I actually really liked the way the newspaper article phrased the issue. They mentioned that "larger needles are believed to be more painful." I'm not certain if they are or aren't, but intent matters. I think we can all agree that if someone is deliberately placing an inappropriately large IV...
Tigger pretty much hit the high points regarding UCHealth Fort Collins. They were PVH EMS when I was there though and just beginning the transition to UC.
They did some posting when I was there, but it was primarily station based. We started off at one of three locations and then dynamically...
I did participate in the fine tradition of turkey bowling this year! Wawa was good to me. They added extra cranberry, just like I like it. I even managed to make it through the shift without any weird calls. The EMS gods were kind enough to let me happily eat in peace. They must still be feeling...
Bah. I gave one of my patients 400 mcg IV Fentanyl yesterday and never achieved reasonable relief of his pain from an open tibial fracture. We had it splinted pretty well, but the poor guy was so opioid tolerant he just laughed at all the IV Fentanyl I carry. The worst part is the transport took...
We have a medic at Sussex who came to us from Wake. It's interesting to hear his perspectives on both systems. If I'm ever in the area, I'll certainly try to do a ride along.
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Impressive necro thread...Since it's already been resurrected though, I may as well contribute!
The worst thing I've ever heard left behind was a toe. It was a fairly clean amputation, but the patient also had some other injuries and they were flying him out to a higher level trauma center that...
We used to replace our vials of succinylcholine every 15 days since we kept them at room temperature.
Now we have managed to get ahold of pre-filled 10 mL syringes of succs at 20 mg/mL that are good for 90 days. I have no idea how, but pharmacy magic was clearly applied somewhere. Either that...
I'm glad you're looking at us. We could always use good people. I've actually had some outstanding ride alongs over the past few months that I'm hoping apply here during the next application cycle. If you can get used to Delaware and all that entails, I think it remains a great place to work...
Cool discussion here! I've begun to learn over the last several years how much practice airway "proficiency" really takes. If you're in a system where you don't have the opportunity or need to intubate more than once a year or so, there's simply no need to have it in your protocols or scope. It...
We got to do a cadaver lab this morning through work. They managed to cycle every single employee through to gain increased familiarity with numeral head IO placement, a possible new video laryngoscopes, and cric practice. Inconvenient timing as I'm leaving for vacation, but it all worked out...
Gotta love high acuity days...
Started out with an ACEI induced angioedema patient that required a trip to the OR for an airway, moved on to a lady with symptomatic malignant hypertension and the vasculature of a fossil, and then intercepted BLS on a "medical alert" with the following EKGs...
I ran a really weird call last night for a combo OD/CVA. Dude is 60 years old and still running around shooting up heroin...
I honestly could not separate whether the patient was too uncooperative to follow my stroke assessment commands or if he was actually presenting with a positive stroke...