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    STEMI - Inter Facility Transfer

    I'm gonna throw in a call we had. Interesting stuff happened. You are a CCT crew called code 3 to a hospital's telemetry floor for an urgent STEMI transfer to a hospital with a cath lab. Your transport time will be 11min from hospital to hospital and you have 1 CCT-RN and 2 EMT's on board...
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    InterFacility Transfer - Chest Pain

    Actual call here. Not super exciting but figured I would post more IFT calls since we don't get a ton in the scenario section. Keep in mind, we are a CCT truck in LA County which means we have a CCT-RN and 2 EMT's on board. You are called for a non-emergent transfer of a 84yo female with a...
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    12 lead placement

    When training in an ER, we were taught to place the limb leads on the lower left and right abdomen (near the belly button) and the wrists as opposed to the shoulders/wrists or wrists/ankles. When I was on shift the other day, a paramedic asked me why I did that as he never saw it done that way...
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    Rapid Deterioration: Altered and Difficulty Breathing

    I work part-time for an IFT company. I mainly do ALS and CCT shifts were we actually get a bunch of emergency transfers but yea, still not 911 lol. Our RN called out so we were moved to a BLS rig. Got dispatched for a discharge from ER to home. 73yo chief complaint of chest pain. Hx of back...
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    Open Tib/Fib Splint

    Off dury going dirtbike riding and we encounter a 15yo male who fell off his dirtbike. Only complaint is right lower leg pain. Got consent from him and mom to help and cut the pant leg to discover a open tib fib fracture. 911 was called but they were going to be 15-20min so we controlled the...
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    Stopping at Still Alarms with Patient On Board?

    Our employer's policy at still alarms is to stop and assist up to our full scope of practice (BLS/ALS and ALS if on a CCT car) after notifying dispatch. If we have a patient on board, we are only to stop briefly enough to see if other resources are needed and contact dispatch to have other units...
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    No dialysis for 5 days

    You get a call for a 62yo diabetic male who has not had dialysis for 5 days due to his fistula being clotted/dialysis staff unable to dialyze him despite multiple attempts. They inform you his last potassium was 7.0 (normal 3.5-5) the day before, so it has to be higher today. Blood pressure...
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    Mutual Aid Equipment Use Policy?

    This probably hasn't come up very often or maybe not at all, but does anybody have any specific policy in regards to medics/emt's using another department's equipment during mutual aid? For example, let's say you are on a call and all your ambulances are in use, so you call for mutual aid from...
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    FireFighter Arrested by CHP. Thoughts?

    This story/incident is almost 3rys old, but after commenting on another thread, I was asked to create a new thread of this incident to see people's thoughts. There was a car accident on the freeway and Chula Vista Fire Department and an ambulance responded. The Engineer parked the fire engine...
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    Interesting Seizure Case. Guess the Diagnosis

    I am going to tell a real life scenario that happened to my father and throughout the whole event, I was there to witness everything. You are dispatched to a seizure call in at 9:30AM. You arrive to a patient who is a 60yo male who has a history of AKA left leg, diabetes,ESRD, hypertension and...
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