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.

I can see how it would cause respiratory depression

Used Ket <20 times. Worked like a champ though

Especially when you’re putting someone in a whole different world

Had a medic tell me about one time having to use ketamine because of behavior

Guy was threatening the medic

Yeah i gave it to one guy with a GSW to the shoulder, he was screaming about pain and once he was secure he went deep in the K hole.

He put some Ket in that guys system IM, and in like 1 minute he was in a whole different world

I’m so fucking glad there are guys here to talk medical with

None of my other servers have guys interested

Snapped out of it as we were pulling i to the ER, looked at me and said ‘God??’ I said no man other end. He said ‘Jesus christ’ and just starred at the roof of the ambulance, after that everyone who got Special K, got 2 of versed. My old service had protocols for ketamine for excited delirium.

Yeah its hard to find folks who give half a fuck about basic care let alone combat care/advanced shit.

I gave a guy 500mg IM one night. Head on MVA. Ejections, fatalities in the vehicle. It was really cold, and i guess it sat in the muscle until he warmed up a little. He was quiet in the ER for several hours lol he had multiple lower extremity fractures so he was in deep space with the mormons for the poking and prodding and xrays

Holy hell

Yeah got stories for days about weird shit lol

The guy I was just referring to said “IM GONNA FIGHT IT OFF, THE MEDICINE ISNT GONNA HURT ME” and then immediately went into that different place

He came back to Earth and the medic said “I thought you were gonna fight it off?”

I’ve heard about some fucked up shit.

Lol

Yeah i usually have people count back from 10, he said 10 and then stopped breathing

I don’t actually do EMS, I just know quite a bit. Combat medicine is more my stuff. I do know what MVAs and everything are though. Volunteer firefighter.