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  1. MonkeyArrow

    Lightning Strike

    Is this a real scenario? If so, why would pt. 2 be tripoding but only have a RR of 9? Nevertheless, see if pt. 1 gash has life-threatening hemmorage. If so, control the bleeding. If not, move straight to compressions for pt. 4. Wait for help
  2. MonkeyArrow

    Video Assessment of Stroke/AMS Patients?

    There was a JAMA article a couple of months back on the legalities of using personal cell phone devices to record and transfer HIPAA-compliant things, as there must be a reasonable level of encryption and no way to deidentify the patient identifiers. The best way is a well-documented NIHSS...
  3. MonkeyArrow

    Duke HEMS crash

    From the picture in the link that Epi posted, there isn't much of anything left of the helicopter. Must've hit the ground fast.
  4. MonkeyArrow

    100% Directionless Thread

    I can't comment on the "occasional incubators" part; most of the studies that I was talking about were in an in-hospital context.
  5. MonkeyArrow

    Advice for the future.

    This here is the real caveat IMO. We have tons of ED nurses that I work with currently starting/in/finishing NP school. The majority of these are hybrid/almost completely online. Now, why is this a problem you ask? I am highly skeptical of the ability to impart the necessary knowledge needed to...
  6. MonkeyArrow

    Advice for the future.

    No you don't. It will add nothing of value to your PA education; most NPs I speak with say they like the PA "medical" model over the NP "nursing" model. Part of what will make you a good clinician is experience. Get that in the field now, being and learning as much as you can. Try to make your...
  7. MonkeyArrow

    100% Directionless Thread

    Eh. There remains an ongoing debate in the critical care circles, specifically, about the ultimate DL vs. VL first pass success rates. Each study that comes out shows one thing or another, but I think the success rates remain very equal in pooled meta-analyses.
  8. MonkeyArrow

    HEAVEN criteria

    This seems a bit redundant. I don't think this acronym provides any new information about the potential for a difficult airway, and to be quite honest, yet another acronym adds to the meaningless fluff that most acronyms have become.
  9. MonkeyArrow

    100% Directionless Thread

    Even though ETCO2 has those capabilities, no one in-hopsital that I've seen/worked with will use it as such. Hypercapnic? Draw an ABG. Worried about perfusion? Drop an A-line/CVC/Swan.
  10. MonkeyArrow

    100% Directionless Thread

    Well, it is somewhat redundant when you can mirror the vent settings anywhere in the hospital. All intubated patients are going to be placed on a vent, and the advanced metrics there will certainly show if the tube has been misplaced or dislodged.
  11. MonkeyArrow

    100% Directionless Thread

    Yeah, it is something I am trying to get our medical director to get more aggressive with as a ED-wide standard. We have the freaking cannulae and adapters right there in the resus bay next to the BP cuffs and electrodes where all our intubations end up, but aside from a couple of more...
  12. MonkeyArrow

    100% Directionless Thread

    My ER. Only half joking.
  13. MonkeyArrow

    Basic Life Support Scenario of the Day

    It's got to go above the elbow, if I choose to go that route. Can put it below because the two bones (radius and ulna) of the forearm could prevent complete compression of the arteries.
  14. MonkeyArrow

    Propofol/Ketafol

    Every single thread with you turns into some contrived, far-fetched legal scenario where someone gets sued. The real world just doesn't operate like that. Can you cite a single case where this reasoning has been used to grant judgement against a paramedic in the United States? We've tried to...
  15. MonkeyArrow

    Propofol/Ketafol

    Then you are not providing standard of care. If you actively look for reasons to withhold a medication that would be beneficial to your patient, especially one that is in use in ERs and EMS services nationally, you are not providing standard of care. Be more worried about doing the right thing...
  16. MonkeyArrow

    National EMS Scope of Practice Model Revision

    So, uh, what do you when you get on scene first? Sit in the truck waiting for ALS?
  17. MonkeyArrow

    Should Tactical Medics be armed?

    Enemy troops will fire on you regardless. You think ISIS gives a crap about the Geneva convention? In fact, military medics often do not wear medical insignia because that makes them a bigger target to get shot at. Also, an overwhelming majority of the time, a combat medic is not going to be...
  18. MonkeyArrow

    Suicidal patient refusal?

    Ah, now I remember. This guy is the fake lawyer. You are conflating government funded with government run, first of all. The eight amendment does not apply because no punishment is being carried out by the government. Seeking treatment for psychiatric care is not a punishment issued through the...
  19. MonkeyArrow

    Suicidal patient refusal?

    @bakertaylor28 but you seemed to ignore my response to your post earlier. Where is your source that holding the wall until a bed becomes available is a violation of federal law that the FBI will investigate?
  20. MonkeyArrow

    Suicidal patient refusal?

    Source for the bolded? And federal law simply says that no hospital can intentionally send patients away to another hospital without appropriate stabilization and treatment within that hospital's means. Having you hold the wall to wait for a bed is not "patient dumping" nor a federal crime.
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