Colorado Bans Ketamine for Excited Delirium – Why This Law Will Harm Patients
Colorado House Bill 1251 expressly bans paramedics from administering Ketamine for patients experiencing excited delirium (EXD), a syndrome which is characterized by extreme agitation, superhuman strength, hyperthermia, hyperkalemia, and sudden death. While supporters of this bill point to instances of police using EXD as an excuse for brutality and several tragic cases where patients have died following ketamine administration, paramedics fear the inability to use a fast acting sedative for patients who are endangering their own lives along with the safety of those around them.
Research articles referenced:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061757/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3088378/
https://journals.lww.com/em-news/fulltext/2015/12000/infocus__ketamine_an_ideal_treatment_for_excited.18.aspx
https://www.ems1.com/medical-clinical/articles/ketamine-for-excited-delirium-syndrome-results-of-a-3-year-case-series-KsBSJZSXEZuthAEA/
https://accpjournals.onlinelibrary.wiley.com/doi/full/10.1002/phar.2060
EDC IFAK – Vertx Walker Medical Pouch
Vertx has just released their Walker Medical Pouch which is intended as a every day carry (EDC) option to store the contents of a standard individual first aid kit. This video is a full walkthrough of this kit to help you decide if it fits your needs.
(I know, I know… two Vertx videos in as many weeks. I don’t dictate when they release products that are related to my channel)
Buy here: https://vertx.com/walker-small-medical-pouch
Use code PREPMED for 20% off
Slishman Traction Splint Compact – STS-C
An overview of the slishman traction splint, which is designed to treat midshaft femur fractures and limit blood loss in this potentially life threatening situation. The STS-C is the worlds smallest traction splint and only takes up a fraction of the space as traditional HARE or SAGER splints.
Buy here: https://www.rescue-essentials.com/slishman-traction-splint-compact-sts-c/
About Dr. Sam Slishman: https://pre-r.com/dr-sam/
Realistic EDC Backpack, Vertx EDC 2.0
Reviewing the Vertx EDC 2.0 pack. I have found that this backpack works well for a realistic everyday carry backpack, with enough room and organization to hold the supplies you need but not so much room that you end up weighing it down with random items.
Buy here: https://vertx.com/ready-pack-2-0
Code: PREPMED for 25% off
Medical Helicopter Tour ⎮911/CCT⎮
A full video tour of a critical care medical helicopter based out of Colorado. This H125 (AStar) flys with a flight paramedic, flight nurse and pilot, along with a full complement of life saving supplies, advanced medications, and high tech equipment. Whether it is a 911 call to a car crash, remote medical emergency, search & rescue or a complex transfer to an intensive care unit, this medevac unit is able to offer a high level of care in the pre-hospital environment.
Thumbnail credit: Bret T. (Cactus.4652)
Flight Controls In a Medevac Helicopter ⎮H125⎮
The lead pilot of our base explains the flight controls and avionics of our Airbus H125 (A-Star) Medical Helicopter.
Air Ambulance Medical Bag Walkthrough (Critical Care Helicopter)
A detailed walkthrough of the stat pack medical kits carried on our critical care helicopter (Medevac). This particular rotor wing serves colorado and flys on both interfacility critical care transports and 911 scene responses. The helicopter is staffed by both a nurse (CFRN) and a paramedic (FP-C)
Tips To Start A YouTube Channel
I challenge YOU to start a social media account promoting public safety (Police, fire, EMS). This video gives 6 tips when you are considering starting a social media account along with gear and software recommendations.
My Graphic Designer: https://emmanicole.design/
Channel Recommendations
Skinny Medic: https://www.youtube.com/user/SkinnyMedic
Heroes Next Door: https://www.youtube.com/channel/UCujVIQ5tGeQQ8kgljx-pTuw
The Paramedic Coach: https://www.youtube.com/channel/UC6Pkyjskf0E8L8i_xpdsAmQ
Lights and Sirens Action EMS: https://www.youtube.com/channel/UCnTggyRmtv65IxHeOwoyWBw
How to: Start an IO (Humeral and Tibial)
Intraosseous (IO) access is an effective and fast means of emergency medication administration when an IV is difficult to obtain. This video goes through basic anatomy, background, equipment, setup, and site identification for both humeral and tibial IOs, finishing with a full IO demonstration.
Background: 00:48
Indications/Contraindications: 1:47
Anatomy: 2:52
Equipment: 4:05
Humeral Site: 10:10
Tibial Site: 11:32
Full Demo: 12:57
SAM Medical: https://www.sammedical.com/
Buy medical supplies here: http://medicalgearoutfitters.com?aff=21
My Favorite Apps for Paramedics
A list of my favorite apps that I use everyday as a critical care flight paramedic. These applications are used for everything from referencing protocols, to calculating drip rates (along with other med math) to reading up to date studies on down time.
The apps discussed in this video include……
PPP App
Active 911
Critical
IV Calc
Epocrates
MDCalc
Calculator
ERG2020
Stroke Scales for EMS
Deployed Medicine
NREMT
Flightradar24
SOAR MTA