medic6676
Forum Crew Member
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Not so much a personal attack, just a general characterization. You are obviously smart and motivated. Often, this is paired with a certain degree of cockiness which you have likely been told about by others at various times.
I have no doubt you are a good provider and that you will ultimately be successful. Those who are smarter than their peers have a hard time for reasons that don't always seem to make sense; one reason is that you choose to make (not inaccurate) points at inappropriate times.
This thread is about sharing experiences at a time when people have a lot to learn... You chose to (seemingly) question the actions of the contributor... This comes across as a ****-move and makes a new member hesitant to post further. While we all need thick skin to survive in this field, your comment came across as abrasive rather than helpful.
Just my opinion and I am open to being wrong... If you lived closer I'd buy you a beer and we'd sort it out. [emoji482]
While I appreciate the defense and comradery, I have a thick enough skin. Got my start in an old timers FD/EMS squad.
That being said to DesertEMT, your reply in questioning how I provided the care I did, tended to lean towards the attack-like side, questioning why I worked an obviously dead patient.
In my humble opinion, I don't transport dead bodies, instead I prefer to attempt to resuscitate on scene and if fail, secure. In this case the patient was loaded, and the BLS crew was working him. Also the brain matter that was showing was minimal, so I wouldn't necessarily refer to it as injuries that are incompatible with life. The lacerations were each about 2 inches in length, and about a quarter to half inch in width, and had cracked through the skull. While there will obviously be heavy infection, and the patient would require a long period of recovery, I don't see those injuries as incompatible with survival.
Now I would like to return the same courtesy you did to me, and discuss your first call.
The biggest point I would like to make, and this is because I have done this exact call: Why did you attempt six IVs? With a patient who wasn't breathing, I would have given no more than two IV attempts, in fact on my call, because he was Chenye-Stokes breathing, I made one attempt, and moved on to IO. The patient was showing signs of true life threatening illness, and I made the decision to get the D50 on board.
So while I am not in a place to judge you on your practice of care, and I am only doing this because you opened the door, I would like to ask you why you and your preceptor chose to take at least ten minutes to attempt 6 IVs?
Straight curiosity, and do not take this as any sort of attack.