DragonClaw
Emergency Medical Texan
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oh wait haha 
the 100% directionless thread
- Thread starter KEVD18
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NomadicMedic
I know a guy who knows a guy.
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Intubating.
We're not using iGels, we're using VL to intubate everyone. Plastic sheeting is used. No nebs. No CPAP. Minimizing aerosol-generating procedures.
We've added IM Epi and Terbutaline to the standing orders.
We're not using iGels, we're using VL to intubate everyone. Plastic sheeting is used. No nebs. No CPAP. Minimizing aerosol-generating procedures.
We've added IM Epi and Terbutaline to the standing orders.
Were intubating with VL, no nebs or bipap (bipap is rare for us). Of course 5 minutes after they made that decision I had a flight with a 7 month old on home bipap.
No way am I intubating a terminally ill 7 month old when i dont have to. I took him on bipap.
No way am I intubating a terminally ill 7 month old when i dont have to. I took him on bipap.
NomadicMedic
I know a guy who knows a guy.
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I had a COPDer that was tight. She got a neb while she was sitting on the porch, then she got some solu-medrol and mag. The doc yelled at me for giving her a neb.
DragonClaw
Emergency Medical Texan
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I had a COPDer that was tight. She got a neb while she was sitting on the porch, then she got some solu-medrol and mag. The doc yelled at me for giving her a neb.
Neb of ipatropium?
What's mag?
NomadicMedic
I know a guy who knows a guy.
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Albuterol and Ipratropium. (a duoneb) and mag is magnesium sulfate, a smooth muscle relaxant. Works as a bronchodilator. I've taken this woman before and nebs, steroids and mag usually keep her from getting intubated.
We're carrying an Albuterol MDI with a spacer, but she needed the duoneb.
CALEMT
The Other Guy/ Paramaybe?
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IV piggy pack mag is probably my favorite treatment for diff breathers who are tight.
NomadicMedic
I know a guy who knows a guy.
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It's a favorite of mine too. We use it a lot.
DragonClaw
Emergency Medical Texan
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CALEMT
The Other Guy/ Paramaybe?
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Ah yes, duo neb. Duh
What's a spacer on an MDI
Tight?
Wheezing... tight bronchioles
Seirende
Washed Up Paramedic/ EMT Dropout
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Some of these questions would be faster if you threw the phrase into Google.
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That's a Metered Dose Inhaler with a spacer. The MDI and spacer are generally kept separated until needed.
Honestly the use of a HEPA filter is more important anyway. A good seal of NIPPV + filter should fine.
DesertMedic66
Forum Troll
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That is my thinking also.
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As long as the system is basically a closed loop between filters, yes. Any system that doesn't have the ability to filter exhaled air is going to generate aerosols. You have to know where the exhaled air is being dumped.
DragonClaw
Emergency Medical Texan
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Today a covid pt coded somewhere. They were bagged. FD brought them in and the bvm was covered with rags. Not how effective that is for a seal ...
DragonClaw
Emergency Medical Texan
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Oh is the epi they use for arrests (IV) racemic or is that something else?
VentMonkey
Family Guy
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Iām usually concerned with them doing either
. Sorry man, had to. It was low hanging fruit.In all seriousness, the S.A.L.A.D technique and I have certain become more fond of one another.
DragonClaw
Emergency Medical Texan
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Iām usually concerned with them doing either
They don't have Safe Baby Site (TM) for nothing!
CALEMT
The Other Guy/ Paramaybe?
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At least I havenāt done any liver biopsies with a 3.25ā 14G ARS needle.
Low hanging fruit indeed.