Recent content by bonedog

Good stuff, thanks. Peak Plateau pressures are a great tool, I use them often. Can compare them to PIP to find where the obstruction is. NIBP on LP and Propaq both suck IMHO. We use both ground, fixed and rotary. In the air I don't notice the problem's with BP.

Thanks, have been looking 2 both the MD and the Zoll. I am partial to the LTV but limited in exposure to much else.

Any recommendations? We currently use LP 12-15 and ancient propac's along with LTV 1000-1200. NIBP sucks on both on our roads. Monitor must have ET/SpO2, 12 lead, print capable, three channels invasive monitoring, pace/defib, and invasive temp. The Vent must be able to do all things...

Me like, just don't get the nickname DEXTER....

I'm not sure how midaz only could be considered RSI, rapid maybe, sequence, hmmm, would that be the flumazenil arm?;)

You are bang on there, a culture change is probably needed for the laryngoscope weilding warriors........brutaine is the only Rx needed for some!!!

Ravemtech, looks like favourable outcomes. What method's were used to keep MAP up? I have used small aliquot's of epi, many in our service are using phenylephrine for the same purpose's. With the deliterious effects of dropping intracerebral perfusion pressures this is paramount. The...

Permissive Hypercapnia... check it out

Come again? Someone needs to have some remedial training at a minimum. Exactly, different province, different system....

Wasn't there, seems like the evidence given was missing some patho/licensure... Hyoid distance, jaw and neck mobility, ability to open mouth, can all point towards possible adjuncts and pathways. If the first attempt didn't work hopefully they tried different angle's/alignment, bougie...

What was the QT interval, QRS? Effexor could be causing the arrythmia. Methamphetamine binge followed by a dose of GHB. End up with the electrolyte imbalance and the patient that goes from GCS of 3 to ripping out the ET tube and back to a 3.

Jack, these calls suck. Very few have any positive outcome. In hospital they always debrief staff immediately afterwards, in my service until recently, were usually told to hurry and clear for calls holding. Do your best and hope for the best, but expect the worst. No reserve for these...

Short transport times make these calls hard. I look at SOBOE, PND, orthopnea, productive cough, Rx compliance, diet, bowel habits any changes in recent health, helps point me which way I will proceed. Often rales are absent in old COPD patients due to the changes in elasticity of the small...

R/r911,if the patient was at risk for iatrogenic aspiration then termination would be the appropriate course of action. This couldnot be considered critical thinking. If a patient was unconscious IV is the preferred course of administration to limit cerebral damage. I usually only use D50W in...

As we don't charge by the Rx, I have trouble understanding why one would be fired for an action such as this. Oral glucose is definitely more appropriate, however, here we encouraged to think outside of the box and if someone can defend their treatment plan more power to them.(This is part of...