NomadicMedic
Pot or Kettle? Unsure.
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Got my first pedi code out of the way. I feel like its my first day as a medic.
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Those are never good days. Let us know if you need to talk.
Got my first pedi code out of the way. I feel like its my first day as a medic.
Sent from my SAMSUNG-SM-G920A using Tapatalk
Thank you but ill be ok. As a DOSE trainer I'm angry that it was a safe sleep nightmare. The investigating detective is also a DOSE trainer and pretty much echoes my feelings.Those are never good days. Let us know if you need to talk.
it's so political now it doesn't even matter idt. but npEven if I were qualified for the position, there isn't enough money in Besos portfolio for me to even consider moving east of the Mississippi River, let alone NY. But, thanks for the vacancy announcement anyway.
Meh, I agree there are lots of places out west that are pretty much impossible to beat, but there are also plenty of places in the east that don't suck. There's a lot more here than NYC and Boston and DC.Even if I were qualified for the position, there isn't enough money in Besos portfolio for me to even consider moving east of the Mississippi River, let alone NY. But, thanks for the vacancy announcement anyway.
Moonshine and humidity.Meh, I agree there are lots of places out west that are pretty much impossible to beat, but there are also plenty of places in the east that don't suck. There's a lot more here than NYC and Boston and DC.
In the OR, I don't always do this (I probably should) but if I have any suspicion that the airway might be at all challenging (i.e. the 120kg+ patient with OSA and COPD and MP4), I will tilt the bed into a little reverse t-burg and also raise the head up a little and then adjust the height to where I want it. This generally results in a pretty optimal position. I know, I know, this ability to make things "easy" is exactly why prehospital and ED folks don't like taking advice from us anesthesia folks, because "we don't know how it is" outside the OR (even thought I've been a paramedic for almost 20 years and spent a majority of that time in HEMS). But I digress....https://www.ncbi.nlm.nih.gov/pubmed/28202295
Anyone ever set up intubation like this article was studying? Messed with it in school, never have actually done it. Might be something to revisit one of these days when I have a little down time.
My medical director participated in a study at IU health with 1st and 2nd year residents intubating like that. I have the paper here at home. It was like 85% first time pass rate at 40 degree angle versus 65% supine. I dont remember the exact numbers. She told us to try it.https://www.ncbi.nlm.nih.gov/pubmed/28202295
Anyone ever set up intubation like this article was studying? Messed with it in school, never have actually done it. Might be something to revisit one of these days when I have a little down time.
I just looked and the study you linked is the same one she gave us a copy of a few weeks ago.@Remi, the only time I griped about that was when I was told stylet/bougies were a crutch and I had precious few opportunities to practice as I work. That being said, I would absolutely love a chance to just learn the finer points of airway positioning techniques and medication administration.
Do you find that manipulating everything is easier with the head elevated?
@GMCmedic, those numbers are the same as the above article I believe.
Meh, I agree there are lots of places out west that are pretty much impossible to beat, but there are also plenty of places in the east that don't suck. There's a lot more here than NYC and Boston and DC.
i bet @DesertMedic66 hit it from 200Nothing like the sound of lead vs steel at 100 yards on a Sunday morning to make you feel American.
i bet @DesertMedic66 hit it from 200![]()
how'd you like the good ol' LWRC?Took forever to zero my rifle... I'm better at sighting in my bow and arrow then I am guns.
how'd you like the good ol' LWRC?