first call of the day is...

Yes. As providers we are trained to ask "open ended questions" where the patient is to describe what's wrong.

EMD is exactly the opposite, asking closed questions, preferably yes or no.

Sent from my Pixel XL using Tapatalk
 
On a 120 mile mental health transfer right now. Hot spots are a wonderful thing to help pass the time.
 
Syncopated episode. Had time to get on scene, find the patient, do an eval, and extricate her off the toilet in the super tiny/narrow bathroom without getting **** everywhere (elderly lady with full diaper, had to GS carry her) and got her in the gurney as fire was showing up on scene.
 
Bee sting about 30 minutes from the station in the middle of nowhere. Walk-up to a fire station.

AMA'd

Sent from my Pixel XL using Tapatalk
 
First call of the day was... From my supervisor. "can you hold over"

No. No I cannot. That would put me on a 144 hour shift and our boss would have your head for that lol.

Got off on time [emoji106]

Sent from my Pixel XL using Tapatalk
 
NPO said:
First call of the day was... From my supervisor. "can you hold over"

No. No I cannot. That would put me on a 144 hour shift and our boss would have your head for that lol.

Got off on time [emoji106]

Sent from my Pixel XL using Tapatalk
Click to expand...

You should have held over. I mean, it's on the supervisor at that point. [emoji23]


Sent from my iPhone using Tapatalk
 
Headache X2 days out of a SNF that they gave 1 x325mg Norco an hour prior to calling because it "had no effect"
 
Cancel since my partner was late for start of shift haha.


Sent from my iPhone using Tapatalk
 
Nick15 said:
Cancel since my partner was late for start of shift haha.


Sent from my iPhone using Tapatalk
Click to expand...
Here that would mean someone from the off going crew would get to run the transfer with you as our company can mandatory hold you over up to 2 hours past your scheduled off time explicitly for cases like this...they can and will give you a call without a second thought 1hr 55 min into those 2 hours...ask me how I know....

First ALS IFT run of the day proved interesting....dispatched to an Urgent care center attached to a hospital for an asthma exasperation going to a different hospital (I think for insurance reasons? Forget exactly why she was going to that hospital vs the one the urgent care is apart of, but I digress..) We get there and the pt, whose on a breathing treatment, is starting to complain of a new onset chest pain within the last 5 min, which apparently was news to the nurse. Well they were already in the process of running their own 12 lead at this time, showed it to the doctor who was right there.....tachy at 130-140, ST elevation in V1, 2, 3, depression in V5 and 6.....doctor almost called 911 for an emergent transfer before remembering we were an ALS unit and asked if we could take her....sure can! Fortunately the same hospital they wanted her to go to originally was also the nearest STEMI Center, which the doc wanted her going like now "hurry up dudes...hurry up" while we were DC'ing the hospital equipment. ..quick call to base, transmit our 12 lead, Nitro and aspirin and O2 and we were transporting emergent to the STEMI Center...no fire aid needed lol
 
Jim37F said:
Here that would mean someone from the off going crew would get to run the transfer with you as our company can mandatory hold you over up to 2 hours past your scheduled off time explicitly for cases like this...they can and will give you a call without a second thought 1hr 55 min into those 2 hours...ask me how I know....

First ALS IFT run of the day proved interesting....dispatched to an Urgent care center attached to a hospital for an asthma exasperation going to a different hospital (I think for insurance reasons? Forget exactly why she was going to that hospital vs the one the urgent care is apart of, but I digress..) We get there and the pt, whose on a breathing treatment, is starting to complain of a new onset chest pain within the last 5 min, which apparently was news to the nurse. Well they were already in the process of running their own 12 lead at this time, showed it to the doctor who was right there.....tachy at 130-140, ST elevation in V1, 2, 3, depression in V5 and 6.....doctor almost called 911 for an emergent transfer before remembering we were an ALS unit and asked if we could take her....sure can! Fortunately the same hospital they wanted her to go to originally was also the nearest STEMI Center, which the doc wanted her going like now "hurry up dudes...hurry up" while we were DC'ing the hospital equipment. ..quick call to base, transmit our 12 lead, Nitro and aspirin and O2 and we were transporting emergent to the STEMI Center...no fire aid needed lol
Click to expand...

It wasn't really a holdover, but we do that exact same thing too. We have two units at the station, so the crew who got on before us took it even though technically they should have been second up at that time.
But my partner showed up right as they were pulling away for the call.


Sent from my iPhone using Tapatalk
 
Jim37F said:
First ALS IFT run of the day proved interesting....dispatched to an Urgent care center attached to a hospital for an asthma exasperation going to a different hospital (I think for insurance reasons? Forget exactly why she was going to that hospital vs the one the urgent care is apart of, but I digress..) We get there and the pt, whose on a breathing treatment, is starting to complain of a new onset chest pain within the last 5 min, which apparently was news to the nurse. Well they were already in the process of running their own 12 lead at this time, showed it to the doctor who was right there.....tachy at 130-140, ST elevation in V1, 2, 3, depression in V5 and 6.....doctor almost called 911 for an emergent transfer before remembering we were an ALS unit and asked if we could take her....sure can! Fortunately the same hospital they wanted her to go to originally was also the nearest STEMI Center, which the doc wanted her going like now "hurry up dudes...hurry up" while we were DC'ing the hospital equipment. ..quick call to base, transmit our 12 lead, Nitro and aspirin and O2 and we were transporting emergent to the STEMI Center...no fire aid needed lol
Click to expand...
IMG_0214.GIF
 
Started orientation today. Finish up reviewing the handbook and dispatch gets a call to transport a morbidly obese PT that was having respiratory issues. Facility couldn't bronch someone that large. Nurse-medic (one of the managers/owners doing my orientation) has me come with along with another EMT and a medic. I got to ride in the back and bag while they finished setting up the vent. Pretty interesting first day.
 
VentMonkey said:
I'd venture to guess that this is universal with the EMD system in general. You say one word---wrong, or right---and presto! whammo! Here comes the calvary.
Click to expand...

This is most prevalent with the "are they responding appropriately" or "breathing normally" questions.One of the worst is the entrapment question, say the person cant open the driver side door, but are uninjured, instant entrapment response.
 
First day as a paid Paramedic on my first orientation shift with a municipal 911 service. First call of the night is a 48 yo woman with chest pain with a Hx of three prior MI's, HTN and Diabetes. Arrive to find a very large Diaphoretic woman with SOB sprawled on the couch, clutching her chest and gasping that she is having 'another' heart attack, and it is worse than the last one ... and telling me that 'I knows I is going to die this time'. We made it to the hospital ER without incident. Initial pucker factor was high to say the least.
 
You must log in or register to reply here.
Back
Top