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Found 20 results

  1. Let’s talk about TXA and brain injuries. Maybe we can put to rest the suspicion that TXA creates further injury in patient’s with a TBI. TXA is an amazing tool to use for our trauma patients. There has been so much success TXA that there are trials to see how effective it is for GI bleeds. As with most medications new to a service (mine has had standing orders on TXA for about a year), there are always questions and concerns. One that continually comes forward is, “does TXA create further harm in a patient with a brain injury?” Curious and in an effort
  2. Kmedic82

    AHA BLS quiz app

    My AHA BLS quiz application was just released on Android. Check it out! https://play.google.com/store/apps/details?id=com.wBLSQuiz2019_9477418 View the full article
  3. 2,000 law suits and appeals have been pushed forward against Johnson and Johnson. The state of Oklahoma has started proceeding in regards to damages done to the state. As stated in the New York Times; ” Oklahoma had said it would need $17 billion to repair the damage done by the epidemic. About 6,000 Oklahomans have died from opioid overdoses since 2000, according to officials there.” It is about time some one has step forward and pursued dealers in this rich man drug war! View the full article
  4. There was a time I was burnt out. Well, that’s not exactly true. There was a time that every three months I was burnt to the core. I wanted to quit. I wanted to go to nursing school. Hell, I even put in an application to Fed Ex. Unfortunately, there was one time that my burn out led to injuring a patient. You see, I was burning the candle from all ends. I was going through a terrible separation with a woman who had two kids I cared for and adored. I was a supervisor of a shift that was falling apart. I worked nights, went to school during the day, and
  5. Kmedic82

    PALS Study App

    My new PALS study app just went live today! If you are an android and getting ready to take PALS, check it out! https://play.google.com/store/apps/details?id=com.wPALSQuiz2019_9326200 View the full article
  6. Kmedic82

    ElPaso Shooting

    apple.news/APWZMplLkQp28qw0aiF26Vw I couldn’t imagine being first on scene… prays for EVERYONE involved. View the full article
  7. This study will have two versions written about it. This version is my “cut the fat” version I am trying encapsulate in this blog. As well, with my venture in medical free lance writing, I will have a “medical education” category for those who want the juicy morsels of dense medical language. With out further wait… here is sepsis study on a plate. Sepsis is a hot button topic in the world of prehospital medicine. There has been alot of literature put out by hospitals that declare more than 50% of in hospital deaths are due to multiple organ death (MODs), which is the ultimate deathly
  8. Kmedic82

    Trauma Library

    If you haven’t checked out Life in The Fast Lane, you HAVE to give it shot. This site’s ECG library helped me not only get through medic school, but also helped me learn what I was seeing on strange 12-leads my first year as a medic. I receive their email updates to keep myself informed, but it had been awhile since I’ve visited their site. They now have a library of just about any emergency medical topic you can think of. I was extremely impressed with their trauma library! Please stop by and check them out! Trauma Library View the full article
  9. True story behind the title… I am a huge advocate for prehospital intubation. Though, I do strongly believe in good equipment, drugs, lots of practice (more than just simulators) and fail-safe options (iGel, etc). Every service has a different type of patient population. Every service has access to different equipment/protocols. Each patient has a different airway. Grants have helped many services obtain video laryngoscopes. Granted, less ambulances, the greater chance you will have to cool toys in your airway bag. Much like the cardiac monitor was a luxury in the past, I see these de
  10. I don’t know how it is in other service areas, but my service is unable to obtain ANY dopamine… what-so-ever! I’m not sure if it is a manufacture problem (think back to 2010 when a huge company of our ACLS drugs changed to erectile dysfunction pills over night). Or maybe our hospitals are having an ordering issue. The real situation is, I LOVE DOPAMINE! As a new medic, I was terrified of it. The confusing dosage. The simple down and dirty math equation that escaped me in the opportune moment of a ROSC patient. Even it’s shiny aluminum bag made it more intimidating than other meds. Why aluminu
  11. Kmedic82

    ACLS Quiz App

    Please stop by and check out my new ACLS Quiz App. It is full of challenging questions and gives you a score at the end. The app is free to download and is only on Android. This is a step into my new venture of adding more online accessible free medical education. I have a PALS Quiz App in the works currently. Give me honest reviews! Send me messages of how I can make it better! This is my first app and I only want to make our trade even better in the education realm. ACLS Quiz 2019 for Android View the full article
  12. Currently, I work full-time with an EMT partner. When it comes to airway, I am a believer in prehospital intubation. Though, when a call is out of control, and airway is immediate, I love my back up airways and an aggressive EMT. Now, with that said, I do not believe that iGel needs to be the first line of airway protection on an ALS truck. If we lose intubation, we lose an amazing tool as paramedics. There are several districts across the United States that are taking intubation away from their medics and handing them the iGel. Their explanation for the decision is simply a lack of education
  13. http://www.dailyherald.com/news/20170525/attorney-delnor-nurse-was-tortured-raped-during-hostage-situation Health care workers have the highest incident of being assaulted. It’s an average of 52%. That is just what is being reported. There is still just a part of our culture that doesn’t report because it’s “just part of the job.” It’s not. Support the laws of attacking a health care worker is equivalent of attacking a police officer. Stand up for yourself. We are not society’s punching bag. View the full article
  14. In my ten years with fire and ems, I have worked in a variety of settings; city fire, hospital ems, ICU medic, education, leadership, etc… Recently, my wife and I moved our family to a rural community. We live in the county seat with is a population of 6,000 citizens. The county is large and has a variety of rural population and industry. The two of us (she is an RN) where recruited from a large metro city to come down here. It was tough to move from a city we loved, but we felt unsettled with our jobs, and were given a contract we couldn’t refuse. We weren’t accepting positions in our dream
  15. Everything has a beginning. An inception of an idea where someone had the ambition to create it. Sometimes by accident. Like so many people in existence today, they were pure mistakes by their parents who had to many glasses of jim beam and there was a lack of entertainment on television. Now two asshole created another asshole who is going to create more assholes because creating assholes feels good. Even though the statement is slightly jaded, I still feel justified to say it. But then again, in my trade, we don’t always interact with the best of characters. So, the writer in me always crea
  16. http://www.ems1.com/ems-advocacy/articles/52462048-Stabbed-on-duty-A-medics-lessons-learned-on-the-long-road-back/ View the full article
  17. Kmedic82

    An apology.

    I’m sorry this has happened to you today. I am sorry you feel this way. I am sorry that you were born unlucky and suffer from this illness. I am sorry that they did this to you. I am sorry your bad day had become a turning point in my career. As the compassionate face expresses concern and empathy, the same person sweating over you will be receiving a high five in the ambulance bay. Sometimes your bad day will turn around the attitude for a burned out medic. It is what makes us good at our jobs and keeps our skills sharp and passion fresh. Our passion to help people. It’s the need to be want
  18. http://www.math.nus.edu.sg/~matlmc/Allegory_cave.pdf I have read this in past for my first degree in Literature (unemployment). As future leaders in emergency services, it makes me happy to see this added to the curriculum. In a constantly developing trade, it is important to practice critical thinking in an academic sense. Plato is using this metaphor to describe how people are educated. Everyone is taught to think in a special respect based on their upbringing. As described by the shadows on the wall being played by the marionettes or instructors, this is a metaphor on what people are taug
  19. Here's another study that I found interesting. http://www.ncbi.nlm.nih.gov/pubmed/22465807 What with all the sturm und drang (read: hoopla) about ET tubes and such, it seems that in porcine models in V-fib arrest with CPR in progress, placing a supraglottic airway significantly decreases the amount of carotid blood flow. That is, I think, really bad. Do you think this will have any ramifications on EMS practice? I doubt it. After all we found out back in 1978 that buccal glucose doesn't work but that didn't stop anybody.
  20. I wanted to post an interesting airway scenario, not to elicit right or wrong answers but to allow people the opportunity to discuss their approach (with reasoning) to this specific airway. Scene – 32 y/o male with a self inflicted knife wound to anterior neck (suicide attempt). The patient was awake with an 8 cm laceration through his Thyroid Cartilage above his Cricoid Cartilage that had transected his trachea, leaving approximately 2 cm portion of his tracheal ring in place. EMS had started an IV of crystalloid, placed a NRB over patients opening in neck (think of a trach mask – similar
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