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  1. medichopeful

    Would you walk this pt out to the truck?

    I never really understood this whole concern about walking people to the stretcher if they’re safe to do so. Patients walk in the hospital all the time, why should we be any different?
  2. medichopeful

    Caught on camera: Firefighter draws gun on driver at highway scene in North Carolina

    Of course there are situations where I'm off duty where some of the same situations apply. However, off-duty I have no duty to respond, don't deal with sick people who may be altered, don't stop on the side of the highway, don't go into random houses, and don't interact with random people in...
  3. medichopeful

    Caught on camera: Firefighter draws gun on driver at highway scene in North Carolina

    ^This, 100% He is also really lucky that he didn't get slapped with a charge of false-imprisonment, or whatever it is that NC calls it.
  4. medichopeful

    Caught on camera: Firefighter draws gun on driver at highway scene in North Carolina

    When I'm off-duty, I concealed carry. I'm all for concealed carry, and have no issue with people doing it. On-duty as a paramedic, there's no way that I would want to concealed carry. The risk is too high, it now adds a weapon to every encounter, and it also adds in concern for close-quarters...
  5. medichopeful

    Should i have given versed?

    As presented, I would have done a BGL and if that was normal, I would DSI him. Combative, in and out of consciousness, pulling at tubes/lines, and initially hypoxic post head-injury with coarse lung sounds like a pretty reasonable intubation to me. He's going to almost certainly be intubated...
  6. medichopeful

    Revel alarm question/with scenario.

    Me neither. I'll absolutely try pain meds followed by sedation, but if that doesn't work I have a pretty low threshold to paralyze. For really sick respiratory patients, a lot of the time I'll just go straight to a sedative/analgesic/paralytic combo to just completely take them out of the...
  7. medichopeful

    Revel alarm question/with scenario.

    I think someone already mentioned it, but with the ReVel if the patient is taking in huge volumes it can fool the machine. With patients that are taking stupidly large breaths (neurogenic, metabolic acidosis, etc) I'll usually just switch it to AC/PC. Patients seem to like it a lot better. In...
  8. medichopeful

    Suspension vs. Voluntary Surrender

    Yeah, I’m curious about this. I’m honestly surprised the state even cares enough to investigate this. There’s something odd here.
  9. medichopeful

    Asymptomatic hypotension?

    Ahh. So the less time they have to spend with the patient, the happier they are.
  10. medichopeful

    Asymptomatic hypotension?

    My money is on the BP not being accurate. Like others have said, I would try the forearm. I've seen an NIBP get a SBP in the 40s on a bedrail, so sometimes you have to evaluate the accuracy of them. It's important to clinically correlate vitals and clinical presentation, and it doesn't really...
  11. medichopeful

    Anything could of done differently with this call?

    I believe that Silver is referring to nurses in non-specialty areas.
  12. medichopeful

    Anything could of done differently with this call?

    I'm confused by this as well.
  13. medichopeful

    Anything could of done differently with this call?

    I think calling for ALS would have been a good idea for pain management. There are going to be many times that BLS will get on scene and find something that ALS is needed for, but were not dispatched to. I'd also keep in mind that just because the hospital is 10 minutes away, doesn't mean that...
  14. medichopeful

    How often do you do in house "training"

    At least twice a month. One is generally education based (case reviews, guest lecturers, etc). The other is more operations, program updates, etc. This doesn't include clinical days, special project meetings, cadaver or skills labs, etc, which are in addition to the twice-monthly meetings...
  15. medichopeful

    Syncope

    Basic vitals, BGL, basic assessment/interview, and 12-lead. Contact their guardian, advise that they should probably get checked out by either their PCP or the ER. I'd be more than happy to wait for the parent to come pick them up to bring them there so they don't get stuck with a huge bill...
  16. medichopeful

    Exchanging phone numbers with patients

    Not a good idea at all.
  17. medichopeful

    Stressed guys messdd up on some calls.

    Generally speaking, distance to the hospital is not a good way to decide what treatments or assessments to do or not do. There are, of course, exceptions. However, take a few minutes on scene to actually assess your patient. You'll be surprised by what you might catch. Sometimes patients get...
  18. medichopeful

    Anyone using Ultrasound?

    We're currently in the process of upgrading to the V-Scan.
  19. medichopeful

    EMT to Nurse path

    If you want to do flight/CCT, go to nursing school first, and then get your medic afterwards (either by a bridge program, or by going to paramedic school). You'll see more critically ill patients in a week as a CC nurse than you will in a month as a CC medic. No point in delaying it, just get...

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