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great way to get your feet wet. dont get jaded cause its just IFT despite it getting boring sometimes (most times)

awesome information. i appreciate all the replies guys! Definately helps a newbie like me in the critical care setting to learn!

SO new to CCT truck. Studying for FP-C Exam, Reading books and all that good ****. Mostly all the books state you need to clamp the ET Tube prior to switching to a different ventilator for contamination concerns as well as Loss of PEEP. I know Reach has actual policies in place. Our...

Pretty straightforward. Im sure in big cities you have the whole whatever its called unit where the Community paramedic or nurse go on calls with these individuals and take them straight to treatment facilities seperate of an emergency room. Smaller counties im more curious. and to clarify...

They do still cover lake isabella. And i wont lie, the transfers are soul crushing and crews WISH they just had to go to AV or bakersfield now. but with covid and hospitals overflowing Our transfers often times are more like loma linda or Places that are pushing 8 to 10 hours round trip. And...

OR! Alot of people commute to Liberty Ambulance in ridgecrest. Small desert town In kern county, and about a 2 hour drive outside of Riverside. Alot of medics / emt's commute here. Pay with experience can be pretty great, New equipment, decent / flexible protocols and its the only hospital...

something ive learned with poor historians as well...Often times the mechanism is obvious but the Pt will get "stuck" insisting that isnt the case and the assessment hits a dead end. Basically i have to use terminology the Pt will "accept" if its true or not. Case in point: Just had an...

ST elevation never resolved. In fact, hospital openly stated that elevations progressed and worsened for them. Never tombstones but was Enough to have my EMT partner who knows nothing about 12 leads immediately do a double take when he put on the 4 lead. It wasnt subtle. And it definitely...

Just fyi, they diagnosed her as "unstable angina" was her transfer diagnosis.

strange question but hear me out. would love to Hear from RN's someone like that to weigh in if possible. so we all know EMS criteria for a stemi.... but hospitals are, different? Were clearly just the dumb dumbs here. but you see contiguous ST elevations in 2 leads and theyre symptomatic in...

Yep, our protocols are specifically written rather vague and open ended in alot of places. And you certainly dont HAVE to start an IV on someone, hell, alot of areas dont even specify IV access, its just sorta implied. as long as were not doing gross medication errors or something thats a...

Narcan seemed entirely correct. Honestly, everyone in the company i work at Does narcan on Every arrest indicated or not just to Rule out H's and T's. You seemed to have started CPR at the correct time, And shouldnt have started it earlier if he was moving his head etc thats a clear sign he...

Trying to get a good topic to draw people in! Anyways, still relevant. So call comes out as an overdose with CPR in progress by Law enforcement. Show up with multiple PD units on scene to a sketchy trailer park with a Sketchy dude in his 30's with snoring respiration's and responsive to...

And APRZ, I also completely agree with you as well. Theres a very real chance he Coded While we were carrying him to the gurney. It was a tad strange to think he dropped to GCS 3 with agonal respiration's and still had a pulse rate in 30's to 40's. Ive had a few symptomatic bradycardia's that...

So to be clear as well, the only reason why ALL of that was done is because the Emt wasnt the best, And She started doing all vitals EXCEPT for pads first.....Hence the full set of vital signs done. So while medic intern was waiting on pad placement (which she also struggled with a tad) he...

I had my medic Intern doing manual IO, I was doing CPR for him and radio report and Airway managed by Fire. So thats 3 people in the back of a sprinter ambulance that is already Incredibly tight quarters. Wouldnt have been physically possible for a 4th. A radio report was probally 15 seconds...

My point / Mindset, is that if i WAS able to start pacing him before he coded, he was brady from the stemi. And i dont know if increasing his heart rate via pacing would have done anything to PREVENT him from going into arrest or not....Or if it would have just pissed off his heart even more...

He wasnt paced. He went from GCS 15 > GCS 3 > Dead within a matter of 30 seconds. By the time pads were applied and i even got on the monitor, He lost pulses. Thats what im saying, i dont really think i COULD have done anything any faster, So pacing wasnt initiated cause i would have been...

Because you should be a cop, And let Medical be medical and we can all play nice. Im not stopping by questioning how you write your tickets or do your traffic stops. So dont question my training of years in the medical field. The cops in my area think they know more than us too, and Put TQ's...

So just another one of my typical Call reviews / scenarios type of thing. 60yo M, A&0X4 GCS15 called for shortness of breath. Pt seems almost like a drug induced sort of Presentation, Rolling around on the bed really just "playing it up" but am on the fence weather he's just in SEVERE...