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Breath sounds, work of breathing, accessory muscle use, appearance of lethargy....you know old fashioned stuff that requires you put hands on the patient. Considering you're not using the correct terminology for the diagnostic test in the first place, I don't think you really have any business...

What's your plan for this? Using an unapproved, jury-rigged medical device to guide treatment isn't the best idea in the world. Most of the information gained from NC ETCO2 can be obtained using other assessments.

$h!t happens when you party in resus mode. CPR is brutal. I'm sure most of my CPR patients have had all sorts of thoracic injuries. Your supervisor likely has no idea what he's talking about. My wife (medic/CPR instructor) had a 50ish guy with no previous MI history have an SCA in front of her...

Tubes can sometimes sit "just" above the glottis and still ventilate and it will look similar to this, but you mention seeing it go through. So I got nothing.

The sealed BVM will also fill the hypopharynx. In modern, disposable BVMs there's a relatively constant flow of gas in.

A more sure approach, depending on where the jaw was broken the possibility of basilar skull involvement and the fact that he's likely to end up trached anyway are all reasons not to bother with a NTI attempt. Surgical airways should never be the first option but are not nearly as invasive as...

Ventmedic can roast in hell on a spit made of lightning over the fire of a white dwarf star with a hand grenade shoved in her mouth....

Because documenting a 14 or lower throughout transport helps justify ambulance billing.

So basically your guys suck too bad to apply it correctly. I'm not saying I like GCS, but call a spade a spade.

GCS is a piss poor surrogate for actual level of neuro function following an acute event, it wasn't ever intended to be added together and used the way we do. That said.... It's just about all we've got physical exam wise. I know for a fact that if I have a patient who I can assume was formerly...

No state laws in Texas regarding provider levels and the narc box. I ran the narc program at the service I worked for.

Every patient gets a d-stick Diesel bouls ANYTHING involving the words "mechanism of injury" as a justification "It's just a fever" The word "paragod" The idea that medicine is somehow different "in the street" "Just open the dopamine up till you get a pressure" Using succinylcholine for...

It's very hard to treat a tension pneumo or react to a "can't intubate/can't ventilate" using "BLS before ALS". How about its all medical care, do what's appropriate when it's appropriate to your level.

Similarly, the most I've ever given to one patient was 17.5mgs....to an 8 year old on a 45 minute flight. I remember looking at my partner as we cracked open the fourth vial thinking "is this gonna be ok????"

They are required to pay OT over 40 hours (52 for fire suppression personnel). Period, end of story. Some states require it over 8 hours a day, ect, but 40 hours a week is a federal law. What you may have heard about are services that require you to "buy the night" on 24s, meaning you're...

I agree, the range is 0.02-0.1. I'd go with 0.1 personally, but a lot of people are in conservative areas. Hence when you give 2 mgs to a two year-old the QA system flips. For once I tried to be diplomatic lol.

We have a fair amount of public land acreage wise (more than the size of some eastern states), the problem is percentage wise it's tiny (95ish% of all land in Texas is private) and nearly all of it concentrated in Deep East, Far West, and The Panhandle. And who in their right mind wants to...

If it was me? The volunteers can be first out whenever they're staffed for all I care, I get paid the same either way. The 5-8 and 16-19 hours are generally the toughest to cover. You might be able to do part-timers on 12s at first.

You could rotate calls as long as the requirements are the same. If they don't want to be in the building and instead would like to respond from home than tough feces, you have to adapt with the rest of the world.

We have plenty of nature. Just expect to sweat while experiencing it to its fullest. Even in Novemeber.