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Adam Tomko
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- Westbury, NY
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Last On: 1:58AM, 18 Oct 09
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Adam Tomko's Groups
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NYC EMS
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Tactical Medicine
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Wilderness Medicine
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Adam Tomko's Discussions
Removal of Needle Crich from Protocal
19 Replies
Started this discussion. Last reply by Brian Dunnigan Nov 18.
Adam Tomko's Page
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http://www.tacmedsolutions.com/07/products/product_detail.php?prod_id=30 Another link to tactical medical solutions. This site is run by an ex military medic who has developed some nice tools for EMS providers in austere enviroments.
Click on the ...
http://www.narescue.com/Video-Downloads-C236.aspx If you follow the link to narescue.com and then go to video downloads you will see a great film a surgical crics. Hope you all enjoy the film and the website has some good info on other video prese...
The system that I work in is currently looking to remove Needle crich from its protocal base..
Removal of Needle Cricothydroidotomy
One published case series is often used to describe the efficacy of this procedure, with no immediate fatalities r...
Is this a money issue, an evidence of benefit issue, a frequency of use issue, or a proficiency issue?
If it's a money issue, get over it! You can't ventilate somebody through an IV catheter, for the reasons described above. Dumb idea - always wa...
@Mr. Hitchcock. Excellent point. When we teach needle cric in the Paramedic Classes, one of the things I do is, as soon as the cric is established I have the student breath through a coffee stirrer for the duration of the scenario. I think it adde...
If the patient's condition is such that requires making a hole in their lower airway to attempt resuscitation or stabilization the hole must be big enough to do adequately ventilate the patient.
I offer the following test: take a 12G or 14G cathl...
Yep, agreed. Way more progressive protocols outside of this NYC bubble. The elevator is not part of the transport "loaded miles" There is a section of documentation that you can mark extend for elevators, security, traffic etc.
Profile Information
- Role in EMS
- Paramedic/EMT-I/EMT-D, Instructor/Educator, Military, Other
- Primary Agency/Department Type
- Hospital
- Primary Department/Agency Name
- New York Hospital of Queens
- Department/Agency Web Site
- http://www.nyhq.org www.stormmountain.com
- Years in EMS/Public Safety
- 12+
- Other Past or Current Departments
- Wantagh Levittown EMS, Huntington Community FAS
- My Training:
- TEMS Instructor
Wilderness and remote medic
Flight medic
HazMat/WMD Instructor
- Day Job
- Day job is EMS.. Its the other job that pays the bills...
- I Love Being in Fire/EMS Because
- Always something new.. and I can avoid a desk job...
- Relationship Status
- Single
Comment Wall (1 comment)
- At 5:14am on December 18, 2008,
Rick Puddy said… - hows it goin?
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Yeah, but those threads aren't nearly as lively as these ones. :)
I suppose I could rise to your challenge, though, and steal a few things from this thread. Some of these things are evidence-based and I hope are easy to agree on; some of them are...
I think the punctuation is the key, the comma equalling OR rather than suggesting that those places were large UK services...
Whilst i'm typing i think i'd like to spend time with the Isle of Wight ambulance service, is the UK's number one perfor...
doc,
Well, half the point, anyway.
The relative call volumes of law enforcement vs. EMS and fire seems to have been overlooked in your response. Those were factors then, and they're factors now.
The police/fire combinations were foisted on the ...
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