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  1. VFlutter

    Medic Ambulance ALS-RN

    I have no first hand experience however with talking to friends in CA it seems that like stated above many of the "CCT-RN" transfers are typical ALS stuff and not what most would consider actual critical care.
  2. VFlutter

    COVID VACCINE

    Yes, I am getting the Pfizer next week. Although it may feel rushed compared to previous vaccines I do feel that mRNA process appears to be solid.
  3. VFlutter

    Helicopter Stuff and Things

    Most couldn't even handle a Blackhawk
  4. VFlutter

    Helicopter Stuff and Things

    If they want to stick with MD it would likely be a MD902
  5. VFlutter

    Hanging up the flightsuit

    Congrats! A very difficult decision I am sure. I am avoiding growing up and having to make that call ha
  6. VFlutter

    the 100% directionless thread

    Happy Halloween!
  7. VFlutter

    the 100% directionless thread

    Deranged Physiology. Except the website doesn't seem to be working lately Or Intensive blog and LIFTL https://intensiveblog.com/cicm-second-part-exam-practice-saqs-19122019/
  8. VFlutter

    the 100% directionless thread

    Patients in septic shock are usually hyperdynamic initially due to tachycardia and non-existent SVR which allows them maintain a reasonable SV until they become either profoundly hypovolemic or have cardiac dysfucntion from acidosis. The patients we see who actually have invasive hemodynamics...
  9. VFlutter

    the 100% directionless thread

    Correct, at appropriate dosages the duration of action is pretty similar with Vec being slightly longer and the onset being the bigger difference. I guess a more general statement would be that a short acting sedative with a long acting paralytic isn't an ideal combination for inexperienced...
  10. VFlutter

    the 100% directionless thread

    Very high likelihood the patient will be paralyzed and not sedated either during the peri-intubation period or thereafter. Sure you can time it appropriately and quickly follow up with adequate sedation however in our area it is always Etom/vec and 30-45 minutes later think about adding sedation.
  11. VFlutter

    the 100% directionless thread

    Etomidate and Vecuronium RSI should be a crime. Can you call Department of Health and Senior Services about that?
  12. VFlutter

    The future of EMS and SAR

    That broken ankle is a time critical injury
  13. VFlutter

    Video Laryngoscope Thread

    Really love our new C-Mac 8403XD. Weight and balance takes a bit to get used to but the screen and picture quality is amazing.
  14. VFlutter

    the 100% directionless thread

    Depends who you are talking to. I doubt many outside cardiology or EP necessarily care to understand
  15. VFlutter

    TXA

    Our protocol for TXA loading dose is 1g in 100 ml over 10 mins however in reality most slow IVP it over a few minutes. The over 10 mins is due to concern with transient hypotension possibly associated with rapid pushes in the CRASH trial however these patients were shocky and hypotension was...
  16. VFlutter

    the 100% directionless thread

    Got the new Galaxy Note20 Ultra. The camera quality is insane for a cellphone. Really excited to use it more
  17. VFlutter

    the 100% directionless thread

    More than average with mostly younger healthy patients that wouldn't typically suspect to be for legionella cases
  18. VFlutter

    the 100% directionless thread

    Anyone seeing an uptick in atypical pneumonias? Have seen quite a few very sick Legionella pneumonia and such covid negative patients lately. Suspected to be due to cloth masks

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