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  1. MonkeyArrow

    Anyone using Ultrasound?

    Maybe, depending on the clinical context and what you're looking for. But why? EDIT: As in ultrasound as a modality can be theoretically used to detect fractures. But why would EMS need to use it in this capacity?
  2. MonkeyArrow

    the 100% directionless thread

    My understanding has always been type I MI is due to coronary occlusion and type II is ischemia secondary to supply/demand mismatch or global shock/hypoperfusion. I.e. Type I requires a Cath lab and Type II needs to identify and treat the underlying cause and ST deviations should resolve.
  3. MonkeyArrow

    PTSD/unprocessed trauma

    It’s funny you put it this way, because I’ve been thinking about this a lot recently. For me, it’s not the deaths but more so the lack of successes that is getting to me. I don’t necessarily think about the bodies, but I feel like I haven’t done anything good/worthwhile in a bit.
  4. MonkeyArrow

    Passing Medic registry

    Sure, but I would argue that all good paramedics are able to pass the national registry with minimal difficulty.
  5. MonkeyArrow

    the 100% directionless thread

    I just bought a propane torch and some steel to start knife making. Hopefully, my first one isnt a paperweight.
  6. MonkeyArrow

    Coronavirus Discussion Thread

    This is a bit hyperbolic. We're, what, 4 months out from when the virus really took hold in the states and we still don't have effective contact tracing in place. I highly, highly doubt earlier testing would have done anything other than give us a more accurate numbers of hospitalized patients...
  7. MonkeyArrow

    is a broken arm an ALS or BLS call?

    Not (necessarily) taking a side here but doesn’t categorizing this as a BLS call effectively equal refusing to give pain meds?
  8. MonkeyArrow

    George Floyd Paramedics

    I read somewhere that the scene was 10 blocks up the road from a hospital and 20 blocks from Hennepin County Medical Center. Given that, the scene conditions, and my guess that securing an airway would be important in an asphyxiation/hypoxic arrest and difficult given the mechanism, I’d like to...
  9. MonkeyArrow

    German Study on Optimal Airway in Cardiac Arrest

    In a large, retrospective registry analysis of 14,805 patients over 10 years (2007-2017), endotracheal intubation was associated with significantly higher neurologically-intact survival compared to a laryngeal tube only. In pre-print in Resuscitation, the study looks at non-witnessed, adult...
  10. MonkeyArrow


    I was actually reviewing the literature the other day. I’m not sure there is good evidence for this. There’s not good evidence for much of anything, especially in humans.
  11. MonkeyArrow

    Anyone know if AEMT training exists in CA?

    I wasn’t suggesting that. My main question was that you have paramedics dispatched to every chest pain call and they still assess the patient and then can make a determination to allow the A to transport? AEMTs aren’t getting dispatched to chest pain type calls alone?
  12. MonkeyArrow

    Anyone know if AEMT training exists in CA?

    Does your system allow AEMTs to interpret 12 leads?
  13. MonkeyArrow

    the 100% directionless thread

    That has been the most surprising thing to me. Ever since we went no visitors at the hospital, I expected a ton of pushback from family. We see the opposite; people are scared to come in. I've had multiple people say "thank you" when I told them 'sorry, no visitors' and a bunch of others just...
  14. MonkeyArrow

    the 100% directionless thread

    Anyone have any good resources they like for neonatal resuscitation?
  15. MonkeyArrow

    NYC Covid EMT surge staffing job

    What is the hourly rate looking like, if you don’t mind me asking? (Ballpark is fine). OT after 40?
  16. MonkeyArrow

    Coronavirus Discussion Thread

    Well I think we're now coming around to the idea that aerosolization is not a legitimate means of transferring COVID. There was this from JAMA at the beginning of the month finding no evidence of COVID in air samples, and I believe one or two similarly small studies backed that up. In my...
  17. MonkeyArrow

    Coronavirus Discussion Thread

    I've seen a lot of talk about the first point too through various channels. Not intubating early, awake proning with HFNC, trying CPAP. An interesting topic I've heard is the concept of "silent hypoxemia" or "happy hypoxemia" where you let these individuals who are on high Fi02 non-invasive...
  18. MonkeyArrow

    Coronavirus Discussion Thread

    In metro Atlanta, my ED volume is down by about half. Patients we are seeing are sicker. Units starting to fill up. I heard some talk today of some only having a handful of ventilators left. And I will echo what some others have said: we’re seeing a ton of bounce backs who come into the ED...
  19. MonkeyArrow

    Coronavirus Discussion Thread

    That’s an unbelievably reckless statement to make.
  20. MonkeyArrow

    the 100% directionless thread

    The left ventricular ejection fraction (LVEF). A measure of how well the left ventricle is squeezing, essentially. Some patients with heart failure have a decreased left ventricular ejection fraction.