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The macro set will not reduce flow-rates significantly. However with the majority of locks, they will reduce it to roughly the flow rate of an 18g. I work for a service without locks but in your suspected massive hemorrhage patients, you should skip the lock and go straight to the catheter with...

When I was working for MBA in SoCal, I remember there being a big stink when the Medical Director for Mercy Air suggested to High Desert's ED staff that they "should just call our crews whenever you're going to intubate. They're better".

I'm not saying she wasn't hypoxemic or that this was an appropriate use of anelgesia, but I am saying that it's unlikely for a pulse-ox probe to read 35% as well with a spontaneously breathing patient.

You weren't taking the blood pressure on the same arm the SpO2 probe was on were you? Because that's what I get out of the above and would explain the sudden drop in perceived hypoxemia.

Haven't read either but the most recent episode of EmCrit had some insight. Scott said the read Rosen's cover-to-cover and then have Tintinali's as a reference when he was talking about books that every PGY1 should read for emergency medicine.

That one and the gang shooting one was also super interesting I thought.

Did some googling for you because you got me curious. http://www.denverhealthparamedics.org/realdirectionems/ems-cases-menu The one about haldol in grape juice for a unruly teen is super interesting! Seems like they have good relationships with their medical control all around.

Damn, just found out (5 days before it was supposed to start) that the AEMT class I had registered for is cancelled because too few people signed up. Was looking forward to actually having SOME interventions available to me.

Brandon (and others), That brings up a question I've had. I know you are very into 12-leads but are certified as a basic. Do you ever put the patient on the monitor (even just a 3-lead) even if interpreting is outside of your scope? I've heard of people printing rhythm strips to hand off to the...

I got picked up at 18 by a 911 company.

Is is possible for a lower-level provider or Paramedic interested in HEMS to go on a ride-along to see how things are run? I would imagine that it would be impossible but I have also heard rumors that it is.

The state has announced it. In fact, the trainings have already started. Info can be found at the following links. Basically there is going to be a Online Update (already did mine, ~1 hr) followed by a 25 question online quiz, and skills updates at the local level. The online update also covers...

It's from the other show (Save My Life) but did anyone notice this dude with his tacticool quick-draw belt-mounted OPA kit? Never before have I seen someone do that! Bottom left in this screen-grab.

It depends, what do you have in mind? We only transport to one hospital so it would be pretty straightforward. In order to do that I would need to set it up as an actual research project through the school with a faculty advisor--no big deal because that's the end goal anyways.

Probably somewhere in the 3000 range including all faculty and staff, maybe a little more. Approx. 300 calls a year. Mostly calls you would expect from a predominately early-20s patient population. Every once in a while we'll get a call for a professor, staff member or what have you.

DING DING DING Yup, it's alcohol and alcohol prevention is obviously a large priority. I'm thinking about maybe doing something showing that an EMS system that does more than just transport to the ER (referrals to other places) can work, and showing a small college system as an unlikely...

Hey guys, Just took over a position that gives me access to all of my agencies PCRs as well as our data base of info from those PCRs. We are a Collegiate BLS First-Response agency and I was hoping to maybe do some research using the information I have access to. Is there anything worth doing or...

I assume you asked the question for discussion so, Short answer? No. Competence has everything to do with the patient's ability to understand and accept the risks of refusing transport to the hospital by ambulance. HINT: they can do this without the term "seizure, coma, death" that people love...

Hi All, I am now in a position where I am making purchasing decisions for our BLS First Response agency. I've obviously only used the equipment that I had available at the agencies I had worked with. Is there any brand/type of equipment that is worth buying over generic? Things like those...

With many education resources in the EMS world being directed towards paramedics, I have long felt that EMS Basics is the best site for those of us EMTs who want to perfect our craft. I went to emsbasics.com today and saw that it looks like the site may be down. Does anyone know if it's just a...