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Are you done flying, or just going to a different place?

Oh yeah, you are definitely right about that. I was responding more to the idea that everyone who is intubated should have one placed, which I've heard argued by EM and EMS folks before and never agreed with.

I remember being told in my anesthesia training that the research does not support routine OG placement post-intubation, and that there was actually some evidence that it could be harmful, especially if placed in such a way that it disrupts the LES while not being deep enough to fully evacuate...

ET tubes have several advantages over SGA's, one of which is the ability to use higher airways pressures and PEEP to prevent or resolve atelectasis and overcome whatever pressure gradient (hydrostatic or otherwise) is resulting in pulmonary edema. In fact, increasing airway pressure is usually...

As you are well aware, in the majority of scenarios, palpating the patient's entire body over their clothing is neither necessary or appropriate - and does not constitute a "PE" anyway. What you were clearly implying in your first post was that this should be done routinely because it gives you...

Don't deflect from the topic by being being intentionally obtuse and implying that I said something I didn't. I'll take the fact that you didn't answer my question to mean that you don't have an answer.

How else do you describe doing a hands-on head to toe assessment where one is not warranted and then attempting to somehow deal with something you feel under the patient's clothing that you think might be a weapon?

Not sure why EMS was even dispatched to a "disorderly person", or what makes you guys think that this disorderly person is going to be OK with you frisking him as if you are a cop and trying to take possession of his gun once you find it. Are EMTs even trained to pick up and handle guns? I'm not...

Loss of PEEP is a routine consideration in the ICU setting. Maybe this is one of the of the many examples of why folks who lack experience caring for ICU patients in the actual ICU setting shouldn't be caring for ICU patients in the transport setting? But that's another conversation, of course...

How dare you?!

You mean type 2 diabetic?

To expand on my point: What I take away from this and similar situations is just that it was entirely unnecessary and avoidable and that hiding behind that fact that no one appears to have violated any laws or protocols doesn't change the fact that the entire response was flawed and a young man...

I don't doubt that you would, and that just proves my point.

As someone who views this type of incident from a different perspective than many folks in the public safety realm, I find it disappointing that so many folks fail to take a high level view of these events in order to try to learn as much from it as possible. Instead of "An innocent kid ended...

Things get weird quickly when you start to question religion. Remember "the population bomb" (1968), "the next ice age" (1975), "coastal cities will be underwater within a handful of years" (1994), "Saddam has weapons of mass destruction" (2002), "The Hunter Biden laptop doesn't exist /...

To get right to what I suspect is the main thrust of your question: no, an obtunded patient in extremis does not require sedation prior to intubation. This is often termed a “crash intubation” and the goal is just to get the ETT in place ASAP and deal with everything else after. Also, as others...

But aren’t puffy babies the best babies?

I think the left / right or liberal / conservative paradigm is beginning to erode, both politically and culturally, as people come to realize that it is entirely possible to simultaneously hold views that are traditionally viewed as conservative and ones that are traditionally viewed as liberal...

Yes, really. Policy shouldn’t be based on an isolated incident that happened 6 years ago. If it were with any consistency, you’d see a lot more drastic changes in EMS than the way med alerts are handled.

Come on, you know that PA is unique in that way and that most states don't use PHRNs. The OP specifically called out 911 ambulance work and nationwide, he'd have far more opportunities for that as a paramedic. Would you advise someone who was interested in working in an ICU to become a paramedic...