Jace Mullen

Had a case recently that once again reminded me of this:

I don’t understand (truly) how you can do high-level critical care transport without POC lab capability.

I certainly never want to be without it.

#EMSsky #ResusSky #HEMS

It is INSANE that Alaska airlines has seven (7!) boarding groups

High-altitude #HEMS missions—a retrospective analysis of 3,564 air rescue missions conducted between 2011 and 2021

Read now on #SJTREM
sjtrem.biomedcentral.com/articles/10....

#FOAMed #EMS #AirRescue

I like the cut of your husbands jib is he single?

Before video and images were the dominant form of media

If you think about it poems were basically just the OG TikTok’s

Endorse

Coming in for landing:

Pilot, "you secure in the back?"

"Actually i've been feeling a little insecure recently, thanks for asking I actually could use some validation"

Especially rich people.

A propofol Pope

Popeofol

Peanut butter cracker IV

If you're flight program is using RIC catheters in your trauma patients can you reach out?

I'm trying to find some best practices and see what other people are doing as I try to get them rolled out.

Fallen down the rabbit hole of quantitative acid-base only to realize what I knew in the beginning:

Bicarb boluses in cardiac arrest patients are nothing but sympathetic magic

The answer is quite boring: we are required to maintain and document certain cabin temperatures based on which vehicle we're in. The temp probe is just secured to the handle of the monitor to make our charting easier on the backend by having cabin temps documented by the monitor.

Two points:

1: Give me an A-line in your critically ill patient and I’ll be the happiest lil flight medic there ever were

2. Notice that for the same MAP, oscillometric NIBP has ~30mmHg discordance in systolic when compared with invasive.

#EMSsky #resussky #emimcc

The presence of a box on a form does not mandate it’s being filled out

Sounds like we have a paper to write friend

“A simple, one-question alcohol withdrawal risk assessment—readability trial”

I use this question. And since we started flying with phenobarb have found we had previously missed a fair amount of withdrawal in the setting of critical illness.

Paper forthcoming if I ever get my shit together

I didn't say you were wrong but I think cop daters are less woke if I had to rank them

EMS really caught some strays with this one

You vs the guy she tells you not to worry about

Thanks to Dr. Bonnie Snyder for the nudge here.

Also here's a video reminding you of how oxygen is actually delivered through many ETCO2 nasal cannulas--it's not the prongs (those are for sampling)

We’ve discussed that ETCO2 nasal cannulas provide something more like blow compared to a true NC.

The max flow rate was thought to be 5-6 LPM using a ETCO2 NC.

Testing on a Hamilton T-1 in high flow mode showed I could only push ~4 LPM through the ETCO2 NC.

🚨 Consider this for PreOx and ApOx!

I’m a disaster and I deserve to be celebrated though?

Coming home from PAC25 so grateful to teach and learn with some of the best nerds I know.

If you manage airways and want to get better, consider coming and checking it out next year. It really is the best airway event in the universe:

theprotectedairway.com

Sponsored by how many times I've said "I know we're better than this" that last two weeks before realizing maybe I'm wrong.

We *were* better.

Unfortunately high standards are subject to the forces of entropy.

Without energy input you can’t maintain them.

Plan for it or watch standards slip.

Have you noticed the thing where when you first open up something like NYT’s Connections it feels impossible but when you come back an hour later it’s so simple?

That’s how our brains work with all sorts of problems.

Often you don’t need a solution this instant. Let it marinate—it’s way better

If you are dosing a medication for a life threatening medical emergency that is dosed in "inches" you have made a mistake

Bertrand Russell’s “Reflections on my Eightieth Birthday” almost feels like a salve today:

russell-j.com/0987_RoMEB.HTM