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  1. Harleyjon

    My 2 cents...

    If I come on a scene before any responders arrive I will stop to see if I can render any assistance. If none is needed I leave. If I can help I will and when the responders arrive I give a quick report and leave unless I am asked to stay. If I come by a scene with responders already there I...
  2. Harleyjon

    Hot Take?

    People who have not fallen into an addiction have no idea of what it is. It does not matter if it is titled a disease. What does matter is that choice is thrown out the window once one has succumbed to it. The point of delineation between falling into addiction and having succumbed is very grey...
  3. Harleyjon

    Just need to vent

    This is a bit late in the game but you said you finished class a few months ago. How long is a few months, and why did you wait? there is a lot of info involved. I would recommend that you test as quickly after class ends as possible. Any way I agree with all that has been said. There are some...
  4. Harleyjon

    Anyone here have visible tattoos?

    I live near Savannah and have seen many medics from various departments with tattoos. As for me, my department had no problem with my visible tattoo but being a male my pony tail had to go (females are allowed long hair). Full disclosure - We are dually addicted-- EMS and Fire! P.S. I have...
  5. Harleyjon

    Patient Narratives

    What I do is kind of SOAP and kind of Chonological. Dispatched to, on arrival found, bystanders and Pt stated, T/P requested, Hx, meds, allergies, Tx: vitals, interventions/responses, report called in/ any orders, Pt conditon/changes during T/P, arrival at ED. When I started I formed my own...
  6. Harleyjon

    Recovering alcoholic

    Congrats on your sobriety! I'm not sure how you are doing it (on your own, 12 step program, etc.) Being someone in a situation somewhat akin to yours I will say that working in a bar and going there to socialize are two completely different things. I do know that there are people in the field...
  7. Harleyjon

    Humeral head vs tibial IO

    Very good point @CWATT I will keep it in mind. Thanks!
  8. Harleyjon

    Humeral head vs tibial IO

    Thanks for the responses guys. It is always nice to have alternate options for different scenarios. Especially for situations which one has yet to encounter.
  9. Harleyjon

    "GRAY DEATH"

    Heard of it on the news but haven't seen anything like that around here. I read somewhere, I believe it was on some forum somewhere, that some of these type overdose cases were requiring something like 8mg narcan to get any response. We only carry 4mg in our drug bags.
  10. Harleyjon

    Humeral head vs tibial IO

    I am a new medic with only a couple years behind me. I have only done maybe 4 I/O insertions, all proximal tibia. I have stuck with that because a medic of 14 years had talked of the difficulty in site location. The last arrest I was part of I witnessed a (successful) humeral head insertion and...
  11. Harleyjon

    Paramedic to Paramedic handoff?

    Far as I see it your bill goes to the other service. They can go ahead and bill the Pt, it really doesn't matter. I personally could care less who gets billed. I do the best I can for the Pt and before I leave I get whatever billing and personal info I can. Then it is up to the billing Dept. As...
  12. Harleyjon

    Unrecognized esophageal intubation

    I am very new at this and have very little experience. I intubated a 1yo f, and a 66yo M (King airway). I was taught that you NEVER intubate without ETCO2 hooked up. I was unaware that its use is not universal. I learned something new today. After watching the video and reading alot of the...
  13. Harleyjon

    Removing an LMA and performing intubation

    I am very new to all of this medical stuff, I have only been a paramedic for a year. I also only had a little more than a year as an EMT. I spent 30+ years as a mechanic (cars, trucks, motorcycles). In my years as a mechanic I found that that there is a WHOLE LOT OF TRUTH to the saying "If it...
  14. Harleyjon

    Having Trouble Passing NREMT-B - Suggestions?

    Memorize your senario/assessment flochart. ABC's and life threats (what is a life threat you ask? BRIGHT RED SPURTING BLOOD) everybody gets O2 and if they called an ambulance they get rapid T/P. If you passed the class, you know this stuff. I thought for sure that I was in way over my head by...
  15. Harleyjon

    How much does a BVM increase WOB?

    Instead of trying to Macgyver together some "maybe it will work, maybe it wont" we simply have disposable CPAP headgear on our rigs. Sounds like a lot of back and forth over nothing.
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