work who can...

Personally I think a better approach is to learn to not let things get to you in the first place. Being mentally tough is useful but eventually it becomes exhausting no matter who you are. Learning how to allow things to roll off your back in the first place INSTEAD OF enduring them is a much...

There are a handful of us on this forum who currently or in the past have worked as both a RN and a paramedic. Most of us were in EMS first and then went on to nursing. You are correct that outside of critical care transport, very few RNs work in EMS in the US. There are a few states who have...