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  1. Carlos Danger

    Co monitoring

    You are basically correct. A CoHB of 19% means that 19% of available hemoglobin binding sites are occupied by carbon monoxide. That doesn't necessarily mean that your Sp02 is 81%, though - it's a little more complex than that, owing to changes in hemoglobin affinity for oxygen molecules when...
  2. Carlos Danger

    The Gun Thread

    Both are great guns. It's hard to beat the lineage of reliability and simplicity that Glock enjoys. However, as concealed carry guns there is no comparison - the Sig is smaller and lighter and has more ammo capacity and shoots great, especially for a small gun. The Glock 48 would be a better...
  3. Carlos Danger

    The Gun Thread

    Why make it so complicated? Go buy a P365 or P365XL off the shelf for $500 and run it.
  4. Carlos Danger

    100% Directionless Thread

    That was a great game. The Bills looked awesome.
  5. Carlos Danger

    Hospitals letting staff infected with Covid continue to work

    Ahhh, no. First of all, you aren't the authority on what is "right", neither is the sitting presidential administration. Secondly - right or wrong - there is overwhelming precedent in our culture about the primacy of the individual vs. the collective. This is the main thing that separated the US...
  6. Carlos Danger

    Hospitals letting staff infected with Covid continue to work

    No, I am not missing any point at all, I know this isn't what you and your ilk intended. I understand that it isn't what is supposed to be happening. But it is the predictable net result of policies that you vigorously support: Contribute to a staffing crisis by firing (unvaccinated) workers...
  7. Carlos Danger

    Hospitals letting staff infected with Covid continue to work

    Nowhere in my post did I make any judgment about what is happening anywhere else. You are missing the point entirely. The ability to modify isolation requirements in order to do what needs to be done in the face of a true emergency has always existed. We never needed the blessing of the CDC for...
  8. Carlos Danger

    Hospitals letting staff infected with Covid continue to work

    Am I making assumptions? Sure. So is everyone who believes that the policies being promoted by the feds aren't political.
  9. Carlos Danger

    Hospitals letting staff infected with Covid continue to work

    Except that we're not in a crisis and all the ER doctors aren't out sick. We're not in a situation where "you either get treated by a doctor who is C19+ or you don't get treated at all". This is a false dilemma. If we ever were at that point, then sure, let's do whatever we have to do to take...
  10. Carlos Danger

    Hospitals letting staff infected with Covid continue to work

    The optics and messaging to the public are, once again, awful. Non HCW to me: So, healthcare workers actually got fired for not being vaccinated? Me to non HCW: Yes Non HCW to me: Why was it so important that you all get vaccinated? Me to non HCW: Well, they didn't want us coming to work with...
  11. Carlos Danger

    Hospitals letting staff infected with Covid continue to work

    You know that the pendulum has swung FULLY in the opposite direction when, at a time that the dominant variant is one that is said to be much more contagious than preview ones, asymptomatic transmission is a bigger concern than ever, and ICU's are once again at capacity in some areas, it is now...
  12. Carlos Danger

    COVID VACCINE - The Megathread

    I think folks are a lot less polarized in reality than they appear on the surface. Media outlets intentionally focus on problems rather than the many major advancements that have occurred over the decades; this is done for both political reasons and as an attempt to remain relevant. Social media...
  13. Carlos Danger

    Regular Partner Pairings a Detriment to Safety?

    But at the HEMS level, by the time you are in a position to have a regular partner, your experience and skills have been vetted by numerous people in several different ways. Even once you are in that permanent position, any decent place has frequent education, testing, chart review, etc that...
  14. Carlos Danger

    COVID VACCINE - The Megathread

    "Get vaccinated for the fourth time in a year even though you'll still need to wear a mask and get tested whenever you aren't feeling well, because even being 'fully' vaccinated you'll still be able to contract and spread the virus". And we keep wondering where the confusion and skepticism...
  15. Carlos Danger

    What is HOSPITAL criteria for a stemi?

    Negative troponin doesn't "cancel out" EKG criteria, but if ST elevation resolves, then that combined with the negative enzymes is where you get the dx of unstable angina vs. AMI. My guess is that's what happened, and she'll be referred to cardiology for a cardiac workup.
  16. Carlos Danger

    COVID VACCINE - The Megathread

    Not sure what you are even talking about here. I didn't bring up polio or make the comparison. In fact, I indicated that it probably wasn't a good comparison. The whole point was that vaccine skepticism isn't a new phenomenon. Again, putting words in my mouth and missing (or more likely...
  17. Carlos Danger

    COVID VACCINE - The Megathread

    My guess is that the vast majority of people who get vaccinated do so to protect themselves, not others. These newer variants are being contracted and transmitted by fully vaccinated people like crazy, so I don't think there's even much of an argument to be made right now that getting getting...
  18. Carlos Danger

    COVID VACCINE - The Megathread

    The COVID vaccines have been widely available to the general public for less than a year, and in that time well over 60% of the population has become fully vaccinated and 75% has received at least one dose. Are you confident that there was not comparable skepticism when the polio vaccine was...
  19. Carlos Danger

    COVID VACCINE - The Megathread

    And they'll tell us that it isn't a problem with the interventions or just the nature of a highly potent virus in the age of globalization, but its all the fault of the drooling, uneducated masses for being too stubborn and uncooperative to do exactly what they are told by "the officials"...
  20. Carlos Danger

    So you think he was REALLY dead?

    I mean, if he was having snoring respirations the whole time, then he never arrested. Could have been on the verge of arresting though, for sure. Occam's razor would suggest that they just failed to palpate an existing pulse, which of course may have been weak from hypotension.
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