the 100% directionless thread

VentMonkey said:
Pretty impressive first half for The Texans.
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sad but true. Would love nothing more then for brady to go down in smoke
 
DEmedic said:
CPAP once again saves the day.
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I love CPAP. Doesn't stop me from having my drugs and gear oht for an rsi though, just in case lol

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DEmedic said:
CPAP once again saves the day.
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I hear y'all talk about it so often and I have only once seen BiPAP (fancy toys that did both) used on the road in the last....16 months and that was a CHFer like that recent scenario. I guess to be fair that's part time hours, but still. Been on scene for more people flown than I have CPAPed. o_O
 
StCEMT said:
I hear y'all talk about it so often and I have only once seen BiPAP (fancy toys that did both) used on the road in the last....16 months and that was a CHFer like that recent scenario. I guess to be fair that's part time hours, but still. Been on scene for more people flown than I have CPAPed. o_O
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Really? We end up using CPAP a lot. Like a lot a lot. I average one or two every two weeks. But then again I average 3 RSIs a month too

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Yeah, we use it a lot here too, and there's NO RSI, so it saves my bacon frequently. Without it, I'd be doing nasal intubations.
 
VentMonkey said:
3 a month? I can't remember the last did time we did an RSI. Agreed with all on CPAP, though NTI was an art unto itself, albeit a barbaric one.
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Maybe 2 a month now that I'm looking back on it. But I still end up with CTD patients and end up taking an airway. I ended the year with second most intubations at 24. And all but two or three were rsi

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TransportJockey said:
Maybe 2 a month now that I'm looking back on it. But I still end up with CTD patients and end up taking an airway. I ended the year with second most intubations at 24. And all but two or three were rsi

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If you come join me we're definitely not allowed on an ambulance together...that sounds like the perfect storm.


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Handsome Robb said:
If you come join me we're definitely not allowed on an ambulance together...that sounds like the perfect storm.


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It's funny you say that. I have people who tell me they never wanna work with me again cause my black cloud is solid. Lol

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I may change my mind at a later date, but I can tell you that at this moment I feel that I NEVER EVER want to get another dog. The time is approaching to put my Lab down and I never want to go through this again. This is harder than when my father passed away. Maybe that's a harsh thing to say, but it's the truth.
 
TransportJockey said:
Really? We end up using CPAP a lot. Like a lot a lot. I average one or two every two weeks. But then again I average 3 RSIs a month too

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Yep, just haven't needed to in a very long time. Kinda surprised, I have seen plenty of people on them while at the hospital.
 
I average around 5ish RSI a year.
 
And I use a considerable amount of CPAP. With that being said, I really like the disposable Flowsafe systems over the yellow boxes or even BiPap....which is a reversal of my old opinion. I don't mind BiPap, but I find CPAP just as effective and easier to use for patients.
 
When it comes to using either CPAP or Bi-PAP, I just wish my ED would start using a DSI-type program so that some of my more "resistant" patients would actually be able to tolerate using it... The last time I had a patient in near fulmanent CHF, he was having none of it and kept wanting to take the mask off because he couldn't breathe. Patient was, at the time, also in afib with RVR.

My doc that day would have probably just about keeled over had I suggested that we dissociate the patient for the Bi-PAP trial... You know, the patient wouldn't have been moving all over the bed and wouldn't have kept trying to take the mask off. IMHO he was pretty darned close to getting a tube and amazingly enough never got quite bad enough to need it.
 
Can somebody link those sweet pictures that were taken I think from Canada flight medics? The ones with the green sky's ect. Thanks!
 
You know the worst part about living in Texas?

Having to listen to all the hootin' and hollarin' when the Cowgirls are playing.


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