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In the report I read it said the ambulance was delayed because the officers were not sure if they were going to arrest the injured protester and the ambulance crew said they would not allow ICE to ride in on their ambulance unless the patient was in custody. So after a while it was decided the...

I don’t know about you but when I have a patient in the ambulance I will try to go to the hospital with them. I have shifted into drive and left my foot on the brake with people still in front of me and then once they move out of the way, I will release the brake. If that person isn’t going to...

We don’t know if their intentions of placing the ambulance into park were intentional or not?

Except for you know, he was standing in front of an ambulance that was wanting to leave the scene to transport their patient who was not charged with a crime nor under arrest.

California

Titles do very much matter in the realm of EMS. For example as a paramedic, I am not legally allowed to intubate a pediatric patient in my state or county. However once I clock in as a flight paramedic, which is just a paramedic with more education, I can now intubate a pediatric patient and it...

It’s not always that straightforward when it comes to state regulations. While I have no experience with KY, it can come down to issues with #2 and #3. #2: from everything I have seen before it is only allowed in the wilderness paramedic scope and not the general paramedic scope. The medic was...

I’ll bite. If this is a standard practice for your volunteer fire station then you will likely get the best answers from the staff who are currently doing this. Sure, we can give you recommendations however we don’t know your department. Ask around your station and find out what people are using...

I never had an issue with using it when we still had the kings. Use the right size and place a little bit of lube over the opening and it would glide straight down.

The king packaging was much better than the iGel. The king was just simply the airway inside the paper/plastic package so it was much more comparable to a normal ETT. We carry the CMACs and have over a 94% first pass success rate

We have had some issues with the gel in the desert heat and also in some super hyperthermic patients. The downward pressure that you identified is also an issue. If you use the elastic band you may have to readjust it during use as the band gets easily stretched. We stopped using the bands and...

You don’t have to preload the king with a gastric tube. You can place the OG after the King is inserted. The King also advertises that you can place a bougie down the main BVM port and it should be directed towards the glottic opening at which time you could essentially do a tube exchange via...

So in 1 post you are making a huge deal about medications being used for off label use, which is very common practice in all of medicine, and then in another you are saying to run down to your local hardware store for something patient care related?

In a decent number of systems in the US there are paramedics on both the ambulance and fire engine that respond to medical calls so there would be 2 full sets of ALS gears. In some systems there would be a paramedic on the ambulance and then a paramedic supervisor in another response vehicle...

What do you mean your patients have trouble triggering it? There isn’t anything to trigger on CPAP

This. How long have we been taught and been teaching to never place a patient in the prone position and yet it still still happening

For what it’s worth, we buy the ventilator tubing for ~$47 per circuit.

I don’t have any experience with the Zoll ventilator. I have used the LTV, Revel, and Hamilton. To date the Hamilton T1 has been the best ventilator that I have used. One of our competitors went from the LTV to the Zoll for about 2 years and they are now switching to the Hamilton. Pros...

A lot of the ones I am familiar with (west coast) are a 3 year full time commitment to the company.

First: as a 30 year medic you really need to get off your high horse with the “I’ve handled high pressure stuff that most medics will never face”. You are not super medic and you are not above any other medic. Second: successfully complete means pass the test. In order to be successful you...