the 100% directionless thread

It should...

Just a hint, if your patient looks at you while trying to sit up and pull out his ETT, 5 mcgs of Diprivan may not be enough :D.
 
Pandora was killin' it, now it's not :( Any suggestions to make my PALS studying more enjoyable? haha Hopefully I can knock out some A&P reading when I'm finished with my PALS book but I think at that point the info could very well be going in my eyes and right out the back of my head.
 
usalsfyre said:
Take a shot everytime hypoxia is mentioned?
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I don't think I would have made it as far as I have now if I used that approach.

Definitely would make it more interesting, I don't know how enjoyable that would be though haha.
 
Make it like points. Every 10 points, take a shot. Bonus shot if asked sick or not sick. See? We're making a game!
 
We got new our new mini protocol books.

It lists Kings as a skill for EMT along with Combitube.

I never learned kings. But all the new EMT students have been learning it and making me feel dumb :-( lol
 
Kings are so much simpler than Combis...


They're essentially firefighter proof. I say essentially because there's always that one...
 
Directions to use a King.

1)Select size based on what's printed on the package

2)Open their mouth and shove it in till the hub is at the teeth. REMOVE YOUR HANDS! Don't touch it again till your putting the ambu-bag on.

3)Inflate it with the amount of air printed on the cuff.

4)Ventilate, confirm placement and secure. You've now put in a King airway.
 
Linuss said:
Anytime you get asked "sick or not sick" take a shot?
Click to expand...

We had a kid with tracheomalacia the other night who was out on the porch with mom when we pulled up. I told my partner I'd just bring the kid to the truck if he'd get the cot ready.

When I stuck my head in the door ahead of the mom and kid, I said, "Oh BTW, he's not sick" and he was completely baffled. "Not sick?"

Right. You've not been to PALS yet. That wasn't an insult, it was an assessment summary!
 
I have a mini-addition to usals' post. I was taught to bury it to the hub, attach your BVM then ventilate while applying gentle traction to the KING until compliance becomes better and/or you feel the KING "seat" into place.

KINGs are our first line airway in arrests. It helps that the EMT and the medic can control the airway or apply the monitor and pads or gain access and draw meds while someone does compressions. Most partners trade off airway and monitor/meds on the arrests they run. Also I love how you can just stuff an OG tube through the port on the new KINGs. No more puking on me! haha OG tube is only for medics though so if the EMT took the airway usually they will take over meds while the medic drops the OG tube.

Linuss said:
Anytime you get asked "sick or not sick" take a shot?
Click to expand...

I resorted to a sip of Sam Adam's Winter Lager. Figured it would allow me to to remain coherent but not be as bored :P
 
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Anjel1030 said:
We got new our new mini protocol books.

It lists Kings as a skill for EMT along with Combitube.

I never learned kings. But all the new EMT students have been learning it and making me feel dumb :-( lol
Click to expand...

That's one of the things I like about being a skills instructor. I get trained in all the new stuff that is being taught right away lol.
 
usalsfyre said:
It should...

Just a hint, if your patient looks at you while trying to sit up and pull out his ETT, 5 mcgs of Diprivan may not be enough :D.
Click to expand...

Hell, I had an intubated PT on a 3mg/hr versed drip sit up and look at me during a CCT transport. One minute he was out, the next wide awake. A quick bolus and it was right back to night night land, but it scared the heck out of me. And yeah, he had a versed/fentanyl bolus prior to moving.
 
usalsfyre said:
Directions to use a King.

1)Select size based on what's printed on the package

2)Open their mouth and shove it in till the hub is at the teeth. REMOVE YOUR HANDS! Don't touch it again till your putting the ambu-bag on.

3)Inflate it with the amount of air printed on the cuff.

4)Ventilate, confirm placement and secure. You've now put in a King airway.
Click to expand...

I love the King. We don't use it here, unfortunately. But I placed more than a few back in Washington. ;) On a code, a king and EZ-IO were the standard.
 
n7lxi said:
Hell, I had an intubated PT on a 3mg/hr versed drip sit up and look at me during a CCT transport. One minute he was out, the next wide awake. A quick bolus and it was right back to night night land, but it scared the heck out of me. And yeah, he had a versed/fentanyl bolus prior to moving.
Click to expand...

Similar experience with propofol in a helicopter one time. Enough to make you defecate yourself.

I've has far less issues with either a fentanyl infusion concurrent with whatever sedation or morphine being used as pain control. Personal theroy? I think the pain of the tube against cords causes a high potential for breakthrough.
 
n7lxi said:
Hell, I had an intubated PT on a 3mg/hr versed drip sit up and look at me during a CCT transport. One minute he was out, the next wide awake. A quick bolus and it was right back to night night land, but it scared the heck out of me. And yeah, he had a versed/fentanyl bolus prior to moving.
Click to expand...

I once gave my RSI patient 100 of Roc...


He kept breathing on his own. Granted now at 16 instead of the 50+ he was at, but still, breathing on his own.





I was confused. The doc at the receiving hospital was just as confused.
 
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