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  1. truetiger

    Another backboard scenario!!

    Hmm like Aidey said I would contact the receiving facility if you're concerned. However, arguing with a doc isn't going to get you very far. Did you think of padding the backboard with blankets? She's got a confirmed c spine fx, probably needs to go up on a board don't ya think? It is our job...
  2. truetiger

    PHRN transfer to EMT-P in other states?

    My paramedic program awarded 40 credit hours, my emt 10. That's 50 hours specifically in one area of medicine. From the ADN program at the local cc, I see they take 58 hours in multiple areas. Having taken ACLS with our local ER nurses, they always need help through the class.
  3. truetiger

    PHRN transfer to EMT-P in other states?

    Lets look at what the BSN degree adds as far as direct patient care education.....not much. These were listed under "nursing major" for a RN to BSN program. http://www.centralmethodist.edu/cges/_docs/majorminors/nursing.pdf AH316 Data Analysis for Nursing Practice (3) AH330 Business Concepts...
  4. truetiger

    Rib Pain from the SNF

    Still not so sure it was a STEMI. The docs at the community hospital misdiagnose them often. The patient was admitted to a non icu bed. Her cardiologist stated that was her normal EKG. I wish I had a picture of it to post, but it was a paced rhythm and wasn't an obvious STEMI. Given that and her...
  5. truetiger

    Rib Pain from the SNF

    It was an ALS unit. The pt had no pain unless that specific area was palpated. Cardiac didn't cross our mind.
  6. truetiger

    Rib Pain from the SNF

    Ok so here's the conclusion..... we out any reason to think it was anything besides musculoskeletal pain we transported BLS to the local community hospital about 5 mins away. As we were goofing around with the nursing staff, the doc steps in and asks for an EKG to be faxed to the big city...
  7. truetiger

    Rib Pain from the SNF

    Negative.
  8. truetiger

    Rib Pain from the SNF

    No rash, radiation, or fever. Painful, very painful to palpation or when moving the patient, also kept her from taking a deep breath. No 12 lead. Asked if patient had been sick recently, was told "I don't know." Patient states she's been a little weak lately.
  9. truetiger

    Rib Pain from the SNF

    Physical exam reveals nothing exciting, only severe pain to palpation. Abdomen is soft, non tender. Surgical site looks normal, nothing out of the ordinary. Pt history reveals no other abdominal surgeries.
  10. truetiger

    Rib Pain from the SNF

    Onset was at midnight (we got called at 2100) Patient woke up with rib pain, thought she slept on it wrong. Palpation/movement and inspiration provoked severe pain. She stated she could not take a deep breath, but denied being short of breath. Patient appeared asymptomatic otherwise. No...
  11. truetiger

    Rib Pain from the SNF

    You are dispatched to the local SNF for a sick case. Dispatch advises an 86 year old female complaining of right lower rib pain, hx of surgery in the last 2 weeks and a BP of 90/40. You arrive to said SNF and are met by the nurse. She tells you the patient is complaining of right rib pain and is...
  12. truetiger

    Crew Ambushed

    http://www.stltoday.com/news/local/crime-and-courts/washington-county-deputy-killed-in-ambush/article_0ecb1c53-9f06-5490-a371-a6662b3cdf16.html
  13. truetiger

    How do you cope

    That pretty much sums it up right there.
  14. truetiger

    the 100% directionless thread

    Cardinals : )
  15. truetiger

    60 y/o Dialysis PT

    Oh I dunno, the "cramping pain" in the chest?
  16. truetiger

    60 y/o Dialysis PT

    Why isn't this an ALS call?
  17. truetiger

    Sanford Brown Medic Program SE-PA

    It's a medic mill and looked down upon, at least around here...
  18. truetiger

    What is your most ridiculous call?

    Dispatched at 0200 for a vaginal bleed in the ghetto. Arrive to the scene to find a 30 something year old black female ambulatory on her porch. Patient states she's had a vag bleed x 3 months. Upon further interrogation ( she offered this info without being asked) she states that before...
  19. truetiger

    You know you are an EMT/Paramedic when...

    When you hear sirens and don't care whats going on....
  20. truetiger

    Where do you keep your pocket knife?

    I keep my keys and my knife in that pocket. It hasn't fallen out yet.
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