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  1. MackTheKnife

    When to use TQ over pressure bandage?

    Ok. Let me CLARIFY what I was trying to say that I thought everyone would know what I meant without using big words: There are minimal attendant neurovascular sequelae with the use of compression vascular devices on the extremities when used for several hours. Translation into English: Not that...
  2. MackTheKnife

    When to use TQ over pressure bandage?

    Tourniquets are not that risky. EBP proves it.
  3. MackTheKnife

    When to use TQ over pressure bandage?

    You did answer your own question.
  4. MackTheKnife

    2017 Florida State Paramedic Exam

    Also, as I previously posted, the test is a joke. Mainly BLS, a little ALS.
  5. MackTheKnife

    2017 Florida State Paramedic Exam

    As I previously posted, Quizlet.com
  6. MackTheKnife

    Brother cheated

    Not during a test where you know the rules going in. Not the same after a call.
  7. MackTheKnife

    The Great Airway Debate...

    Can't prove a negative!
  8. MackTheKnife

    California Pediatric Intubation

    To improve proficiency, establish an ongoing training program. Say, use dummies, then small animals (baby pigs- used in TCCC), then perhaps a rotation with a CRNA, etc. Don't throw the baby out with the bathwater because some can't hack it. No pun intended.
  9. MackTheKnife

    California Pediatric Intubation

    Bravo! Couldn't have said it better!
  10. MackTheKnife

    California Pediatric Intubation

    Thank you for this info. I was unaware of these UNSAFE practices. Wow! 10 times? Give it up after 2-3!
  11. MackTheKnife

    California Pediatric Intubation

    You perhaps noticed I mentioned the lack of a cuff???????
  12. MackTheKnife

    California Pediatric Intubation

    Bagged her, suctioned. Waited for a pause in seizure activity. Went to initiate intubation, seized again. Bagged, suctioned. Successful intubation on 2nd attempt (while we were enroute Code 1).
  13. MackTheKnife

    California Pediatric Intubation

    LOL! The state of modern affairs.!!!!!!!
  14. MackTheKnife

    California Pediatric Intubation

    Great post! Appreciate your honesty. What I have found with ETI and it's inherent difficulties, is knowing when to quit and move on. Adult "no-neckers", peds that were difficult to tube, multitrauma lying on the road after being ejected from their car with maxillofacial injuries and were...
  15. MackTheKnife

    California Pediatric Intubation

    This is insane! Don't know what they're doing with kids? The anatomy is smaller and trickier, but it is the same. Patience, preoxygenation, eye-hand coordination gets the job done.
  16. MackTheKnife

    California Pediatric Intubation

    Iatrogenic? Please tell me the incidence rates of these events? Survival advantage? Demonstrably ETI over BVM. BVM does NOT control the integrity of the airway. I've seen the studies of cardiac arrest patients surviving not neurologically intact with ETI, but ETI is not the only factor. Length...
  17. MackTheKnife

    California Pediatric Intubation

    Remi, as I have been pursuing my BSN, I have been focused on evidenced-based practice (EBP). I can find EBP representing both sides of an argument when doing research. I am not swayed by purported studies saying this is good or bad. Our hospital, and many others, require IV sites to be rotated...
  18. MackTheKnife

    California Pediatric Intubation

    No, we need to worry about what's best for the patient. The LCD is just that, the Least. If we dumb down the standards because of the few, the patient loses and we lose. My problem with tubing kids is the lack of a cuff on the tube.
  19. MackTheKnife

    California Pediatric Intubation

    You modern medics amaze me. You applaud doing away with a skill, that might be rare, but is still lifesaving. This is horse hockey. Peds are difficult, but deserve the best treatment possible regardlessly. ETI is the best treatment for an airway in most circumstances. Butchering an airway? How...
  20. MackTheKnife

    Tourniquet with Femur Fracture

    Yes, you do.
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