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Josh Hodge
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"The supreme irony of life is that hardly anyone gets out of it alive." — Robert Heinlein
"The supreme irony of life is that hardly anyone gets out of it alive." — Robert Heinlein

197 followers
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Does anyone know the NNT of 12 lead ECG acquisition? 

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Happy 4th of July! 
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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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5/13/14
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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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5/8/14
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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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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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