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  1. J

    Normal glucose levels not normal for Pt.

    My mom's normal was 120-160, she would be shaky and forgetful at 80, and unconscious at 55-60. it took a long time to convince her doctor of that
  2. J

    Recent Learning Experience

    My PE's presented with 98% on room air (usually I walk around at 92-93% due to my asthma) and lower right chest/rib pain I went to the ED thinking I had a broken rib or 2 from coughing hard from a major asthma attack 2 days earlier (that a duoneb treatment cured). Didn't have any other...
  3. J

    New Mexico Paramedic License

    I hate medic math
  4. J

    EMS system needs vs human biological needs

    8-10 hour shifts are funny: try an 8 hour run: 2 hours to the scene 2 hours back to town with the patient, fuel the ambulance, then 135 miles to the Level 1 or 2 hospital. Then you get a small break then 135 miles back to town. Worse during a blizzard a few years ago: 5.5 hour transport...
  5. J

    AMR/LIFELINE Response Failures in Northern Arizona

    my part time job covers approx the same size area. but from a county with 2 towns: town on the east side is approx 6,000 people (straddles state line) our area we cover approx 100 E-W and 80 miles N-S. into 2 states: 2 FD, 6 PD. the closest Level 3/4 hospital is 110 miles (West) Level 2...
  6. J

    Salary Keeping Pace with Inflation?

    A friend and coworker at PT job is moving to Colorado Springs to work at AMR in Denver (if she can jump through all their hoops) to make $17.30 a hour. Plus good OT supposedly. She is volunteering to work Long Distance transports, since the shortest transports she does now is 110 miles one way...
  7. J

    Recent Learning Experience

    I would lean to PE also, mainly because I have 6 of them right now; which did not present "normally" per 2 ED doctors. So I am a little leary or them
  8. J

    Should EMS/Fire be armed?

    Dr. Parasite: depends on how the state law is written: in Indiana for example it is NOT breaking the law if a business has a sign that says no guns. It is a request, and they can ask for you to leave, and if you don't they can call the police and ask for you to be trespassed off premises; but...
  9. J

    Feeling Alone and Need fellow EMS brothers and sisters. (PTSD)

    EMS Sucks across the board when it comes to helping their own. The private service that I worked for when I needed help didn't have anything in place per se, but they were good about supporting me; better than the fire department that I worked for PT (they just took me off the street, and...
  10. J

    Utilizing Cadaver Labs for Anatomy

    Just did Cadaver Lab training on 1 August: great for Airway, great for IO's learned how to do Humeral head IO's and a co-worker did 1 this week. Did great training on bleeding control and tourniquets. Learned how to do chest tubes (if they are doing the training I will take advantage of it)...
  11. J

    AED deployment in metal grandstands at track meet

    I have seen patients shocked on wet sides of swimming pools (major no no in every class) with no major problems, so this shouldn't cause a problem. Maybe not kneel on the metal, Squat on it
  12. J

    Toradol

    Toradol works great for Kidney stones, nothing else we carry will work for them. Spimx; I am glad you don't work for me or with me. Had a patient yesterday, 11 y/o female, was pushed into a couch. Hit her lower right rib cage on the wooden corner of the couch. She was screaming in pain...
  13. J

    BLS. Do you prefer AHA or Red Cross?

    NREMT takes both. FT job used to teach AHA, and switched to Red Cross, and both states that I am certified in and NREMT doesn't care that my certifications switched.
  14. J

    EMT Shortage is hitting hard in CT

    I have said for my entire EMS career that all EMT's should spend at least 1 summer working at a Scout or Youth camp where the closest EMS is 30-45 minutes away. You will learn more about working EMS in a case like that than you do working in a city for your entire career. It has been over 20...
  15. J

    Union question regarding hire

    And another wonderful (sarcasm) thing about unions just popped up.
  16. J

    Should EMS/Fire be armed?

    Luke_31: it is not fun to be in the back of an ambulance when an idiot officer pepper sprays a combative patient. I was in the back at the scene when the unconscious patient (2 FF, medic {Me}, EMT and 2 officers) woke up and became combative. 3rd officer pulled up, opened the back door, and...
  17. J

    Level of care

    FT is Medic/Medic or Medic/EMT. PT is AEMT/EMT or Medic/EMT or AEMT. sometimes 3 depending on staffing. But PT job is 110-130 miles minimum to closest hospital, and we can be up to another 80 miles on top of that, depending where the run starts (station to 80 miles, then back to area of...
  18. J

    Officer Safety - Flash Floods

    You would think with all the news footage of cars getting washed down roads and off roads that people would get smart and not drive onto flooded roads, but they do it all the time and across the nation
  19. J

    Tasers and Gurneys

    All the patients that I have had that have had barbs in sensitive places that should have been transported to the hospital (and I was going to take them to the hospital) pulled them out on their own. Including 1 guy that was in his scrotum., and 1 lady that was in her eyelid. Then they refused...
  20. J

    Tasers and Gurneys

    Yes we remove the taser darts; then bandage (usually just a 2cm x 4cm little bandaid) if needed. Very seldom are they needed. Just grab the wires and pull. I have had a couple patients tell me that hurts more than getting tasered, (tased?) in the first place. Then we turn them over to the...
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