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This really should not be the case at all. If the igel is properly sized and seated, no sort of pressure should be required to keep it in place. Some tape is probably a good idea to minimize the chance of dislodging (just like an ETT), but that's about it.

Once again, this is completely untrue. Every time you repeat the same lie, you reinforce the fact that you really have no idea what you are talking about.

There absolutely is no "legal presumption of negligence liability" due to off-label use of a drug 🤣. If that were true, then a majority of physicians and advanced practice providers commit medical negligence multiple times a day, every day. Clearly that is not, in fact, the case. Did you know...

Even their fluid requirements are often exaggerated and exceeding them significantly can be very detrimental.

All this data is saying, unless I'm missing something, is that pedestrians from primarily minority neighborhoods in Boston are much more likely than pedestrians who live in others areas to be struck by a motorist, no matter where in the city they are walking. The author of the article is going...

Alternatively, one may not want to be indentured to an employer for 2-3 years just to save the few thousand dollars that two semesters plus books typically costs at a community college. Now, if you were working for a good department that not only paid all of the costs of your schooling PLUS a...

My advice is to take a few deep breaths, delete ALL the apps that you've downloaded and put away the skill sheets, and just stop worrying. There's no reason to be neurotic or stress yourself out about acing the final of a course that hasn't even begun yet. If you are scoring in the 70's without...

Really interesting video; I'm very out of the loop on the TCCC stuff. Synthetic blood substitutes have been looked at for many years and would clearly be a game changer for some battlefield patients, but many casualties would still require early damage control surgery which realistically will...

That was a good one for sure but his role in Heat was my favorite

My wife and I love camping but I've gotten old and soft so I really like to be off the ground on a real mattress and to not have to worry about setting up or taking down a tent, especially in the rain. Also, having at least a fan is really nice when it's hot. So I thought about getting a cap for...

Bed of a pickup with a cap is a good option for a minimalist camper setup. You can also keep a tent and such tucked away in there in case you don't feel like sleeping in the truck, or can't quite get your truck to the place you want to camp.

That's exactly how things were when I started in the late 1990's. It wasn't uncommon to have a firefighter or two, or occasionally someone from a second ambulance crew ride to the hospital and help out, but that was far from a given. The baseline expectation was that a two-person ambulance crew...

Thanks for the quick reply.

What is everyone using these days to review for the NREMT Paramedic exam? Any preferred websites or books? Any of the iPhone apps considered to be a good resource?

It's hilarious that after all these years, ability to intubate is still the very first thing brought up in almost any discussion comparing nurses and paramedics :cool: The NCBSN (very loosely analogous to the NREMT) is what I think he is referring to and they do publish minimum scope of...

Congrats on 40 years. That's definitely a rare milestone. I've been one of the "haters" for a long time and it definitely has never been because I had any trouble passing the exams. I passed easily on my first attempt shortly after finishing paramedic school, in a state in which it wasn't...

The "crazy" ones who survive aren't crazy at all; they are just mentally healthy and resilient. That statement implies nothing negative all towards the majority of us who aren't very mentally resilient. It's just the world we live in now. We are all a product of our environment. What we used to...

Sorry to hear about this. RIP to the crew and I hope that their families and friends can soon find peace. These at least seem to have become much less common than they were in the early-mid 2000's, when HEMS bases were proliferating like crazy all over the country and crashes seemed like such a...

Again, we are talking about an entirely administrative and political role. This interim chief will be sitting in meetings with city and state officials making decisions about budgets and requesting funds for priorities given to her by her under chiefs and other advisors, not fighting fires...

Honestly I don't see it as a big deal at all. A big city Chief is an entirely administrative / political position and good skills in that regard combined with a strong public safety background and familiarity with the department overall would seem quite sufficient to me, at least for an interim...