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My gut tells me this poster is trolling for an argument, however, 1. I agree that one cannot reasonably expect to " Get them all" BUT, 82% is pretty poor. 2. If you have never used a backup rescue airway, how did you manage those 5 airways you could not secure? 3. My personal limitation for Intubation on the aircraft are 2 attempts at DL, followed by 1 attempt by my partner, and then we switch to King, Combitube, LMA, Crich, etc...... 4. Any reasonable competent ER will not arbitrarily pull a rescue airway if it is providing oxygenation and ventilation until they have sufficient resources available. In my world, this means having an MDA or CRNA at the bedside ready to manage the airway. ER docs like to think they are the airway guru's but, when the SH$T hits the fan, who do they call? Anesthesia! 5. Having success with difficult intubations is all well and good, but the most important issue in my mind is being able to do a complete airway exam and recognize when things have the potential to get FUBAR. It is important to recognize when EGO is dictating the outcome and you as a competent provider must have the ability to say, just because I can, should I be doing this? Respectfully, JW

Please bring me a "SWAT" lunch box, a Stretch Armstrong, and a Big-Wheel. My brother would like a Coleco-Vision hand held football game, a huffy bicycle,and a "pong" game for our Tandy computer (these computers dont do much Santa, not sure they will last long, if computers are just a passing fad, he would like a Farrah Fawcett poster).

Both my codes were At night, I work in a inner city- lots of afican americans- In dark skinned people of any race Its hard to see blue mottling on the trunk at night in the dark- with just a small flashlight. Found out about the lividity after I tried to open airway, jaw was very difficult to move. Also I work in detroit MI. Our protocols are we work everyone unless obvious mortifcation. Also our med control doctor does not think too highly of medics. About a year ago we just got pain meds in our drug box. Detroit recieving is a teaching hospital for doctors and they want the interns to see and do alot for the patients. Technically we cant ask permission to terminate efforts. Our protocols are way behind the times. Just about all surrounding counties think the medics from wayne county area bunch of morons due to our limited protocols. The odds of use getting RSI in our protocols are slim and none. I have a new job waiting in Florida, in aboyt 2 months I will be in a better situation. Thank God.

1 opportunity, 1 tube placed. No requirements.

In regards to those I miss I keep a sort of running tally of each and I believe it was a early year slump for no specific reason. I have had great sucess with some really difficult intubations Ex. 500lb respiratory arrest, multisystem trauma, etc patient's but sometimes you can't get them all. I've used CPAP probaby 5-10 times this year the fact is I see more cardiac arrest patient's then CHF, severe Asthma, etc patient's. We can also expand this further into first time sucess, and at what point do you stop (three attemps total) and switch to a rescue airway? I've never personally used a rescue airway but feel that once I arrived at the hospital it would be pulled faster then anything so that 10 more people could make 10 more fruitless attempts.

Would it be too much to just ask to have my childhood back? The real world is too depressing.

I strongly disagree. Yours beats it hands down. Bullsh!t. They were countable, you were simply too lazy, or unable, to count them. Pitching a fit is not an acceptable replacement for logic here. Wow. I have a lot of respect for many of your posts. But there is nothing respectable about this one. "warning: Adult material may be located on this board." This warning, plain as day, is viewed upon entering the Humor forum. Adult material means material that you may find offensive. When an adult finds a post offensive, most often, they then attempt to define what is found offensive, why they felt it was offensive, and then make some effort to effect the poster's future attitudes on the matter. This helps to educate us all, making the City, and the world a better place. (Wendy's Law) To me, easily the most offensive thing that can come out of a person's mouth is, "make them shut up!", or "Lock this thread" (As in, "I've had my say, so there can't possibly be anything else productive to come from it."). That attitude is ignorant, oppressive, degrading to us all, and unacceptable in a thinking, analytical, evolving society. I know from your posting history that you're too smart to believe that attempting to force others with opinions that we find distasteful to keep their opinions in the dark where they can't be effected by others not sharing their views is a good thing. The original post sexualized women, stereotyped Muslims, made men look like idiotic, intoxicated erections. Not great perhaps, but it was a joke after all. Your reaction to that post attempted to insult and degrade us all. Dwayne Edited for minor changes in context and punctuation.

I think you are misunderstanding my original post. Actually by what you posted it looks like you did not even read the original post. I know the interview and your social skills land you a job. I just want to know what I can do to make my resume get me places.

Try being an over-the-road truck driver, gone for 21 days, home for 3-4. Or try being in the Military stationed overseas. We got it easy, quit your bitching. And Paramedics and Firefighters do not get divorced because of their job, they get divorced because they have sex with other people (usually at their job).