100% Directionless Thread

[Handsome Robb]

FF I'd love a PM with an explanation. Not trying to throw stones but this is getting ridiculous.

You've always been fair with me and I will always return the respect.

 

[exodus]

It could be because the posts broke the rules?

 

[ffemt8978]

FF I'd love a PM with an explanation. Not trying to throw stones but this is getting ridiculous.

You've always been fair with me and I will always return the respect.

Check your PM's

It could be because the posts broke the rules?

No comment.

 

[Handsome Robb]

Check your PM's

Fair enough.


I'll catch ya'll later.

 

[ffemt8978]

To all those wondering why there posts were removed, it was because they quoted a removed post.

 

[MMiz]

I want to be able to see stuff. We have short transport times so basically its monitor, iv, fluids.

I want to see crics, and decompressions, and RSI.

I agree! Take this opportunity to challenge yourself. Not much gets done in the back of a rig in five minutes.

 

[abckidsmom]

I want to be able to see stuff. We have short transport times so basically its monitor, iv, fluids.

I want to see crics, and decompressions, and RSI.

Find the busiest rural system in your area and go there. In a rural system busy = more than 6 calls per 24 hour shift.

 

[usalsfyre]

Roflmao you know some medics go their whole careers without cric-ing or RSIing?

While I haven't had to cric anyone yet (thank God) how in the hell do many people never do an RSI?

This "black cloud" crap really sucks sometimes...

 

[usalsfyre]

Find the busiest rural system in your area and go there. In a rural system busy = more than 6 calls per 24 hour shift.

Seconded. In four years at a VERY busy urban system I did 8 tubes, RSI and cardiac arrest. My first year in a busy rural EMS I did 15, most of them RSIs.

 

[NomadicMedic]

Agreed. I've had 8 RSIs in the last year. No cric, but I'm sure it's coming.

 

[Anjel]

RSI is only allowed in 3 or 4 places Michigan and its mostly way in the U.P

 

[Epi-do]

We don't have RSI available to us, so unless it changes, I am pretty sure I will go my entire career without doing one.

 

[usalsfyre]

While in my current locale it's probably not important as your rarely more than 5 min from some sort of hospital, I can't fathom being at my last job with 45min median transports and no RSI.

 

[Anjel]

Well if I ever do work somewhere that has it and it is absolutely necessary, I would like to have seen it, before I go paralyzing someone and taking over their breathing.

 

[usalsfyre]

Two big points on RSI are:
1)Done early with good planning it's the easiest tube you'll ever get, done late and in a panic it's an absolute disaster

2)Properly screen and preoxygenate your patients and it's almost never a panic situation.

 

[Shishkabob]

While in my current locale it's probably not important as your rarely more than 5 min from some sort of hospital, I can't fathom being at my last job with 45min median transports and no RSI.

I did 1 year in rural EMS (as you know ). My driver trainer has done 28 years in urban EMS. I've done 2 RSIs. She's never done a single one. Infact, my first RSI was also my first ever field intubation. Needless to say, I was scared crapless, but the patient had an absolutely fantastic outcome.




RSI shoudl be available everywhere, rural or urban. It's not needed often (and less so in urban areas), but when it is, it is needed, without a doubt.

A couple of the people in my last new hire class thought I was too stuck on RSI. They've never had a patient crashing on them, unable to breathe, when being upwards of an hour from the hospital, and seen the absolute goodness it can create when done correctly.



Jeez, usal, 15 in one year? Then again you were in H town and I was stuck in VZ.. so I guess 2 isn't bad.

 

[Rettsani]

3 days Insomnia despite fatigue.....:mellow:

 

[NomadicMedic]

RSI is the one procedure that I believe is important as a "skill". a systematic, planned approach to managing that airway will keep you from having to make panic decisions. A bougie, rescue airway, suction at the ready, alternate tubes... I set myself up for success, but always envision and prepare for the worst case when I RSI.

Out of the last 8, all were without a hitch. I'm sure my "pucker tube" is coming... But I hope to be well prepared for it when it arrives.

 

[Rettsani]

For the respiratory management, I consider myself easy at algorithms ........ then I have no reason to be nervous... ^_^

 

[Handsome Robb]

Alright I'm not so grumpy anymore.

HAZMAT class today. Who sucked down a 60 minute bottle in 30 minutes? This guy...I guess that's what you get the first time you ever wear an SCBA and add class B protection on top of it.

MCI drill tomorrow. This should be interesting.