BushyFromOz

Married was never a problem... the demanding 3year old changed things though.

I told my wife about this convo. She said she would stab me with a pen if I asked for sympathy nookie

In that case, I don’t feel sorry for you at all!

Geeze mate, sorry to hear that. While i have never been stabbed ive been threatened with knives a couple of time (sometimes i think the wife could stab me though, probably while im mleeping) I do know a guy who was assaulted by a man who was high on meth. Unfortunately the paramedic he picked the fight with is an amateur MMA fighter and promptly got knocked out. It was also his first RSI...

I wonder whatever happened to Greshmedic? I remember years ago there was a discussion about patients being dropped of stretchers. He said something like "I have only ever dropped 1 patient.... bitch shouldn't have tried to stab me" Gee i laughed...

They also take the first reply as gospel unfortuantaely

Problem with the chat (as i remember) was the amount of trouble makers it brought in. I had an EMTLIFE acclount at one stage, so i could see the people who left here for being "bullied" (aka, told they were not the greatest EMT/Paramedic EMS has ever seen) head over to EMTLIFE and bag the hall out of this joint. Like most Forums, i guess this suffers from the new facebook generation. They run their clinical discussions there these days.

We have had some interesting results since we swapped to Ketamine as our primary induction agent with our status patients. Where previously they were unresponsive to Midazolam, they often cease seizing on induction. As we do not routinely paralyse our status patients unless their seizure activity prevents their oxygenation, so the tube is maintained with sedation alone. Previously when our induction was Fentanyl/Midazolam, you would get brief periods where the patient would cease seizing but then recommence and you were often bolusing midazolam during transport on top of you sedation. I love Ketamine so much, can't remember life before ketamine (I don't want to remember it either)

Is this your experience KAT or a hypothetical? Truly Interested as its not something i have seen.

Great post! That extra 10 minutes is often what i decide to transport on. Hypoglycaemia reversed and a meal, the patients living arrangement often have me transporting more than the hypo itself, and it's more about linking the patient into the health system for an aged care assessment to prevent re-presentation than today's presentation

So...Admin..... when are you going to let us know what your "other" screen name is

I hope it was just general life keeping him offline and not some kind of crisis. This forum in the late 2000's/ early 2010's helped make many people's careers, and AK was one of the best here.

Not well regulated im afraid. A pharmacist can dispense it if you provide identification, but its open to and does get abused, which is why it's being closed. I'm not sure where that fits into the heroin trade, as the heroin epidemic was before my time in the job. My gut feeling is Dr shopping tends to be people with chronic pain who have then become addicted, where the earlier heroin epidemic was more based in recreational drug use, but i have nothing to back that statement with.

Actually, thats a good point. You cant sill buy codeine based products over the counter here for a few more months. I wonder how much substitution will happen afterwards

What happened to AK?

And was never the same after Dusty was gone

Its an elite club to be in. He only chastised people who were idiots or people he knew could do it better. The difference was the idiots left the forums and the rest of us stayed

Heroin is making a bit of a comeback. With the State and Feferal Police forces looking at amphetamines so kucg, good ole heroin is a cheaper low key option. Its pretty amazing how many meth users i mett who were heroin users who changed drugs in the late 2000's when heroin was becoming more expensive.

So after 3 years and no post, I've successfully resurrected 1 dead thread and started another.... Anyway, Methamphetamine has become a big story here over the last few years, (the jokers would say we don't have Methamphetamine problem because everybody has it) . And unlike you Heroin epidemic of the late 90's, to late 2000's where they were nice and peacefully asleep and a little bit cyanosed and they would generally wake up with some oxygenation and some Narcan and be pretty OK with things, these mongrels are often wound up like spring, especially the polypharm OD's and sometimes even the synthetic Marijuana user. It became such a problem we are now giving high dose IM ketamine to knock them down as Midazolam was ineffective, Just interested to hear whats happening in other places, are you dealing with it, and are you seeing secondary problems such as serotonin syndrome/rhabdo/renal failure/MI often? There.. my contribution for the next 3 years

I realise this is from a year ago, but Mike, You were a little salty when i got here in 2005!

Exactly how i ended up here

Fluctuating between shite and awesome over a 3 year period Mike. In a nut shell it went: postgrad study > graduated > wife had baby > anxiety disorder > qualified as an IC Paramedic > PTSD > depression > drugs > 3 months off work > back to work > functional > awesome > off drugs > still awesome > working as a single responder with a whopping pay rise = life is great! Yeah, thats basically 3 years

McGrath for me, the only VL I have ever had to use. We primarily use it as a training device for direct laryngoscopy when our IC students are in their on-road training phase. When I do an RSI and they look like they may be a difficult intubation, I have it out with the X-blade on as part of my failed drill setup and use a standard scope with a Mac 4 on it for pretty much everything

Would be interested to know what doses of midazolam people have been or think people have been using for induction, and if it was given in isolation or in combination with something else