the 100% directionless thread

[STXmedic]

I wish I was as strong as you fireguys!

Pfft, I hate strength training. I'd do nothing but cardio if they'd let me

I hate those nights at work when you lay down fully exhausted praying for no hard work before daylight.

Murphy knows how you feel and calls in his henchman.

Murphy better stay home unless he wants to get beat down!! :lol:

 

[Tigger]

Pfft, I hate strength training. I'd do nothing but cardio if they'd let me
:

I'd feel the same way.

Currently being the good EMT and manning the "command center." While the medics sleep...

The pass between us and big hospitals is flooding along with the towns around it. We also have flooding and lighting strikes in our county. Means lots of "stand by" in quarters charts for me!!

 

[NomadicMedic]

Thank God I was able to delete the post I almost made. Ambien and EMTlife are not a good mix.

 

[EpiEMS]

[YOUTUBE]http://www.youtube.com/watch?v=WUkpEjfgE7w[/YOUTUBE]

Loose Seal! Loose Seal!

 

[STXmedic]

Murphy better stay home unless he wants to get beat down!! :lol:

We got toned out for a fire within five minutes of this post... Luckily it was nothing... I'm sorry, Murph!! I didn't mean it!! h34r:

 

[chaz90]

Thank God I was able to delete the post I almost made. Ambien and EMTlife are not a good mix.

I needed some Ambien tonight. I can't sleep worth crap, and the morning is rapidly approaching.

 

[Jambi]

I needed some Ambien tonight. I can't sleep worth crap, and the morning is rapidly approaching.

Ambien is funny stuff. I prefer Lunesta on those occasions I can't sleep. I refuse to take the stuff unless I can get a good 8 hours, so sometimes it's too late.

 

[bigmike82]

Hello

Hi,
I am new to the forum and just wanted to introduce myself to the other insomniacs out there. I am just starting out in EMT class and was wondering if anyone has any helpful advice for me. It seems to be a pretty intense course, but our instructor seems like he is genuine and wants us to succeed. Going back what are the things you wish you would have learned/payed more attention to in basic EMT class? Any advice?

 

[9D4]

Well day 2 of medic done (I think I forgot to post back that I passed the pharm quiz with a 92% and got a spot in the class ). Passed my second quiz today with a 25/25
So far, so good, besides being extremely boring, but anatomy and phys normally are, at least from my previous experience with them.
I did notice today that my sleep schedule needs to change when I got up and was so tired that I spent a good 5 minutes trying to shut up my alarm, eventually unplugged it because it wouldn't turn off, then it kept going and I realized it was my phone's alarm :rofl:

Have been having trouble figuring out what to eat for dinner, since we're there from 12:30-9:30, so if anyone has suggestions, let me know, that doesn't need fridged or heated. So far all I've got was some Clif bars and some almonds from sprouts and that's been my dinner, haha.

 

[STXmedic]

Hi,
I am new to the forum and just wanted to introduce myself to the other insomniacs out there. I am just starting out in EMT class and was wondering if anyone has any helpful advice for me. It seems to be a pretty intense course, but our instructor seems like he is genuine and wants us to succeed. Going back what are the things you wish you would have learned/payed more attention to in basic EMT class? Any advice?

Welcome to the forum. Not to be a ****, but this question gets asked probably twice a day. Search through the forums and you'll find more tips and advice relating to exactly what you're asking than you'll know what to do with.

 

[bigmike82]

Thanks

I am still figuring out how the forum works and how to search I appreciate your pointing me in the right direction!

Thanks,
Big Mike

 

[Aprz]

Tigger, I recognize the equipment you guys got. XPR 4550, 6550, and the alpha pager. I dunno what the other two radios are.

 

[rmabrey]

I found out what happens if you refuse decontamination.

Absolutely nothing

 

[Handsome Robb]

Successfully managed to administer ALL the fentanyl on my truck in 3 calls...200 each for a grand total of 600 mcg used. Well let me correct that, one got 175 and I wasted 25.

Also, my EMT-I partner managed to make me feel like a dumbass. I was trying to articulate to a patient what gout was, couldn't remember "urea" and he decided to take over and explain it, beautifully I might add. Then the patient asked if I was in training... Shoot me. He didnt let me live that down for a few hour.

Another also, fentanyl doesn't do jack for gout pain. Even 200 mcg within 8-9 minutes.

 

[rmabrey]

I've never even seen fentanyl used.

But as I said in another thread, fentanyl is a no no in adults here. Only carry It for IN peds

 

[Handsome Robb]

I've never even seen fentanyl used.

But as I said in another thread, fentanyl is a no no in adults here. Only carry It for IN peds

Are you serious?

That's awful. It's a helluva drug. I'm pretty comfortable with it seeing as its our first line. 1-2 mcg/kg max of 100 single max total of 300. IV/IO/IN. Peds is 1 mcg/kg max single of 100 max total of 3 mcg/kg.

Actually only ever given morphine a handful of times.

Fentanyl and midazolam are a beautiful combination as well. Got that on standing orders also or morphine/midazolam but never used that. With that said if I want to use morphine and fentanyl concurrently I have to call :wacko:

Our old MD was HUGE on analgesia. Basically mandated we treat any complaint of pain >4/10 "assertively".

I hear our new MD is the same way about aggressive pain management but is also going to give us more leeway as far as who we medicate. Also heard the "K" word thrown around

 

[rmabrey]

Apparently we had two cases of Fentanyl causing cardiac arrest. One case the dosage was under the protocol max and the other was MD orders also under our protocol max. Both times it was pushed as it should be.

Medical director pulled it saying it was to unpredictable in adults.

Now we have Dilaudid and Morphine for adults. And of course Versed.

 

[Handsome Robb]

Apparently we had two cases of Fentanyl causing cardiac arrest. One case the dosage was under the protocol max and the other was MD orders also under our protocol max. Both times it was pushed as it should be.

Medical director pulled it saying it was to unpredictable in adults.

Now we have Dilaudid and Morphine for adults. And of course Versed.

I'd love to see a pathology report citing fentanyl as the sole cause of the arrest.

If a respiratory arrest went unrecognized then maybe but even without knowing where you work or the people you work with I have faith that that wasn't what happened.

I will say thats pretty sweet you have dilaudid though. doesjt make much sense to pull a widely used and accepted EMS analgesic and replace it with that though...I'd love to have it but I do also like the fact that when people request it by name or say they're allergic to everything except for it I can say, without lying, I don't carry it. Unfortunately I run into that scenario quite frequently. Then when I get the "well I guess morphine (or fentanyl) will work..." They get shut down real quick and then a mini lecture about how I don't administer medications a patient originally told me they were allergic to and I also am not a drug dealer. Had a few people get up and walk out of the ambulance.

 

[MrJones]

Ambien is funny stuff. I prefer Lunesta on those occasions I can't sleep. I refuse to take the stuff unless I can get a good 8 hours, so sometimes it's too late.

I have 1 word for you: Zaleplon

Generic for Sonata. 10mg brings me 4 hours of restful sleep.

 

[RocketMedic]

Apparently we had two cases of Fentanyl causing cardiac arrest. One case the dosage was under the protocol max and the other was MD orders also under our protocol max. Both times it was pushed as it should be.

Medical director pulled it saying it was to unpredictable in adults.

Now we have Dilaudid and Morphine for adults. And of course Versed.

Those arrests were probably not fentanyl-related.