the doctors out, but i know something!

Okay, so let's go over some things. 1) Summer flew by in a flash. 2) Working is hard. 3) Balancing a social life, multiple relationships, and work is even harder. 4) “Nothing worth having comes easy.” ~Theodore Roosevelt I went to GNEW for the second time and formally joined the SCA . I started working to become an Archery marshall and I'm getting into archery, rapier combat, thrown weapons, and homebrewing! What better "art" to learn than making alcohol. My first homebrew was set up for failure from the beginning. I told a coworker I was interested and they gave me a Mr. beer kit and some outdated ingredients... by about 4 years. What do you do with expired malt extract? Make your first beer! It sucked. Hence, Jake the dog. I brewed my second batch with seemingly more success. I got a True Brew kit from my local health food store, I chose an  Irish Stout . Brewed it with my Dad, and finally bottled it today! Our 5-gallon batch earned us 27, 12oz bott...

Does it make sense to write a blog post about every video I make? No. Why wouldn't I just put it in the video? Well, I'm learning. I'm always  learning. One of the first quotes I can think of came from a high school writing class. Bethany was teaching it and she always told us to write a shitty first draft. I have always had difficulty with this. More often than not I will choose to walk away from a project that seems "bigger then I can handle" because I don't want to look stupid. Now the jokes on me, I regularly look stupid (it's mostly my hair)... That isn't the point. Perfectionism is the voice of the oppressor, the enemy of the people. It will keep you cramped and insane your whole life, and it is the main obstacle between you and a shitty first draft. -Anne Lamott  Even this silly Tide PODS video. I was almost done and I shut down the program because it wasn't good enough. My ridiculous acting was excessively ridiculous. The lighting was wr...

1. A spontaneous moment 2. A compelling place 3. An other 4. Something on a different scale 5. Lush green growth 6. Something sinister 7. Something foreign 8. A map 9. Something tricky 10. Something burning up 11. Something content 12. A system <div class='lr_embed' style='position: relative; padding-bottom: 50%; height: 0; overflow: hidden;'><iframe id='iframe' src='https://lightroom.adobe.com/embed/shares/8ac9d03d152f4d76a314f00c46f5ec04/slideshow' frameborder='0'style='width:100%; height:100%; position: absolute; top:0; left:0;' ></iframe></div> Connect on Social Media! Blog Behance Instagram Twitter SnapChat

Week 5 is based on light. I tried to modify my position to get a lot of different lighting conditions. I found " DPS: 9 Lighting Types to Harness & Improve Your Photography " really useful for ideas. I am hoping to do some more shooting in the future and add more to this. The lighting conditions I had to work with were fairly direct, I was very happy with the lens flares I got and especially the lantern shots! Don't forget to see my other stuff on social media! Behance: https://goo.gl/PPU6f2 Instagram: https://goo.gl/rAdlqL Twitter: https://goo.gl/8JV2Dv SnapChat: https://goo.gl/gsE416 Thanks, Nicholas.

How-To Festival and Block Party This was the 3rd annual How-To Festival . I've never been to a "How-To" festival before, It was very interesting! From writing prompts to 3D printing, a large variety of arts were present. My personal favorite were tech related of course. I learned that the Maine State Library UP room is a thing! While I haven't had the opportunity to work on projects, I hope to in the very near future! I entirely understand that this video is not a production miracle. My goals are just to create. I've spent months watching videos on how to make videos... Yet I haven't been making them... So, I have to start somewhere. I am hoping to do a weekly Adventure log to be posted on Mondays. I just found my school has an open computer lab on Mondays! I am really excited to start working on a decent computer! I will be making more content as time goes on! My current interest are photography, Youtube videos, and Podcasting. I am working to bui...

Week 4... Which was 2 weeks ago... Week 4 was based on Depth of Field. I got woefully behind due to some poor life choices (Yes, I do want to work a 60 hour work week! Great idea!) but I'm back on track and moving forward! I have got Adobe Lightroom working, which is what is running the lovely slide show you see above! I did most of my work this week in Aperture mode, The Canon 80D has a touch screen... which made focusing a little bit of a cheat, but I also did some manual focusing. If some pictures appear out of focus... that's why. Thanks, Nicholas.

The verb of science. As a rule, I love science. I especially love doing Labs. Lectures are theoretical. Most of the time you just sit and listen, maybe take notes, but unless you have prior experience you don't challenge the information. You just accept with as a possible theory. Then you go to the lab. In the lab (I say lab, but I mean any place you can apply theory to the world around you) is where science goes from something you read, something you're told, to something you experience. The laboratory, In whatever form it maybe, Is the verb of science. How would you describe the colony morphology? I have the great opportunity to be taking Microbiology and Biology I this semester. Both require a lab book. AFTER I write and sign off on each report I am going to publish them here. NOTE: Plagiarism is illegal, unethical, and grounds for dismissal from an academic institute! Don't be dumb and just copy my work intro your lab book and expect it to fly... Not that I thi...

closest thing I got to panning...  It's kind of weird to be start blogging 3 weeks  into a semester, but I felt I wanted to share my college experiences and what I'm learning. So this post focuses on photography. This weeks assignments was to capture motion. I should go back and document what all the different shutter speeds were.... but that's a lot of work. Instead, just enjoy the motion captured! I tried capturing some panning, but It proved difficult, especially with a spastic kid as my subject... I finally did capture the first picture of his face mostly in focus. I then tried to capture him in motion while keeping the rest of the scene clear. Some of the technical aspects of this photo aren't great. The sky is rather blown out, I'm still learning to work with color corrections...  To capture a good motion blur I meant to go to an overpass and get a great shot, but that opportunity didn't come. The motion blur of this picture is the beast I cou...

This statement, in general, is ridiculous. No one needs to teach you to wear pants in college or the workplace. You and I learned how to put on pants as kids. Our guardians taught us cultural norms about the expectations of wearing pants... So why are we having trouble with it now? Let's preface this with humans are naturally lazy energy-conscious; we know and accept that. Unfortunately, humans have done more “work” than any known species, we also have to continue doing work to keep our value. Work meaning “ exertion or effort directed to produce or accomplish something; labor; toil ” From a scientific standpoint work is only produced IF result are produced. I can lean against the empire state building for days and have done zero work. I feel like I’ve looked at algebra problems for days… and done zero work. As an EMT I am expected to show up to work a certain way: A half hour before my shift starts. Wearing a clean appropriate uniform Having good personal hygiene ...

While perusing the the twitter sphere I found this tweet... Ultrasound in every service.My #ECCU2015 pick with Drew Harrell MD @tingles005 @paramedic_al https://t.co/CUAHCNagaI pic.twitter.com/mQs1Tj6eZc — Word on the Street (@wotsukrobl) December 11, 2015 It really caught my eye thanks to the paper I just wrote and shared  here . Point of Care Ultrasound (POCUS) has great utility in acute care and it will probably be the only imaging modality that could reasonably  be put in an ambulance. Sonosite and Philips  just released pocket/tablet form US devices that could easily be kept next to a cardiac monitor. If Philips is listening they will realize they make EMS cardiac monitors and US probes that could be added together... just an idea.

Please feel free to comment, on the topic or my grammar! This paper has already been graded. ;-) Prehospital Ultrasound in Undifferentiated shock, Cardiac Arrest, and the End of Resuscitation. Nicholas Jackson Southern Maine Community College For years ultrasound was an imaging modality for sonography technicians who acquired them and the radiologist who reviewed them. With the rapid rate technology has evolved and developed we now have point of care ultrasound. Point of care ultrasound allows physicians in the emergency department and office setting to acquire diagnostic quality imaging at the bedside. While physicians have a vast array of transducers, protocols, and views The question remains, Can paramedics perform the same feats to help our patients? In this paper we will review the “Focused echocardiographic evaluation in life support (FEEL)” protocol, the “Prehospital Evaluation of Effusion, Pneumothorax, and Standstill (PEEPS)” protocol, and assessment of non shockab...

I was given this Beets BLU to review by my Papi, Chris from FaithHack . He had received them as a sample to test/review for BeetsBLU . First impression: When I first got it i though it was decent looking, it's small and unobtrusive. Wearing it the first time was different and it took a couple tries to get it sized just right.  On the inside of the chest band are the two electrodes to pick up the hearts electrical signals. I've found placing it just below the breast line in the 5th rib space sits well and gets good pickup.  Set up: BeetsBlu uses Bluetooth smart  which means it doesn't connect through the traditional Bluetooth functions. You must connect it from one of their approved apps (I use RunKeeper and the BeetsBLU app), as soon as you figure out you have to use the app first it is easy to setup.  Running: Running with BLU was easy. It took maybe another 20 seconds to get it turned on and set up. While running I found it was relatively accurate. Wh...

#AAEM15 Winters: 18% Inc in mortality per 5 seconds of pause during CPR. http://t.co/QpVVdvYx7F — San Antonio EM (@SanAntonioEM) March 2, 2015 Excuse me? you said what? "In patients with cardiac arrest presenting in a shockable rhythm during the ROC PRIMED trial, shorter pre- and peri-shock pauses were significantly associated with higher odds of survival. Future cardiopulmonary education and technology should focus on minimizing all peri-shock pauses." (Cheskes et all., 2013) Decreasing peri-shock pauses is a good thing.  Fig. 2. Cheskes et all., 2013 The less time we are squeezing the chest, the less time the victim is perfusing and the less their chances of survival.  To  maximize perfusion, the 2010 AHA Guidelines for CPR and  ECC recommend minimizing pauses in chest compressions.  Expert consensus is that a Chest Compression Fraction (CCF) of 80% is achievable in a variety  of settings. ( Meaney et all., 2013) A viable...

 Have you just started at a service that doesn't have cable? Did your service rip the carpet out from under the feet of  Abby and Gibbs ? Don't know where to go without DiNozzo? Is your service trying to shield you from the Illuminati grasp on cable media? Well here's some advise for you. Keep Calm and read FOAM.      But what is FOAM?  Well it's  Free Open Access Meducation  says the amazing folks over at  Life in the Fastlane . It's a fantastic tool to learn, teach, and grow as a person who providers medical care. It isn't just residents or doctors who use it. Nurses, respiratory therapist, medical assistants, paramedics, and ALL Allied health providers can benefit. FOAM has been facilitating collaboration across the world. In my little services we find it hard to talk to our neighbors, much less work with people in other countries. With social media connecting people on opposite sides of the world, it amazing to see d...

"Ooh, Ooh, Ooh, to touch a female vagina, gives Victor a hardon." Patrick J. Lynch, medical illustrator See, I said it. Vagina, hard on, and I'll just go ahead and add penis to this sentence. However, It worked for it's purpose. Remembering the 12 Cranial nerves. I – Olfactory II – Optic III – Oculomotor IV – Trochlear V (1,2,3) – Trigeminal VI – Abducens VII – Facial VIII – Vestibulocochlear IX – Glossopharyngeal X – Vagus XI – Accessory XII – Hypoglossal  - ( Via Wikipedia ) (Yes, I'm using Wikipedia as a source. No this isn't a scholarly or even very intelligent post, it's okay.) Sooo, I was suppose to memorize the 12 cranial nerves and their function (sensory, motor, or both) for a test this semester. I didn't, the test didn't go well. this is the point of test (or is how I use them at least). They are to show you what you need to learn! Within hours of that class ending, the tale of Victors sexual adv...

(Please comment! If you want to comment on the paper in Google docs then I will happily share the link! Thank you!) Helicopter based emergency medical services (HEMS) are an essential part to any EMS system.  The first benefit noted with HEMS is that it gives prehospital providers access to rapid transport without the difficulties of traffic or terrain. HEMS utilizes staff ranging from a critical care paramedic to a physician led team. Working under an expanded scope of practice compared to the traditional ground ambulance. However, HEMS can be misused and abused like the rest of the EMS and emergency response system. According to Taylor, C. B. (2010) annual cost range from $115,777 to $5,571,578.  The LifeFlight Foundation annual report states that in 2013 alone Maine’s very own “Green Angels” had expenses equalling $9,109,732 (2013, p. 22). That cost can be placed with the patients and insurance or absorbed by the government and citizens. No matter where the funding co...

What type of organism is involved in spreading this pathogen (bacteria, virus, etc.)?  Identify the name of the organism (if any).  If you have been provided with an organism/pathogen what disease does it cause? Clostridium tetani spores Anaerobic gram-positive, spore-forming bacteria Spores found in soil, animal feces; may persist for months to years They can survive autoclaving at 249.8°F (121°C) for 10–15 minutes. The spores are also relatively resistant to phenol and other chemical agents. Tetanospasmin estimated human lethal dose = 2.5 ng/kg Causes Tetanus (Centers for Disease Control and Prevention, 2012, p. 291). What is the common route of infection (air, blood, etc.)?  Identify what would be the most likely way a paramedic would be exposed. Spores usually enters the body through a wound or breach in the skin. Toxins are produced and disseminated via bloodstream and lymphatic system (Centers for Disease Control and Prevent...