the 100% directionless thread

Purim Sameach!
 
StCEMT said:
I love when people say military grade weapons....because the military uses only the highest of quality and lethality when it comes to guns and ammo....:rolleyes:
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All manufactured by the lowest bidder.:cool:

edit: Hadn't read the previous lowest bidder reply, sorry.
 
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Colombian barbeque
 
VentMonkey said:
Better be a strong fort then. They live to cut, smash, and break things.
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Just park an out of service vehicle next to the fort. Problem solved.
 
Time to try to break the record. Worlds largest pub crawl attempt today
20180303_160911_HDR.jpg
 
StCEMT said:
When the OD wakes up from a wee bit of Narcan, freaks out, and rears that foot back to plant it square in your chest.
https://goo.gl/images/CtHwES
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That's why I prefer to give it via the slowest route available. That or let the younger guys do the mutton bustin'... ;)
 
Akulahawk said:
That's why I prefer to give it via the slowest route available. That or let the younger guys do the mutton bustin'... ;)
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Well see, the supervisor was bored and had started an EJ for me. I figured since she was very cyanotic, 0.5mg would be that perfect happy medium. It was.... until it wasnt. So insert a ride that was definitely longer than 8 seconds by yours truly.
 
StCEMT said:
Well see, the supervisor was bored and had started an EJ for me. I figured since she was very cyanotic, 0.5mg would be that perfect happy medium. It was.... until it wasnt. So insert a ride that was definitely longer than 8 seconds by yours truly.
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That's another reason to go very, very slowly with naloxone... so you can stop when breathing improves. I've never given that stuff fast by IVP no matter how big the dose for that very reason you just found...
 
Akulahawk said:
That's another reason to go very, very slowly with naloxone... so you can stop when breathing improves. I've never given that stuff fast by IVP no matter how big the dose for that very reason you just found...
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I'm usually good at getting that dose right. I've been losing my touch here lately. **** it, I'm going IM next time.
 
StCEMT said:
I'm usually good at getting that dose right. I've been losing my touch here lately. **** it, I'm going IM next time.
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If you do change to the IM route, stick with 0.5 mg. Then work on getting at least a saline lock in place. That way if you get no response to the IM dose, you can give very small amounts by IVP until breathing improves. Just please, not matter how much you dislike a particular ER, don't slam the balance in when you go through the ambulance bay doors... your nicely snoozing patient might suddenly wake up angrier than a hornet and is still YOUR patient.

Just let the ED MD order more naloxone... I just love it when they order 2mg IVP without realizing that it might be a good idea to include "titrate to effect" because I just know there'll be some new nurse (or a very literal one) that follows the order exactly as written...
 
Akulahawk said:
If you do change to the IM route, stick with 0.5 mg. Then work on getting at least a saline lock in place. That way if you get no response to the IM dose, you can give very small amounts by IVP until breathing improves. Just please, not matter how much you dislike a particular ER, don't slam the balance in when you go through the ambulance bay doors... your nicely snoozing patient might suddenly wake up angrier than a hornet and is still YOUR patient.

Just let the ED MD order more naloxone... I just love it when they order 2mg IVP without realizing that it might be a good idea to include "titrate to effect" because I just know there'll be some new nurse (or a very literal one) that follows the order exactly as written...
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I never have nor will I. I have a pretty good relationship with various ED staff. I might bring them **** shows with very little to offer, but that one thing I won't do.
 
In other news, purchased the bottom metal kits for my 223 and 308. Gonna put 10rd mags in them both. All that's left is an order to Bell and Carlson for two stocks. They're gonna be sweeeeeet.
 
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