That could be a scary situation. I would speak or yell from the door outside and see for a response. If i get none i go back to rig and get pd there stat. He could easily have a weapon in his hand and just waiting to kill someone. Until i know scene safe im not going near him
Day to day things vary but an avg year we do: 800-900 calls per year. 600 of those are als. We do about 300 transfers a year. I work for a rural ambulance service that covers 7 towns approx 622 sq miles. Our reports are done by paper on scene and er and then transfered to computer database for...
Ive been working as an Emt-b for one year. I feel that after the course I was not well enough prepared for work as an emt. I was hired before i started the classes and was told that afterwords there would be a month of OJT. I worked as a third member of the crew and watched and learned how the...
First off make sure to document the hell out of this. It seems like gross negligence that they do not want medics who can do certain things that will help in the treatment of this pt. The fact they do not want als is absurd. Anyway, put in an airway adjunct to secure the airway. If you have one...
I would say now go through a trauma assesment. Take off all the clothes and see if there is some underlying trauma. Maybe when he lost consciousness from the previous day he became hypothermic. Start breaking hot packs and put them on neck armpits and groin. Put in shock positon. Does the man...
I understand why all the drugs and cardiac monitoring are needed but this is supposed to be a bls scenario since it is in the bls section. I think its important we remeber that when doing these scenarios. Its very easy to forget the basics when we are als trained or in als training
Assess respirations and start some O2 10-15nrb. Get your glucometer and get a blood sugar reading. If the person is responsive enough get a history and find out what happened so early this morning. Check lung sounds as well. Also it would be a good idea to run him through the cinncinatti stroke...
The best way to learn is to ask alot of question. The ones your working with were in your shoes at one point too. If they tell you to do something you can do then do it. If you cant do it tell them and they will show you how. Dont try and do something you have no business doing. Other than that...
2nd scenario. First of all with unconscious you have to protect the airway. Insert OPA/NPA assist ventilations with bvm connected to high flow O2 at rate of 12-20/min. cover the wounds with dry sterlie dressing. Get vitals. If you have the ability to, start an IV preferably Lactated Ringers, but...
For the first one with the 63 yo with chest pain, Have him rate the pain, ask what he was doing when the pain started. I forgot to call for ALS backup since it is more than likely a cardiac problem. Check if pain has improved after O2 therapy. Reasses vitals and check lung sounds. As for the...
Well some more info is needed. Are the vehicles on fire, if so not going near it till fire gets there. If im on my way to work then I am off duty and under no obligation to respond. And with that much mechanism your gonna need special tools for extraction. There isnt a whole lot you can do by...