Same ICU Same Me EMS uniform instead of a flight suit I’ll never be ready for how much worse the vibes are.

I made a chair and the northern lights happened the same day I finished it Seems auspicious

I made this because its 100% factual

Had a case recently that once again reminded me of this: I don’t understand (truly) how you can do high-level critical care transport without POC lab capability. I certainly never want to be without it. #EMSsky #ResusSky #HEMS

It is INSANE that Alaska airlines has seven (7!) boarding groups

High-altitude #HEMS missions—a retrospective analysis of 3,564 air rescue missions conducted between 2011 and 2021 Read now on #SJTREM sjtrem.biomedcentral.com/articles/10.... #FOAMed #EMS #AirRescue

Before video and images were the dominant form of media If you think about it poems were basically just the OG TikTok’s

Coming in for landing: Pilot, "you secure in the back?" "Actually i've been feeling a little insecure recently, thanks for asking I actually could use some validation"

Popeofol

If you're flight program is using RIC catheters in your trauma patients can you reach out? I'm trying to find some best practices and see what other people are doing as I try to get them rolled out.

Fallen down the rabbit hole of quantitative acid-base only to realize what I knew in the beginning: Bicarb boluses in cardiac arrest patients are nothing but sympathetic magic

Two points: 1: Give me an A-line in your critically ill patient and I’ll be the happiest lil flight medic there ever were 2. Notice that for the same MAP, oscillometric NIBP has ~30mmHg discordance in systolic when compared with invasive. #EMSsky #resussky #emimcc

The presence of a box on a form does not mandate it’s being filled out

You vs the guy she tells you not to worry about

We’ve discussed that ETCO2 nasal cannulas provide something more like blow compared to a true NC. The max flow rate was thought to be 5-6 LPM using a ETCO2 NC. Testing on a Hamilton T-1 in high flow mode showed I could only push ~4 LPM through the ETCO2 NC. 🚨 Consider this for PreOx and ApOx!

Coming home from PAC25 so grateful to teach and learn with some of the best nerds I know. If you manage airways and want to get better, consider coming and checking it out next year. It really is the best airway event in the universe: theprotectedairway.com

Unfortunately high standards are subject to the forces of entropy. Without energy input you can’t maintain them. Plan for it or watch standards slip.

Have you noticed the thing where when you first open up something like NYT’s Connections it feels impossible but when you come back an hour later it’s so simple? That’s how our brains work with all sorts of problems. Often you don’t need a solution this instant. Let it marinate—it’s way better

Bertrand Russell’s “Reflections on my Eightieth Birthday” almost feels like a salve today: russell-j.com/0987_RoMEB.HTM

Jaces Paradox: The hotter you look in a flight suit the less sexier you look taking it off

I’m 30 years old and just had to use the Quadratic Equation. I need a Negroni fuck

But do you have ECMO clamps that match your helicopter?

Energy drinks and Zyn and important and all but it’s fucking nuts how important uncrustables are to our countries 911 system

The weird thing going on in my life is that my flight suit nomex had started like sandpapering the hair off the back of my calves? So now I have little bald spots on my calves Someone please say I’m not the only one this has happened to

I brought back giving gold stars to partners doing good jobs and within 5 minutes the yelling started

It’s fucking nuts that it’s 2025 and there’s still people out there who haven’t moved on from building their personality around their dislike for the word “moist”

The problem with H/H is the pKa is not always 6.1 and can go up or down (a little) depending on lipids, temp, and pH.

If you ever wonder if people generally are rational, just watch how everyone lines up at a double left turn lane. One lane will have three light-cycles worth of cars lined up and the other lane will be empty

I will never want health so much that I’d touch a beet

Can we all agree that this is an objectively insane thing to put on your car?

Crying sobbing puking over the fact that Bowling For Soup’s seminal Song “1985” was closer to the year 1985 when it was released than it is to today Released in 2004, 19 years after 1985 It’s now 2025, 21 years after 2004

RIP Utah Phillips you would have loved Park City Ski Patrol’s strike

In honor of the New Year, here are some things I've learned as a flight medic A thread... #EMSsky #ResusSky

The RQI mannequin isn’t broken you just don’t know how to use a BVM

Found a magic 8-ball at work Ask me your questions and I will consult the oracle and tell you its answer! ✨🙏🏻✨

What you learn from and in college is valuable all on its own, AND it makes you better in the trades. I went to paramedic school after getting my BA, and being able to think expansively and critically about EMS and its social role has shaped my entire adult life.

Always feels good to pick up a shift in the mountains at my (very) PRN gig.

Are you kidding me? No one knows how to pronounce Poiseuille and we could have just been saying Hagen this entire time?

Someone asked me recently how, after being in EMS for 12 years I am not crispy, how I kept the important parts of myself. I’ve been thinking a lot about it. The best that I’ve come up with is that while everyone will tell you to be harder, the key to surviving is keeping your softness. #EMSsky

Not undiagnosed, just ✨unmedicated✨

Pretty bad views from the workshop this evening

Are there any zip codes that cross state lines? If not, it’s almost 2025 why do I have to pick my state out of a line up everytime order something online? Just let me put in my zip code

Fire chiefs be like:

On my morning peloton ride and the instructor said something great for new #emimcc trainees/providers: "Be good. But if you can't be good, be careful." This is how inexperienced folks should be approaching high risk clinical practice: aspire for mastery, but be cautious in moments of inexperience.

Touch tunes are great for when you want to unilaterally set or ruin the vibe of an entire bar

To this day one of the best conference lectures I've been to was at NCEMSF in like 2015? "50 shades of 911: Responding to Kink related emergencies" Who else was there can confirm it wasn't a fever dream

sesame street isn't supposed to make money. the post office isn't supposed to make money. not everything is supposed to MAKE MONEY

Whatever happened to the Dantastic Mr. Tox podcast? It was one of my favorites

Okay the thing that skeet made me realize is that Bluesky has all of the people that add value but none of the bystanders from the old place. This audience for this post literally is not on this platform yet. Wild