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    SoCal 911 contracts

    Does AmeriCare have some small ones in/around Santa Monica? I’ve seen their rigs go code 3 around UCLA Santa Monica hospital
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    SoCal 911 contracts

    This may sound like a stupid question, but is it possible for IFT companies with no 911 history to suddenly/eventually obtain 911 contracts in SoCal? I’m talking about companies like Liberty or PRN.
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    You respond to 40 y/o with chest pains and coughing

    You literally said there’s no decreased chest expansion in a hemothorax and that’s what I’m correcting
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    You respond to 40 y/o with chest pains and coughing

    100/76 would be considered ok depending on the pulse which we don’t have. If pt is tachycardic as well then it would probably point to hemo as hypovolemia is the major difference between pneumo and hemo. After further analyzing it could be a pneumo. You didn’t ask me why it’s happening. All I’m...
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    You respond to 40 y/o with chest pains and coughing

    https://www.scribd.com/mobile/doc/36892389/Pathophysiology-Hemothorax
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    You respond to 40 y/o with chest pains and coughing

    Blood fills into pleura and limits lung expansion. Both blood and air will take up pleural space which is why both pneumo and hemo have unequal chest rise and fall
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    You respond to 40 y/o with chest pains and coughing

    I know hemo and pneumo do not present entirely the same. What I am saying though is unequal chest rise is also a presentation of hemothorax. If you don’t realize why maybe I’m not the one who needs to “brush up”
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    You respond to 40 y/o with chest pains and coughing

    So you’re telling me that if large volumes of blood fill into the pleural space thereby preventing the lungs from expanding as much as they should, chest rise and fall will be bilaterally equal/normal?
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    You respond to 40 y/o with chest pains and coughing

    The part that highlighted to me that it was hemothorax was the “chest rise and fall diminished on left side” but after reading it again “coughing up blood” it could in fact be hemoptysis since hemothorax technically means blood in the pleural space
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    85yo F with severe hypotension and altered mental status

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    85yo F with severe hypotension and altered mental status

    Nurse: “I’ll take the report” EMT: “Pt was A/Ox4 transported code 1 with bilateral open femur fractures after falling from the 5th floor of an apartment and had muffled heart sounds. Started compressions and shocked twice after noticing tracheal deviation and JVD. We suspect it’s sepsis” Nurse:.....
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    You respond to 40 y/o with chest pains and coughing

    So we have a patient with suspected hemothorax and a partner that suddenly went into cardiac arrest.....run?
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    85yo F with severe hypotension and altered mental status

    What gives it away that it’s sepsis?
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    IFT or 911?

    Of course there’s nothing greater than breaking ribs
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    IFT or 911?

    In all fairness, if your “O2 skills” aren’t “on point” there’s no use being in EMS lol. I’m just waiting for the day I actually get to use my CPR skill but then again we don’t have AED’s in our rigs....
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    IFT or 911?

    The oxygen part is false. There’s a lot of SNFs that don’t do their job so we have to put them on O2 whether it be cannula or NRB
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    Signs and Symptoms

    No the reason why we can’t have nice things is because of capitalism
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    Signs and Symptoms

    OP didn’t say if pt is unconscious because of bodily trauma or not. But if it wasn’t, pt is most likely unconscious due to hypoperfusion. 30 resps is on the high side which will most likely produce shallow respiration’s but not all the time and combine that with unconsciousness? You bet I’m OPA...
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    Signs and Symptoms

    Reasons why as in why his vitals are this way? If that’s what you’re asking, EMS is not for diagnosing patients. You stabilize them until they can get advanced treatment in a hospital.
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    Signs and Symptoms

    Hmm 30 resp eh? Probably shallow ones and needs to be bagged. I was about to say pt is going into shock but I saw that bp. Compensated shock?
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