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  1. TheLocalMedic

    RM loses IFT permit

    Sounds like they're losing Santa Clara County as well, and didn't they just have some debacle in the midwest with a bunch of narcs going missing? Yikes.
  2. TheLocalMedic

    Three things that I dislike to do as a Paramedic

    I just wish we could take psych patients directly to PES rather than to the ED.
  3. TheLocalMedic

    Leatherman Raptor

    I'm still waiting for an opportunity to bust out a window with the punch. Never in all my years have I gotten to bust out a window...
  4. TheLocalMedic

    Leatherman Raptor

    I got a pair of the Raptor shears for one reason: oxygen wrench. We SHOULD have one in our O2 bag that the tank is in, but on more than one occasion it's been MIA and we've gone scrambling looking for one so we can change a tank (think CPAP). They also fold up nicely, though they are a little...
  5. TheLocalMedic

    Table saw victims; who has got one?

    I had a patient this past year that ran his left hand through a table saw. Severed the pinky and the other fingers were hanging on by threads, though his thumb was spared. I felt really bad for the guy until he showed me his right hand that was missing two fingers from another table saw...
  6. TheLocalMedic

    STEMI transfers

    We have a hospital here that cannot do interventional caths so we get called from time to time to take STEMI patients to one of the other hospitals. We treat it like a scene call... come in code 3, tell them they better have paperwork ready in one minute and then swoop them up and out the door...
  7. TheLocalMedic

    Three things that I dislike to do as a Paramedic

    System abusers that know all the right things to say to guarantee they get transported. Anyone who has more than one bag with them (or, God help me, a bike that can't be left behind) Fire "medics" who think they actually know what's going on. How about you just carry my bags and let me take...
  8. TheLocalMedic

    Glendale fire assaults patient after patient assaults them

    Granted, we didn't see what came before the video started rolling, but this whole situation was a little out of hand. Dealing with violent people is stressful, but you can't lose control and swear up a storm. I've been sucker punched a few times on calls and had many many many violent people...
  9. TheLocalMedic

    Which treatments would you want?

    Boards are uncomfortable, but not murderous. Yes, I agree with the move away from them, but they are still warranted in some cases. I've been on a board, and while it wasn't the best experience, it didn't kill me. Use 'em when you need 'em. I can see the argument against epi if you're...
  10. TheLocalMedic

    What do you guys think of the decision I made?

    Think about this: 350 ml is not a lot of fluid, imagine drinking a third of a liter of water. If that is all they received in the hours they were in the ED, then that's not exactly flooding them with fluids or going to have any impact on their blood pressure. Especially when that patient is...
  11. TheLocalMedic

    first call of the day is...

    Got dispatched for what sounded like an grinder wreck, reports of a rollover into a tree with multiple ejections... and it turned out to be a little non-injury bump into a fence...
  12. TheLocalMedic

    Would you treat for ACS?

    Furosemide has been removed from many areas for two reasons; 1) it isn't a good "EMS drug", meaning the onset is long enough that we don't see any results with it in the field unless it's a long transport and 2) there are issues with medics confusing pulm edema and rhochi, giving lasix to...
  13. TheLocalMedic

    Would you treat for ACS?

    LBBB and hypertrophy are evident, which when combined with med hx, corresponding home meds and presentation all point to CHF. NTG 0.8 SL q5 min until systolic below 150 mmHg, Lasix 40 mg IV and CPAP. $20 says that by the time you reach the ED he's 100% better and you get questioning looks...
  14. TheLocalMedic

    Wide Complex EKG

    I've been doing this for a while, and it's been years since I've seen a pacemaker have problems, so I'm not inclined to think that this is her pacer (nor do I see any pacing spikes or indicators from the monitor that it is detecting a pacemaker). I don't think it's an aberrant conduction...
  15. TheLocalMedic

    What do you drink on duty?

    I prefer to drink the tears of my enemies. Plenty of salt and electrolytes!
  16. TheLocalMedic

    Reflective material on pants

    Seconded. Your agency should provide vests with reflective material and the junk on the pants looks tacky.
  17. TheLocalMedic

    Thermometers

    My agency buys these el-cheapo temporal thermometers that don't work worth a darn. They break easy and aren't reliable at all... I sincerely wish we'd invest in some decent ones...
  18. TheLocalMedic

    Guilty Pleasures on Duty.

    Guilty pleasures? In engage in them all! Snacks, smokes and games!
  19. TheLocalMedic

    "Is there a doctor on the plane?"

    I dealt with this situation on a flight to Canada a number of years ago... They asked for anyone with medical training to notify a flight attendant towards the end of the flight. I didn't see anyone else volunteer, so I stood up (with my wife doing a cute little "go bear, go!" cheerleader...
  20. TheLocalMedic

    A Case of Triage?

    Hmmm... :glare: Although that's thoroughly ridiculous, he may actually be in the clear. I can't imagine the kind of denial it would take to keep driving for a full day with a dead body in the seat next to you, but I guess it's not technically illegally as long as you report it within 48...
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