the 100% directionless thread

Old Tracker said:
And in this day and age do you really want to self-identify as a US citizen or think the American Embassy will help you? Just curious.
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Yes and yes. Granted I'm not going overseas unarmed but that's neither here nor there. :D


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I mentioned moving to Missouri to my wife and she responds back with Pennsylvania, Maryland and Delaware.

As a conservative I feel like she doesnt even know me.

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I am still considering CA and CO.
 
Nice way to relax after a 36 that blew donkey balls. Multiple cask beers in a dog friendly bar. Never heard of a tamaskan dog, but they're adorable lol
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100mg of Ketamine, 5mg Versed, 8mg zofran, 1 endotrachial intuibation attempt, 1 nasaltrachial intuibation attempt, a king airway, EtCO2 of 70(something), respiratory rate of like 4, alcohol and "I don't know, she didn't do drugs". Only took a week to get a "Coachella call". Patient was RSI'd at the hospital.
 
CALEMT said:
100mg of Ketamine, 5mg Versed, 8mg zofran, 1 endotrachial intuibation attempt, 1 nasaltrachial intuibation attempt, a king airway, EtCO2 of 70(something), respiratory rate of like 4, alcohol and "I don't know, she didn't do drugs". Only took a week to get a "Coachella call". Patient was RSI'd at the hospital.
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I miss BAAM's and Neosynephrine.
 
VentMonkey said:
I miss BAAM's and Neosynephrine.
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I think I'm the only medic who's ever done an nti at my agency. The joys of coming from a state that doesn't allow ground units to rsi


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TransportJockey said:
I think I'm the only medic who's ever done an nti at my agency. The joys of coming from a state that doesn't allow ground units to rsi
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Same here. I believe I was the last in our service to have a (successful) NTI before it was removed.

Ironically enough, I ran an IFT last shift and the ground paramedic who shuttled us to and from the airport was an old trainee; they reminded me of an NTI we'd had while they were training with me.
 
Ah the joys of scratched up RedBox DVDs.....I discovered an old unwatched RedBox of The Hobbit, Battle of the Five Armies (movie 3/3 of the Hobbit trilogy). I searched their website, they didn't have the first 2 movies, so I rented them on Amazon Prime and made today a Hobbit marathon lol, and I tell you, switching from the digital streaming to the slightly scratched up DVD has been slightly irritating, already once had to pull it out to wipe off the disc (seems to have helped) but for a minute do to the skipping was about to just rent the digital version ha
 
CALEMT said:
100mg of Ketamine, 5mg Versed, 8mg zofran, 1 endotrachial intuibation attempt, 1 nasaltrachial intuibation attempt, a king airway, EtCO2 of 70(something), respiratory rate of like 4, alcohol and "I don't know, she didn't do drugs". Only took a week to get a "Coachella call". Patient was RSI'd at the hospital.
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Ketamine in CA? Do tell- was it flight or ground or ?

I haven't nasaled in years. But it worked.
 
VentMonkey said:
I'm going to go ahead and assume judging by the "Coachella Call" that this was the patients Ketamine...
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Too bad they didn't do another 1-200mg. That would make it easy
 
RocketMedic said:
Ketamine in CA? Do tell- was it flight or ground or ?

I haven't nasaled in years. But it worked.
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For the Coachella events we staff it with EMTs, medics, RNs, and doctors. This year we have a total of 3 doctors, 4 RNs, 5 medics, and a handful of EMTs all mixed between 2 main medical tents. We also have 6 other tents that are staffed to either the ALS or the BLS level.

This call was at the tent in the camping area that is open 24 hours a day and is staffed with 1 doctor, 1 RN, 1-2 medics, and 4 EMTs
 
VentMonkey said:
I'm going to go ahead and assume judging by the "Coachella Call" that this was the patients Ketamine...
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Nope. Either the doctors or the nurses haha
 
DesertMedic66 said:
Nope. Either the doctors or the nurses haha
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With due respect, what kind of doctors and nurses are these to have hit the failed airway algorithm abruptly? Most EM docs are far superior than many EMS providers (including myself) with advanced airway management.
 
VentMonkey said:
With due respect, what kind of doctors and nurses are these to have hit the failed airway algorithm abruptly? Most EM docs are far superior than many EMS providers (including myself) with advanced airway management.
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The majority of them seem to be urgent care doctors or doctors who have their own private practice. I think we have a doc or 2 every now and then that are from some major teaching hospitals in LA.
 
DesertMedic66 said:
I think we have a doc or 2 every now and then that are from some major teaching hospitals in LA
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If I'm not mistaken this doc was one of those. In all fairness the patient was clenched and I believe he had a successful NTI but for some reason pulled the tube because he thought he was in the esophagus? The king worked flawlessly and the patient took it like a champ considering she was still breathing, granted barely breathing but breathing nonetheless. I believe the patient also still, kinda had a gag reflex during the intuibation attempts.
 
If only there was a medication that helps relax clenched jaws and stops the gag reflex...oh and more ketamine....probably wouldn't have ended up in a failed airway algorithm.


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