the 100% directionless thread

[Asclepius911]

lol, Big Bang Theory!!!, lol its not sarcasm, it did give me a better understanding lol... Taught me to not depend on my partner...

 

[STXmedic]

That's not a good lesson to learn.

 

[adamjh3]

You should be able to count on your partner to back you up, but be able to function well on your own. When I was very green I had a partner who acted similarly to the one you described except we on a double basic rig. I always told him I learned a lot from him. Little did he know I meant I learned a lot of what not to do.

 

[JPINFV]

Also, is it recommended for one person to replace the heavy house tank by them selves?

/shrugs.

I did that all the time while my partner was doing other work. What exactly is there to help out with that anyways?

 

[medic417]

Very true. I still think there are potentially more serious complications associated with EJ IVs than with peripheral IVs. Air embolisms, hematoma, etc

Any thing we do has risks. EJ no more so than any other.

 

[STXmedic]

/shrugs.

I did that all the time while my partner was doing other work. What exactly is there to help out with that anyways?

Same

 

[Asclepius911]

I've never actually change one of those before... till that night, figured it out by my self, didn't even know how heavy they were... I kinda hurt my wrist handling it, but nothing to bad. 5' tanks are pretty heavy, I guess I got to work out more? lol, Yeah my partner was bussy talking to his buds at station and talking about how ingenious some medics are, but I understand his pain, sometimes when fire medics get laid off and end up in IFTs Co they may become a tad bit bitter. :wacko:

 

[adamjh3]

/shrugs.

I did that all the time while my partner was doing other work. What exactly is there to help out with that anyways?

Depends on the Ambulance. The Leader type IIs I was in pretty much required two people unless one party is willing to end their career prematurely because of a back injury.

 

[Asclepius911]

Thanx for the feed back adam, for a minute there I was wondering if there was something wrong with me that I had trouble taking that sucker out. I agree that it should be a two people job since it requires a dolly to move around.

 

[Handsome Robb]

Well I'm destined to be a :censored::censored::censored::censored:magnet for the rest of my life I think. I'm starting to get confidence in myself but I'm still scared of being out on my own without an FTO to bounce ideas off of.

I'm also walking proof that you can manage an airway with BLS techniques when ALS airways fail. The doc even gave me a high five for ditching the tube and just bagging.

Also drilled an IO in the same alive patient that I was bagging in the ER after they RSI'd her. Nurses didn't want to do it and they came out to the truck to tell me they needed me to drill it. Poor dear, no lido flush or anything. Even though she had a GCS of 7 she still went ballistic when I flushed it

 

[CANDawg]

Me and studying right now...

 

[JPINFV]

Depends on the Ambulance. The Leader type IIs I was in pretty much required two people unless one party is willing to end their career prematurely because of a back injury.

Bear hug and lift with the legs to load it in the upright standing ones. Personally, I liked the type 2s with the caddy that pulls out.

What I'm really trying to figure out is, given that it's a cylinder, how two people can get enough grip on it to lift it into the ambulance to begin with.

 

[JPINFV]

Well I'm destined to be a :censored::censored::censored::censored:magnet for the rest of my life I think. I'm starting to get confidence in myself but I'm still scared of being out on my own without an FTO to bounce ideas off of.

I'm currently the biggest white cloud at the hospital. 5 call shifts and no code blues, and all of the rapid response teams were for the other service. Heck, even the patient who was actively trying to die last night in the ICU decided to relatively stabilize as soon as I came on duty.

Also drilled an IO in the same alive patient that I was bagging in the ER after they RSI'd her. Nurses didn't want to do it and they came out to the truck to tell me they needed me to drill it. Poor dear, no lido flush or anything. Even though she had a GCS of 7 she still went ballistic when I flushed it

They wouldn't give you a lido flush?

Also, my current senior resident loves the Ez-IO because she feels like a complete bad-___ when she pulls it out and the floor nurses look at her in horror.

 

[adamjh3]

Bear hug and lift with the legs to load it in the upright standing ones. Personally, I liked the type 2s with the caddy that pulls out.

What I'm really trying to figure out is, given that it's a cylinder, how two people can get enough grip on it to lift it into the ambulance to begin with.

All the rigs I've worked on the cylinder lays horizontal behind the cab. One person at the bottom of the tank, one at the stem. Bottom lifts and then positions, top supports and then pushes. Damn near impossible to do on your own, too much "delicate" movement.

Not to mention the opening is at about waist height, give or take. You'd have your back bent nearly the whole time

 

[JPINFV]

All the rigs I've worked on the cylinder lays horizontal behind the cab. One person at the bottom of the tank, one at the stem. Bottom lifts and then positions, top supports and then pushes. Damn near impossible to do on your own, too much "delicate" movement.

Not to mention the opening is at about waist height, give or take. You'd have your back bent nearly the whole time

Leaders? I've never really worked in them (we only had 2 really old ones when I worked in So. Cal.). Most of the ambulances I've worked in have been significantly lower and either had a caddy that pulled out if horizontal or they were stored vertically.

 

[Handsome Robb]

I'm currently the biggest white cloud at the hospital. 5 call shifts and no code blues, and all of the rapid response teams were for the other service. Heck, even the patient who was actively trying to die last night in the ICU decided to relatively stabilize as soon as I came on duty.



They wouldn't give you a lido flush?

Also, my current senior resident loves the Ez-IO because she feels like a complete bad-___ when she pulls it out and the floor nurses look at her in horror.

Want to trade? Actually, in all honesty I do like being a black cloud, I'd rather get these calls while I have an FTO to bounce things off of before it's me and a relatively new, if not brand new, intermediate on a truck together. The only thing I don't like about it is staying 2 hours overtime consistently to finish my paperwork.


I asked and the doc just kinda gave me one of those looks and I didn't ask questions and just flushed it. It was a cluster of a respiratory arrest call, two failed airway attempts in the field, (I wont go into detail you can PM me if you'd like details on the call just not something I want public as to not potentially ruffle feathers between agencies, especially with me still beinga brand new medic and in my probationary period), a patient on prednisone so lines kept blowing including my partner's beautiful 18g AC after someone tugged on the IV line too hard, 6 failed attempts in the ED including an EJ and a decompensating patient who needed an airway but needed paralyzation and sedation in order to get one.

He actually took me aside told me I had a great thought later but in the situation it wasn't ideal. It was one of those calls that if I could do it over again I would change little things but overall I went as well as it could have in the situation we were in.

edit: :lol: at "actively trying to die"

 

[Epi-do]

Just in case you were wondering, the following are not reasons to call 911 for an ambulance:

1. You are in "excruciating pain" due to a "sore" you have on the bottom of your foot, only to be completely shocked when the paramedic tells you that not only do you not have any open wounds on the bottom of your foot, it looks completely normal.

2. You are drunk, although you deny it, just tripped and fell, sustaining no injuries whatsoever and having no complaints. However, about an hour ago you started having some vaginal bleeding and your stomach seems "bigger than normal". You swear there is no way you just started your period, even though your last one was just over a month ago (1st week of July) and that stomach thing is called bloating. Have no fear, you decided to manage the bleeding with a tampon, but think you should go get checked out just to make sure everything is ok.

To add to the crews frustration for the day, they also get to deal with the following:

If you escape from the psych hospital, the judge will issue a court order for you to be returned there, and no amount of crying or hysterics will stop it. However, it is possible to delay it slightly by convincing PD you need an ambulance for your "difficulty breathing". Once in the back of the ambulance you stop sobbing and can suddenly breathe better. At this point though, you still have to go to the ER before getting transferred back to the psych hospital.

 

[JPINFV]

edit: :lol: at "actively trying to die"

Probable DIC (basically your body forms a lot of small clots that uses up all of the coagulation factors) with a D-Dimer that almost reached 1000, fixed, dilated pupils, no response to pain, no cornea reflex response, 100/40 or so maxed out on 2 pressers. I felt really bad for the resident who was trying to work with the family.

 

[bigbaldguy]

So I'm sitting here bouncing up and down in my chair eating carob chips thinking "wow I'm not even a little bit tired" which is weird because I got up at 330 today. That's when it hits me that I ran out of carob chips a week ago which means I've been eating the 60 percent dark chocolate chips I bought for someone else I'm not real sure how much caffeine is in 60 percent cocoa chips but I'm guessing from the way I'm bouncing across the floor it's a crap load. This is going to be a rough night

 

[adamjh3]

Leaders? I've never really worked in them (we only had 2 really old ones when I worked in So. Cal.). Most of the ambulances I've worked in have been significantly lower and either had a caddy that pulled out if horizontal or they were stored vertically.

Yup, Leaders. No caddy or anything. Funny thing is I swear we had this same conversation about a year ago, I remember you saying the above pretty much verbatim :rofl: