the 100% directionless thread

Remi said:
Exactly. This is one of the reasons why I'm not a fan of any pre-loaded bougie techniques. The hold-up at the carina when you have a lousy view and aren't completely sure you are in the trachea is 90% of the reason to use a bougie in the first place.

That, and the unnecessary added steps and complexity of assembling the two pieces into a unit.
Click to expand...
Several of my jobs have tubes with no stylettes in them anyway so at that point it's just easier to load it with a bougie anyway.
 
Some days.

Worked a code today that simply irritated me. VF arrest, great bystander CPR... 11 shocks. 3 from the AED before I got there, one as I arrived and another 7 from my box.

We did great CPR, I mean 100% awesome. Capno was in the 30s and 40s. I kept thinking the next shock would do it.

And... PEA.

Damn. I was really thinking I was gonna win this one.
 
Damn, that's irritating. With as many poor prognosis/nonviable arrests as I've had this year, I'd be stoked to have one start off like that for once this year. The ones that should be the "good ones" and aren't are so frustrating.
 
I'm a big fan of a good video laryngyscope, plus a bougie. However, the Kingvision rigid stylette is a great tool too.
 
Oh, I just like it for the times a standard blade comes in handy- limited space and the like. Had a legendary day today- unresponsive GI bleed + vomiting feces blood through a clenched airway; SpO2 80%, GCS 6, crash airway. Reckoned it was time to channel Roy Desoto and dropped a nasal tube for the first time in a long time without a hitch; worked amazingly and got some funny (good) looks. Then we picked up a car v bike collision with a significant head injury. I've got a new medic riding with me, and our cloud is @TransportJockey black with thunderbolts the last few shifts.

Yesterday was pretty decent too. And the day before that...don't seize at the bottom of a pool. I am the storm!
 
RocketMedic said:
Oh, I just like it for the times a standard blade comes in handy- limited space and the like. Had a legendary day today- unresponsive GI bleed + vomiting feces blood through a clenched airway; SpO2 80%, GCS 6, crash airway. Reckoned it was time to channel Roy Desoto and dropped a nasal tube for the first time in a long time without a hitch; worked amazingly and got some funny (good) looks. Then we picked up a car v bike collision with a significant head injury. I've got a new medic riding with me, and our cloud is @TransportJockey black with thunderbolts the last few shifts.

Yesterday was pretty decent too. And the day before that...don't seize at the bottom of a pool. I am the storm!
Click to expand...
I just drove all day....
 
IMG_1113.jpg


ER, business as usual.
 
So our nasal intubation patient turned out to have an intestinal rupture...terrible thing to happen.
 
Barely a week into this CCP course and I am already seeing so much science that I haven't seen since about year 2-3 of college....and plenty that I haven't at all.
 
RocketMedic said:
So our nasal intubation patient turned out to have an intestinal rupture...terrible thing to happen.
Click to expand...
Yeah, that sucks... and that's putting things mildly.
 
StCEMT said:
Barely a week into this CCP course and I am already seeing so much science that I haven't seen since about year 2-3 of college....and plenty that I haven't at all.
Click to expand...
Which one?
 
Jim37F said:
RIP Sen. McCain
Click to expand...
Like him, hate him, or something in-between, you gotta respect him for doing what he thought was right, even if others didn't like him for what he did.
 
Akulahawk said:
Like him, hate him, or something in-between, you gotta respect him for doing what he thought was right, even if others didn't like him for what he did.
Click to expand...
He stuck with his principles, not everyone does that anymore. I didn't always agree with what he did, but he didn't do things for politics alone, there was always a reason behind it.
 
I voted McCain/Palin back in 2008. I remember reading his autobiography before that election, and when I heard he had ambitions for president, I was like "Yasss" (ok not literally, but you get the idea).
 
I think it's quite telling that McCain went from being a right-wing conservative to RINO in conservative media.
 
RocketMedic said:
I think it's quite telling that McCain went from being a right-wing conservative to RINO in conservative media.
Click to expand...
He did his own thing and sometimes that thing he did wasn't what the GOP wanted him to do. He did what he thought was right and sometimes that put him on the same side as the Democrats on an issue. In his later years, that happened often enough that people started thinking of him as a RINO.
 
That awkward conversation when you have to explain to your patient that the reason he can't feel his leg is that it's sitting in a box of ice next to you.
 
You must log in or register to reply here.
Back
Top