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  1. Chris EMT J

    Appendicitis.... Cardiac issue

    So this is a wild one a few sma changes for patient privacy. 14 y/o female cc of ABD pain ABC: airway clear and protecting, breathing effort normal with no difficulty, circulation okay on appearance and mental status= A&O x 4 Sample: ABD pain, specifically RLQ, sharp, w/ hip radiation...
  2. Chris EMT J

    Unusual presentation

    Hey so had this call that was really a unusual presentation so I am going to give some important information to the case and have some information private for patient confidentiality. Teenage male CC of jittery feeling Visual cues: Tripod position Obviously involuntary shaking of legs and...
  3. Chris EMT J

    July 4th

    Providers that worked this July 4th or any what would you rank the most common call? I worked it and ranked it but it could depend on area. Ones I saw were: Smoke inhalation with chronic conditions like asthma and COPD A few burns via fireworks A lot of MVAs mostly because of holiday...
  4. Chris EMT J

    Night watch

    This is a night watch case. It involves a patient suspected stroke. Patient suddenly was unable to talk. When EMS arrived the patient couldn't talk or follow commands. BP was 170/110 and they start transport then in the back on the ambo patient goes unresponsive and BP spikes. Now one thing I...
  5. Chris EMT J

    Fav down time spots

    Where do you guys like to hangout when you have down time? For me obviously restaurants and parks. I am night shift typically so my fav restaurants that are open during my shift is taco bell and mc Donald's. Sometimes I will hit Starbucks before I go to work but when I need coffee during...
  6. Chris EMT J

    "Asthma attack"

    You are dispatched to a male in there 30s with CC of asthma attack. BLS called because they gave a neb that didn't improve his difficulty breathing and the eta was long. So the sample they took was weird on the notes. Symptoms/signs said SOB, hyperventilation, and uncontrolled leg shaking. No...
  7. Chris EMT J

    Massive STROKE

    Patient in there 70s CC of not acting right. History of hypertension, 3 past TIAs, and diabetes type 2. Vitals as followed HR 108 and irregular BP 230/139 RR 9 O2 95% on Ra BGL was 105. Patient was mixing up words, was confused, and limping around. Got her to sit down the established a line...
  8. Chris EMT J

    How did that get there again???

    Ok I have seen a few of those calls that leave you wondering how and why is that there. But this call just leaves me wondering why. It was a while ago so patient privacy protected. Male in there 20s with a pencil in there pen*s. They said the were writing on there underwear and it went through...
  9. Chris EMT J

    Shoulder pain

    69 y/o male CC of shoulder pain BLS transmitted a ECG to our ALS unit and the paramedic said there was ST elevation in anterior leads. So we ask there eta and it was 20min at the point we are on there way to the hospital so they are en route and meet us and we take the patient. So there were 2...
  10. Chris EMT J

    Decision

    I talked with my therapist, a paramedic friend, and my employer. My paramedic friend informed me that something is holding me back from getting intercepts and my therapist identified that as fear. I now see that the fear is about being judged for unnecessary intercepts. I talked with my employer...
  11. Chris EMT J

    Hypotensive CHF patient

    So had a patient say in there 60s with CHF. She complained of weakness and her husband mentioned in just a few weeks her legs got so much more swollen. So first we checked the ABCs she was protecting her airway, her breathing was very congested had coughing and heard some crackling, circulation...
  12. Chris EMT J

    RSV

    How do you get over a near loss? We almost lost a kid and the intensity of the environment has left me wondering how do we do this job? How do we get over this? We were dispatched to a 4month old difficulty Breathing and hpi includes recent diagnosis of RSV about 2days ago. Patient was...
  13. Chris EMT J

    Normal appearing Chest pain

    Hi had this patient that was a young adult with chest pain. I did a quick BSI assessment, then saw 1 patient, asked for HPI and Pmx which was pain started 10 minutes ago no other symptoms and no past medical history, SAMPLE: CP, no allergies, no meds, no pmx, last oral intake was a healthy...
  14. Chris EMT J

    New type of scenerio

    So I have been doing these scenerios that help me learn from feedback and I attend to still do some of those scenerios Because I love the learning. But I am also going to give scenerios for other people to work up for fun learning. You are dispatched to a 60 year old chest pain BSI scene safe...
  15. Chris EMT J

    Scenerio 4

    This scenerio is based on a recent case so s few details are changed for patient privacy. Male 50s CC of weakness Vitals are HR in low 100s BP around 99/48 O2 98% on RA RR 20 Temp 101.6 BGL 104 SAMPLE: Weakness, no allergies, taking ibuprofen for pain post surgery, past medical history...
  16. Chris EMT J

    Scenerio 3

    This Case is based off a really recent case that is broad and a few details different like not exact vitals. Dispatched to a male late 60s CC of chest pain. Vitals: HR low 100s BP 165/95 O2 93% RR 18 BGL 110 Temp 98.6f SAMPLE: Chest pain, no allergies, Diltiazem & albeterol, history of...
  17. Chris EMT J

    Scenerio 2

    Male mid 50s CC of palpitations Pmx of AFib (uncontrolled and untreated) Vitals are as followed HR 120 BP 170/100 O2 96% on RA RR 19 BGL 115 Temp 98.7f ECG suggest AFib with RVR Sample: palps, no allergies, no meds, AFib, last oral intake was a cup of coffee, events leading was walking...
  18. Chris EMT J

    Case 01

    You are dispatched to a 60 y/o male CC shortness of breath and chest pain BSI scene safe, 1 patient confirmed SAMPLE: CP & SOB, no allergies, takes meds for hypertension and diabetes. + Additional history shows had cancer 4 years ago but still had radiation every month, last oral intake was...
  19. Chris EMT J

    PVC

    I have a friend who has PVCs frequently. My friend said I could show his apple watch ECG. Now anyone want to try to identify what type of PVC.
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