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Aprz
Last Activity:
Jul 19, 2017 at 12:51 PM
Joined:
Nov 12, 2009
Messages:
2,301
Likes Received:
282
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:
Jul 19, 2017 at 12:51 PM
    1. Aprz
      Aprz
      First time fueling my motorcycle. $6 to fill up the whole thing with the most expensive gas. I get 71 mpg!
    2. Aprz
      Aprz
      Hated it when people insisted that the limb leads have to go on the limbs. They are called that because the electrode used to be a bucket of
      1. Aprz
        Aprz
        saline that you put the limbs in. What's important is the relative position of the electrode to the positions heart: above, below, right, or left.
        Jun 16, 2015
      2. Aprz
        Aprz
        I have frequently seen ECGs that are torso-positions limb leads and the standard placement, but never compared it on the same patient. What I did notice was that I couldn't tell the difference between the two or so I thought.
        Jun 16, 2015
      3. Aprz
        Aprz
        Torso-position limb lead placement causes:
        - frontal axis is more rightward
        - decrease R wave amplitude in high lateral leads and septal leads.
        - decrease S wave in low lateral leads.
        - increase R wave amplitude in inferior leads
        Jun 16, 2015
    3. Aprz
      Aprz
      I officially graduated paramedic school yesterday and received a certificate for course completion.
      1. Aprz
        Aprz
        I am signed to do the NREMT psychomotor exam on 7/31. I'm waiting for my status to change on nremt.org so I can sign up for the cognitive exam which I'll probably do before the psychomotor exam.
        Jun 16, 2015
    4. Aprz
      Aprz
      Watched Jurrassic World. I thought it was a good dinosaur movie.
    5. Aprz
      Aprz
      Was going to share this article with a friend in regard to NPA size, but I feel like the size recommended is too small.
      1. Aprz
      2. Aprz
        Aprz
        In my limited experience, mannequins and regular size adults are around size 32 Fr. That's a good size to start with.
        Jun 9, 2015
      3. Aprz
        Aprz
        Jun 9, 2015
    6. Aprz
      Aprz
      Dreamed of me working at another company and having regret leaving my current. I've applied 9 times and have no desire to work there now.
    7. Aprz
      Aprz
      I got an e-mail saying that I am invited to some sort of employee recognition thing as one of the people to be recognized for outstanding...
      1. View previous comments...
      2. Aprz
        Aprz
        I don't know if I will go or not. I am actually catching something like a cold so I am not even sure if physically I want to go just cause of that. If I was feeling well I am still not sure though.
        Jun 7, 2015
      3. Aprz
        Aprz
        I decided I'll go anyhow.
        Jun 7, 2015
      4. Aprz
        Aprz
        It was for picking up a shift where we transferred patients from an old hospital to a new hospital building.
        Jun 9, 2015
    8. Sdemt_1530
      Sdemt_1530
      I noticed your replies on sd rural metro topics. I start my orientation on Monday. Do you know if there are any tests of any sort? Thanks man
      1. Aprz
        Aprz
        I don't work there, but I do have a friend that did work there that left about half year ago. He said there isn't any test for EMTs.
        Jun 3, 2015
      2. Sdemt_1530
        Sdemt_1530
        Thanks for the info brother.
        Jun 6, 2015
    9. Aprz
    10. Aprz
      Aprz
      I was hoping to go back to college during the Summer, but the class schedules make it hard with work.
      1. Aprz
        Aprz
        I haven't taken an assessment test yet so maybe that will open up some more opportunity so I can actually take classes during the summer. I think since summer is shorter the classes are more frequent making it harder for me to sign up. I am only free Monday-Wednesday and any night after 5 pm until September.
        May 26, 2015
    11. Aprz
      Aprz
      I wonder how many of my co-workers browse this site and know who I am. I am probably finding new ways to hurt my popularity at work.
    12. Aprz
      Aprz
      Another rough day at work. I don't feel like I can work there much longer. Almost 0% energy.
    13. Aprz
      Aprz
      I finished signing up to go to community college during the Summer. What a weird time to start going, but I keep putting it off forever.
      1. Aprz
        Aprz
        I can start registering for class on 5/18. I am gonna take an assessment test for Math and English. I also want to talk with a counselor. I want to pursue a degree in Biochem / Mol Bio.
        Apr 30, 2015
    14. Aprz
      Aprz
      Veneficus shared this link on his blog. I was just talking to somebody about it and thought I would share it here.
      1. Aprz
    15. Aprz
      Aprz
      Went to the pediatric department last night. Tonight I'll be going to the Labor & Delivery Department.
      1. View previous comments...
      2. Aprz
        Aprz
        Observing this c-section was great. The attending was teaching a resident (I think) how to do it step-by-step. They also had a discussion about managing a cardiac arrest when the patient is pregnant.
        Apr 29, 2015
      3. Aprz
        Aprz
        The patient was complaining of being nauseous. She received some medications that were unknown to me. I cannot even remember their names. He ended up ordering 1 mg haldol saying "it's a potent antiemetic." Interesting!
        Apr 29, 2015
      4. Aprz
        Aprz
        Apr 29, 2015
    16. Aprz
      Aprz
      Today I went to the OR again to practice airway management.
    17. Aprz
      Aprz
      Dr. Smith has a link to a free PDF of his book "The ECG in Acute MI: An Evidence-Based Manual of Reperfusion Therapy".
      1. View previous comments...
      2. Aprz
        Aprz
        He really drills the idea of serial EKG (q15). So far in the parts I have read, he'll show an EKG that is almost normal ("class 4") and then show an obvious STEMi ("class 1a") way later.
        Apr 29, 2015
      3. Aprz
        Aprz
        I also think his explanation of the two theories for ST elevation, hyperacute T-waves, and inverted T-waves are short, sweet, and simple.
        Apr 29, 2015
      4. Aprz
        Aprz
        It's weird that he says lead V1-2 are placed ICS 3, V3 ICS 4, and V4-6 ICS 5. I'm not sure if that was a mistake, if that's how it was done awhile ago, or if he really does it that way. I think placing them at ICS 3 is consider a common mistake and it gives V1-2 a pseudo RBBB morphology rSr'.
        Apr 29, 2015
    18. Aprz
      Aprz
      Learned about QRS alternans. Always associated electrical alternans with pericardial effusions. QRS alternans is with AVNRT or ortho AVRT.
    19. Aprz
      Aprz
      Looks like it is gonna be another one of those days...
    20. Aprz
      Aprz
      Today was my last day of my paramedic internship. 590 hours. I just need to do the psychomotor and cognitive NREMT exam.
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  • About

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

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