the 100% directionless thread

EpiEMS

Forum Deputy Chief
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Is a "these things were really written in charts" humor thread totally not cool?

Or is it bad practice to make fun of your colleagues' poorly written charts? (I see so many...)
 

EpiEMS

Forum Deputy Chief
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I have run the truck out of IO supplies. This needs to stop
keep-calm-and-drill-baby-drill.png
 

StCEMT

Forum Deputy Chief
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4mg of Dilaudid sounds ambitious.

We can, however, administer IN Fentanyl. I a decent option when vascular access is unobtainable that is often overlooked.

Also seen it used with suspected hip fracture with nursing homes. I kinda like the idea of something quick to try to help take the edge off.

I have run the truck out of IO supplies. This needs to stop
What the hell are you doing today?
 

VentMonkey

Family Guy
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4mg of Dilaudid sounds ambitious. Also seen it used with suspected hip fracture with nursing homes. I kinda like the idea of something quick to try to help take the edge off.
Hardly ambitious depending on what they've been fed in regards to prescription opiates. Methadone? Now that is ambitious. And yeah, being kind to the person who's genuinely presenting with all the classic symptomology associated with pain in can oftentimes make for a more self-gratifying call than "the big one".
 

TransportJockey

Forum Chief
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Hardly ambitious depending on what they've been fed in regards to prescription opiates. Methadone? Now that is ambitious. And yeah, being kind to the person who's genuinely presenting with all the classic symptomology associated with pain in can oftentimes make for a more self-gratifying call than "the big one".
Especially when you know a good portion of your colleagues would not bother to treat pain well.
 

StCEMT

Forum Deputy Chief
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Went to the gym to try to sweat out the sickness. Didn't work. Feel sicker. Bugger. Oh well, learned slipknot is great to listen to to crank out 40 deadlifts. Rogue One was the consolation prize.
 

Handsome Robb

Youngin'
Premium Member
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We can, however, administer IN Fentanyl. I a decent option when vascular access is unobtainable that is often overlooked.

I've never had IN work and I've done everything in the book to make it work. Blowing their nose, lightly inhaling, no inhaling. Splitting it into 4 separate .5ml splashes. Nada.

Most of us just do IM and be done with it.

In other news I gave a dude with an angulated elbow and angulated wrist fx 600mcg of fentanyl last shift. 200mcg q10 x3. Pretty funny to see the ER nurses' reactions.

Dude didn't want the ketamine...and he was so anxious to begin with I was nervous about giving it to him anyways at our dosing.


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RocketMedic

Californian, Lost in Texas
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I really like 0.25mg/kg as an analgesic dose for Ketamine. It seems to work very well.

I had a bad DKA followed by a septic kid.
 

Jim37F

Forum Deputy Chief
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So my guy asking for the dilaudid, we picked him up at approx 0700, still on hospital property, all of 50 ft from the ambulance bay, can see the ER doors, still wearing his armband from said hospital from earlier (in his words, they just "kicked him out"), Chief wastotal body pain 10/10, but more specifically back pain. All his pain meds were stolen from him when he got jumped leaving County-USC hospital...His answer to what his medical history was "what don't I got?" Certainly nothing like sickle cell came up tho. And don't you dare touch him to help him get into the gurney (or hospital bed) without him cussing us loudly and it didn't matter that he wanted to take 20 min to move into the gurney, because we were "on his time".

Oh and the best part is that a little less than 24 hours later when we walked back into that same hospital at 0530 we found our other crew from our station with him on their gurney, apparently he had "been kicked out again" and was found passed out (sleeping) just in front of the ambulance bay (again) which was apparently proof he really needs the narcotics because he's clearly in 10/10 pain because "sleep is a physiological response to pain" so the fact that he doesn't want to wake up to move off their Guernsey into a hospital wheelchair is proof he needs the narcs .... yeah.....
 

EpiEMS

Forum Deputy Chief
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because we were "on his time".

*Grumble grumble* My taxes at work *grumble grumble*
Times like that when I wanna say:
maxresdefault.jpg
 

VentMonkey

Family Guy
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So my guy asking for the dilaudid, we picked him up at approx 0700, still on hospital property, all of 50 ft from the ambulance bay, can see the ER doors, still wearing his armband from said hospital from earlier (in his words, they just "kicked him out"), Chief wastotal body pain 10/10, but more specifically back pain. All his pain meds were stolen from him when he got jumped leaving County-USC hospital...His answer to what his medical history was "what don't I got?" Certainly nothing like sickle cell came up tho. And don't you dare touch him to help him get into the gurney (or hospital bed) without him cussing us loudly and it didn't matter that he wanted to take 20 min to move into the gurney, because we were "on his time".

Oh and the best part is that a little less than 24 hours later when we walked back into that same hospital at 0530 we found our other crew from our station with him on their gurney, apparently he had "been kicked out again" and was found passed out (sleeping) just in front of the ambulance bay (again) which was apparently proof he really needs the narcotics because he's clearly in 10/10 pain because "sleep is a physiological response to pain" so the fact that he doesn't want to wake up to move off their Guernsey into a hospital wheelchair is proof he needs the narcs .... yeah.....
Lol, fair enough, @Jim37F. So long as you (directed at any EMT--->paramedic) remember not to get into bad habits picked up from the laziness that is called the LACO EMS system. I say this as a person who had a lot of bad habits from there I needed to correct. I certainly understand this type patient, as they're in every system.

Most of these types of patients are just a nuisance to deal with, but have become this way over time, and at one point we're normal, and maybe even halfway decent people. Am I a bleeding heart with all of them? Nope. Having had my back worked on already, and being sent home with narcotics I can see how easily one can spiral down hill fast. That was one of the big reasons I chose not to take them, well, that and they just made me sleep all day and did nothing for pain, or discomfort. Like anything though, life sure has a funny way of humbling you, so now when I go on these "back pain" calls, I am a little more selective, and empathetic to those who truly want comfort. It sure does help if they're a lot nicer, and more appreciative though, doesn't it? That, and them not having the infamous "TBD" complaint.
 

NysEms2117

ex-Parole officer/EMT
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Went to the gym to try to sweat out the sickness. Didn't work. Feel sicker. Bugger. Oh well, learned slipknot is great to listen to to crank out 40 deadlifts. Rogue One was the consolation prize.
Works for me... :/ maybe it was too soft of a workout ;)
 

RocketMedic

Californian, Lost in Texas
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So Lake Jackson officially sucks.

I heard Fred Ortiz, the chief/administrator/head honcho, literally screamed at an employee for something she had nothing to do with in the middle of a company meeting. Also, he and Chris Sermarini made everyone write a multiple-page essay as to why they were "inadequate medics".

Decorum has been lost.
 

TransportJockey

Forum Chief
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So Lake Jackson officially sucks.

I heard Fred Ortiz, the chief/administrator/head honcho, literally screamed at an employee for something she had nothing to do with in the middle of a company meeting. Also, he and Chris Sermarini made everyone write a multiple-page essay as to why they were "inadequate medics".

Decorum has been lost.
Damn that's bad. Guess Fred and Roy really are two peas in a pod

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EpiEMS

Forum Deputy Chief
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I heard Fred Ortiz, the chief/administrator/head honcho, literally screamed at an employee for something she had nothing to do with in the middle of a company meeting. Also, he and Chris Sermarini made everyone write a multiple-page essay as to why they were "inadequate medics".

Things that would not work in (most of) corporate America that seem to be acceptable in EMS 101.
 

StCEMT

Forum Deputy Chief
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So Lake Jackson officially sucks.

I heard Fred Ortiz, the chief/administrator/head honcho, literally screamed at an employee for something she had nothing to do with in the middle of a company meeting. Also, he and Chris Sermarini made everyone write a multiple-page essay as to why they were "inadequate medics".

Decorum has been lost.
Wow, talk about inspiring leadership. I feel like at that point, the only thing worth writing is a resignation.
 

Handsome Robb

Youngin'
Premium Member
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Works for me... :/ maybe it was too soft of a workout ;)

Did chest, shoulders, arms and back today....cue the CPR call tonight with a delayed response from our Engine [emoji849]

Hopefully it doesn't happen.


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