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I definitely can't say that I shoot my P356 or P365XL quite as well as my G17, but the difference is way less than with any other subcompact that I've ever shot. As an aside, I often chuckle at the fact that it was only a few years ago that folks commonly referred to the G26 as a "subcompact"...

The G26 has a better trigger than the P365? The G26 is known for having a mediocre (at best) trigger while the P365’s is frequently praised for being so crisp. And I have no problem at all loading 12 rounds into my mags, even when they are brand new.

The money is all in volume. That's why the small services are all gone, no matter what a good job they may have done. When you only net a hundred bucks or so per run, the only way to make good money is to do LOTS of runs and keep your costs (salary, ambulance upgrades, equipment, training)...

You certainly want to follow up with your doc, but it's nothing to stress about. There are a bunch of potential causes that range widely in severity. The ones most likely in someone young, healthy and active are not anything to worry about.

She did not "pull a random drug". She pulled the wrong drug. Those are not the same thing. I don't think there is any evidence that she was intentionally playing Russian Roulette with medications. So no, it isn't a fair characterization. And I haven't seen a single person argue otherwise...

I don't know if her actions rise to the label of recklessness. Maybe they do, but I would not say that is necessarily so. Whatever you label it, I don't believe that spending time in prison and living the remainder of her life as a felon is appropriate. I also don't think "she pulled a random...

The overall point is that by multiple accounts, there were many issues with the systems and culture at Vanderbilt that contributed to the likelihood of something like this happening. These things don't happen in a vacuum, or at least, they are much less likely to happen when systems are working...

Probably the most reliable process / engineering solution to the problem of nurses withdrawing the wrong drug is pretty simple, and would likely have prevented this: First, high risk drugs (insulins, heparins, concentrated electrolytes, NMB's, etc) require a second log-in to dispense. Second, an...

The reality is, we DO count on engineering controls for patient safety, and when they work the way they are designed, they generally do add a significant layer of safety. They aren't meant to replace accountability and personal responsibility, but rather to hopefully offset the fact that the...

I couldn't agree more.

You'll do fine, man. Seriously. Nervous is good, and you will have some crappy days here and there, but there's nothing to dread. Like I said, you will ultimately be really glad that you did this.

Almost like deja vu reading this, lol. My first nursing job was a PT position in a level 1 trauma center ED, which I did while still working FT as a flight paramedic. They were super reluctant to hire a new grad nurse into the ED - especially part time - but made exception due to my extensive...

Exactly. But when all of your training and years of experience is oriented towards MVC's and AMI's and opioid OD's and you've always just walked away from the chronic stuff because there was no immediate threat to life and you had no tools to help with that, that's the mindset that you'll get...

When he says "none of it is ALS" I don't think what he means is that the material is EMT level, but that it is something else entirely. Community healthcare is essentially a mix of primary care and social work. It has nothing to do with life support - basic or advanced. That's what 911 is for.

Exactly

To be fair, I think what happens in a decent number of these scenarios is that the tube is correctly placed initially and then becomes dislodged and isn't recognized as quickly as it should be. Maybe the ambu-bag starts to feel a little different or maybe you get an alarm on your vent. But the...

The research is pretty clear on the fact that prehospital intubation is generally associated with worse outcomes. You can disagree, but you'd be arguing with a LOT of data collected over several decades and published in dozens of peer-reviewed papers. The physicians and others who argue against...

If you show up to a PCP office or urgent care that is associated with "St. Theresa's Health System" and you need to go to the hospital for testing or a procedure, then yes, referral arrangements are going to be made to a hospital that is also associated with "St. Theresa's Health System". This...

You keep saying "where they have privileges". But it seems much more likely that the reason the PCP is referring them to that hospital is probably because that facility is where they have seen providers and have all of their medical records. Unless the PCP who is referring them is also managing...

I think it is fair to say that EMS personnel are generally not very good at mask ventilation. Passing a skill station on a manikin in a community college classroom is very different than obtaining actual clinical competence. This is much less of an initial training issue than it is a result of...