the doctors out, but i know something!

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...