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Touche. I do agree with your sentiment completely and retract the bit about Vec, but i still must advocate for Ketamine. It's the primary anesthetic in most of the world, generally adverse reaction free, and gives you some wiggle room to augment with benzos (which also prevent re-emergence). It...

I think that some guy in Philly is selling the used LUCASs out of the trunk of his Cadillac.

Propofol is great in a surgical or ICU setting where noise levels are controlled, extraneous stimulus is mitigated and intubations always happen at chest level. In the EMS realm, propofol is generally a poor anesthetic choice and only achieves its desired effects as high doses. This is where...

I spent 4 years working for them but left 7 years ago now since I moved up to the metro. I worked in St. Cloud, Rochester and in their Emergency Communications Center. I have my own feelings on the topic of them, but they are a decent organization and have really cleaned up their act. Mayo is a...

I am trying to push ODT zofran with my agency. Great for your nauseated patient who needs some tummy control RFN and IVs access is iffy. Just about anyone who has had ondansetron ODT will attest that it is just as good, if not better than IV. Cost is equivalent to IV as well. Zofran carries a...

Buy a nice pair of Doc Martens black shoes. Comfortable as hell, and look professional on duty and casual enough for off duty. You always need a good pair of black shoes... I wore the men's version of these for 'pert near everything on and off duty for two years a pair...

In the US&R environment, we use pressure bags and set up our systems with absolutely no air in the system, set our rate appropriately and maintain pressure in the bag and document when the infusion should be done, tuck it between their legs and leave the pressure bag bulb and a medication port...

Is the green whistle still in play down there? http://en.wikipedia.org/wiki/Methoxyflurane

*many of my references are focused on my agency, but are salient in this context. I learned more about why the "ridiculous" things that dispatch does happen when I took my EMD course than I had in 4 years as a medic previously. Everyone plays the "let's avoid litigation" game. Street crews do...

Hennepin County, Minnesota 911 Agencies. PAIN MANAGEMENT – ADULT To provide relief of pain when indicated. This protocol is NOT to be used in cases where the patient: • Has a systolic BP less than or equal to 90. • Has pain determined to be cardiac in origin (See the protocol Ischemic Chest...

If you interview well and don't come off as soaking wet behind the ears, any experience requirements can become moot. We want to hire good people who want a career that they can retire from. They don't want to hire people who are still trying to sow their oats and just want a "job" as they...

I oppose a ballistics vest mandate, but I have chosen to wear a ballistics vest for the past 7 years, both when I am working traditional 911 and when I am in my role as a Community Paramedic. The latter role is one that I recently decided on with the rash of random violence against public safety...

full nremt reciprocity at no charge. http://mn.gov/health-licensing-boards/emsrb/faqs/personnelfaq/ all SSM points have a physical station with quarters. mostly fire stations and police stations. All shifts start and end downtown Minneapolis and may take you to many different places...

My only beef with mine are that they don't fit in many EMS style trousers scissor pocket. The holster is actually pretty nice, but if you have a 2inch duty belt, it sits a bit askew, but i have no concerns about it falling off.

The elephant in the room - The cold sucks. Understanding how to dress and layer correctly is easy and paramount, but I get through most winters with a fleece jacket and sometimes a shell if there is precipitation. It gets down to -30f and it also snows about 60 inches a year. This morning, when...

The hiring process has really evolved over the past couple years (for the better). I am completely enveloped in the Community Paramedic world, and haven't dealt with anything hiring related in a while. If I recall correctly, it now includes two oral interview panels, one panel is field...

Hennepin County Medical Center, Minneapolis, MN Paramedic (612) 873-5678 https://www.hcmc.jobs Scroll to job ID 12526 Paramedic, PF - Fulltime https://www.facebook.com/hennepinems We are currently accepting applications for full time, benefit earning Paramedic positions for our Emergency...

Opals It is an older study, but I think that it still rings true. OPALS reaffirmed the theory that critical, but possibly survivable trauma and cardiac arrest benefit from BLS. ALS and physician level crews were detriments to their patients survival. It is all a distraction from what really...

Do they roll on shabbos?

Cub Scout summer camp counselor, commissioner and program director (4 summers, best job ever) Rock climbing instructor (5 years) Boy Scout winter camping crew guide (5 seasons) Then a cornucopia of paid and volunteer EMS jobs for 4 years, finally landing at my current employer 5 years ago (and...