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    Wrist pain and lifting

    Hi everyone. Before someone says it, I'm not looking for medical advice, more just opinions from others in this field. 3 weeks ago I twisted my right wrist on a call. Been icing it and immobilizing it and ended up going to occupational health a couple times, and an orthopedic doctor twice...
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    Questions that EMS ask patients.

    After a bit over a year on the job, I just have a conversation with my patients. Usually, the questions/answers I need to hear will surface just asking logical questions.
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    Opinions

    The Look, Listen, Feel, only relates toward breathing. On an unresponsive, the first thing I'll feel for is a radial, but if it's a question of a code, you'd always do carotid, not radial.
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    Burn victim treatment from an ALS/BLS standpoint

    Background info: I wasn't at this call. Propane tank explosion, 2nd and 3rd degree burns over 60%+ of the body, it was bad. Patient is alert and oriented, screaming in pain. ALS already en route, arrived quickly. Medflight en route. I like to think about calls other crews go on, just to see...
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    Partner got mad at me. Was I wrong?

    Today I took an elderly woman out of her elderly housing complex due to a fall. Obtaining a history, I found she really, really shouldn't be living on her own anymore- it's just not safe. The whole ride to the hospital I just held her hand, because in her words, she was so happy that someone...
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    Immature EMTs

    When I'm on a call? I'm 100% "treat everyone as if they were your Grandma" bedside type manners, to the patient and family. When I'm off the call or back in the truck? I'll likely crack some jokes or poke fun at what I can, or my partner might. It's part of what keeps you sane in this...
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    Should I go into EMS???

    I still get the warm fuzzies when someone thanks me.
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    Should I go into EMS???

    Also, don't forget that on the true, honest to God super trauma scenarios and such- overall outcome is bleak normally. I'm zero and five on codes since starting this job a year ago (and personally if I could go without an arrest ever again, I'd be thrilled), and heard plenty of stories of people...
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    NRB over NC

    For testing purposes, NRB on everyone. In real life, the only ones that get it are those in SEVERE distress. Blatent hypoxia, unresponsiveness, asthma (although we can do BLS albuterol), etc. etc. In the CAOx4 chest pain/lightheadedness/minor respiratory distress/diabetic etc, they get a...
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    Needing to Vent

    Small amendment to my post, reading what CAO posted... If a bystander on scene IS making himself useful, EMT or otherwise, I'm fine with it IF they don't get in the way or start being pushy. The OP sounds like he felt, despite being off duty, it was his scene, which is never the case...
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    Needing to Vent

    If I show up on scene, and the FD requests me to grab something to take over PT care, i.e. a backboard or collar, I'll do it. If someone with a higher level of training does, I'll do it. If some random guy is going "I'M AN EMT I'M AN EMT GET ME THIS STUFF THIS IS MY PT" I'm going to ask...
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    5150 transport

    Depends on the PT. I'm assuming a 5150 is like a Section 12 in Mass or such. The only PTs that get restrained are the combative ones. If someone is transported for SI or whatnot, I won't restrain them unless it's necessary. Most of them I've found, if you're civil to them, they'll be civil...
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    Differentiating between history and treatment in the narrative.

    Treatment would begin at "a c collar was applied" or whenever you document manual stabilization was taken. Whichever came first. The latter I'd assume being true.
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    possible stroke pt

    Didn't even see the diabetic history thing. I'm going to assume a BGL was a given though =P
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    possible stroke pt

    I'd be interested to know how altered she was, but if someone has a severely altered loc, they likely won't be able to follow the simple instructions of a stroke scale test regardless.
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    Should I do a no-experience Paramedic program straight out?

    From where I'm sitting I'll say this: Confidence is great and it'll help alot in this field. However, you are coming off, at least on the forums, of being overly cocky, with no actual field experience. That's going to get thrown back in your face by instructors, and piss off your partners...
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    Advice needed. bad first day.

    I still remember my first code. Hell, I remember all my codes. I remember doing CPR on a man and trying to get information from his wife on scene who was crying and begging her husband to come back or "wake up." They shook me up. However, I talked about them, and I use them as my motivation to...
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    Burnout rate

    Honestly as a BLS provider, while people talk about the glory of the bloody mess calls, I actually LIKE the run of the mill nothingness calls. While that might sound awful, especially considering I'm only 1 year into this field, I like going to the general weakness, elderly flu-like symptoms...
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    Pulling the plug on EMS

    Note: I did not read the entire post, just the first few lines, but wanted to comment on something. There's a medic I work with that I respect very much, who once went on a rant about how many medics just want to start lines/push meds, etc. His mantra is that the less he has to do, the...
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    Maryland POV Light Law

    The only time a "whacker" ever did something positive on a call, was holding manual c-spine after a MVA until fire took over for them. Otherwise, they make me giggle.
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