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Everything posted by Doczilla

  1. Funny thing, everyone was kind of freaked out by how hard she hit, so nobody offered. The following year, I wanted to make the slogan, "So much learning it will make your brain bleed" but was vetoed by the boss. 'zilla
  2. Still kicking! Although moved a thousand miles or so. Goodbye Ohio, hello Texas! ’zilla
  3. There is the "tyranny of distance" as it is referred to in combat medicine, where the tactical situation prolongs extraction of a patient to definitive care. I have seen tactical situations where an ambulance was parked 100 yards away but took 30 minutes or more to reach the patient because of safety concerns and volatility of a situation. For extracting the patient, who will do that when the officers on the SWAT teams are engaged in a search for the subject or explosive devices? That's not a setting the average street medic is trained to be in. TECC training and the Rescue Task Force concept
  4. We have great OB services, even high risk and NICU. 2 years ago we had a student at the class faint and get an epidural hematoma, so she got to meet our trauma service. (she was fine)
  5. That's right, boys and girls, we are back! Warmer weather for this one. Registration just opened and we expect it to fill within a week. Sign up! https://medicine.wright.edu/emergency-medicine/ems-cadaver-anatomy-procedure-lab
  6. I understand I was there in spirit, thanks to Dr. Bohn.... I really have to pay him back for that slide in his lecture.
  7. Sadly, I am deployed this year, so I will miss the 10th CAP Lab for the first time. Sorry that I'll miss you. Dr. Tucker and his minions have everything well in hand, and it sounds like a good program this year. 'zilla
  8. This is a VERY dicey issue. There are ADA issues at play, as well as potentially union rules, state law, etc. This is one of those areas you do not want to try to figure things out on your own. Adverse personnel action could create significant liability exposure for the agency. I would do nothing without the help of human resources.
  9. Registration opens October 15. Going to try not to get blood on the ceiling this year.
  10. I've been heavily involved with this in our state and elsewhere. SSI has been around for a long time, but where we are changing the thinking is in not having the patient remain on the backboard once moved from point of injury to the stretcher. I've had emails from several states asking for our protocols, clinical justification, and training materials. NAEMSP came out with a position paper on it last year as well. The original position paper was pretty strongly worded about doing away with the LBB as much as possible, but a consensus document with ACS-COT was created, and it was softened to
  11. Dates posted for CAP Lab 2013: Dec 3 and 4. https://www.facebook.com/EMSCAPLab http://med.wright.edu/em/caplab 'zilla
  12. Game on! https://www.facebook.com/EMSCAPLab http://med.wright.edu/em/caplab Registration opens in October. 'zilla
  13. I like Beverly UMP for post-workout if I don't have access to decent actual food. Mixes up very well and tastes good. For straight meal supplementation, nothing wrong with Ensure or Boost High Protein. Balanced nutrition that I can grab and go, usually on the early mornings.
  14. Are you freaking kidding me? You drop that monster flight of ideas you call a post to ask a very basic question and assume a smartass attitude with a vetted member who has had years on this forum who takes the time to bang out a reply to you? Get lost.
  15. Vecuronium (Norcuron) usually takes about 3-5 min to work, so that's why you won't see it as an initial paralytic. The point of RSI is to sedate and relax the patient and intubate them before the hypoxia sets in from ventilating them without a secure airway. Succinylcholine and rocuronium are both good agents for that. Rocuronium lists for $50 a vial and has to be refrigerated, or changed out every month if stored at room temp. Succinylcholine is 90% effective at 90 days at room temp. That's room temp, not the temperature abuse that is common in ambulances. We carry succinylcholine
  16. This video is admittedly kind of hard to watch. Barry is an excellent fire officer and paramedic, and is well respected in and out of the department for good reason. The weather that morning was not predicted, as we have been hovering around freezing most nights. He had a fraction of a second to see the car coming for him. Fortunately, he should do very well, and has been discharged from the hospital. http://www.firehouse.com/video/10910238/raw-video-ohio-firefighter-struck-at-scene-of-crash http://www.firehouse.com/news/10910236/video-ohio-fire-captain-struck-at-scene-of-
  17. Another consequence of dogmatic education on spinal immobilization. The patients were initially ambulatory.
  18. We had some of the PMC medics in Iraq fall in on us at the CSH during our con-ed classes. We typically did a class every other night or so, and the training OIC ensured they got certificates of attendance. They were always welcome. We also ran some training evolutions (casualty simulations, MASCALs) with one of the larger PMCs there. 'zilla
  19. I'm not sure Kate knows WHAT to think of us now. Go Bulldogs!
  20. It was 65 and sunny here yesterday. Today, the weather sucks. CAP Lab must be here.
  21. No, yes, and no. A medical student does not have an MD degree, and therefore no license. They cannot bill. A first year RESIDENT (and that may be why they identified themselves as a student) can see and treat patients, but not independent of oversight by an attending (typically has to review each case directly, as well as any diagnostic adjuncts. Many don't necessarily see the patient themselves.). They also have no license until they have completed their first year of residency, Step 3 of the USMLE, and complete the state's licensing process. Billing for this without being seen by a
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