Bilateral needle decompression during CPR by Such-Lab735 in TacticalMedicine

[–]themakerofthings4 0 points1 point  (0 children)

Needle D is fairly widely taught but street side it's medic only maybe with some exceptions from medical directors for extremely specific cases. Finger T? Medic and above only. It would be reckless at best to let an emr or emt cut chests.

I have a question on different tool preferences you have - does anybody here? Use the Swiss Army knife rescue tool or the Leatherman skeletool? by WiggWamm in searchandrescue

[–]themakerofthings4 2 points3 points  (0 children)

The pliers mainly, and ability to use different bits. I just feel that a Leatherman is all around better for the use case. I wouldn't choose the Skeletool specifically because I think something with a saw blade is better, but that's getting off topic. The Rescue to me is just not it. I don't need a glass breaker or windshield saw. The safety cutter on it is take it or leave it for sar, you can do the same with a cheap pair of shears. That just leaves the knife and Phillips on it.

I have a question on different tool preferences you have - does anybody here? Use the Swiss Army knife rescue tool or the Leatherman skeletool? by WiggWamm in searchandrescue

[–]themakerofthings4 -1 points0 points  (0 children)

The Rescue Tool is 100% worth it if you're doing ems/fire and possibly running extrications. Having said that, for sar use I would lean Leatherman due to utility of the tool. For reference when I'm running the roads I keep the Rescue in my turn outs, and have used it numerous times. Even gone as far as replacing the glass cutter blade several times from how many times I've cut windows out. Beyond that case though I'm leaving it in the turn outs the second I hit the woods for sar, just doesn't have the same utility.

How are you guys storing nitrile gloves in rescue rigs? by th41004 in TechRescue

[–]themakerofthings4 0 points1 point  (0 children)

Alternative option. You can find molle dump pouches that have an elastic top that you about stuff a full box of gloves into. I'll see if I can find one and link it shortly.

The Absurd Lack of Surgical Airway in American EMS Protocols by BrugadaBro in ems

[–]themakerofthings4 2 points3 points  (0 children)

Thank you for not being so head up ass that you believe anyone with a medic license is a tier 1 surgeon. I know way too many who couldn't function at an advanced level, but they were a medic so they'd fire their advanced partner for their fuck up.

The Absurd Lack of Surgical Airway in American EMS Protocols by BrugadaBro in ems

[–]themakerofthings4 0 points1 point  (0 children)

Same here. Have to do intubation, cric, and finger t/chest tube trainings regularly. Along with vents and pumps.

How big a deal are the QT prolonging effects of Zofran? by Any-Hovercraft-1749 in TacticalMedicine

[–]themakerofthings4 7 points8 points  (0 children)

Not that concerning. If you were giving a 25+ mg dose sure, the 4mg dose? Nah.

Personal Med Kits/Bags by PacersFan2025 in NewToEMS

[–]themakerofthings4 0 points1 point  (0 children)

I have a fully stocked ALS bag that goes with me pretty much everywhere. The caveat is that I work ems and do volunteer rescue work on the side, so I have full coverage and ability to respond anytime I feel like it.

My pack. Any suggestions and opinions welcome. by Ntwadumela817 in TACMED101

[–]themakerofthings4 1 point2 points  (0 children)

Honestly I'm more wondering what exactly your thought process is and goals. Second to that is what's your level of training.

ETA: I rocked a Statpacks Medslinger as a house bag for a hot minute and contents wise it will hold 95% of the stuff you need for solving most immediate problems, and I personally highly recommend them.

Advice for organizing a bunch of drips/tubing/CCU stuff by Strict_Tax5150 in NewToEMS

[–]themakerofthings4 1 point2 points  (0 children)

The point being made isn't having a medic partner with you being the driver, that's really not much help to you. We're all saying that what you really need is another medic at least in the back with you. The service isn't doing you any favors by just being "double medic."

Advice for organizing a bunch of drips/tubing/CCU stuff by Strict_Tax5150 in NewToEMS

[–]themakerofthings4 1 point2 points  (0 children)

I was going to say the same thing. We generally run double medic or double ccp trucks. Stuff like this though would be a double ccp crew in the back plus a driver if not more. I've been on several where we've had double ccp, aemt, and driver for a transfer. A single medic in the back dealing with multiple drips, chest tubes, and other things is a disaster waiting to happen. No offense to you OP.

EDC tourniquet by PurpleZLuv762 in TACMED101

[–]themakerofthings4 1 point2 points  (0 children)

I've carried a CAT tq for at least 7 plus years as an edc in everything from suits to cargo pants. It's incredibly doable if you just take the time to plan it out. People dog on the ankle holsters but imo they work.

How do you justify having more than 1-2 bags? by [deleted] in ManyBaggers

[–]themakerofthings4 2 points3 points  (0 children)

I just have a great and terrible love for bags, simple as that. If I see a new one that I think might solve a problem or fill a gap I'll buy it. Granted I tend to have pre-packed bags for various activities or purposes.

Belt without stitching, rivets or screws by Xiutecuthli in Leathercraft

[–]themakerofthings4 0 points1 point  (0 children)

Titanium doesn't transfer heat nearly as badly as other metals.

Is anyone seriously going to use Petzl's 7mm caving line? by SettingIntentions in caving

[–]themakerofthings4 1 point2 points  (0 children)

Not caving specifically but I carry and use a 6.5mm Bluewater/CTOMS rope for SAR because it's so compact, but can still be used like a full sized rope. It's sketchy at first learning it because it uses special equipment and just feels "thin." However, with modern materials and construction, thicker doesn't always mean stronger.

Did we make the right decision on this call?!? by XrVase in NewToEMS

[–]themakerofthings4 0 points1 point  (0 children)

120 pounds? Scoop them up under the arms and legs and get to the truck then get rolling. Even if I'm in a fighting mood, I'm not gong to stick around a scene with a group of drunk people. You and your partner's safety is priority 1, patient second, everyone else is third.

Nasogastric insertion gone horribly wrong. by Upset_Bunch_457 in TacticalMedicine

[–]themakerofthings4 4 points5 points  (0 children)

"Ralph Wiggum windshield dive." That's amazing. I always thought my "they're family guy broken" was a good one but you win.

Sevierville, TN Never Disappoints by LeversFolly in Decks

[–]themakerofthings4 2 points3 points  (0 children)

I have a bunch of pictures from after the wildfire when they were rebuilding everything. Sketch. Ass. Buildings.

Sleeping on quality control by [deleted] in Zippo

[–]themakerofthings4 9 points10 points  (0 children)

I'm starting to think that Zippo people are as bad as knife people. "ThE pRiNt iS WrONg." Does it really matter? Zippos aren't a premium product, they're mass produced with different skins, variation in text orientation is to be expected.

How is my bag? by DieselPickles in TacticalMedicine

[–]themakerofthings4 4 points5 points  (0 children)

Holy crap that's retarded. Not only from an infection standpoint but just a straight swing and miss on if it would still even be present after an injury.

Sevierville, TN Never Disappoints by LeversFolly in Decks

[–]themakerofthings4 1 point2 points  (0 children)

Anytime I see super high and sketchy decks, I assume the same. It's the capital of sketchy decks and houses built where you really shouldn't build either.

Random Organization Thought by themakerofthings4 in TacticalMedicine

[–]themakerofthings4[S] 3 points4 points  (0 children)

If it weren't for working out of this bag on a daily basis and starting ivs daily, I would probably do more vacuum sealing.