Recent content by Peak

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    Dying patient left on apartment floor

    Was the medical society that reviewed the doc actually a government body or a peer review, typically the term medical society refers to the latter.
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    ECMO truck

    I think the challenge to that is that when patients are so unstable that we consider ECMO they are likely tanking their saturations or BP with something as simple as a turn or suction despite maximized or near maximized medical management. I don’t think that moving a patient out to the truck for...
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    ECMO truck

    Once you start VA ECMO you shouldn’t be doing compressions anymore
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    ECMO truck

    Most programs I know of have the ICU manage ECMO once surgery and perfusion set it up until they get up to the unit.
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    ECMO truck

    What a waste of money. Most studies that showed consistent benefit with ECPR had such strict inclusion criteria that they would have likely had statistically favorable outcomes versus the majority of resuscitations. I’m a bit confused as to how this is going to work anyway. I assume this will...
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    the 100% directionless thread

    Our policy forbids wearing a mask underneath. The rationale we had is that if you have any virus on the outside of your mask the positive flow could dislodge it from the mask and allow it to be breathed in around the mask or expelled from the PAPR.
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    It's almost Tax Day!!!

    I use turbo tax. The only time I used a CPA I got audited and apparently owed the state about $300. The stress that it caused me wasn’t worth the marginally increased refund.
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    the 100% directionless thread

    How manageable do you think it is working full time?
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    the 100% directionless thread

    Has anyone here gotten their MBA?
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    11:1 Compression to Ventilation

    I get that, I couldn’t find any data to support this over the current AHA recommendations
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    11:1 Compression to Ventilation

    You also need good quality ventilation. More time on the chest doesn’t do much if you are pushing blood with a ph of 6.8, pco2 over 100, an po2 of 10
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    11:1 Compression to Ventilation

    The only literature I could find doesn’t support 10:1 so I’d be curious to see anything that does.
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    Prehospital Ethics

    I don’t see any ethical problem. You had a family with an irrational and unfounded complaint. There is no academic literature to support that there is any more CSA by heterosexual versus homosexual individuals, nor any evidence that simple exposure to homosexual people increases the rate of...
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    Refusal v No EMS with behavioral

    So glad I work where mental health is assessed by medical and psych providers and not law enforcement.
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    the 100% directionless thread

    I’m never going to take any medical statement personally from someone who argued that we don’t use NMBAs when treating pulmonary hypertensive crisis.
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