Recent content by VentMonkey

The acronym on our O1A (paper) forms we used when I started off still went by HGH. I don’t remember when the affiliation became prominent.

I mean, what’s Rampart? Or Big County/ General Hospital?…Harbor UCLA?…🤔 PTI v. Daniel Freeman?…

Keep Me Goin’…365, bay-beee… Legends, man.

R.I.P. Definitely feel like him and Kevin Tighe did more for the profession, both directly and indirectly, than perhaps people who aren’t quite old enough to appreciate it are given credit for.

I feel like when I was a ground paramedic there was a point when Sepsis Alerts were gaining traction in the prehospital setting, albeit brief. Fast forward to 2026 and I don’t know that they ever kept their momentum. I mean it isn’t like we’re seeing a large bulk of scene retrievals for sepsis...

Amazing. It’s almost like this thread is chock full of input, discussion, and conversation from seasoned providers that younger ones could glean from… …buncha grumpy ol’ *******s.

What I would do may not be what you would (or should) do. I am more conservative in my treatments nowadays though. Without knowing the full history and presentation (e.g., outward signs of fluid overload and/ or predisposition) maaaybe a judicious fluid bolus, think 250-500 ml max. But as...

As EMS “evolves” this is hopefully becoming more common in general. That is, the level of autonomy. A lot of what you have asked will inevitably come with time and experience. If you hyper focus on every nuance of every patient every time you are in for a long and painful career. As previously...

While I am familiar with SoCal ground CCT, and this crew configuration. I know there are too many companies to count (or were), some seemingly more legitimate than others, so I hear your concerns, 100%. But, this is one fiefdom in a world choc full of different types of CCT configurations...

Going back to the OP, In the amount of time that I have done this, to me, it seems like everyone copes differently. MH awareness has evolved, mostly for the better. Historically speaking EMS does seem to attract a certain type of individual, not always, but typically. With that it often seems...

Way Of The Dragon. Epic fight scene.

100% this^^. Rofl. Sad, but also true. I know Fresno has had ground CCP’s for a couple of years and puts up an in-house critical care course. Our county has a CCP policy in the works as well, but I am not sure how or when that will be adopted. As you’ve mentioned, LEMSA’s. OC has a service...

In almost 20 years I’ve called for one order. I’ve never asked permission to perform a procedure.

I’m pretty confident most LA County (and OC) fire depts still carry that damn tackle box. Geez guys, get with the times. On the other hand, when ya ain’t got much to carry…

Pram stretchers and 40-lb “phones” beg to differ. If any EMS geek is ever in SoCal, the LACOFD museum is highly recommended. Has lots of their memorabilia there.