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Josh Hodge
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Josh Hodge

Discussion  - 
 
Does anyone know the NNT of 12 lead ECG acquisition? 
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Josh Hodge's profile photoJordan Schooler's profile photo
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Well, that's fine. I would urge you to remember that the NNT comes from the absolute risk reduction for a therapy, and so you really need to consider the population in which it's being applied. Add to this the complexity of an NNT for a diagnostic intervention, which by itself cannot reduce mortality.
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Josh Hodge

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Happy 4th of July! 
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First Cook on the 18.5 WSM. Brisket got simple salt and pepper rub with Kirkland Steak Seasoning. Pork shoulder got our homemade rub. About 12 hours at 235, No foiling, injecting, or otherwise messing with.
Point separated from flat and cubed up for burnt ends.

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George sabracadabra's profile photoCristi Hodge's profile photo
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So yummy! 
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Josh Hodge

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Do any of your systems or services or do you know of any that require new providers going through a FTEP / Orientation to be released at a BLS level before moving on to ALS portions of their field training? 
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Robert Clark's profile photoMarc Peek's profile photo
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Maybe.  It has it's positives and negatives for sure.  I'm still not sure what I think about it.  I can tell you that there are some green rookies that need the time as a M1 to get experience and build up their skills and assessments.  But, on the flip side, there are some right out of school who do well as a paramedic with just a little guidance.  
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Josh Hodge

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Well worth watching.

http://player.vimeo.com/video/79402480
Brent Myers, M.D., M.P.H. - "Mobile Integrated Healthcare Practice, Data Exchange and You"
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Josh Hodge

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After all the mass shootings and advances in casualty care and evacuation, why are we still standing around with tarps, tents and triage tags?

Columbine happened over 15 years ago, law enforcement changed their tactics after, why has EMS been so resistant?

Law Enforcement needs to equip their officers with individual "blow out" kits so they can self rescue.

Rapid treatment of life threatening hemorrhage, airway control, pneumothorax recognition and treatment, along with rapid evacuation of casualties saves lives. If it can be done in Iraq and Afghanistan it can be done in every city and town here....

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Mike Sands's profile photo
 
IAFC is advocating this change we need to get seri agree more. The newest from recommendations o Couldn't us about implementing.
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Josh Hodge

Discussion  - 
 
Prehospital Pain Control
I work for a fairly progressive EMS system with a very liberal and aggressive pain control protocol and we have several medications at our disposal and proper Prehospital pain management is a area that I have a pretty strong feelings for.

We have PO Tylenol, IV/IM Toradol , IV/IO/IN Fentanyl, IV/IO/IM Morphine available to us.

I am preferential to Fentanyl as my "go-to" pain control medication so perhaps I am slightly biased. I like the onset of Fentanyl and feel it has less side effects than morphine.
Toradol is my "midline" agent or for kidney stones.

Where I am looking for guidance is when I am explaining all the medications to a new employee or student, the question of "What do you use for X?" or "Is morphine or Fentanyl better for X?"
I perhaps am biased and feel that I could get along just fine if Morphine was removed tomorrow but in the basis of good education and teaching I'm interested in hearing some different opinions on such.



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TheMountainRN's profile photoMinh Le Cong's profile photoDaniela Pagliari's profile photoLuke Hayes's profile photo
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I know our services use Nitrous oxide too and are very happy with it.
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Josh Hodge

retrieval / prehospital  - 
 
Looking for information about IGel airway being used prehospital, trying to judge feedback vs King LTD.
Seems to be a much better option.
Thanks
Josh 
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Michael Greenway's profile photoJake Rosenblum's profile photoFran Mcardle's profile photo
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Im an advanced paramedic in ireland. My service exclusively uses LMA's. But I do have experience of both, personally I would choose the LT before either the Igel or the LMA. For ease of use and because it works. The only other consideration is that if they are for pre hospital use of he Igel will not seal correctly in hypothermic patients as it requires body heat to make a proper seal.
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Josh Hodge

EMS News  - 
 
First episode of Code STEMI featuring Wake County EMS

https://www.reelhouse.org/setla/codestemi/wakecountyepisodeone
Emergency Medical Services
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Well yeah... Otherwise it's a wall. 
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In their circles
284 people
Have them in circles
192 people
Marcus Jones's profile photo
Jesse Morin's profile photo
Jason Friesen's profile photo
Steve Carroll's profile photo
tevnan keller's profile photo
Richard D Miller's profile photo
Emily Rise's profile photo
Joël Valenzuela's profile photo
ESS EyePro's profile photo
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Paramedic
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Provide prompt, compassionate, clinically excellent pre-hospital care while advancing the profession
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"The supreme irony of life is that hardly anyone gets out of it alive." — Robert Heinlein
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"Strategy requires thought, tactics require observation."-Max Euwe
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