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  1. SeeNoMore

    Why Do It?

    Even knowing the risks of the job I would have a hard time giving it up. I like my 911 job, but I would miss the opportunity to take care of critically ill patients with a high degree of autonomy. I think I would be just as happy pursuing Nursing and eventually advanced practice / CRNA , but...
  2. SeeNoMore

    Personal OCD/Anxiety Issues in EMS

    I have a lot of anxiety during downtime - always have. I assumed it would go away but it hasn't. It dissapears when we get a call - no matter what it is . I manage it by training with sims and studying , trying to excercise more often in the week and busying myself with chores and admin stuff. I...
  3. SeeNoMore

    Should EMS Receive Discounted Airline Tickets?

    This seems kind of judgemental to me. Plenty of folks engage in activities that increase their risk of illness. I would also imagine that people do indeed care when regular people have heart attacks on planes. In any event, I see no reason to offer any kind of discount or additional...
  4. SeeNoMore

    The Great Airway Debate...

    I'd be curious to read this. I do advocate that all providers uss textbooks made for resp therapists and MDs/ critical care rns and are also are given quality education , clicnial time and testing. I think paramedics in particular should show that we are not second class providers through...
  5. SeeNoMore

    Curved vs. Straight blades

    I never use the kiwi grip. I find that I have the most control over the bougie when it's not pre loaded. I always have someone (EMT , fire fighter , whatever ) who can take a moment to guide the ett when needed.
  6. SeeNoMore

    Curved vs. Straight blades

    I just use the bougie 100 percent of the time. I figure if I treat every airway like its going to be difficult I'll be ahead of the game when it really is.
  7. SeeNoMore

    Curved vs. Straight blades

    If you are competent, educated and prepared you should be able to calmly transition to a new blade or approach if there is a need for it. I think the problems arise when providers start missing , panicking and just grabbing devices or new blades without a plan. I think the best example of this...
  8. SeeNoMore

    Curved vs. Straight blades

    Most providers I know rarely use a straight blade on an adult. I generally use a Mac 4 w/ a bougie on every intubation that I don't choose to use VL (other than peds of course.)
  9. SeeNoMore

    How to help a fellow brother?

    I would suggest just keeping in touch and making sure they know you are available to chat if need be. Generally speaking , most first responders I know do not continue to experience nightmares or other issues from routine emergency care. I am not saying it is bad or that one should be ashamed...
  10. SeeNoMore

    EMS helicopter crashes in Minnesota, 3 injured

    Is anyone keeping up with his progress on the caringbridge site? He's awake and able to communicate with his family per the last post.
  11. SeeNoMore

    OK Med Helicopter crash lands

    Regarding it being repaired - I don't know how excited I'd be to board that aircraft again
  12. SeeNoMore

    Care of ex ems personnel

    It really depends how agitated they are and for what reason(s). I can't remember any especially negative experiences with having health care providers as patients. Often they will ask a lot of questions, but I would too! As always , all patients can refuse care or a specific therapy. I just...
  13. SeeNoMore

    Intubation in Flight

    So an associated question - does your program make full use of methods to minimize on scene time for RSI? I have made use of Sydney HEMS material to try and advocate formal checklists , drilling where to place equipment, bougie every time (unless VL is used) etc. On a team by team basis some of...
  14. SeeNoMore

    EMS helicopter crashes in Minnesota, 3 injured

    I am only keeping up with the Paramedic because of the link posted and have not heard anything on the rest of the crew. I got the impression they were significantly less injured? ,The last post was positive considering the severity of his injuries. His wife is showing such amazing strength.
  15. SeeNoMore

    EMS helicopter crashes in Minnesota, 3 injured

    And especially for all the folks new to flight here , please remember this job isn't worth your life! I'm not saying at all that anything was done incorrectly in this case, I don't know the details. There is of course inherent risk in the job. But just in general : ask questions, express...
  16. SeeNoMore

    EMS helicopter crashes in Minnesota, 3 injured

    That was incredibly moving to read , all I can think about is my wife coming to my bedside. I can't even imagine what they are going through. Please stay safe everyone. .
  17. SeeNoMore

    Intubation in Flight

    What is your current thinking (personal or program wide) on intubation in flight? I have been discussing this issue with my regular partners. While we have no program wide policy - it is common to avoid intubation in flight if possible. This seems reasonable for many interfacility transfers -...
  18. SeeNoMore

    Scope of Practice

    We have multiple airframes in use - both twin engine and single. We do IABP transfers in both.
  19. SeeNoMore

    Scope of Practice

    It seems like many rural states have options for Paramedics to become equal or primary providers. I know Lifeflight of Maine has the same scope of practice for both Nurses and Paramedics, I believe the same is true of DHART in NH. I also work in a program that officially has an expanded scope...
  20. SeeNoMore

    FP-C without a class...

    I agree you need to put in some study time, but I guess I was a little underwhelmed. I guess it's just the standard at this point.
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