Bless the BiPap #foamed

@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.

@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.

RT @RyanMarino: I am begging, screaming, pleading with the media to stop this nonsense

Wtf. #endthestigma

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.

@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%

@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.

@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%.

@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.

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.

Had my first pediatric arrest today, and with a suboptimal outcome. Our new medical director is top notch

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.

RT @FlightBridgeED: Pre-hospital application of ultrasound is the ultimate way to augment your physical assessment. Join the FOAMfrat Team…

RT @SydneyHEMS: This video shows significant airway soiling. Suction was used continuously to provide a view in order to secure the airway…

@ParamedicTutor @FLTDOC1 "Comparison of Suction Rates Between a Standard Yankauer, a Commercial Large-Bore Suction Device, and a Makeshift Large-Bore Suction Device" Commercial Large-Bore (@SSCOR The Big Stick®) superior to Yank and makeshift device across all fluid viscosities.

We’ve added 2 new services to the map. If you’re using POCUS, please submit your program to the map! Connecting clinicians, simplifying networks.

I made a resource for #POCUS users and those interested in implementing it at their program to connect with other users. Connecting clinicians to share strategy, protocols, training, etc. Check out and submit your program to be on the map! #EMS #foamed

What is your favorite physical assessment sign? #medtwitter #foamed I’ll start: Frank’s Sign