the 100% directionless thread

...and if you've got a opiate OD that needs Narcan with no access, you can always IN or IM that stuff.

I usually don't bother starting lines on most of my opiate ODs these days. IN Narcan and call it good.

I squeaked a 24 into a woman's foot a few weeks ago. 'twas a good'un.
 
The groin would also be completely unacceptable unless you intend to attain a femoral line... Which would also cost you your certification if the wrong person got word.

Just because he has track marks doesn't mean you can't start an IV... If anything it's telling you where his veins are...


What was the reason for the IV?

Medic had to push drugs. It wasn't an extremely memorable call, just that skull IVs stuck with me. I've [heard] of them being done before. The first person to actually tell me about them was Mr. Ferrucci (whom you might know), whose brought a couple of people in with head IVs.
 
They can. The EZIO is approved for the lateral mallelous.

I assume it would require the 15mm(red) needle on most patients save for the pedal edemas.

Is there really any rhyme or reason to it though other than improving the marketability/versatility of their product?
 
The more sites the better? You never know what you are going to run into. We had a burn pt a few weeks ago that was a few inches away from needing ankle IOs over tibial because of how far down the burns went.
 
The more sites the better? You never know what you are going to run into. We had a burn pt a few weeks ago that was a few inches away from needing ankle IOs over tibial because of how far down the burns went.

Here's a good question...

Can you still IO a site that has been burned? Theoretically as long as the medullary cavity is still circulating you should be good to go? I'm sure the infection risk is pretty exentisve though... Last resort obviously.
 
Why is it that every time I go to see my medical director to talk about a call I had, he always ends up trying to set me up with his med student?
 
Here's a good question...

Can you still IO a site that has been burned? Theoretically as long as the medullary cavity is still circulating you should be good to go? I'm sure the infection risk is pretty exentisve though... Last resort obviously.

You could, assuming you could still find the land marks, but it would be poor form if there was a non burned site available.






Why is it that every time I go to see my medical director to talk about a call I had, he always ends up trying to set me up with his med student?
You say this like it is a bad thing...
 
Why is it that every time I go to see my medical director to talk about a call I had, he always ends up trying to set me up with his med student?

You must be one handsome motherfu...
 
If I put an IV in a patients skull i would probably lose my job.

Ankles I can get away with if the situation really calls for it and I can't find anything else.

You're that limited?

If it's not a central line I'm going for, I'm allowed to stick it. Be it AC, ankle, foot, scalp, breast, hand, EJ, whatever.



If I see a vein that I think I can get, I go for it, regardless of location. Granted, 9/10 times that ends up being the AC...
 
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Well...something I did back in April has come back to reward me...

Long story short, I was on my way home from work, and this all happened right in front of me on a bridge. I didn't even think twice, and lent some help to the State Patrol Sgt. While restraining the subject, I ran a PT assessment, sample history and general rapor with the subject. (Keep in mind I was still in school for becoming an EMT-B when this happened). When the paramedics arrived (who happened to be one of my preceptors for my ride times), I was able to give him a full verbal report on the subject.

Then I went about my normal life, not thinking about it until I got a phone call (and a letter) from the Dept Of Transportation/State Patrol Safety Bureau....


Dear SSwain:

The Wisconsin State Patrol has nominated you along with Sgt. Nelson for a “Traffic Safety Heroism Award” in recognition of your intervention with a suicidal subject on Highway 41 on April 10th, 2012. The Bureau of Transportation Safety would like to recognize you for your actions at the Governor’s Conference on Highway Safety in Wisconsin Dells. The award would be presented at a luncheon on Tuesday, August 28th, beginning at 11:30 A.M. at the Chula Vista Resort.

...yadda yadda yadda...

Kinda made my $hitty week seem not so bad.:)
 
Well...something I did back in April has come back to reward me...

Long story short, I was on my way home from work, and this all happened right in front of me on a bridge. I didn't even think twice, and lent some help to the State Patrol Sgt. While restraining the subject, I ran a PT assessment, sample history and general rapor with the subject. (Keep in mind I was still in school for becoming an EMT-B when this happened). When the paramedics arrived (who happened to be one of my preceptors for my ride times), I was able to give him a full verbal report on the subject.

Then I went about my normal life, not thinking about it until I got a phone call (and a letter) from the Dept Of Transportation/State Patrol Safety Bureau....


Dear SSwain:

The Wisconsin State Patrol has nominated you along with Sgt. Nelson for a “Traffic Safety Heroism Award” in recognition of your intervention with a suicidal subject on Highway 41 on April 10th, 2012. The Bureau of Transportation Safety would like to recognize you for your actions at the Governor’s Conference on Highway Safety in Wisconsin Dells. The award would be presented at a luncheon on Tuesday, August 28th, beginning at 11:30 A.M. at the Chula Vista Resort.

...yadda yadda yadda...

Kinda made my $hitty week seem not so bad.:)

Wow dude! Congrats!
 
You must be one handsome motherfu...

Well, I have my moments...plus I drive an STi, so there's that. ;)

It hinders my productivity Aidey!

Congrats SSwain!
 
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Well, I have my moments...plus I drive an STi, so there's that. ;)

It hinders my productivity Aidey!

Congrats SSwain!

I drive a mustang and I don't get girls!

...Nevermind thats a lie, the girls part. I <3 my mustang.
 
A hot med student hinders your productivity? What see you, a monk working on a Nobel prize in his spare time?





Edit - wait a second, are you even old enough that they've dropped yet? Lol
 
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Well, I have my moments...plus I drive an STi, so there's that. ;)

It hinders my productivity Aidey!

Congrats SSwain!

I'll run your STI over, if I can catch you.
 
I miss my 350z, I dumped so much money into that thing just to tear it up drifting. Now I am dumping money in my wrangler but at least it's a little more practical....ya not really. Oh and the ladies loved both of my cars but they attract two totally different kinds of girls.
 
I miss my 350z, I dumped so much money into that thing just to tear it up drifting. Now I am dumping money in my wrangler but at least it's a little more practical....ya not really. Oh and the ladies loved both of my cars but they attract two totally different kinds of girls.

Jeep Chicks are hotter. Just sayin.
 
I can consider it a good day if my car works in the morning
 
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I miss my 350z, I dumped so much money into that thing just to tear it up drifting. Now I am dumping money in my wrangler but at least it's a little more practical....ya not really. Oh and the ladies loved both of my cars but they attract two totally different kinds of girls.

2011 Wrangler unlimited checking In ;)

Lifted/front bumper and winch. Need bigger tires waiting on the stock 32s to wear down before shelling out $1500 considering I had to pay extra for the stockers...

Classy women dig jeeps. The kind that want a real man.
 
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