the 100% directionless thread

[DragonClaw]

First shift with my new partner. Had a good shift and took enough calls to bonus. :3

 

[jgmedic]

Debating leaving my dept for a much larger agency that has a terrible schedule, but higher pay, would make more as a FF2PM than I do as an Engineer medic here. Plus their retirement is way better. But I will expose myself to many many force hires.

 

[NomadicMedic]

2020 is shaping up okay so far. I'm presenting at several conferences, taking the ASM program, finishing the degree (at last) and getting involved with some national EMS groups.

I feel like I'm finally in a spot where I can have an impact in helping things to grow and improve.

 

[CALEMT]

Debating leaving my dept for a much larger agency that has a terrible schedule, but higher pay, would make more as a FF2PM than I do as an Engineer medic here. Plus their retirement is way better. But I will expose myself to many many force hires.

CAL FIRE ain't that bad man.

 

[SandpitMedic]

2020 is shaping up okay so far. I'm presenting at several conferences, taking the ASM program, finishing the degree (at last) and getting involved with some national EMS groups.

I feel like I'm finally in a spot where I can have an impact in helping things to grow and improve.

Now this is just great news. Keep it up man.

 

[DesertMedic66]

CAL FIRE ain't that bad man.

It’s a trap

 

[DragonClaw]

This time last year, my home life (as many of you know) was pretty bad. I kinda thought I'd never get out. But I wanted better things for myself.

I'm not going to say I'm the best and most successful new EMT out there, but I don't have trouble paying my bills. I eat home cooked meals often, I can buy myself a few things I don't need, have benefits, I have a matched 401K and I have a savings again. My job doesn't hate me, I'm picking up extra shifts.

My car has a few issues, but I'm not crazy worried about not being able to pay for things anymore.

I sleep easier. This job isn't difficult and I'm learning a lot. AMR isn't as scary as they made it seem. It's a good job. They've actually done more for me in my EMS career than any other service in several ways.

Making 2020 what I want it to be, not waiting for it.

 

[jgmedic]

CAL FIRE ain't that bad man.

I have a lot of friends in RRU, I'm on the FF2PM list and applied for BDU and RRU. The only thing that worries me is that I've gotten complacent here and while I know my medic skills are still good, my fire stuff has definitely fallen off.

 

[GMCmedic]

Just got my first tube in nearly a year. The adrenaline high lasted about 5 seconds. Then I remebered I now have to write an RSI chart.

Also the first time I got vomit covering the mcgrath lens despite suctioning, was still a fairly easy tube. I like VL......a lot.

 

[DragonClaw]

Just got my first tube in nearly a year. The adrenaline high lasted about 5 seconds. Then I remebered I now have to write an RSI chart.

Also the first time I got vomit covering the mcgrath lens despite suctioning, was still a fairly easy tube. I like VL......a lot.

What was the reason for RSI. The MOI/NOI?

 

[DesertMedic66]

What was there reason for RSI. The MOI/NOI?

Flip a coin. Heads you get an intubation tube and tails you get a rectal tube.

 

[DragonClaw]

Flip a coin. Heads you get an intubation tube and tails you get a rectal tube.

Uhhh. And y'all thought I was weird.

 

[GMCmedic]

What was the reason for RSI. The MOI/NOI?

ATV wreck, head injured.

 

[DragonClaw]

Any reason to use a lifepack as a manual defib rather than AED?

(Of course if trained)

 

[CALEMT]

Uhhh. And y'all thought I was weird.

You have no idea how he is... wouldn’t surprise me if he had a dungeon in his place.

 

[CALEMT]

I have a lot of friends in RRU, I'm on the FF2PM list and applied for BDU and RRU. The only thing that worries me is that I've gotten complacent here and while I know my medic skills are still good, my fire stuff has definitely fallen off.

I wouldn’t worry to much about that man. I can’t speak for BDU, but RRU will do a orientation welcome to the unit sort of thing.

 

[GMCmedic]

Any reason to use a lifepack as a manual defib rather than AED?

(Of course if trained)

Typically a person can analyze a rhythm faster than an AED. AED shocks at a set amount of joules. From experience I can tell you that if you forget you recently became a medic, and turn the LP15 to AED mode then switch it back, it won't auto escalate the joules, you have to manually increase the energy.

 

[NomadicMedic]

It takes much longer for the advisory mode to analyze a rhythm. We train our medics to precharge the monitor, rhythm check and deliver a shock in less than 10 seconds. If you’re a medic using a monitor in AED/advisory mode ... you’re getting some remediation.

 

[DragonClaw]

It takes much longer for the advisory mode to analyze a rhythm. We train our medics to precharge the monitor, rhythm check and deliver a shock in less than 10 seconds. If you’re a medic using a monitor in AED/advisory mode ... you’re getting some remediation.

But for a basic who can't read a rhythm, there's not much point, is there?

 

[CALEMT]

But for a basic who can't read a rhythm, there's not much point, is there?

Sure you can. V-Tach and V-Fib are easy to interpret.

Also as a medic who worked on a box I would have my EMT’s do rhythm interpretation. I can teach you the basics to it in 15 minutes. By the end of that they could interpret NSR, ST, SB, SVT, A-fib, V-Tach, and V-Fib. It’s not as complicated as it’s chocked up to be.