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Maybe our systems are different. We have 5 level 1 trauma centers less then 10 minutes from away. Our longest transport time is 15 min and 90-95% of the time we are less then 5.

Etomidate is pushed first.

Not worried about post intubation during the pre intubating a pt. I am worried about saving thier lives. You guys had me questioning myself but I don't see anything about analgesics in any rsi protocols involving parlytics.

Does anyone here work with paralytics pre hospitally?

The etomidate is a powerful short acting anesthetic and must be pushed prior to the succynocoline which is a non polorizing paralytic. These are the two most common drugs used in a hospital setting for rsi. And I'm not sure I understand your reference to sepsis. Allthough sepsis does have a high...

Iwe also have a polarizing paralytic..(vec). But I think the profalaytic use of analgesics and benzos is unneccisarry considering the half life of the etomidate is night then that of say 50mcg of feynt. (Which is our big boy for pain) why waste time and money on something that the pt doesn't...

Never knew that. We use succ. And etomodate

What are you guys using for RSI ? Fentanyl and versed.? We use paralytics and sedatives .no analgesics

If your reading this then maybe you can help. I'm an experienced urban medic, working for Boston Ems for 10 years. I am very interested in your system and would love to hear from someone who knows the ins and outs. Thanks, Mike

Done, thanks so much

Just looking up Denver health now seems promising. Any one skimming through this post have any knowledge of their system?

Thank you terrible and poetic for the help.. What about New Orleans or Memphis. And is there. Hospital based service for Atl?

Well consider me Poetically discouraged

If you want to be the best you have to know your district. Every street. Seems less time on couch and more driving around familiarizing ones self to the areas we are responsible for is a lost art now with GPS. Seems tome there is Much higher instance of lodd secondary to Mva since these...

I've been in the hood my whole career and would have a difficult time with little action.

If a trauma pt is unresponsive, hypovolemia, be it absolute or relative is right up there on my concern list. Any type of narcotic would be a risk in dumping the pts pressure even more. I don't know that the question makes a lot of sense.

Any specific agency names or regions?

Proud to say my agency is battle tested, and proven. Boston Strong

Hey guys and ladys, I'm new to this site but have been thinking recently a change is needed. Ive been with Boston EMS as a high paid, well respected, busy, urban, 911 only EMT for 10 years. I am a medic working per diem at a low paid, disrespected, busy, urban private co. For 2 years as well...