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  1. ZootownMedic

    Obstructed Airway Question

    I’ve been a paramedic 7 years and did my first one last year. 17 year old kid hit by a drunk driver and was sitting upright in the car trapped. Unconscious, unresponsive, agonal respirations, blood pooling in his airway. I tried to ice axe him to intubate him but couldn’t control the head and...
  2. ZootownMedic

    How to measure an NPA

    Oh and lubricate it with their spit
  3. ZootownMedic

    ET vs Laryngeal airway

    ET is a secure airway, secure in the fact that they can’t aspirate. LMAs, Kings, and I-gels are not. That pretty much sums it up. I prefer ET it I’m doing an advanced airway but I also agree that it is not the best choice for every patient with a compromised airway. I like passive oxygenation...
  4. ZootownMedic

    What is the worst rookie mistake you've seen

    When I was a new medic I was rolling double medic with a guy who’d been at it for 20 years and who I respected a lot. Ran a teenager who had hurt his ankle skateboarding. Roll up on scene and do an assessment and see what I thought at the time was an abrasion to his ankle with some swelling and...
  5. ZootownMedic

    Advice to the new EMT

    The reason you feel safe is because you take precaution. The reason you take those precautions is because the job is dangerous. Most people in their jobs don't encounter near the amount of risks we do on a daily basis including altered mentation patients, oncoming traffic, driving emergent(ESP...
  6. ZootownMedic

    Stroke Assesment Sentence

    "The Human Torch Was Denied A Bank Loan" or really anything from Ron Burgundy will suffice
  7. ZootownMedic

    How long did it take you ..

    Haha I remember the day I think it was my first month still that somebody said to me not to do SAMPLE then OPQRST but do S then OPQRST and AMPLE if needed. It sounds stupid now but it really helped me transition from robot to clinician. Now I usually walk in and say "whats up" to the patient and...
  8. ZootownMedic

    Advice to the new EMT

    1) How often do you experience deaths, and how did your first death impact you? Its really hit or miss but I had two "cardiac arrests" the other day that were both DOA's, one was relatively fresh <30 minutes and then last night I had a cardiac arrest save(fingers crossed hes doing well in the...
  9. ZootownMedic

    Best state and county to work as a paramedic! ?

    I started my career and came up here in Colorado so this is all I know but from my experience here and knowledge of other states/counties protocols we have it pretty good here. I have worked in Arapahoe/Douglas/Denver counties (greater Denver area) and currently work in El Paso COunty (Colorado...
  10. ZootownMedic

    Idea for nasal intubation

    The BAAM isn't gonna work on an apneic patient anyways....neither will the stethescope trick, although its a cool one. I had a similar situation last week where a patient went unresponsive and apneic with the teeth clenched. No RSI so nasal intubation or cric would have been my only options...
  11. ZootownMedic

    Can upper management/billing force us to write an addendum?

    Can you explain the justification for this? If I am the writer of a report, and it is something that I may have to defend it in court, how can someone who wasn't on the call tell me that I have to add something to it? Thanks
  12. ZootownMedic

    Can upper management/billing force us to write an addendum?

    So I am in a sticky situation guys. We have an owner of our private ambulance company who is trying to run the place and has no understanding of EMS. His highest level of medical training is CNA. Now he is trying to force us to write addendums for pts who are unresponsive or for some other...
  13. ZootownMedic

    What should i ask during my ride along and ER shift?

    Soo.....what kind of coffee do you like? That is called setting yourself up for success :rofl:
  14. ZootownMedic

    NREMT-P exam

    hey guys, Finished internship this week and got my authorization to test letter. Have my NREMT-P exam scheduled for Tues and immediately after I am on my first vacation in 2 years! Not really worried about registry....I test pretty good and know my stuff. I was just wondering if anyone had any...
  15. ZootownMedic

    Looking for some guidance -- RN to EMT-B/Paramedic

    I think that RNs who want to be paramedics is a good thing, as long as they respect the profession. There are far too many nurses out there who think a RN and 3 week course makes them ready. The streets are harsh. In a hospital you have unlimited resources and lots of staff readily available...
  16. ZootownMedic

    Forgot oxygen

    WELD EM BRO! MAX joules! :o I actually had a fire medic the other day who thought a pt was in V-fib. When we explained that the pt had palpable carotids and BY GOD radials TOO!....he still didn't care because he was seeing 'V-Fib' on the monitor. Thank god we were there for THAT pt.......
  17. ZootownMedic

    When to cut away a patient's clothes?

    I dont care if they are conscious or not. If it is a trauma with any serious mechanism the clothes are coming off. Are you guys spinaling these patients? You need their clothes off but your not spinaling them? Doesn't make sense. The patients whose clothes come off for me are patients who are...
  18. ZootownMedic

    IVs for EMT-B

    Oh I know....their trauma is great. Trauma is just one branch of the tree that is emergency medicine however. Keep in mind that 2 of these guys are my really good friends many 6 year old asthma patients have they ran? How many 88 year old PE/chest pain/SOB? how many COPD...
  19. ZootownMedic

    Online EMT-P advice??

    So as I didn't mean to sound rude in the above.... I also did some research and it looks like the other guys are right too. Probably gonna happen....just not in great numbers and not until the 'deadline' gets closer. Good luck man EMT-Intermediate/99 (EMT-I/99) to Paramedic: One of the most...