I wish I could call you one last time. You were the most genuine person I ever had the pleasure of meeting. You always pushed people to be their absolute best and never failed at it. Gods know best but damn if it don’t hurt. Till we meet again brother. Fly high Fletch....
Good pre-oxygenation and apneic oxygenation will get you safely out of some pretty sticky situations.
Don't pull that nasal cannula for the intubation attempt, we want it.
Demanding that the Bible be taught in public schools and the Ten Commandments be posted on their walls while not even holding your preferred politicians accountable to either of them is the height of hypocrisy.
Paramedics are clinicians. Paramedics should be allowed to RSI, and intubate, and give blood, and all the other necessary things to stabilize an emergency in the prehospital environment.
Next time you get to the point in a code where someone gets bored enough to try to do bicarb:
Tel them to grab some graham crackers, crush them up and sprinkle them on the patient.
Since they wanna do something with no benefit because “it won’t hurt them”
(Bicarb does)
Why do we need to bring methoxyflurane (aka Penthrox or the green whistle) to the US?
-It's shelf stable
-Tamper/abuse resistant
-Effective
-Hemodynamically neutral
-Non-opioid based
-Established manufacturing
The @US_FDA recently lifted the restrictions on studying methoxyflurane so we're making headway hopefully. Head over to @JSOMonline to read about our deployed experience with this from our Coalition partners.
https://t.co/Ujm4YfUI2W
#emergency #emergencymedicine #foam #foamed #foamcc #army #armymedicine #armyemdoc #meded #icu #criticalcare #airway #navy #airforce #marines #military #combat #pain #medx #medtwitter
Video source:
https://t.co/spKzCUEZD6
UNPOPULAR OPINION: Unless your patient's condition is terribly time-sensitive, transport should always be delayed to perform any intervention that you would perform while unrestrained.
#BREAKING: New research on involuntary treatment for Substance Use Disorder finds forcing people into treatment to promote abstinence … DOESN’T WORK. Within the first two months after discharge, 96.4% of the 1,083 participants had relapsed.
Recovery is HARD. For treatment to work, you have to want it.
I went to treatment and recovery voluntarily more than 12 times, it took me roughly 26 years to accomplish my first year of sobriety … and I relapsed again after that.
Lucky for me, the drugs were not as contaminated, unpredictable and deadly as they are today. So I got that time I needed to figure it out!
Treatment and recovery programs are crucial, but they can’t be forced and they aren’t the only solution.
Read the research here 🔗: https://t.co/X8nSCh134a
#BCpoli #ToxicDrugCrisis #HarmReduction #Treatment #Recovery
It’s a profound problem for American HEMS. Too many bases flying too many unnecessary flights under unsafe conditions in aircraft that have no place in the HEMS world.
Having someone you've never met trust you to take their baby, parent, or loved one from them during an emergency is the closest thing to sacred I've ever experienced.
It's an honor worth reflecting on sometimes.