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We all know that paramedic intubation is a point of contention globally. The fact it is a diminishing skill, and OR's are hard to get time in, and historically a bad percentage of recognized gut tubes are all valid points. However, I live in an area that it is common to get one to two tubes (or more) per medic per month so proficiency here, is better than some areas. I want to open the floor to discussion on airway management and the protocols you have for RSI, Etomidate only intubation, and code only intubation. I hope we can, in this discussion, discuss drugs and sedation and doses thereof, Tools utilized: conventional, archaic and cutting edge. I would even like to discuss the supraglottic options. I know many, if not all has been discussed in the past, but this forum hasn't had the activity as of late, so I would like to have a good old fashioned debate about this stuff. Any takers? BAYAMedic *edit* Typo, no content changes

Captain ToHellWithItAll, Yes I have been making some calls and it has definitely been helpful. I've heard everything from it doesn't matter (aside from having to jump through some additional hoops) unless you've had two or more, to services that say after its been 5 years then you are insurable again. I'm still incredibly interested in this field and I know I can do well in my class. I sincerely do want to help people. Its a problem I've created for myself and I understand and respect everyones point of view. Initially I felt like this situation was might be devestating to my hopes of becoming an EMT but I guess now I realize that its all about self advocation, proving myself to be changed, taking responsibilities for my mistakes etc. Its going to be a long and bumpy road for me to get my foot in the door anywhere probably, but I want it bad enough that I can't let this discourage me or hold me back from trying. Thanks again to everyone for your input, even the ones that that stated things I may not have wanted to hear. I value the advice an opinions given here and I assure you..I'm not leaving this thread with my panties in a bunch!! I would like to continue to be involved on this website because I think I could gain al ot of valuable knowledge and perspectives from experienced folks in the field. I know I did wrong and I feel terrible about it. I never want to put anyone at risk because of my own selfish stupidity. Unfortunately, it already happened and I can't take it back so all there is to do now is move forward and deal with it..doing whatever it is I need to do to get to where I want to be to make up for the mistakes of my past. Also thanks to everyone for the well-wishes. It means a lot to me and I appreciate it. I hope I can be successful somehow in this field and use the knowledge and skills I will gain from training, in whatever scenario it may be..ambulance, raft guiding, etc. Take care everyone and perhaps we'll catch up on a different thread in the future.

Here's one of our research questions. Your patient takes haloperidol and presents with his eyes rolled back in his head, tongue sticking out and stiff neck that is “cocked to the side.” He is conscious and breathing, but drooling, and he cannot answer your questions because of the problem with his tongue but responds with grunts. What do you suspect is wrong? I'm thinking TD. What meds does EMS carry for this?

I only say that because I saw another similar title... Creative as it may be. I'm new to the forum and look forward to learning more about the group. Sent from me, using thumbs

Guys....Just because it's a research questions doesn't mean that he's not interested in general discussion on the topic, right? I'm rarely satisfied simply by "answers" found through peer reviewed sources as they don't answer all of the questions that I might have on the subject. Once again we're being a bit hard on a new member for bringing a really good question...I had to Google TD as I'd not even heard those words in years.... Why is it so important to demand to know why he's asking the question? Participate, or don't...easy, right?

Thank you all for the advice. I ended up talking to the instructor one on one to get a better idea of what kind of boundries we should establish. The end result was actually quite positive, we now see eye-to-eye and in the end I was told that it would be beneficial for me to continue to start these discussions in class, as long as we don't get too off topic of course. I'd like to comment a bit on the new day and age of adult education as I see it. I understand that a lot of services out there have a whole "eat your young" mentality and "you have to put x amount of years in before you can even have an opinion!" I see it quite a bit in EMS, and I think it is holding us back as a profession. Being a student, you make a lot of sacrafices. You have to take time off work, move away from friends and family and it's not cheap. As students, we have certain expectations going into school that we will be treated a certain way and have a certain amount of freedom in the classroom. However, we are the product of our instructors and our school. Our instructors are the ones with the power and have an obligation towards evaluating us to a certain level. I definitely do not want to border on arrogance, but I want my instructors to help me build confidence when warranted. Having said that, there's also a fine line between confidence and arrogance. If a student is to receive too much hype, praise and flattery, it's a slippery slope that can easily carry them over the border into arrogance. It is not only toxic, it can be deadly. I've tried to make it my goal not to allow myself to get overconfident, especially now that I'm an ACP student, because that's when practitioners will miss a step, lose their focus and potentially hurt somebody. A balance is definitely required in an instructor between fostering learning and being critical towards bad attitudes and bad habits so they don't manifest throughout their career. I liked that quote Dwayne, I think in this day and age we must really pick and choose who we want to learn from, and if it's not a proactive relationship then there's no harm in ending it.

galls.com

You've been around dogs your whole life? So what? So have most Americans, including myself.. Once you use the argument that you know someone who is something and that they did something, you have lost the argument. I'll tell you what, let's agree to meet back here in 10 years, once you have graduated high school and have some real world experience and reopen this discussion. EDIT: The facts still stand, regardless of your opinion. The officer was put in a position that had the potential to be life threatening and reacted in a way to remove that threat. Are you saying that a pitbull who is actively trying to hurt someone is not a threat?

What's making you think it's tardive dyskinesia? Any history of reglan in their meds? Any fever present? I'm not sure it's TD because usually they have mouth/tongue movement and the eyes rolled back in the head doesn't seem consistent with TD...

Excellent response ks. I think you might be the first person has taken advice of the site and listened to it and not left with a huge chip on their shoulder. Sent from my SPH-D710 using Tapatalk 2