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  1. BassoonEMT

    Probably Shouldn't have said that....

    And I never said it was an accident that I said it. You're doing a lot of assuming and griping over what was meant has a funny post. You know, being in "EMS humor" and all. I'm not looking for advice from the wise sages. But enjoy your pedistal and your forum burnout, which is apparently a thing.
  2. BassoonEMT

    NY 911

    In my experience, yes, much better in general. Although senior care gives you uniforms ;P
  3. BassoonEMT

    NY 911

    Yeah but easier to clean with peroxide. And they're one of the only places that will clean them/give you fresh ones/give you uniforms in general.
  4. BassoonEMT

    Probably Shouldn't have said that....

    Well good thing I made sure to say this when nobody was around.... Every time I come back to this forum I'm quickly reminded why I stay off for months at a time.
  5. BassoonEMT

    new here... i have a question

    Just pointing out the extra layer of poor documentation.
  6. BassoonEMT

    Probably Shouldn't have said that....

    The reason I added my comment about rapport was to avoid the "well I'm great I know when I can get away with things. You have to gauge each patient. Blah blah blah" Never expected it to turn into a "young providers can't do this, but old ones can". Good job. Keep on judging.
  7. BassoonEMT

    New Intubation Method - looking for feedback from the field

    Yes, my comment was obviously geared toward on-scene. And the point I was making remains, this product would not replace the SGA in that scenario either. I never said it was bad. But i can't see it as replacement to any existing device, even standard laryngoscopes, in the near future.
  8. BassoonEMT

    Auto CPR, why doesn't it work?

    In my area, it all depends. SO is I can pronounce on scene after CPR if refractory asystole after 20 min, but I also need the family to be ok with that. If they want us to transport, we do. Any other rhythm, have to call the doc, give the story. Depending on the age and hx, we may transport...
  9. BassoonEMT

    New Intubation Method - looking for feedback from the field

    THAT i can agree with. And you may be right. My initial point remains though, while it may be cheaper than the SGA, that will still exist. It MAY be used less and therefore save money, but that's not a guarantee that will convince many companies.
  10. BassoonEMT

    Probably Shouldn't have said that....

    35 y/o m diabetic, bgl 30. After we get him up, doing the usual "what'd you eat, how much insulin". He says "yeah I ate, I ate a lot like the fatass I am". Guy had a bit of a gut, but definitely not "fat" (not for 'murrica at least). Especially with the large patients we get... I say something...
  11. BassoonEMT

    New Intubation Method - looking for feedback from the field

    You need a backup airway device. Your additions to a laryngoscope is not an airway device. A tube is a tube.
  12. BassoonEMT

    New Intubation Method - looking for feedback from the field

    I can not speak for what is done in hospital. My limited knowledge from clinicals was "they decide based on sedation and aftercare requirements." When an Paramedic inserts an SGA, it is because they are unable to intubate. Some protocols call for using it right away, with no tube attempt. But...
  13. BassoonEMT

    What age is appropriate to introduce firearms to your children?

    If they can crawl they're already in Prone Position!! Mount a rifle and have at it! In all seriousness, I agree completely with @Akulahawk. Not only in method, but philosophy. As we know, everybody is different. Including rate of maturation.
  14. BassoonEMT

    67 yo male with possible seizure and syncope

    My differential would include what E tank said, as well as (less likely because of recovery) ca return and has metastasized. Tumors are always on my list for new seizures in the elderly. Always thought they would just be tonic/clonic until a convo with a nero doc. Said it's more rare but can be...
  15. BassoonEMT

    New Intubation Method - looking for feedback from the field

    This device is certainly NOT a replacement for an SGA. You NEED a back-up airway device. Especially in the instance of RSI. This is not a guaranteed airway device. As superior as ETI, sometimes you can't do it. There's no such thing as "eliminating the need" for another airway device. Does the...
  16. BassoonEMT

    Auto CPR, why doesn't it work?

    Never had an issue with set up on the lucas. When you factor in the pauses in compressions for transporting, the ineffective compressions you get if transporting before ROSC, the extra couple seconds aren't so bad. When arrest is identified, start manual cpr. Someone can get the lucas ready...
  17. BassoonEMT

    NY 911

    NYC has the FDNY, voluntary agencies, and private companies. The "voluntaries" are called such because they voluntarily participate in the FDNY 911 system. These are primarily the hospital based services. I used to work for one of them in queens. They follow all the FDNY rules/regs. Most if not...
  18. BassoonEMT

    New Intubation Method - looking for feedback from the field

    Another thing to keep in mind, the one thing that (most) higher-ups value more than patient lives is money. Unless there is a mandate, or a major lack of skill/success within the company that they can prove beyond a doubt would be resolved with your product, they will not spend the extra money...
  19. BassoonEMT

    new here... i have a question

    very possible... but WHERE did they do it? right tibia? right humerus?
  20. BassoonEMT

    Help with a Med career!

    Join a local volly, get some ride experience, get your EMT. Consider taking a class or two a semester at a local community college, even just working towards an associates in some kind of science. When you feel ready for your medic, take a break from all other schooling and do it. Get a job...

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