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Aprz
Last Activity:
Sep 22, 2017 at 12:10 AM
Joined:
Nov 12, 2009
Messages:
2,307
Likes Received:
283
Trophy Points:
83
Gender:
Female
Location:
San Jose, CA
Occupation:
Paramedic

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Aprz

Forum Deputy Chief, Female, from San Jose, CA

Has it been longer than a year since I've posted in my profile? Wow! Mar 13, 2017

Aprz was last seen:
Sep 22, 2017 at 12:10 AM
    1. Aprz
      Aprz
      Has it been longer than a year since I've posted in my profile? Wow!
    2. Aprz
      Aprz
      Didn't know about Cabrera and Chapman's sign indicating MI in LBBB. Cabrera - notching S anterior leads. Chapman - notching R lateral leads.
    3. Aprz
    4. Aprz
      Aprz
      Who puts of an ECG at 50 mm/sec, missing lead aVF and V6, and a poor clinical vignette?
    5. Aprz
      Aprz
      I've been the king of IVs for the past two weeks, lol.
    6. Aprz
      Aprz
      Got to see a phase 4 block for my second time. The same patient also had a trifascicular block too!
    7. Aprz
      Aprz
      Used the Zoll RescueNet TabletPCR. It's difficult to navigate through because you cannot use tab/enter and there are not scroll bars.
      1. Aprz
        Aprz
        Don't like that it doesn't tell you what are the close call rules as you do it (MEDS and ImageTrend highlight 'em red to tell you what you need to do). I get it. Don't want crews to do the bare minimum.
        Nov 7, 2015
      2. Aprz
        Aprz
        But at the same time, it is a pain to have to jump around the PCR when you are attempting to submit it.
        Nov 7, 2015
    8. Aprz
      Aprz
      Modified Postural Valsalva Maneuver
      1. Aprz
      2. Aprz
        Aprz
        I recently saw a patient vagal out of an SVT just from an IV start. It made me think about the modified postural Valsalva maneuver. I then learned that the Valsalva maneuver isn't just any method of stimulating the vagus nerve, but forcefully exhaling against a closed airway.
        Oct 12, 2015
    9. Aprz
      Aprz
      My partner called out. No replacement. Nothing for me to do. Might go home early. I like getting an unexpected day off with 4 hours pay.
    10. Aprz
      Aprz
      Interviewed with another company. I've interviewed for EMT positions at this company many times and never got the job.
      1. View previous comments...
      2. Aprz
        Aprz
        An update on this. The interview was a "clinical" interview like "Tell us the difference between left and right sided heart failure." The psychomotor exam was a FUBAR patient. 38 YOM GCS 3, laceration on the head, VT with a pulse, signs of an opiate OD.
        Oct 12, 2015
      3. Aprz
        Aprz
        I also did a pediatric assessment (1 YOX signs of an anaphylactic reaction: swelling of the face, raspy cry, and urticaria after ingesting milk) and a mega code (SVT -> administered adenosine -> vfib arrest -> VT without a pulse -> sinus tachycardia with a pulse. Discussed 12-leads. It was pretty intense.
        Oct 12, 2015
      4. Aprz
        Aprz
        I will be doing a physical agility test with them this coming Thursday. At previous companies, I have gotten a conditional offer letter before doing the physical agility so I suspect that I will probably start working at this company. I am intrigued by their ridiculous tests.
        Oct 12, 2015
    11. blastketchup
      blastketchup
      hey man! recently stumbled upon a post of yours that really clarified some stuff regarding the EMT california certification and made me 823974823x less confused. thanks a bunch
      1. Aprz
        Aprz
        No problem.
        Sep 29, 2015
    12. Aprz
    13. Aprz
      Aprz
      I didn't get hired.
    14. Aprz
      Aprz
      The interview was so so. I brought the appropriate paperwork and wore tie. I don't feel like I said anything spectaticular though.
    15. Aprz
      Aprz
      Interview for a paramedic position in about 2 hours.
    16. Aprz
      Aprz
      I just learned that Europeans might say BM instead of blood sugar or blood glucose. BM stands for Boehringer Mannheim.
      1. View previous comments...
      2. Aprz
        Aprz
        In the US, I frequently see the acronym BM used for bowel movement. Pleasant.
        Sep 11, 2015
      3. Flying
        Flying
        I'm guessing BM is/was a common glucometer brand (analogous to how some call BVMs Ambu-bags)?
        Sep 16, 2015
        Aprz likes this.
      4. Aprz
        Aprz
        Sep 16, 2015
    17. Aprz
      Aprz
      I just posted my interpretation of what I consider a challenging ECG. I hate being publicly wrong so I hope I am right.
    18. Aprz
      Aprz
      I wonder if you could use pleth waves to calculate a more accurate MAP than one of the standard formulas eg MAP = DBP + PP/3.
      1. View previous comments...
      2. Aprz
        Aprz
        So supposedly the beginning of the pleth wave to the dicrotic notch is the systolic phase. The dicrotic notch to the beginning of the next pleth wave is the diastolic phase.
        Sep 2, 2015
      3. Aprz
        Aprz
        Couldn't you count the number of little boxes (on ECG paper) to figure out how many little boxes are in the systolic phase and how many little boxes are in the diastolic phase to equal. Multiple the number of little boxes during the systolic phase by the SBP.
        Sep 2, 2015
      4. Aprz
        Aprz
        Multiple the number of little boxes during the diastolic phase by the DBP. Add the two numbers together. Divide by the total number of little boxes to equal the MAP for that heart rate.
        Sep 2, 2015
    19. Aprz
      Aprz
      1. Aprz
        Aprz
        Aug 27, 2015
      2. Aprz
        Aprz
        Ouch. I got called out in that thread. :[
        Aug 28, 2015
    20. Aprz
      Aprz
      I mentioned the important of diffusion in the pulmonary system in a thread.
      1. Aprz
      2. Aprz
        Aprz
        Aug 5, 2015
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  • About

    Gender:
    Female
    Location:
    San Jose, CA
    Occupation:
    Paramedic
    Education:
    Paramedic

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