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  1. Nightmare

    Running a code

    very good point, what I said and what I meant were two different things there. cheers for putting me right!
  2. Nightmare

    Beginning a career but having doubts.

    The day you think you have learned it all is the day you need to quit. Your mentality (at least by the sounds of it) is the perfect one to have, you aren't to bull headed to ask questions and you're eager to learn. If the company that you work for is worth while the employees there will help...
  3. Nightmare

    Running a code

    Just remember that a full code is a possibility, my first call was a traumatic arrest and I was the only EMT there (small volunteer FD with transport) as a BLS provider running a code is really quite simple, secure the airway (OPA, NPA, head tilt chin lift, jaw thrust), while you're doing that...
  4. Nightmare

    Switching to Police

    Hello all, so I have come to kind of a fork in the road right now, I am finishing up my college education (by finishing I mean I am part way through my masters and I am not going to finish it) I have been an EMT for 2 1/2 years and worked with the company I am with now for almost a year now. A...
  5. Nightmare

    BLS Medical Director Interaction

    where do you work? i wanna work there!
  6. Nightmare

    Shortness of breath question

    By the sounds of it your patient was not having the symptoms of SOB but might have been thinking they had SOB, may be almost some form of an anxiety issue (i wouldn't call it an attack)...most people with this issue who don't have a medical background will think that they are getting better if...
  7. Nightmare

    Car Accident

    Did you have FD on scene? i wouldn't really consider 3 patients an MCI when you have 3 ambulances there, the first rig on scene should have decided what resources were needed, in your case 3 ambulances. They decide which one is most critical and then one provider assumes care of that patient...
  8. Nightmare

    When to cut away a patient's clothes?

    if you are cutting the patients clothes off, they have more pressing matters to worry about than their clothes. dislocations, fractures, major trauma, cardiac arrests or if for w/e reason my ALS needs access to the patients chest yesterday. otherwise, do your best to take their clothes off...
  9. Nightmare

    A different view of EMS " (Another) reason why EMS isn’t taken seriously"

    one of my partners, who has been working EMS longer than i have been alive gave me a very interesting point to think on awhile back, part of the reason that EMTs/paramedics aren't respected is because we aren't viewed as the "make you better people" we are viewed as the people who keep you alive...
  10. Nightmare

    OPA Use

    I believe standard practice is to use the least invasive airway possible if the patient is able to ventilate on their own (if they are snoring or breathing normally but are unresponsive) so if an NPA secures the airway properly for you then that is what you use, now if they aren't breathing, you...
  11. Nightmare

    EMT at 16?

    Becoming an EMT while i was younger is something I wish i had done (I became one when i was 20, now 22) i wouldn't have wasted time with college then...however if you hope to move on beyond a basic (which i hope you do) you will need some college, so just keep that in mind.
  12. Nightmare

    The "Inexperienced, experienced EMT"

    Hey everybody, so I have been working for a company for about 3 months now...learned the ropes pretty good, I have quite a few medics who like working with me (at least they act like it around me and i hear good things lol) and the other day they were complaining to me about another basic who is...
  13. Nightmare

    Glendale fire assaults patient after patient assaults them

    Video shows next to nothing worthwhile to explain the situation...but it does show that the FD lost their cool, if this was an overdose call....where is PD...if there was any hint that the patient could be combative...where was PD? Yes i understand sometimes units are tied up and nobody is...
  14. Nightmare

    Exactly when/how to use the siren?

    My company policy is if lights are on, siren is on...however late at night if I'm going hot...siren only comes on when I am going through intersections that I either A) don't have the right of way B) there is the possibility of a care making a right on red, then once I have cleared the...
  15. Nightmare

    Nervousness

    the fact that you're nervous is a good thing, means you aren't over confident, just remember its not your emergency its theirs, take your time fast is slow, slow is fast. The more you try to rush, the slower you will actually go, and the first line out of you mouth should be "Hi my name is...
  16. Nightmare

    Exactly when/how to use the siren?

    just keep in mind the more you mess with the siren the more you stress out drivers in front of you. people already lose their minds when they see an ambulance coming up behind them running hot, keep it simple, and in my opinion, no horns of any nature unless somebody won't move over. I...
  17. Nightmare

    Continue CPR or not?

    I am a basic so if a family member claims POA I need to see paperwork, however if a doctor ever told me he won't give us permission to call it but will give us a TOD then we have an issue. The doc should have said either yay or nay on working the code, if he says yay then I would tell the...
  18. Nightmare

    22 y/o SOB

    So placing myself on the scene...given the presentation, history and then the resolution of symptoms I would have done my best to convince her to go by ambo but if she persisted I would have signed her off and then it would have come back to bite me in the *** lol
  19. Nightmare

    Just took a BLS instructor Course confused

    That is exactly how my class went, seemed a little confusing at first but as I get ready for my first class I realized that it is about what works best for you. I have found that I teach to the test, get them to pass that and then show them how to actually do CPR and give the practical. My...
  20. Nightmare

    Whatcha pocket?

    Carry what you are comfortable with/what you will need. I am a smaller/younger dude so I typically end up in the tight spaces/wrecked cars. What do you need in there? All the time my pants have 4 pens, trauma shears, and O2 wrench (they are always missing on the rigs) then i carry a car charger...
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