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As eluded to in another thread, Hall Air Ambulance will cease to exist as of July 1st. They started their program in December of 2001 and served Kern County, CA for over 20 years. Their current partner/ vendor (Air Methods) will be taking over the Bakersfield base with plans on retaining all...

To the trainers and preceptors out there, does anyone actively enforce this principle? If so, how do you go about teaching it? It's definitely not a new concept, but I've found more often than not, most newer students, trainees, or employees don't quite seem to grasp how it works, or the...

Curious what all people are doing with the tongue in ETI. Does it matter? Is it situational? What are some of the newer providers being taught? I was taught sweep off from the right to give you more maneuverability with passing the ETT itself. Nowadays more seem in favor of gentle guidance down...

Does anybody know of a safe, solid product to remove or decrease helmet scuff marks?

I’ve been thinking about this a bit lately. I know I’ve certainly hit that point in my career where I can see the obvious gaps in society’s culture shifts, what’s right, wrong, or indifferent, et While like any job there are several generations worth of people in the workforce, I think our...

I wanted to ask this question to some of the forums airway heavyweights, @E tank, @Remi, and a couple others whose names escape me right now. Simply put: Does the size of an ETT relative to an adult patients size truly matter? The reasons I ask are A) the last few inductions that I’ve...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885923/ I came across it by chance from an AMJ article. I think it’s quite intriguing for the HEMS programs and folks. Thoughts anyone?...

I wanted to know if anyone’s agency out there practices either, or both, techniques. If so, how do you like it/ them? What don’t you like about either item or technique? What do you find easiest? Are they truly as helpful as they appear to be. I have a lot of respect for Jim DuCanto and folks...

Being that it’s yet another EMS week, and in turn this word (which strikes a particularly nauseating chord with me), is being flung around left and right I wanted to create a thread post for the true hero/ es in our lives, and pay homage to what defines them as such. Time and again, the...

Here's an interesting article I inadvertently came across while doing my daily downtime-induced research, and review. It's an article on the value of HEMS over GEMS in lieu of time savings from the AAST point of view. It comes from the Journal of Trauma and Acute Care Surgery. I figured I would...

So, it’s pretty evident the the HEMS industry has quickly, and unfortunately become notorious for an all too common theme: crashes. Having been the paramedic that “wanted to fly” so bad that I applied for multiple bases within a reasonable driving radius it does make sense to ask if the risk is...

This is a screening tool that one of the regional HEMS programs in the SoCal/ Nevada area apparently came up with. It's geared more towards the out of hospital providers difficult airway predictors. http://www.airmedicaljournal.com/article/S1067-991X(16)30357-1/abstract Obviously the...

Time and time again I hear folks remark about so and so being "dialed", always being calm, or just generally keeping their wits about them through critical calls. I realize it's been discussed before, and I also know that EMT and paramedic schools often don't drive these points home. Fair...

Obviously, for us the summer months always pick up. We did 50 flights last month alone. For those that don't quite understand, a "busy" base can run about 5-6 flights in a 24-hour period. Yes, that's busy. No, it isn't 36-calls-on-a-mercilessly-endless-24-on-the-ground busy. It's a long...

You are dispatched to a fall-not alert (priority 1 response). Upon arrival you find an 80 year old male slumped over by their bedside almost like they are praying with their back to you. Immediately you notice that the patient is not responding to verbal stimulus, and barely responds to a deep...

https://itunes.apple.com/us/podcast/the-flightbridgeed-podcast/id595147712?mt=2&i=1000385471827 Is anyone implementing either of these, or any of the forms heard in Eric's podcast? I find mastery of the basics, and/ or reviewing the most effective ways of managing an airway even at the "basic...

No, I don't mean to imply every provider is dramatic, I just can't help but notice how often we see people in the field, in the ED (yes, RN's, techs, etc.), and the like acting just as dramatic as the very patients they complain about. You know the people: the ones we often gripe about. The...

I wanted to share this abstract with everyone. I don't remember learning much about the Monro-Kellie doctrine in my initial paramedic training, so I figured it would be worth sharing here and paying it forward. The article itself is pretty thorough in describing different types of...

So I was at the gym the other day and I could not help but notice another guy with a Star Of Life t-shirt that read "EMT" in big bold letters, almost as if it was brand new. It got me thinking what does "it" mean to me? First off, let me explain what I mean by "it", I'm not specifically...

While the circumstances leading up to this case are unfortunate, even in spite of her full recovery, this is an interesting case to learn from and share with the group. The correlation with the two, and cascade of events leading up to this patients neurologically induced PE is something worth...