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Lots of things, mostly having to do with emission controls and the sensors controlling them.
the 100% directionless thread
- Thread starter KEVD18
- Start date
DragonClaw
Emergency Medical Texan
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Who wants a truck that goes 23 mph top speed?
To finish up the shift my partner got the truck stuck (at base, thank goodness) in the mud off the concrete slab.
That's my Sunday.
Edit: Also wanted chicken minis this morning but...
To finish up the shift my partner got the truck stuck (at base, thank goodness) in the mud off the concrete slab.
That's my Sunday.
Edit: Also wanted chicken minis this morning but...
RocketMedic
Californian, Lost in Texas
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She should, once AMR Houston starts transporting active COVID patients with a single recycled N-95 for the attendant.
DragonClaw
Emergency Medical Texan
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They just sent out the email about reusing N95s....
DesertMedic66
Forum Troll
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You know it’s going to be a fun transport when you walk in the patient’s room and they are maxed out on 3 pressors with a BP still in the 40s and an SpO2 in the 50s.
DragonClaw
Emergency Medical Texan
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Transport where, the morgue?
VentMonkey
Family Guy
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I’d give them 45 mins, maybe an hour, then I’m going back to bed...JS.
DesertMedic66
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Spent an hour and a half stabilizing with our medical director on the phone for extra guidance. Actually we’re able to get sats up into the high 80s and a BP into the 80s also.
DragonClaw
Emergency Medical Texan
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What sacrificial EMT did you throw into a volcano for that?
DragonClaw
Emergency Medical Texan
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Recap on the psych pt
Nobody:
Nobody at all:
Pt: *Rips pants piece off*
"Here, quick, scan this!"
--
PT: "Okay I need BRAKES. STOP THE VEHICLE. BRAAAAKES."
"We don't need to slow down"
"If you don't stop I'm going to have to get out"
*somehow calms pt down*
(I really don't know how I did...?)
--
"I need Those" *Points to ambulance permits*
"You don't need those. Those are our permits"
"Yes I do, just like RIIIIP them off the wall and hand them to me"
"I can't do that. My supervisor would be mad"
"Oh no he won't, I promise, just give them to me"
--
*reaches up and opens sliding cabinet*
Me: "Those need to stay closed"
"I need those" (C collars and stuff in them)
"Those need to stay there in case someone gets hurt and we need them. This is an ambulance"
"Oooh I guess you're right"
--
"Can I see the paper"
I give him the paper (thinking back on it maybe I shouldn't in case he destroyed it?)
He puts his nose to the paper so he can read it. It's way too close for him to be able to read.
--
And I could go on. He was by far my most active psych pt so far. The cop followed behind us.
Nobody:
Nobody at all:
Pt: *Rips pants piece off*
"Here, quick, scan this!"
--
PT: "Okay I need BRAKES. STOP THE VEHICLE. BRAAAAKES."
"We don't need to slow down"
"If you don't stop I'm going to have to get out"
*somehow calms pt down*
(I really don't know how I did...?)
--
"I need Those" *Points to ambulance permits*
"You don't need those. Those are our permits"
"Yes I do, just like RIIIIP them off the wall and hand them to me"
"I can't do that. My supervisor would be mad"
"Oh no he won't, I promise, just give them to me"
--
*reaches up and opens sliding cabinet*
Me: "Those need to stay closed"
"I need those" (C collars and stuff in them)
"Those need to stay there in case someone gets hurt and we need them. This is an ambulance"
"Oooh I guess you're right"
--
"Can I see the paper"
I give him the paper (thinking back on it maybe I shouldn't in case he destroyed it?)
He puts his nose to the paper so he can read it. It's way too close for him to be able to read.
- Satan has something to do with reading backwards
- We only need 3/4 of the moon
- 1/4 of the moon was blown up
- "Planet X" had something to do with the moon being blown up
- Dumping water on your bed (hospital bed included) will cleanse it
- Only wanted a single pinkie toe covered by the blanket
- Was going to pull a pager out of his gown to page his mother, wife and her boyfriend
- He's not sure if his wife is alive
- He died twice and the third time will be permanent (everyone gets three lives)
--
And I could go on. He was by far my most active psych pt so far. The cop followed behind us.
I’m confused. Why did you have to stabilize the patient and not the sending facility ?
As a receiving facility, most sending facilities are not prepared either in training and/or equipment to stabilize complex patients.
We rely on our transport teams to stabilize patients so that they can make it to our facility. In fact we often send out our primary or specialty teams to ensure that the patient is able to make it to us safely.
I understand that, but knowing that he’s a FP I’m not sure it was a SNF that was sending. And lower tier hospitals usually do not have helipads either. I’ll wait for Desert to elaborate.
40's diastolic.....right?
DragonClaw
Emergency Medical Texan
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He's a nurse something something yeah? It seems more like insurance on their end.
FP = flight medic. They’ll have a CCRN with them because it’s an air CCT. Has nothing to do with insurance on their end, it’s a transfer to a higher lvl of care facility.
We've got a some small hospitals that we or the local NICU team have bailed out of situations in their facility. One such time was a botched cric by the doc that our crews had to un-****. Initially just a 911 truck that was then met up by a CCT medic and a supervisor at said hospital.
DesertMedic66
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This is fairly normal for us to do. Our smaller hospitals are not known for being the most well equipped. This patient was just crappy all around but the hospital did a lot of treatments prior to us arriving. With HEMS a good number of our patients are very unstable when we get to them. We also do “bedside stand-by” which means we will assist with patient care while the hospital works on finding a receiving/accepting facility.
DesertMedic66
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Nope. 43/28 Invasive BP via arterial line.
That chart sounds horrid.