I got all kinds of goodies.

If you have access and the funds, try to get an EMT-B class under your belt.

@[LA] Zoomer Medi/k/ definitely in the works hopefully this year.

I haven’t taken any classes if I’m honest. I just screw around with the paramedics I know and learn everything from them.

I learn from them and combat medics.

Certain things you learn in EMT and Paramedic are not applicable to combat medicine, however. Such as push dose pressors.

Yeah I’m a career fire fighter, as well as volunteer, I live in a small rural part of Georgia so I work closely with our medics and I’ve learned more on scene from them than any class.

@[LA] Zoomer Medi/k/ exactly.

I talk with the medics around me pretty often.

Because I’m bored, let’s go over with push dose pressors aren’t applicable for combat medicine.

The main reason is they bust clots.

They may increase heart rate and pulse strength, but in the process, they will break blood clots and make hemorrhage worse.

And unlike typical EMS, combat doesn’t usually have blood on hand.

Which means that any blood lost is irreplaceable.

You’re damned if you do, and damned if you don’t.

And because blood is the life force of the casualty, breaking clots and causing hemorrhage is a no-go.

IV/IO are amazing if you can do it.

The order of effectiveness for IV stuff is this:

Well if they have a pulse you just have to be careful it’ll definitely be worse.

Fresh whole blood, blood products, colloids, crystalloids.

That’s the order that you will want.

epinephrine wise anyway

Hetastarch and Hextend are nice. TXA as well.

Hetastarch definitely

> epinephrine wise anyway
@ToɳTo Tuck

By all means. Works well to increase blood pressure but breaks clots.

TXA is very effective for internal bleeding, other than the ~45 minute wait for it to kick in.

I’ve never been around any TXA

Not familiar at all with it

Transexamic Acid

Lysine

I think I know what it is

But haven’t seen it used

Definitely gonna research

Thanks 🙂

Pretty sure it’s a colloid

I haven’t went on any calls so I haven’t either. *But* talking to both combat medics and paramedics, it’s wonderful stuff.

Also, DSI > RSI

Yeah I’m trying to think if it’s named something else?

I’m not sure.

Another thing: KETAMINE IS AMAZING

TXA is awesome, Ketamine is more betterer. I don’t give a fuck what anyone says, it causes respiratory depression 😂 great for keeping BP from shitting and if given with Benzos helps the emergency phenomenon.