the 100% directionless thread

PotatoMedic said:
Well... Since I am overweight and I hate diets I joined an expensive gym. Yeah for pain and suffering starting today at 10:45, but I want to be at a healthy weight again and be at a weight to go skydiving! (or even better helicopter lessons).
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Im doinh the same. I woke my *** up early today to get to the gym and burn off some annoyance... Im sore and might have overdone it lol
 
VFlutter said:
Have you tried a Keto diet? Sticking with it sucks for the first week but I love it. Lost a bunch of weight and still getting stronger. Don't even feel like I am on a diet now. Tons of energy, never hungry, etc
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I did it for about a month before I moved to Boise. But the budget has been to tight to spend on extra food till now. Probably going to do the keto diet again soon once I can get some meal planning going again. But for now, first class at orange theory is complete. Tomorrow is number two.
 
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Passed this yesterday headed to a call. If you wanna rock crawl you’re gonna need a different/ more capable rig.
 
PotatoMedic said:
Well... Since I am overweight and I hate diets I joined an expensive gym. Yeah for pain and suffering starting today at 10:45, but I want to be at a healthy weight again and be at a weight to go skydiving! (or even better helicopter lessons).
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Reddit is your friend. r/fitness. r/mealprep.

I've heard good things about Keto for weight loss. Nsuns 531 is a popular program for many. Volume intensive, but it's good. Plenty of other useful subs if you want to get better at running, swimming, or whatever.
 
Hmm...guess who my captain wants to give a company drill to the station tomorrow on Pediatric and Infant CPR? Lol
 
Jim37F said:
Hmm...guess who my captain wants to give a company drill to the station tomorrow on Pediatric and Infant CPR? Lol
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Pediatric and Infant? CPR? Those things don't go together.
 
It sounds as though Ketamine, and TXA will be making their way to our county over the course of the next year or so.
 
VentMonkey said:
It sounds as though Ketamine, and TXA will be making their way to our county over the course of the next year or so.
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Trial study I’m assuming since CA hasn’t placed them on their approved medication list
 
DesertMedic66 said:
Trial study I’m assuming since CA hasn’t placed them on their approved medication list
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Nope. Thanks to counties such as yours conducting trial studies it sounds as though the CA EMS commission really is in favor of Ketamine as an approved alternative to Fentanyl.

I’m guessing we’ll keep both in our county. We stockpile MS, and Valium somewhere in anticipation of shortages of Versed, and/ or Fentanyl.

As far as TXA goes, it too showed promise and will most likely be added to an optional scope, so a county-by-county basis. Our medical director is all in favor of progressive EBM, so I don’t sense much resistance on his behalf with either of these items.

This was all sent via memo from our company VP who attends these meetings religiously. The state EMS commission will reconvene in June to elaborate on timelines for the both, respectively.
 
PotatoMedic said:
Well... Since I am overweight and I hate diets I joined an expensive gym. Yeah for pain and suffering starting today at 10:45, but I want to be at a healthy weight again and be at a weight to go skydiving! (or even better helicopter lessons).
Click to expand...

VFlutter said:
Have you tried a Keto diet? Sticking with it sucks for the first week but I love it. Lost a bunch of weight and still getting stronger. Don't even feel like I am on a diet now. Tons of energy, never hungry, etc
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I can personally attest to the Keto diet!! I did the diet coupled with "time restrictive eating".. essentially not eating before noon or after 8 o'clock at night. I also did Brazilian Jiu Jitsu (killer cardio). I lost 50 pounds and looked damn good in a suit for my buddy's wedding. I attest
 
VentMonkey said:
Nope. Thanks to counties such as yours conducting trial studies it sounds as though the CA EMS commission really is in favor of Ketamine as an approved alternative to Fentanyl.

I’m guessing we’ll keep both in our county. We stockpile MS, and Valium somewhere in anticipation of shortages of Versed, and/ or Fentanyl.

As far as TXA goes, it too showed promise and will most likely be added to an optional scope, so a county-by-county basis. Our medical director is all in favor of progressive EBM, so I don’t sense much resistance on his behalf with either of these items.

This was all sent via memo from our company VP who attends these meetings religiously. The state EMS commission will reconvene in June to elaborate on timelines for the both, respectively.
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Ahhh. I haven’t heard anything on when our TXA trial will finish. Once it’s does then it will be putting together all the data and presenting it to the state, unless they approve it before hand.

We start our Ketamine trial April 1. We don’t think it will take very long to get the required data as opposed to the TXA.
 
DesertMedic66 said:
Ahhh. I haven’t heard anything on when our TXA trial will finish.
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From what it sounded from the last meeting it sounds like we haven’t even come near the target number for administrations. It sounds like CA is just going to approve it as optional.
 
Welcome to the 211st century!
 
RocketMedic said:
Welcome to the 211st century!
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The study wasn't really to determine if TXA works. We know it works from other systems that have it in place and primarily the military. I believe the main focus is/ was can paramedics administer it correctly in the field and recognize patients that do not meet the criteria. Its the same mentality for special K. We know it works, its already proven, can we administer it correctly in the field? Personally I believe some are going to withhold ketamine and give fentanyl just so they don't have to do the math associated with ketamine. They'll just give the 50 mcg of fent and give another repeat of 50.
 
CALEMT said:
The study wasn't really to determine if TXA works. We know it works from other systems that have it in place and primarily the military. I believe the main focus is/ was can paramedics administer it correctly in the field and recognize patients that do not meet the criteria. Its the same mentality for special K. We know it works, its already proven, can we administer it correctly in the field? Personally I believe some are going to withhold ketamine and give fentanyl just so they don't have to do the math associated with ketamine. They'll just give the 50 mcg of fent and give another repeat of 50.
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What's sad though is if people actually sat and did the math, it isn't hard. Don't get me wrong, I go 50/50 quite a bit for lower end injuries, but I wouldn't do it just because it's easier mentally if given a wider range of pain control options.
 
CALEMT said:
The study wasn't really to determine if TXA works. We know it works from other systems that have it in place and primarily the military. I believe the main focus is/ was can paramedics administer it correctly in the field and recognize patients that do not meet the criteria. Its the same mentality for special K. We know it works, its already proven, can we administer it correctly in the field? Personally I believe some are going to withhold ketamine and give fentanyl just so they don't have to do the math associated with ketamine. They'll just give the 50 mcg of fent and give another repeat of 50.
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Math is hard lol....why not just a 20mg set dose for the D students?
 
RocketMedic said:
Math is hard lol....why not just a 20mg set dose for the D students?
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To be honest I don't know why CA is choosing to go weigh based IV piggyback over IVP. The dose is 0.3mg/kg IVPB in a 50-100cc bag over 5 minutes.

Edit: Max single dose it 30mg and we can repeat once.
 
CALEMT said:
To be honest I don't know why CA is choosing to go weigh based IV piggyback over IVP. The dose is 0.3mg/kg IVPB in a 50-100cc bag over 5 minutes.

Edit: Max single dose it 30mg and we can repeat once.
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In the studies that the county has looked at they found there were less side effects that followed the drip over the IVP.
 
I got on this thread thinking it was great reading and I was going to read the entire thing.......... then I realized there were 64,000 posts. Light reading?
 
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