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  1. dutemplar

    How many paramedics dump ice on hyperthemic patients in the field?

    a few years ago, I saw an ad on Ems world.. 3 year base contract. I’ve been here 5.25 years so far. Personal life, it’s insanely amazing and I now have fraternal twins to a complete Turkish babe. The system is amazing when it works, and is a dozen nationalities servicing three dozen...
  2. dutemplar

    How many paramedics dump ice on hyperthemic patients in the field?

    Qatar. More sand, less rattlers... unless you could the Land Cruisers rattling sideways up and down the dunes.
  3. dutemplar

    TXA

    So, the nutshell version, if I understand... If you're dealing with a fairly young, healthy population that just got jacked on bullets, blown up, or crimped in a car, it's probably very therapeutic in the initial management especially when we can't run low titer whole blood. The older they...
  4. dutemplar

    the 100% directionless thread

    Meh, my wife still goes outside to sip coffee and look at a cigarette if I'm singing in the house. She figures the neighbors know she isnt beating me then... :)
  5. dutemplar

    Video Laryngoscope Thread

    We still carry traditional steel, and the McGrath. Glidescopes are usually available, I'll usually grab one if I can. I've used the McG a bunch of times, and it is my go to unless I see utter airway hell and I know I'm gonna be tossing a salad and using a shop vac. It's more "normal" than the...
  6. dutemplar

    Joining the USAR as a 68w; Worth it?

    The Reserves don't quite train John Wick to also do medical stuff... Active (possibly) but plan on either 18X(D) or 68W/18D.. or Guard with 19th or 20th Group. https://goarmysof.com/specialforces/sfrecruiting.html
  7. dutemplar

    Praying while on call

    Yeah, that's patient driven. Although once or twice I may have done something along the lines of "Hail Mary, full of Grace, let this (IV/ETT) slide into place." Another time or two, there could have been a quick prayer caused by the partner's driving or the helo's flying.
  8. dutemplar

    the 100% directionless thread

    So, the dude wearing a paramedic cap in Kenosha who was almost disarmed... please say he isnt a real paramedic.
  9. dutemplar

    Still alive?

    Unless there are major indications of permanent death, I'mma gonna get that 4ld ECG strip just because I can. Traditionally did the 30 second listen for any cardiac tones. Wouldn't mind a POCUS on the heart, but hey. Excluding: Decapitation, incineration, decomposition, rigor mortis...
  10. dutemplar

    TXA

    We drop two amps (total 1 gram) in a 100 NSS and 5-10 minutes. Generally it's set to a quick drip and just ran in the ballpark.
  11. dutemplar

    What has been your experience with language barriers?

    I'm in a very crazy system. Qatar. There are an insane number of languages living here, particularly in the industrial/ laborer neighborhoods. The "majority" can speak arabic and/or english, but... the lower level workers? Nope. Good luck with that. That's what they have supervisors who can...
  12. dutemplar

    Hellenic Coast Guard's new Ambulance boat

    Ive seen a bunch of them around. If the bird can't go to an oil platform, we have an "ambulance boat" available. It gets messier when involving the coast guard or navy. Trying to get it in general service for a pair of busy marina areas with all the highly intelligent and capable seamanship...
  13. dutemplar

    How many paramedics dump ice on hyperthemic patients in the field?

    We sometimes do fairly aggressive cooling... but from rural areas (and beach) to hospital can be 1.5 hours or better. by road. People out in 130-140F weather don't always do so good... The hard part would be finding ice, although there are tons of small shops, "restaurants" and all have...
  14. dutemplar

    EMS in Costa Rica

    Cheers and good luck. Also, let us know how it goes. I'm looking at putting in papers next year, and we're eying up a few places after chilling with family for a couple of months. Portugal, Costa Rica and Belize being towards the top of the list. I'd love to dabble on the side to keep me...
  15. dutemplar

    the 100% directionless thread

    Haven’t been chatting much, or logging in much lately. Too busy. Wife is knocked up, expecting two boys. Theoretical due date 31Jan but she’s doing the preeclampsia dance and at 33w5d is a “next time her BP goes over 145/95, game on!” Generally getting tired here. A couple of good people are...
  16. dutemplar

    Shift Work Models from Around the World

    I utterly despise our 2 day, 2 night “four off”. - but we rarely get all 4 off with extra shifts, training and OT. I don’t flip very well between day and night shifts and it’s getting brutal.
  17. dutemplar

    One question?

    Completely irrelevant, but I was in Malaga about ten days before you posted that. Cool dive trip out of Benalmadena.
  18. dutemplar

    Working in Qatar

    The dispatcher / ambulance paramedic (EMT-I kinda) is roughly $2600/month, give or take, plus housing, etc. Give or take, that's not my pay grade. It seems to draw quite a few recruits from the Phillipines, Tunisia, Jordan, Morocco, India,... My time at the comm center was there as a critical...
  19. dutemplar

    Working in Qatar

    Still here. The call center is fairly busy. There are breaks and all, but it isn’t a very studying kind of environment. Breaking it down, you have call-takers (dual language, plus some extras thrown in) who do PROQA processing 999 medical calls. You have dispatchers that operate one of the...
  20. dutemplar

    Working in Qatar

    First off, cool. My wife is Turkish. Was there back in June. Visit family in Istanbul, visit the summer home on cinarcik, and then a road trip for diving down to Kas and Fethiye with some pitstops on the way. And yea, from past trips to Turkey I looked at a fire station and ambulance or...

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