Dan

pedi flight medic

[Dan @dmalley4231]

@emtrnmd Large academic medical center in south of state: Cardiac ICU does most of the devices. CVICU is post ops + ECMO.

[Dan @dmalley4231]

@joshkimbre Is your program carrying neo VL?

[NEJM @NEJM]

Presented at #PAS2024:

Intubation in neonates is challenging, and repeated attempts are associated with adverse events. Among neonates undergoing urgent intubation, video laryngoscopy resulted in more successful first attempts than direct laryngoscopy. https://t.co/wRywKSRg8u

[Dan @dmalley4231]

Laughs in United Stated HEMS

[Anaesthetists United @AnaesUnited]

Plan by @swasFT to introduce pre-hospital anaesthesia air-ambulance teams without a doctor on board. Is this appropriate? We want to start this discussion now.

https://t.co/ozU2B4PJS9

[Dan @dmalley4231]

@fyreman2006 @Ticketmaster @NFL @MLB @NHL The biggest travesty here is you can’t get them to big sporting events, say a playoff baseball game

[Dan @dmalley4231]

@emtrnmd You love to hear it!

[Dan @dmalley4231]

@emtrnmd Hope kiddo feels better!

[Dan @dmalley4231]

@emtrnmd Fever? Do jumping jacks hurt?

[Eric Jaeger, JD, NRP, EMS IC (He/Him) @EricJaegerTNG]

Pediatric Cardiac Arrest

If neurologically intact survival is your goal (it is!), then the right move is to perform resuscitation on scene.

Exactly as we do for adults.

The old “scoop & run” strategy with peds cardiac arrest was based in our fear, and must be discarded.

[DFA New Haven @DFANewHaven]

the teacup flyers have started appearing again around downtown New Haven

[Dan @dmalley4231]

@bassoonapillar Preach. Full timers should always come before part timers and per diems.

[Dan @dmalley4231]

There are reputable and safe programs that voluntarily elect not to seek CAMTS accreditation. Ones that come to mind are DC Children’s National and PennSTAR.

Does anyone have insight as to why?

[Dan @dmalley4231]

@mhnparamedic Hard to say without CT head, possibly EEG, labs etc

[Dan @dmalley4231]

I think people are missing the point here. The tension between stability and transport happens where the patient is located. Do the EKG, place the IV etc on scene. Once your in the truck you should be moving, unless you need the driver to perform an intervention (ex RSI).

[Dan @dmalley4231]

@bassoonapillar Rest easy old girl

[Dan @dmalley4231]

@calldaburd @_JaceMullen @momedic9019 For context, we use an aerogen at baseline for all in line nebulizers

[Dan @dmalley4231]

@calldaburd @_JaceMullen @momedic9019 iEpo >>>>> iNO (for transport)

[Dan @dmalley4231]

@Neuro_Matt I don’t know of any medics who were formally taught this test, let alone use it.

[Dan @dmalley4231]

@ThekidDave914 It’s easier to treat the patient when you understand what’s actually wrong!

[Dan @dmalley4231]

@emtrnmd Creighton has a 2 week in person program but NEMTC, based in Mass, is an online program (sans clinicals, of course) that is very well regarded.