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I imagine most of us on here have at some point heard of or been taught Back, Up, Right pressure aka Sellick Maneuver aka Cric pressure. I also imagine that most also agree it is outdated and have substituted for ELM (External Laryngeal Manipulation) as a part of Bi manual Laryngoscopy. But...

So upon review, no I am not implying that...I never even mentioned NYC as a matter of fact I agree, the average Paramedic/EMT's income is in general deplorable. But as you are all well aware there a numerous places, even outside of Washington where you can make a reasonable living.. So go...

I don't think there is anything I could say that hasn't already been said as far as practical advice goes. Listen to these guys especially @Remi. Here are a couple of sayings regarding intubation that I love and would like to share. "Experience is Delusory" "A failed airway is not a failure...

Is our wage absurd... well I can imagine that if you just looked at my hourly wage and nothing else then you would probably say yes. But as @NomadicMedic pointed out the average price per sqft for property is like $310 meaning you will pay $310K for a 1000sqft property, in a average location. So...

With no other information I imagine that they are referring to suspected BetaBlocker OD.

Exactly what I thought too! This was posted in a resus group on Facebook. I think I felt the same as most of you, what really got me was that they have the brass to make an advertisement video like this without even having released any kind of scientific research associated with these claims.

Just Saw this, Thoughts?? No posted RCTs as of yet..

I have to say I am a bit perplexed by this question in the sense that you say "obvious" followed by "uneasy". I am not questioning your judgement as much as trying to point out your own.. I think most people would agree (and am sure I will hear other wise if not) that when you say obvious you...

Agreed, and not only that but it's only purpose is to set an educational standard. Not saying that's a bad thing, I would just also like to see something "with Teeth" that would hold all States and it's MPD's accountable to provide EMS to a minimum standard. We have all seen and maybe even...

Exactly, I think there need to be a national consensus to a minimum standard.

What I would really like to see happen here in the US is instead of just a national training model is to have an actual accepted Minimum Standard of Care. Of course more education is better and I get that a lot of people would frown on the idea of having to have more education to become a...

If you at any point come across to the mainland let me know. I live just East in Mt. Vernon, I work in King county and would be happy to grab a bite/drink chat and trade a patch!

I have no problem with Constructive Skepticism, I do believe that the phenomena of sepsis like all forms of resuscitation has a long ways to go and we may never know the true answer to what is actually best practice. However, when you doubt something only for the sake of suspicion, that is...

I will say @Remi I apologize, when reading my initial post my words come off harsh off my tongue and I am not trying to incite conflict as much as conversation and consideration. Having read a number of your posts I know you are not only intelligent but well intended in your comments

I can appreciate what you're saying about the difference in short vs long term use. Reading through all the post it does not seem that way and my concern is that it comes off as saying using Dopamine is not a big deal, when in fact it is.. If you have a pt dying of sepsis about to arrest and...

I am sorry to say but this is not an accurate statement. Dopamine through plenty of studies has been shown to be associated with an increased mortality. The Surviving Sepsis Campaign being a valid one in and of itself. I do not believe that any single person on this forum is educated or...

I don't think he understands military time...

Yea as stated above there are plenty of places outside of Orlando and inside like AMR and Falck. You'll just have to do some research and see what appeals to you?

I worked both private and public sector in Orlando. @NightHealer865 hit the nail on the head with having to be part of a Fire based system if you want to do any 911 EMS. The private sector is primary all IFTs at this point. Orange County Fire does on occasion hire a Paramedic only position...

Absolutely agree in regards to ambition being important, simply stated you cannot not teach anything to anyone whom doesn't want to learn. And you cannot make someone "Want" to learn, but you can make it a culture and use other types of social pressures to make this a norm. It is not something...