Recent content by E tank

Got dismissed 'cause things worked out. Very easily could have gone the other way in a patient that very well may have done OK with supportive care in the field. If it merited dismissal with the patient surviving, it should have merited dismissal it if they killed the patient DRT, and we all...

Way more interesting than *that* the KBEMS is doing what they're doing is *how* they came to the decision to discipline the responders. The story leaves a lot of information out, not the least of which is the high rate of anaphylaxis with snake anti-venom. Paralysis can be dealt with by using...

Odds are this was a problem child going way back...command staff was prolly just looking for a reason to can him and he delivered. Money on the union letting this go without comment....

gastric IME, gastric tube ports, while in theory are a rational idea, in real world practice don't deliver. Decompressing a distended stomach to increase lung capacity and maybe improve venous return is a good idea, but people that arrest very often have partially digested food in their...

Pretty sure this guy is just cutting and pasting stuff into ChatGPT and seeing what spits out...kinda funny actually...maybe even a bot?

Just tell 'em you saw it on the internet...

I just use these...after you drop the pt off you can go water the beets.

Yeah, you'd never want to try that.

going out on a limb here but I suspect that with the management of CAD and ischemic cardiomyopathy becoming more sophisticated beyond surgery (CA stenting/drugs/electrophysiologic intervention) it will become more and a more of a thing going forward. Sicker and sicker people are living longer...

Pressure set too high? Do you mean BiPAP? Patients can get a sense of 'drowning' because of the continual inspiratory flow and inability to completely exhale. Freaks some people out, especially when they're in distress already and maybe disoriented by hypoxia and/or hypercapnia.

No argument...but it does for less what a lot of systems here do for more...what people have to come to terms with is the fact that EMS is a money pit forever and always...delusional to think it will ever be anything else...but is that worse than the alternative....

Tons of variables but whatever the solution involves, if the number of non-essential/frivolous transports to the hospital isn't meaningfully addressed, meaningful resolution can't happen IMO. I like the attention paid to the 'response time' fixation for even non time sensitive problems too. The...

Crystalloid is a finicky thing in general...Normal Saline is anything but normal...If I'm anticipating giving anyone more than 2 liters (extremely rare) it's Plasmalyte or Normosol, and those just to prime a rapid infuser device. In my experience those two make managing the...

No patients benefit from multiple liters of NS...

....And you're not going to rupture a AAA by palpating the abdomen...smh....