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As this topic has come up before, for your interest: http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(17)30469-1/fulltext No benefit on mortality. Not very long transport times though.

Hi all, This is a open thread for anybody with questions about critical care. Have a patient scenario to discuss? Confused about a drug or some physiological mechanism? I guarantee I will answer anything to the best of my ability. (Of course, others are welcome to chime in too!) My only caveat...

http://www.ncbi.nlm.nih.gov/pubmed/26394232 Article in a major emergency medicine journal, authored by an EMT and four medics. Three work at private services. Lead author is a Basic. Suck it, establishment! (Did I say that out loud?) Now, someone else publish the next one!

Does anyone carry anything to prep for ECGs other than alcohol? Benzoin, Mastisol, etc?

What basic science concepts -- e.g. in chemistry, biology, physics -- have you found most important for understanding physiology and medicine? In other words, what principles and mechanisms keep showing up at the core of clinical topics? And which have you found most challenging or confusing to...

Thought this could be a worthwhile topic. How many of you are assessing postural vitals out there, and if so, how are you doing it (and to whom)?

A recent thread got me thinking. How do you guys feel about dispatch calling you on your personal cell phone to get in touch -- even when you never gave it to them or authorized its use? This is a fairly common practice that I've seen, usually when they're having trouble reaching you on the...

Hi all, Anybody have any experience with private services around DC? (Including DC, MD, VA, wherever.) I'm gonna be living in the district starting tomorrow, and have a gig lined up at Hopkins that won't start until October, so I need some temporary work and am considering hustling as a Basic...

I just had a reader request an article for my site discussing field neuro exams. Anybody have any specific questions, confusions, or issues they'd be interested in seeing addressed regarding this?

http://www.huffingtonpost.com/2014/10/25/canadian-medevac-photos_n_6022560.html Prettttty...

What's your approach when you get the cocktail party question? "What's the craziest/grossest/etc thing you ever seen?"

Anybody else a quote fan? I like to collect 'em. Nothing's wiser than pithiness and it's a nice way to remember why we're doing the whole medicine thingamajig. Share 'em if you've got 'em! Here's a few... May I never see in the patient anything but a fellow creature in pain. -- Oath...

Given how much time is spent telling new folks not to take blood pressures using palpation, and certainly not by looking at the bouncing needle, I thought this historical note from the early days of hemodynamic monitoring (at the turn of the 20th century) was amusing...

Marcus GM, Cohen J, Varosy PD, et al. The utility of gestures in patients with chest discomfort. Am J Med. 2007 Jan;120(1):83-9. Fun little one for the holiday season. What do you think? Answer one of the below if you can! What's the question we're looking at? Why do we care in EMS...

Otten D, Liao MM, Wolken R, et al. Comparison of Bag-Valve-Mask Hand-Sealing Techniques in a Simulated Model. Ann Emerg Med. 2013 Aug 9. pii: S0196-0644(13)00693-8. doi: 10.1016/j.annemergmed.2013.07.014. [Epub ahead of print] Everyone's encouraged to participate -- ask questions, share your...

Hi folks! There's been talk about starting a forum journal club. If you're not familiar, journal clubs are a longstanding practice in clinical and academic settings; odds are your local hospital or med school has a few. Basically, it's nothing more than a group that meets periodically to...

Anybody have any experience using O2 to manage a patient with cluster headaches? Maybe a long shot due to the rarity, I know... A bit of background: http://www.ncbi.nlm.nih.gov/pubmed/19996400

We've all probably heard this stuff discussed to death, but I just attended a lecture that summarized the ACA changes along with some proposals for filling in the gaps that made 10000% more sense than anything else I've heard. It really resonated with me, answered many of my objections, and got...

Hi all, I wanted to put an idea out for discussion and comments -- good, bad, or otherwise. Does anybody currently try to obtain informed consent from conscious and capable patients prior to C-spine immobilization? I know that in most cases, we're not huge on explicitly consenting in EMS...

Does anyone have experience working as a Basic in the Portland area? I'll be moving up there soon for school and am considering some per diem employment on the side to scratch the itch.