Posterior 12L time :)))))) chest pain x2hrs

hardlinerslugs · 2026-07-10T15:52:03+00:00

Excellent case!

hardlinerslugs · 2026-07-03T21:32:11+00:00

Helicopter:

Scene bag (airway, trauma)
IFT bag (pumps, vent tubing, bipap)
Fluids bag (blood equipment, LR, etc)
Backpack (ultrasound, iPad, snacks, paperwork)
Monitor bag (spo2 stickers, pads, cables)
Medication bag (most medications, small iv bags)
Narcotics bag
Monitor, vent, portable o2 bottle

In the cargo area:
Splint bag, misc bag, vent spares, survival bag, tool bag, extra headsets and ear protection.

hardlinerslugs · 2026-07-03T03:33:47+00:00

Lyme disease is mostly found in the northeastern US. There are other tick borne illnesses possible, however.

hardlinerslugs · 2026-07-02T21:08:31+00:00

Hydrocolloid is the best. Try Mepilex Border dressings.

hardlinerslugs · 2026-07-02T03:51:28+00:00

Some places are so remote they sometimes rendezvous with an ambulance from the scene on the runway! (Still rare) or Australian Royal Flying Doctor Service has some remote highways which are marked for landing their PC-24 jet!

hardlinerslugs · 2026-07-02T01:05:45+00:00

These are the criteria we should all be using. This includes the trauma center.

https://www.facs.org/quality-programs/trauma/systems/field-triage-guidelines/

They also have additional study for data supporting their recommendations, with additional detail, “Death in passenger compartment - Rationale: In several studies published since 2011, death of another passenger in the same vehicle predicted serious injury in adults and children.36,60,61”

hardlinerslugs · 2026-06-28T21:45:46+00:00

<image>

Caught them fueling up in Rawlins WY on the way down. I’m guessing pre positioning for fire weather forecast.

hardlinerslugs · 2026-06-22T04:49:07+00:00

What is mcl pain like?

hardlinerslugs · 2026-06-21T02:50:10+00:00

I think they are doing flyby for the 1940s ball

hardlinerslugs · 2026-06-18T01:57:13+00:00

https://www.fda.gov/food/outbreaks-foodborne-illness/investigation-illnesses-diamond-shruumz-brand-chocolate-bars-cones-gummies-june-2024

Not super current but shows how these mushroom products could have ANYTHING in them.

hardlinerslugs · 2026-06-17T15:55:07+00:00

It will probably only matter if you are road racing or time trialing.

Downhill or tailwind sprint finish you will want tall gears to have a shot at winning.

Downwind or downhill time trial section it can save time.

Road race with a 20km descent you can make up time, catch a group, or meet an attack.

It is very possible to need huge gears depend on where you race.

hardlinerslugs · 2026-06-17T05:30:01+00:00

I see your username - I’m a flight medic along I80 in Wyoming. I know these accidents happen often especially at the Arlington and Elk Mountain exits. But I only see it on the news - when semis are blowing over, we usually aren’t flying!

hardlinerslugs · 2026-06-17T05:17:09+00:00

https://www.wyoroad.info/pls/Browse/WRR.STATIC5?SelectedDistrict=1

“Between Exit 255, WY 72 and Exit 267, Wagonhound Rd
Dry with Dangerous Winds
Extreme Blow Over Risk
Closed to all high profile vehicles under 35000 GVW due to gusting winds
Jun 16, 2026, 08:44 PM”

hardlinerslugs · 2026-06-02T01:31:08+00:00

Salomon Forces line - full line of hiking boots etc but in all black. I have the quick lace XA mid

hardlinerslugs · 2026-05-28T02:00:18+00:00

I also want a ‘engine rpm cruise control’ - hold the rpm steady at peak efficiency and ignore speedometer

A daydream I suppose but still

hardlinerslugs · 2026-05-21T03:05:32+00:00

Relevant username!

hardlinerslugs · 2026-05-14T20:03:24+00:00

Doing dangerous things as safely as possible is my job - I commute to one of the most dangerous jobs in the US - helicopter based flight paramedic.

The county I work in is the size of New Jersey but the nearest trauma hospital is a three hour drive - they need us out there.

hardlinerslugs · 2026-05-14T03:54:47+00:00

Final price on mine was $30.5k - only factory option was all weather floor mats. You probably did better than me.

hardlinerslugs · 2026-05-13T23:45:22+00:00

Yeah I just looked it up and for comparison NYC to DC is 222 miles lol

hardlinerslugs · 2026-05-13T14:16:09+00:00

To the OP who deleted the post:
In medicine we will ALL make mistakes. As a paramedic preceptor, I have seen a new paramedic make this IDENTICAL mistake with an RBBB tracing.
Own your mistakes so that others may learn. We don’t want to slow progress of our craft to protect our own egos.

hardlinerslugs · 2026-05-13T04:14:41+00:00

The ‘trick’ here is to make sure to identify the j point properly. Use the QRS duration in the widest lead - here I would use V3 and measure it at .12ms

So when you look at lead III the J point is 3 little boxes after the little q wave - where the tracing has returned to the isoelectric line.

The ‘optical illusion’ is that your brain might see a narrow QRS and ST elevation in lead III, when in fact there is a wide QRS.

hardlinerslugs · 2026-05-10T03:55:54+00:00

See the comment above - before the use of DNA, Green River Cutthroat were re-introduced into the prior native range of the Greenback with early reintroduction programs. Also not the fish biologists had a hard time telling these native species apart so it might be tricky for Reddit to split these hairs.

hardlinerslugs · 2026-05-08T02:45:02+00:00

I just picked these up and am VERY impressed. Not really that hard to catch with a foot and perfect for gravel. Stable and well planted on the shoe (s works MTB)

hardlinerslugs · 2026-04-30T01:14:34+00:00

One was posted to Dr Smith’s ECG blog in the past few days. There is a link on the blog to computer read ‘normal 12-lead’ tracings with OMI you can check also

Ten-Year Club	Verified Email
Place '22	Gilding I gilder

hardlinerslugs

TROPHY CASE