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  1. grumpy1

    Airway Management in Head Trauma (Scenerio)

    It was an outside the box thought and its always good to bounce those off others at times, good observation on the time.
  2. grumpy1

    Airway Management in Head Trauma (Scenerio)

    I'm coming in to this very late and I didn't read many responses so I am going to type and see what the group thinks...... Given the scenario, pt needs to be intubated via RSI but lets hold the Etomidate, why..... because it works on the adrenal cortex and could HYPOTHETICALLY reduce the amount...
  3. grumpy1

    Flight Medic

    Be sponge and get as much education and "street experience" as possible. A positive attitude, able to take constructive advice, personable demeanor, willing to go the extra mile and strong clinical skills are things needed. If you can find a CCEMT-P course, take it then prepare for the FP-C...
  4. grumpy1

    EMS-Friendly BiPAP?

    Correct. We have had good success with this vent on multiple aircraft with little problem. Its a bit more affordable that the Revel, which is a great machine as well.
  5. grumpy1

    Why Do It?

    Most crashes are result of "pilot" error and flying in weather that isn't suitable. Personally, proper crew resource management, crew members who are not afraid to speak up and management support make the environment better. Some companies maintain their aircraft well and others do not but...
  6. grumpy1

    EMS-Friendly BiPAP?

    Zoll Vent 731 BiPAP and vent
  7. grumpy1

    FP-C question/ help plz

    2 best books are: Back to Basics Flight Paramedic Review by Faudree Multiple Coworkers have passed by using these books, CFRN and FP-C. Pittman course is great, hopefully the new instructors will do as well as Corey did. Dont worry with the A.C.E. book, way too advanced for either the FP-C...
  8. grumpy1

    helicopter landing zone

    Most flight services conduct formal LZ classes for the organizations covered in their respective areas. Like others have said contact the service direct and they will assist in setting something up. Most LZ need to be relatively free of obstructions and at least 70X70 during the day and up...
  9. grumpy1

    Who inspired you?

    My dad, I grew up visiting him at the fire or ambulance station and sitting in the trucks.
  10. grumpy1

    Teaching vitals

    Lots of practice and like another poster mentioned have practice readings on multiple people.
  11. grumpy1

    Thiamine and the "Coma cocktail"

    My state protocols are simple; IVP with D50 in cases of hypoglycemia.
  12. grumpy1

    Rsi?

    No offense taken, well not much anyway ;). All I can say is non-progressive protocols tie hands.
  13. grumpy1

    Vents of Choice

    I struck out on the search
  14. grumpy1

    Vents of Choice

    What types of ventilators are you critical care types using out there. Ground service I work for is looking to buy new vents and I am wanting some possible feedback, suggestions of those being using by others. I read the rules and don't think it's against any since this is going to be...
  15. grumpy1

    Rsi?

    Ground - Get the needed drugs (sedatives, paralytics etc) from the sending facility; right now we do interfacility only. Air - HEMS/interfacility. Full RSI protocols used, hypocritical yes but each flight service uses an extensive process getting filghts crews signed off on RSI and...
  16. grumpy1

    Rsi?

    State I live/work in does not have RSI for ground services, RSI is for air services only. Don't see that changing anytime soon. Our medical director does not see RSI as a skill that is needed in the field due to the training and proficiency needed to accuratley utilize the skill.
  17. grumpy1

    IV difficulty?

    When you can hit 100% of IVs is when you need to retire and move to Vegas.
  18. grumpy1

    Hello

    I have not been on any EMS forums for some time now. I see a few screen names on here from another EMS forum site that has obviously gone downhill so to speak. I would like to say hello to all, so Hello.
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