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  1. HardKnocks

    Mission Before Self

    Mission Before Self The Title says it all. Operating in a Hot AOR without GPS Navigation above everything else.
  2. HardKnocks

    EMT-B responds to 2 GSW Victims

    See page 147 for the EMT's interview with Law Enforcement. GSW Victims Seems like the EMT failed to use several immediate treatments for a GSW. I had a few questions for those of you that are familiar with the Scope of Practice for EMT-Bs in California; 1) Do they currently teach and...
  3. HardKnocks

    New Eurocopters Coming Soon

    Here's recent sales info from Eurocopters, from Nov. 2022. More than 35 new single and twin-engine Airbus helicopters were sold in the US air medical market over the past 12 months. Highlights include Atrium Health, which will enhance its MedCenter Air emergency and critical care patient...
  4. HardKnocks

    Hands On defibrillation - HOD

    This Technique has been studied for over 20+yrs yet it fails to gain acceptance in U.S. EMS Protocols. Stats show that even a >10 second interruption of CPR during Cardiac Arrest significant affects blood flow, (i.e. decreased cardiac perfusion), and impacts/reduces the percentage of a...
  5. HardKnocks

    Air Methods to Close Medivac Bases Across Several States

    Air Methods will close air bases across several States due to reduced reimbursement rates for air services from Medicaid and Medicare, (Rumor has it approx. 35 bases will be closed). "...Citing low reimbursement rates from Medicare and Medicaid, Air Method said in a statement that they couldn’t...
  6. HardKnocks

    Confined Spaces with over 23% Oxygen Saturation

    I've been tracking the Honolulu Fire Ambo explosion, as this is not a new occurrence. I'm looking back at some of the older NREMT questions and I cannot find anywhere they mention the possibility of dangers of explosion of 02 Saturation in a confined space, (i.e. Pt Transport Vehicle etc)...
  7. HardKnocks

    Priority Ambulance (Arizona Locations)

    Arizona Jobs
  8. HardKnocks

    AMR/LIFELINE Response Failures in Northern Arizona

    When most of you enjoy a 7 minute 9-1-1 average response time...... Here's for those of you that have never experienced issues covering large rural areas. Background; Northern Arizona is a rural area served by 3 Level-4 ER's withing a 50 mile radius with the nearest Level-1 Trauma Center...
  9. HardKnocks

    Rising Fuel Costs Will Cut EMS Response

    With the doubling of fuel costs in the U.S. EMS Providers are in a losing battle, as profits dwindle, while Administrators look for cost cutting measures to bridge the gap. I foresee in a drastic cut in 9-1-1 response and services. Triage-Over-the-Phone for Non-Critical Patients, and Walking...
  10. HardKnocks

    Officer Safety - Flash Floods

    Some people have never seen or experienced a Flash Flood Incident. Some Posters here respond frequently to the results of a Flash Flood. Every year we get calls for Swift Water Rescues throughout Arizona, (including the Metro areas), as most people attempt to wade through or drive through...
  11. HardKnocks

    New Diagnostics Learned - Post Em Up

    Every once in a while I like to review old cases to see the advances in BLS/ALS Field Diagnotics. I had the pleasure of assisting with an outbreak of Dengue Fever while OCONUS. Dengue Fever is a Mosquito-Born infectious disease related to the West Nile and Yellow Fever viruses. There is no...
  12. HardKnocks

    AZ. EMT's 1 Fatal 1 Critical from Intersection Collision with Semi Truck

    )n Apr. 8, 2022 two Salt River Pima-Maricopa Indian Community Firefighter/EMTs were involved in intersction collision with a Semi Truck. They were Running Code, while pulling out from a side road onto a highway in the eastern part of Maricopa County, (Phoenix area). The violent collision...
  13. HardKnocks

    Supraglotiic Airway Use by EMT's

    I have seen EMT's successfully use Supraglottic Airways, (i.e. I-Gel) and its been an approved Skill in various States. Personally I love the I-Gel. Its almost fool-proof compared to Intubation with a Blade-King Airway, (i.e. no over depth insertion issues and no Right Bronchi Entries etc)...
  14. HardKnocks

    LODD Med Jet N880Z

    A Med Jet Air Ambulance went down in San Diego County. 4 POB perished in a Lear35 N880Z. https://www.nbcsandiego.com/news/local/investigation-underway-after-plane-crash-in-neighborhood-near-el-cajon-power-outages/2825983/ You stay in the Biz long enough...you'll lose acquaintances and friends...
  15. HardKnocks

    Looking for a compact reliable Glucometer

    Like the title says. Looking to update gear. I work mostly in very rural areas, (Lvl 1 >60 min driving ETA) and gear bag space it as a premium. Thanks HK
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