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No they did not, and that was a completely inappropriate action for which the paramedics deserve to be punished. However, the ketamine administration never would have happened had the cops not unnecessarily escalated an interaction with a citizen who was harming no one and breaking no laws. It...

What an unfortunate and interesting case. Nothing like deploying a perfect storm of callous, overly aggressive, poorly trained, and poorly disciplined public safety "professionals" to protect their city from an unarmed 140# young man from dancing as he walked home. At least someone involved in...

That's interesting. This is my original CFP certificate. No mention of the BCCTPC. I'm pretty sure that none of us had ever heard of the BCCTPC until they changed the name of the credential from CFP to FPC, which IIRC was a year or two after I was first certified.

I don't think it's fair to say that a person is bigoted just because they take a side or view a conflict from a certain perspective, and I don't think anyone has indicated in any way that they think Palestinian lives are worth less than Israeli lives. Peace hasn't existed in that region for...

Is the Ruger Mini 14 legal in NYS? Personally, that would be my first choice for a dedicated home-defense firearm if I couldn't have an AR. Uses the same cartridge as most AR's (5.56 NATO / .223, though you can also get it in 7.62x39 or .300BLK) and even if limited to a 10-round magazine, you'll...

AR-15 hands down. They are surprisingly easy to learn to shoot well and very versatile and very effective. Shotguns are great, but an AR gives you much more ammo capacity and much less recoil and arguably takes less training to learn to shoot well. Handguns clearly have their place but require...

That is a really nice example. The nice ones have gotten really hard to find, at least for a decent price.

That is actually pretty awesome.

What do you give with the ketamine for RSI?

Are you using actual fitted N95's at work - the same one you wore when you had the fit test done? If not, the fit test is irrelevant, as the non-fitted masks are all different. I don't know if there is a really good, objective way to tell how good your seal is. My method for doing so is to...

As others have said, it depends largely on how many calls you get during those two shifts. Everyone has a certain amount of experience that they need to get in order to obtain the level of competence and comfort that they desire. That experience depends on how quickly you pick things up, how...

15 years......this has got to be a new record!

Are you sure they can't intubate in the hospital? "Not allowed to intubate per their scope of practice as defined by the state BON" and "can't intubate due to hospital policy" are different things. Scope of practice questions like this depend entirely on state BON and EMS regulations and they...

Again, you technically don't need any breaths to maintain a decent Sp02, especially when a high Fio2 is being delivered. As long as oxygen is flowing to the lungs (i.e. you have an open airway and 10 lpm of oxygen being administered), it will diffuse across the alveocappilary membranes into the...

With oxygen supplementation a person can easily maintain an adequate Sp02 while breathing 8 times per minute. In fact, respiratory rates in that range are common during sleep for many people, who survive the night just fine without supplemental oxygen. Passive airway obstruction is likely a...

Like most people, I've never especially enjoyed seeing or smelling vomit. But it has never especially bothered me, and unlike many HEMS folks, I never got nauseous flying in the old non-air conditioned BO-105's, even on hot summer days during aggressive maneuvers. Until one especially hot and...

They were state of the art when I got into the game......

You will figure it out. Dealing with vomiting patients can be unpleasant, but focusing on your responsibilities helps a lot. It gets easier the more you deal with with it.

I've really lost track of what this discussion is even about.

Parents certainly should be the ones enforcing limits on screen time for their kids. I think the overall point here is that there's no shortage of authorities telling us that things we know probably aren't the best idea are "just fine", and in some cases even encouraging actions and habits that...