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  1. H

    Sometimes I wish the hospital would not sedate my psych patients before

    Me? I have yet to meet a Psych patient concerned with stealing anything of mine. I'm nice to Psych patients, take them seriously, treat them like I'd treat any other patient, and I get a very fair amount of respect from them as well. The only time I've heard of someone having trouble with a...
  2. H

    Prehospital Blood Draws

    I do think it makes a difference that I work in a very rural area with a small community hospital. They appreciate the draw a bit more, because it saves them effort and time. But in the same company, in the city, they don't even carry the necessary equipment to draw blood, because the...
  3. H

    Quick and Easy

    I think there's a way to get around the abandonment issue, since there are two of you, but then you're split up and no one can be transported unless it's together, and it's a mess, and... Anyway, I think that's a good call. Rescue 911 inspired.
  4. H

    Quick and Easy

    I have a question. Really basic question that I'm unclear about. Transporting a patient Priority 2 to the hospital when you encounter a rolled-over car. Continue to hospital, call dispatch and let them know? Stop and do something with the original patient in back?
  5. H

    Prehospital Blood Draws

    Doesn't bother me if that's the case. Although, that being said, I see the blood we bring in taken to the lab by someone each time, so I'm optimistic. But for a cardiac incident, for instance, checking Troponin levels and all. Enzymes, etc. I'm told it speeds up the process and saves techs...
  6. H

    Prehospital Blood Draws

    We draw 5 vaccutainers worth of blood on every medical that we begin an IV on. For patients like those having chest pain, seizures, or severe DIB, getting blood during the worst part of the incident can be key. The hospital here GREATLY appreciates it. It really speeds up the system (and saves...
  7. H

    While in shock

    Orally inject? Orally ingest? Lack of perfusion.
  8. H

    Medic Alert

    I'd notice it, but a bracelet would do it. Bracelet is best. I'd notice that before I'd notice a necklace.
  9. H

    Hard Time Finding Job

    Not much demand for Basics in the first place, and with the economy down, it makes it that much harder. I'd love to tell you something will come around eventually, but it might not. I wasn't able to find an EMT job to even apply for until I became a Paramedic. Well, there still weren't EMT...
  10. H

    Once you become a certified EMT, whats your first move?

    It may just be me, but I'm a bit cautious about carrying 25,000 dollars in paper around. Unless I'm paying a ransom.
  11. H

    Once you become a certified EMT, whats your first move?

    It's not really living for a day when by your math, it will take you a year to make enough money to make the purchase. But I'm all about living for the year.
  12. H

    14 gauge needle (Harpoon)

    Not it. ...
  13. H

    I love winter...ice...idiots...nearly dying!

    Where in Michigan? And yeah, I can relate.
  14. H

    Once you become a certified EMT, whats your first move?

    My first move after becoming a certified EMT was to get into the Paramedic academy.
  15. H

    Day or Night?

    I prefer the kinds of calls you get at night, but I prefer working during the day.
  16. H

    14 gauge needle (Harpoon)

    Your hospital is insane. Mostly because if someone needs to receive blood, they need to receive it at a rate a lot faster than a 24 would allow (if it's true that you could squeeze blood through one a rate fast enough to prevent it from clotting (no)).
  17. H

    Warm O2/Hypothermia PT

    We don't either. Which is why we keep an O2 tank and bag of 1000mL next to the heater at all times.
  18. H

    Warm O2/Hypothermia PT

    If your O2 isn't already warmed (humidified, left in the rig with the heat on), you aren't going to actively heat it while you're giving it to the patient. Humidified is the way to go. And related, even better, warm IV fluids. That one is a lot more realistic on the spot.
  19. H

    14 gauge needle (Harpoon)

    Nothing smaller than a 14-16 for serious Trauma here. For all other patients, my size of choice is 18. If 18 is unrealistic due to the state of the veins, 20. And a 22 if the vein situation is really dire and I'm on my third attempt.
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