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  1. Akulahawk

    Sedation Deaths

    It is It is when a medication is used in an off-label manner that isn't in any accepted use that a medical practitioner becomes a test pilot, so to speak, for that medication. In that instance a more strict liability case can be made. Since the FDA doesn't regulate medicine, failure of the FDA...
  2. Akulahawk

    Paramedic vs RN

    Actually, NCLEX may seem to have ACLS baked into it but one does not need to know ACLS to pass it. The two exams are built very differently. I cannot get much more specific as to content of the NCLEX as there's effectively an NDA in place about the actual exam. Just know that also ACLS can...
  3. Akulahawk

    WWYD: Butane inhalation & ignition

    So true...
  4. Akulahawk

    WWYD: Butane inhalation & ignition

    Consider what a KT does and how it works. Then perhaps you might rethink your assertion here.
  5. Akulahawk

    Thoughts on this EKG?

    What about the initial image makes you think defibrillator pads were used?
  6. Akulahawk

    Vents

    Given the "inability to trigger it" sounds more like problems with BiPAP. CPAP doesn't require triggering... as you well know.
  7. Akulahawk

    Paramedic vs RN

    This is only a partially true statement. Each state sets a basic scope of practice for the RN, that part is true. Attaining an ACLS certification is not typically necessary for RN licensure. It may be necessary for practice in a given specialty as an RN, but this would be above and beyond basic...
  8. Akulahawk

    WWYD: Butane inhalation & ignition

    Not recalled correctly. Or lack thereof...
  9. Akulahawk

    Thoughts on this EKG?

    What is the basis for your assertion?
  10. Akulahawk

    Sedation Deaths

    Using Ketamine in RSI is an off label use. Simply because a medication is used "off label" does not necessarily mean that medication is not generally accepted for that off-label use. In the case of Ketamine, it is widely accepted for use in the setting of procedural sedation. It is also quite...
  11. Akulahawk

    Paramedic vs RN

    I wouldn't say that's entirely correct. A paramedic is a specialist in prehospital care. Most RN's aren't. If an RN were to testify about prehospital care, that would require an extensive exam into that RN's education, training, and experience specifically in the area of prehospital care to...
  12. Akulahawk

    Who clamps their tubs before transfering to a different vent? (CCT Transfers)

    In my own practice, I don't generally clamp the ETT when switching to/from my vent and a hospital vent. I can see a situation where a patient may be extremely PEEP dependent and thereby requiring a clamping but those patient will generally be already well known that they don't tolerate being off...
  13. Akulahawk

    We had a spammer, Ban Hammer has been swung...

    As the title suggests, we had a very prolific spammer. Many pages of spam has been dealt with and the spammer has been banned. Back to our usual content!
  14. Akulahawk

    Vents

    IIRC I don't believe Zoll has a similar app. That's one of the things I do not like about the Zoll Vent. While it's not difficult to operate, if I only use the darned thing only every great once in a while, it's not easy to be come truly proficient with it. A reasonable simulator/emulator would...
  15. Akulahawk

    Vents

    That's about how I would assess them. The Z Vent won't do some modes that are used in the ICU but it will get the job done and can do long distance transports and for EMS use, you're not going to use those ICU modes anyway. In my ED and hospital, we do use Hamilton vents but we just start our...
  16. Akulahawk

    Vents

    I use the Zoll Ventilator. It's not bad. Not great either but it does get the job done. It'll do the "usual" modes and appears to be reasonably well tolerated by patients. It's definitely way better than a PLV-102... ;)
  17. Akulahawk

    New Zoll monitor.

    As long as it works and (at least the AED part of it) is intuitive to use, the end users can be taught the buttonology. I would consider it a bonus if the device is basically firefighter-proof... or at least firefighter-resistant. 😂
  18. Akulahawk

    [18m almost 19m] I'm freaking out.

    Pretty much ALL of us here have been in your shoes. You haven't even STARTED the course and you're scoring in the 70's? That's actually not bad at all.... Now all that being said, put away ALL of those apps and don't even THINK about touching those until you're at least 1/2 way through the...
  19. Akulahawk

    NR BLS Inactive to ALS

    I never had an active NREMT-B when I went for my NREMT-P cert. My understanding is that one still only needs to meet the minimum requirements to enter P school and then upon completion, they send off their approval for you to take the exam. If your state ALSO needs to approve, then the STATE...
  20. Akulahawk

    100% Directionless Thread

    What kind of structure? A house of cards? Actual outhouse?
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