the 100% directionless thread

New contest coming soon. :)
 
Holy weather, Batman! Heavy 2 minute hailstorm out of nowhere! Then it stops like turning off a faucet. Spring weather, I am very disappoint.
 
Linuss said:
It always amazes me that the people who need 911 don't call, and the people who don't need it, call non-stop.
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Right?

usalsfyre said:
Toradol was a singularly poor choice by the clinic in this case as well...
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I thought that as well, but I didn't say anything because I wasn't 100% sure and I figured a doctor should know a little bit about the meds he's giving. I get home and look it up, sure enough, it inhibits platelet function.

This patient would also be at risk for acute renal failure due to either trauma directly to the liver/kidneys or due to volume depletion, yes? So aren't all NSAIDs relatively contraindicated due to them being able to reach a toxic blood level with a normal dose?
 
adamjh3 said:
Right?



I thought that as well, but I didn't say anything because I wasn't 100% sure and I figured a doctor should know a little bit about the meds he's giving. I get home and look it up, sure enough, it inhibits platelet function.

This patient would also be at risk for acute renal failure due to either trauma directly to the liver/kidneys or due to volume depletion, yes? So aren't all NSAIDs relatively contraindicated due to them being able to reach a toxic blood level with a normal dose?
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Maybe it was all they had? Not sure what kind of doctors office you were at but maybe they don't keep inject-able narcs on hand? I'm assuming he was in a lot of pain?
 
Had a 73 year old guy fall 30 feet out of a tree today. He had a subluxation of C4/C5 and several compression fx of lumbar vertebrae. No neuro deficit. Lucky bastid. He was excited because he had never been in a helicopter before.
 
Anyone got any suggestions for station visits in Irvine California? How about places where IFT's post?
 
bigbaldguy said:
Maybe it was all they had? Not sure what kind of doctors office you were at but maybe they don't keep inject-able narcs on hand? I'm assuming he was in a lot of pain?
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Yeah, it's just a little occupational health clinic and that was indeed all they had.

But 3Mg of toradol won't touch pain that severe, to my understanding. They might have been better off giving him nothing and just keeping him still and warm until medics got there with narcs. But even then, narcs are contraindicated for multi traumas in our protocols here.
 
adamjh3 said:
Yeah, it's just a little occupational health clinic and that was indeed all they had.

But 3Mg of toradol won't touch pain that severe, to my understanding. They might have been better off giving him nothing and just keeping him still and warm until medics got there with narcs. But even then, narcs are contraindicated for multi traumas in our protocols here.
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Rock and a hard place literally.
 
I've never worked such an auspicious date in EMS (i.e. Friday the 13th), and boy was it an awesome day! I had some enjoyable calls (and one not so fun).
 
Anybody get any coeds with machete wounds today?
 
Dude. No way. That sounds like one heck of a call. Heard a really bad pediatric trauma incident over the radio, and I was half about to tear up...
 
Got my first arrest and first "field save" as a medic intern today. Kinda bitter sweet. Cool knowing that we were able to successfully resuscitate her and that I lead the team that did it but sad to realize that she will probably never make it out of the ICU or even ever talk again.

Worst part is the husband stated she wasn't a DNR and that he wanted us to do everything we could then we get to the hospital and find out she had signed a DNR and we were never made aware of it even after directly asking if she had one. :-/

Then had a massive hemorrhagic stroke. Decerebrate posturing by the time we got to the ER.

4 calls, 2 code 3 returns to the hospital, a very torn Rob. It finally hit me that I will be around to see the worst days in hundreds of thousands of people's lives...It really stopped and made me think. Maybe it's just being tired and mentally fatigued but I can't lie, I was pretty torn up after the stroke call. 2 bad calls back to back and 2 families losing a loved one, they are both alive but will probably never be the same again.
 
I always find it flattering when one of my older patients asks if I'm married...because at least there's one person that believes someone would actually marry me.
 
fast65 said:
I always find it flattering when one of my older patients asks if I'm married...because at least there's one person that believes someone would actually marry me.
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It's overrated
 
EpiEMS said:
I've never worked such an auspicious date in EMS (i.e. Friday the 13th), and boy was it an awesome day! I had some enjoyable calls (and one not so fun).
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We did two separate 100 mile transports yesterday.

One with a guy who extubated himself the day before, supposed to be on a venti but rips it off, so was on a high flow cannula at 10lpm, mouth breathing and would take that down and drop down to the mid 80s. He was confused, grabby and couldn't be sedated because he "doesn't do well on ativan"

He had: triple lumen picc and another regular iv. He was receiving tpn and lipids. We could not take their pump because it was 100 miles out of our area. Was going to put him on a dial a flow but figured the filter in the line of the tpn was probably important and prevented the dial a flow hook up.

He had two jp drains

A peg draining into a foley bag

A urostomy

A colostomy

And a strong urge to pull at all of them.

He would get really anxious and start freaking out and his sats would drop. Didn't even try to restrain his hands because we figured he would get agitated.

He was a wiggle worm and wiggled his way out of the foot belt.

And he would throw enough pvcs an hour to make me go >:(

Did I mention we were transporting him 100 miles!?!

Hate Friday the 13th.
 
Oh. And mid transport our main just decided to stop working so we had to keep him on portables.

THAT was fun.

1000 in the main and it just wouldn't flow.
 
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This garage behind my house where a volly FF lives, exploded. Burnt up a classic car. Sad.

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This garage accross the lane and behind the FD, fell down too.

Because the FD backed into it.

Fail.
 
Sasha said:
We did two separate 100 mile transports yesterday.

One with a guy who extubated himself the day before, supposed to be on a venti but rips it off, so was on a high flow cannula at 10lpm, mouth breathing and would take that down and drop down to the mid 80s. He was confused, grabby and couldn't be sedated because he "doesn't do well on ativan"

Hate Friday the 13th.
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Oy vey, that does not sound fun.

Are there any other drugs you could use to calm him down in the prehospital setting?
 
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