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What is wrong with only having one IV, and what is wrong with it being in the hand?

Keep in mind that DSI is a technique for pre-oxygenation of an uncooperative patient. If someone tolerates a NRB and is ventilating well - especially if they are able to take a few vital capacity breaths - there is no need to sedate them until immediately before you push the sux.

You'll never know for sure what would have happened if you'd made a different choice. Maybe it would've worked out even better, and maybe it would've been a train wreck. But either way, this kind of honest self-reflection and seeking of feedback will serve you well. It's probably the only way to...

My concern in this patient would obviously be airway edema, which can evolve rapidly. You said he's MP4 and obese, so you are already behind the curve in terms of potential difficulty even BEFORE his upper airway begins to swell. For me given what I do, this is very clearly a PROP-->SUX-->TUBE...

But they weren't born knowing how to use a gun. They learned through training.

Their existence shows that it is entirely possible for a well trained individual to engage in patient care while safely retaining their weapon and prioritizing their focus on a moment-to-moment basis. Handling a firearm with a high degree of competence isn't rocket science. It takes a fair...

Do they still have K-Marts in your neck of the woods?

Fake it till you make it. Or until you Google it. Same thing.

Yes, many PA programs require some form of clinical work experience in order to be accepted. Medical schools do, as well. Those are general work-experience requirements that exist in order to ensure that the applicant has the work ethic to be a good representative of the new profession and also...

There's no reason at all to require EMT certification or experience before starting paramedic school. It's definitely true that a general familiarity with prehospital care and ambulance operations is helpful, but there's no reason a paramedic program couldn't be structured to include that...

I have environmental allergy symptoms basically 24/7/365. Meds help for sure but never eliminate it. Still have never had a positive COVID test for myself or my immediate family. I don't personally know of any other family that can say that. I am definitely the only person where I work who can...

Personally I think a better approach is to learn to not let things get to you in the first place. Being mentally tough is useful but eventually it becomes exhausting no matter who you are. Learning how to allow things to roll off your back in the first place INSTEAD OF enduring them is a much...

There are a handful of us on this forum who currently or in the past have worked as both a RN and a paramedic. Most of us were in EMS first and then went on to nursing. You are correct that outside of critical care transport, very few RNs work in EMS in the US. There are a few states who have...

Are you done flying, or just going to a different place?

Oh yeah, you are definitely right about that. I was responding more to the idea that everyone who is intubated should have one placed, which I've heard argued by EM and EMS folks before and never agreed with.

I remember being told in my anesthesia training that the research does not support routine OG placement post-intubation, and that there was actually some evidence that it could be harmful, especially if placed in such a way that it disrupts the LES while not being deep enough to fully evacuate...

ET tubes have several advantages over SGA's, one of which is the ability to use higher airways pressures and PEEP to prevent or resolve atelectasis and overcome whatever pressure gradient (hydrostatic or otherwise) is resulting in pulmonary edema. In fact, increasing airway pressure is usually...

As you are well aware, in the majority of scenarios, palpating the patient's entire body over their clothing is neither necessary or appropriate - and does not constitute a "PE" anyway. What you were clearly implying in your first post was that this should be done routinely because it gives you...

Don't deflect from the topic by being being intentionally obtuse and implying that I said something I didn't. I'll take the fact that you didn't answer my question to mean that you don't have an answer.

How else do you describe doing a hands-on head to toe assessment where one is not warranted and then attempting to somehow deal with something you feel under the patient's clothing that you think might be a weapon?