Did i forget anything?

onefreeman

onefreeman

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First protect ME, then my partner, then the patient.

Air go's in and out , blood go's round and round, any deviation from that and somthing aint right.

A then B Then spinal precautions, then C.

If there is no pulse but the patient is talking to you, they aint dead.

activated charcol is useless everywhere, except on the NREMT.

an AED will not shock asystole patients

The time to prepare is not at the call, but before you leave.

Press hard... three copies.
 
onefreeman said:
First protect ME, then my partner, then the patient.

yeah your number 1 worry about yourself before anyone else as scene safety goes

Air go's in and out , blood go's round and round, any deviation from that and somthing aint right. pretty much yeah

A then B Then spinal precautions, then C. only in trauma patients.. if its medical with no moi no need for spinal precautions

If there is no pulse but the patient is talking to you, they aint dead. in my experence if they are talking they will have a pulse.. you cant be breathing and have no pulse

activated charcol is useless everywhere, except on the NREMT.

an AED will not shock asystole patients
no the tv shows lie asystole cannot be shocked

The time to prepare is not at the call, but before you leave.
indeed prepair your kit and equiptment before any call and mentally prepair en-route

Press hard... three copies.
a pcr?
Click to expand...

there you go
 
I don't have to do anything while off duty (no "duty to respond" in most states)

CPR is pointless in arrests due to massive blunt trauma ("Could you please be so kind as to stop flogging that corpse?")

Never go past the second collapsed person on a scene that is not due to obvious trauma.

If there is no pulse but the patient is talking to you, they aint dead. in my experence if they are talking they will have a pulse.. you cant be breathing and have no pulse
Click to expand...

Always stop CPR after the second "Oww!" or "ouch!" from the patient. Likewise stop when they start swinging at your head. Not kidding...seen it myself. God bless overzealous bystanders.

I also recommend (highlighted the most pertinent ones for emphasis):
Laws of the House of God
1.GOMERS DON’T DIE.
2.GOMERS GO TO GROUND.
3.AT A CARDIAC ARREST, THE FIRST PROCEDURE IS TO TAKE YOUR OWN PULSE.
4.THE PATIENT IS THE ONE WITH THE DISEASE.
5.PLACEMENT COMES FIRST.
6.THERE IS NO BODY CAVITY THAT CANNOT BE REACHED WITH A #14G NEEDLE AND A GOOD STRONG ARM.
7.AGE + BUN = LASIX DOSE.
8.THEY CAN ALWAYS HURT YOU MORE.
9.THE ONLY GOOD ADMISSION IS A DEAD ADMISSION.
10.IF YOU DON’T TAKE A TEMPERATURE, YOU CAN’T FIND A FEVER.
11.SHOW ME A BMS (Best Medical Student, a student at the Best Medical School) WHO ONLY TRIPLES MY WORK AND I WILL KISS HIS FEET.
12.IF THE RADIOLOGY RESIDENT AND THE MEDICAL STUDENT BOTH SEE A LESION ON THE CHEST X-RAY, THERE CAN BE NO LESION THERE.
13.THE DELIVERY OF GOOD MEDICAL CARE IS TO DO AS MUCH NOTHING AS POSSIBLE
 
First protect ME, then my partner, then the patient.

yeah your number 1 worry about yourself before anyone else as scene safety goes
Thats what i said, first me, then we, then them.
My problem is that seems cold, but then again me and my partner can't save anyone if we are dead.

Air go's in and out , blood go's round and round, any deviation from that and somthing aint right. pretty much yeah
A then B Then spinal precautions, then C. only in trauma patients.. if its medical with no moi no need for spinal precautions Yes sir.

If there is no pulse but the patient is talking to you, they aint dead. in my experence if they are talking they will have a pulse.. you cant be breathing and have no pulse Yeah LOL, my instructor said he delt with some intoxicated people in the middle of CPR, and the patient is screaming bloody merder.

activated charcol is useless everywhere, except on the NREMT.


an AED will not shock asystole patients
no the tv shows lie asystole cannot be shocked


The time to prepare is not at the call, but before you leave.
indeed prepair your kit and equiptment before any call and mentally prepair en-route Yeah, still a kid myself, i'm not sure i'm ready for a bad trauma call. but i can't let them down.

Press hard... three copies.
a pcr? somthing my instructor kept saying about refusals
 
You forgot:

They are not dead until they are warm and dead.

Don't do anything that you would have a hard time explaining to the Paramedic.

When it doubt, backboard them. It makes everyone forget that you lack clinical judgement.

If the patient is not on fire, get the hell out of my way.

God created Paramedics so that Firefighters would have heroes too. But God created EMTs so that Paramedics would make less mistakes.
 
Just everything!

You didn't forget anything because that's all you know. Come back next year, go to this thread, and then add the 500 pages of what you learned.
 
A then B Then spinal precautions, then C.
Click to expand...

I always hated this. No reason you can't do all steps at once with 2 providers, and no reason you can't do ABC at the same exact time. Honestly, if you can't feel for a pulse while checking for breathing, you have bigger problems. And if they don't have a pulse, the breathing they are doing is useless (and probably agonal). As such, that saying is only good for exams.

Plus, it's technically C/ABC meaning do C-spine where appropriate and not in a pre-determined spot.




And activated charcoal DOES have it's uses, just depends. Some places say in a poisoning, to contact Poison Control and whatever they say is to be considered an order directly from your MedControl, so if they say AC, use AC. Plus I've seen AC used multiple times in the ER. Don't rule it out because it's rare.
 
Onefreeman, I understand you're just trying to hit the highlights, but there's a lengthy "Yes, but..." that could be added to each of the items on your list.

The more we try to distill what we do into a few headlines, the more we lose touch with the enormous scope of what we should know, ideally, to provide uncompromising prehospital care.
 
Linuss said:
I always hated this. No reason you can't do all steps at once with 2 providers, and no reason you can't do ABC at the same exact time. Honestly, if you can't feel for a pulse while checking for breathing, you have bigger problems. And if they don't have a pulse, the breathing they are doing is useless (and probably agonal). As such, that saying is only good for exams.

Plus, it's technically C/ABC meaning do C-spine where appropriate and not in a pre-determined spot.




And activated charcoal DOES have it's uses, just depends. Some places say in a poisoning, to contact Poison Control and whatever they say is to be considered an order directly from your MedControl, so if they say AC, use AC. Plus I've seen AC used multiple times in the ER. Don't rule it out because it's rare.
Click to expand...

My instructor said if they are not breathing, c-spine dosen't matter.
When i asked him about it, he said you have a choice: Get them breathing first, then worry about the c-collar. As for AC, All the ambulances I've been on don't carry it. but i see i forgot about calling poison control.

Thanks for all the help y'all.

The freeman
 
onefreeman said:
My instructor said if they are not breathing, c-spine dosen't matter.
Click to expand...

I wouldn't go that far. I'd say that it's of a much lower concern, but not that it doesn't matter at all.
 
medichopeful said:
I wouldn't go that far. I'd say that it's of a much lower concern, but not that it doesn't matter at all.
Click to expand...

+1. If you can avoid damaging the spine, then why not?
 
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