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How much do you weigh? Height? Figure out my dosing from there...

Sounds like we agree :)

It sounds as if you are assuming pain medicine includes only giving narcotics? Ice is a form of pain relief. Where did I describe cook book medicine? I think if someone is in pain then treating that pain is our job similar to how treating a pt with symptomatic hypotension is, would you consider...

Yes, because people can't certainly ever have multiple episodes of pain... I'm assuming you also think vital signs are a good indicator for pain...

Its pretty simple: Are they in pain? Yes-treat it. No-don't treat it. Everything else is judging.

Why not use an IO? A humeral head IO equates to around an 18g PIV.

Why the oxygen? It doesn't appear hypoxia is the cause for it and it can cause more damage... Why an 18g? I think Fentanyl would also be a better choice. More hemodynamically stable, might calm him down a little and bring down his pressure. Treatment? ASA, 12 lead q5 minutes (or whenever he...

We went over it pretty extensively in TCCC and ITLS, but it may be instructor dependent. Its been utilized in the military for years, its silly to not adapt it if it works.

Good subject! It has a wide usage in EMS, from urban to rural. Many agencies say they do CCT or call themselves mobile critical care units but the fact is without imaging we are going on a lot of guess work. Its easy to use (especially for specific tests with specific goals), mobile and getting...

Yes, not everyone was born with all the knowledge you are full of and may come to a board of clinicians to ask questions.

Ultrasound or POCT (Istat)

RSI has been mentioned quite a bit but this patient MAY be able to be intubated without it. Keep suction close, set up for first pass success and have the post intubation sedation of your choice ready to go.

Psoas?

And what if they leave her airway unsecured without protective mechanisms and she aspirates and dies?

Whats the general flow of your ALS work up? I know about 25% of people will respond with "it depends" however humans are pattern based individuals so what are your patterns? 12 leads on scene or in truck? IVs on scene or in truck? Where do you start your initial medications? (neb treatments...

Agreed. If this pt required airway protection then they should be intubated.

Monitor the ABCs? This patient already has a failure right in B that has a high potential for required correction in the next few minutes.

Acutely ill patients should be managed where they are found unless safety or space limits that. Before everyone jumps up and down there are some limitations or time sensitive conditions that require more coordination for a shorter on scene time (major trauma, stroke and STEMI).

#2 should read this poster, I don't see a monitor.

We really need to answer some other question before we can make a determination: 1) Do we like our partner? 2) Is his life insurance paid up? 3) How hot is his wife?