Joel Porter

Husband, Father, Paramedic turned EP technologist. Trying to find the perfect balance.

[Joel Porter @FOAMedic1]

Bless the BiPap #foamed

[Joel Porter @FOAMedic1]

@JustinRisinger1 @espn 💯 NFC is tough as nails lately.

[Jon Tweets Sports @jontweetssports]

“God Bless America.”

“The only thing more powerful than hate is love.”

“Together, we are America.”

And this was the anti-American halftime show?

[Joel Porter @FOAMedic1]

@JustinRisinger1 @espn NFC West was hands down the best cnf, & SEA showed up in the playoffs. AFC was top heavy. NE DEF beat out mult great OFF, and the NE OFF sustained through the #2 and #3 DEF in playoffs. NFC was tougher this szn and were most likely to win. SEA just put an exclamation point on it.

[色々自粛中復活🌟 @makkyecg]

メチャ分かりやすいです‼️👏👏👏👏👏👏👏👏👏👏👏👏

[Joel Porter @FOAMedic1]

@JoshBorkoskyEMS @tbouthillet It is usually more time consuming, and more involved to treat and release than it is to just take them to the hospital and be done with it. Sometimes still a better option, but not as often as one may think.

[Joel Porter @FOAMedic1]

@Dr_Oubre I’m a paramedic and anytime we go on a retrieval if the spouse is present I ask, “do you want to give them a kiss before we leave?” If they do, then I follow it up with, “just no tongue, it’s hospital policy.” The older the patient is, the more laughs I get.

[Joel Porter @FOAMedic1]

Wtf. #endthestigma

[Joel Porter @FOAMedic1]

Saw an intubation in the ICU today. Operator asked for the GlideScope at the bedside, “just in case.”

“Just in case” turned into a second attempt at 78% while the succs was wearing off.

[Joel Porter @FOAMedic1]

@rykerrmedical No titration, just a fixed 30%. Then you can add in the supplemental O2. There is adapters for the Pulmodyne that allow 60-90%

[Joel Porter @FOAMedic1]

Hasty low-oxygen delivery for neonatal resuscitation using an infant BVM with neonate mask and pulmodyne (delivering ~30% FiO2) with the ability to add supplemental O2 to meet additional needs of the patient.

Thoughts?

[Joel Porter @FOAMedic1]

@rykerrmedical You would either be delivering 100% FiO2, or guessing if it’s using low-flow and entraining Room Air into the BVM. This takes the PEEP off of the pulmodyne circuit, so you could still add a PEEP valve to the BVM itself. You’re just ensuring 30% to the BVM.

[Joel Porter @FOAMedic1]

@rykerrmedical This connector connects directly into the oxygen port, or can be unscrewed and screwed onto a regulator. This supplies the device with 100% FiO2, but the Pulmodyne CPAP system uses a Venturi device (big orange part) &delivers 30%.

[Joel Porter @FOAMedic1]

@DrJeffJarvis Wholeheartedly agree. Unfortunately while #TIADPS , PA is not. The state medical director will not approve RSI for paramedics unless you’re in a helicopter. Hopefully a pilot program soon, but for now it’s SAI with etomidate or ketamine.

[Joel Porter @FOAMedic1]

Sedation-only Intubation (I know…)

Secondary to RSI, what would you prefer?

[Joel Porter @FOAMedic1]

We have to disconnect outcomes with failure. Just because a patient dies, does not mean that you failed. The opposite is also true, patient survival does not equate to success. We have to look at the processes we use. Sometimes we get a bad result when we use a good process.

[Joel Porter @FOAMedic1]

Had my first pediatric arrest today, and with a suboptimal outcome.

Our new medical director is top notch

[Joel Porter @FOAMedic1]

Intra-arrest the patients eyes were steadily panning left and right, 3mm, sluggish, no nystagmus, not tracking light source. No reaction to flick “test”.

I’ve never seen that before. SCA post racquet ball game, bystander CPR started with AED application and 2 shocks PTA of EMS.

[FlightBridgeED @FlightBridgeED]

Pre-hospital application of ultrasound is the ultimate way to augment your physical assessment. Join the FOAMfrat Team in this hybrid workshop that takes you from beginner to Scan Artist!
registration open at https://t.co/8lUPuTbHNf

[SydneyHEMS @SydneyHEMS]

This video shows significant airway soiling. Suction was used continuously to provide a view in order to secure the airway (the SALAD technique) #AiRBlogVideos #FOAMed #Airway
Find the password and more info here: https://t.co/X6GooEuPxo