the 100% directionless thread

NysEms2117

ex-Parole officer/EMT
1,946
909
113
Texas state government class is done, just one summer semester left until Bachelor's #2 is done, then on to master's degrees. I want a seat at the grown up table.
3 B.S's is the way to go! :D
 

NysEms2117

ex-Parole officer/EMT
1,946
909
113
I'm full of B.S., does this count?
as am i! and ofc it does!
upload_2017-4-26_21-7-9.png
 

NysEms2117

ex-Parole officer/EMT
1,946
909
113

StCEMT

Forum Deputy Chief
3,052
1,709
113
Respiratory distress, sounds like blowing bubbles through a straw. LPN knows very little. Can't get a steady O2 sat, because equipment is being mean. Monitor wouldn't retake a bp (I didn't forget to try to palp:rolleyes:). Blew the IV.

Walk into ED like ¯\_(ツ)_/ ¯.

Moving on.....
 

RocketMedic

Californian, Lost in Texas
4,997
1,461
113
Respiratory distress, sounds like blowing bubbles through a straw. LPN knows very little. Can't get a steady O2 sat, because equipment is being mean. Monitor wouldn't retake a bp (I didn't forget to try to palp:rolleyes:). Blew the IV.

Walk into ED like ¯\_(ツ)_/ ¯.

Moving on.....

Did you ventilate effectively with CPAP or a BVM with PEEP?
 

luke_31

Forum Asst. Chief
993
341
63
Respiratory distress, sounds like blowing bubbles through a straw. LPN knows very little. Can't get a steady O2 sat, because equipment is being mean. Monitor wouldn't retake a bp (I didn't forget to try to palp:rolleyes:). Blew the IV.

Walk into ED like ¯\_(ツ)_/ ¯.

Moving on.....
Sometimes it's here's the patient, at least they have a heartbeat and are breathing, good luck. I've had a few of those over the years. Of course it helps now that I work for a hospital based system, so when I bring in something like that, they know it was just one of those days rather then the usual "great another useless paramedic bringing me a train wreck ".
 

EpiEMS

Forum Deputy Chief
3,815
1,143
113
So, I read a ton about the military/military history, but every time I see a (modern) military powerpoint, I am lost for words...
C-bRzVvW0AAzzk5.jpg

This is a nightmare.
 

Jim37F

Forum Deputy Chief
4,300
2,875
113
Dafuq is this sheiße? Even though the company bought an entire fleet of brand new mods and at least 20 of them have gone in service replacing other mods.....somehow none of those are available as reserves so somehow we're in one of the oldest vans as a reserve rig right now bleh
 

TransportJockey

Forum Chief
8,623
1,675
113
Sometimes it's here's the patient, at least they have a heartbeat and are breathing, good luck. I've had a few of those over the years. Of course it helps now that I work for a hospital based system, so when I bring in something like that, they know it was just one of those days rather then the usual "great another useless paramedic bringing me a train wreck ".
That's why I like dropping mostly off to one hospital. they get to know our medics, and our medical director works in the ED. So if we bring them a train wreck like that, the general consensus is "Well, they couldn't get ABCs fixed, so lets help them out and get this done"
 

StCEMT

Forum Deputy Chief
3,052
1,709
113
Well, last shift in STL was today. Definitely looking forward to this new job.

That's why I like dropping mostly off to one hospital. they get to know our medics, and our medical director works in the ED. So if we bring them a train wreck like that, the general consensus is "Well, they couldn't get ABCs fixed, so lets help them out and get this done"

Yea, I don't know any hospital staff. Too many that we go to. Fortunately this wasn't too heavy of a call to dump like that. It limited what I was willing to do some and left reassessment sparse, but that was taken care of once we got in. Just had to take a few minutes to help play catch up.
 

Jim37F

Forum Deputy Chief
4,300
2,875
113
So...11 transports in, 160 miles driven in the shift, 2 hours before shift change....I finish cleaning the gurney at the hospital, wheeling it back out and while loading it into the rig I think to myself "With just a little bit of luck, this will be the last call of the day...." Big mistake there, because as I pull out of the parking lot "[dispatch], 201 is clear from Kaiser"...."201 copy clear, start for a County call at [such and such address], break, 1402 (other unit already assigned to and enroute to the call) you may cancel"....... -_-
 

GMCmedic

Forum Deputy Chief
1,640
1,056
113
Update to the local service that was using 1-2mg/kg ketamine for pain.

The QA guy and medical director suspended the protocol due to "multiple sources" pointing out that it was the wrong dose.


That has to be embarrassing to say. Even more embarrassing that it took nearly 2 weeks to figure that out.

Sent from my SAMSUNG-SM-G920A using Tapatalk
 

TransportJockey

Forum Chief
8,623
1,675
113
Update to the local service that was using 1-2mg/kg ketamine for pain.

The QA guy and medical director suspended the protocol due to "multiple sources" pointing out that it was the wrong dose.


That has to be embarrassing to say. Even more embarrassing that it took nearly 2 weeks to figure that out.

Sent from my SAMSUNG-SM-G920A using Tapatalk
I wonder how many times that protocol got used before they suspended it.

Sent from my LG-LS993 using Tapatalk
 

RocketMedic

Californian, Lost in Texas
4,997
1,461
113
Update to the local service that was using 1-2mg/kg ketamine for pain.

The QA guy and medical director suspended the protocol due to "multiple sources" pointing out that it was the wrong dose.


That has to be embarrassing to say. Even more embarrassing that it took nearly 2 weeks to figure that out.

Sent from my SAMSUNG-SM-G920A using Tapatalk

That guy sounds....unpleasant to work with.
 
Top