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Hi guys. It's been a LONG time. Quite a few years. I allowed my EMT-B to lapse after getting employed in a hospital working with spinal cord rehabilitation. I currently work on a neuro trauma unit...so more spine, add brains and they are barely out of the ED. I may have left the truck, but I...

Tough case. All limbs paralized and hypertonic. Pulses hard to find, blood pressure almost impossible to hear. I could not hear it once in the truck and the engine was running. I ended up using my stethoscope over the patient's chest to get heart rate (which did coincide with pulse ox pulse...

I realize the anser may only be "suck it up and deal", but here is my issue... My volly unit only runs as BLS. We have a transplant from another state who hasn't run as a paramedic in a few years, but was assisted in gaining reciprocity here and went through all the steps and...

Ok wth is this? Pt sent to rule out brain bleed due to history of this. Nothing shows up on google except colon issues. Hmmmm. Unless the pt is an *** hat I doubt she has to worry about a brain bleed in her colon.

I'm trying to explain what I heard in my narrative upon listening to lung sounds. I normally don't note anything about the heart even though you hear it while auscultating the lungs, unless there is something abnormal like a murmer or something definitely NOT normal. However, this particular...

Did interfacility psych transport for girl who tried to cut wrists (albeit very uneffectively but tried none the less). Hospital records state father is deceased due to suicide. For a psych transport this seems like relevent medical history but it's not HER history. Do I provide this...

Stuck at a cheap assed hotel that charges for EVERYTHING. Even to breathe I think. No continental breakfast, massively overpriced restaraunt, and I have 3 little beans that demand non fancy sustenance. I'm center city in the Four points Sheraton next to the convention center. Tell me there's...

First time I felt like I made a difference or was there to witness it in any case since it was an ALS call. Got there patient on continuous O2 and he has his condenser cranked to 5 (the highest level on it). Tripoding pursing lips, using entire body to try and breathe. Classic barrel chesting...

Ok any tips welcome. I passed EVOC fine but some scenarios still freak me out and driving faster than the speed limit scares me. I'm lucky I work for an IFT. LOL. No life threatening speeding emergencies to deal with. Some of the hospital loading bays terrify me. Construction zones make me...

I admit I made a mistake and I think what happened was the CMN was given to the destination facility on a very busy day. We ended up back at the station at 04:00 and I chose to do the last trip sheet at home. Super emails next day asking for both telling me I needed prior approval to dotrip...

IFT transport just arose. Pt information is faxed into office, I start filling in transport paper and see in additional comments "Patient Weighs Alot". Um...o.k. LOL

Haven't heard it before. It's not a crackel sound, not a ronchi, nor a wheezey sound. Patient kept desatting within a minute or two of coming off oxygen down to 80's. On auscultation you can hear the pulsing of the heart, the inhale and exhale, but on inspiration there is a double thunk...

Friend asked me to find the answer for her since she is still in military training doing her NREMT. PA does not acknowledge NREMT but she does not know, barring the local base (she is going national guard so she will be sent back to home base after training) where she will find a job. How does...

On long distance rn patient refused o2 at origin but stating low now. Put on NR because he does not like NC in nose and was able to get him to 10 per minute before he started complaining. Patient hospice dnr so he's very clear about what interventions he wants. However main o2 at 700 when we...

Personal question. Three root canals today. Massive TMJ flair up as a result. Sent home told to take 1000 Tylenol and 800 motrin symultaneously. Save my percocet for if it didn't work at 325/5. My luck only one 500 mg pill in the house and a bunch of jr strength chewables. Took 3 Andthe 500...

Brown just came to visit. Never knew Oz flew all the way out here in Pennsyltucky, didn't know there was a landing zone at the fire station across the street. Just sitting here, minding my own business, doing my trip sheets and suddenly the woosh wooshing rushes into my ears and it gets louder...

Patient last night had picc line in one arm, other arm swollen and discolored. I say something about "I guess we're getting the thigh cuff out" and was directed by hospital staff that doctor indicated picc line arm was to be used. :wacko: Patient says no one has used a thigh cuff in months. In...

My aunt coded twice while undergoing open heart surgery. Two consults have said she has no brain activity but apparently the family can not stop life support until a third consult. She would not want to be hooked up to LS. The third doctor was supposed to give opinion tonight and family was...

Not that this happened, however, I started to wonder as we transported a post bypass patient from hospital to rehab today with rapid shallow respirations...WTH would I do if he coded? Can you really do compressions on a chest incision/thoracic cavity split open and recently tied back together...

Not so hopeful about this. I prepared my answers to potential questions and loaded up all my certs and off I went. First knock against me came when they gave me directions from the wrong highway, then luckily I plugged it into googlemaps and was told to get off at the "B" exit of the number I...