the 100% directionless thread

lol. I'm of age (and have been for a while). I just don't drink.
LOL. Understand the feeling for the most part.

I enjoy GOOD beer occasionally, because it's tasty... not because it's intoxicating. I guess I saw enough sloppy drunk people growing up in College Town EMS that I have never really had a desire to get so drunk I do stupid things.

That said, I wish I was on Bourbon street with some old and new EMS friends tonight, instead of stuck at home because of another darn hurricane.
 
We had the most awesome student ever today. Killed it. First time I've ever felt comfortable with the student doing assessments.

Rippin' allergic reaction with the urgent care staff freaking out and she saunters on up cool as a cucumber, looks at the patient, looks at me and says "I feel like some benedryl and albuterol may be in order" then goes to town getting the monitor going, vitals and a line all while I'm digging into my bag for medications and my partner is standing there with a :censored::censored::censored::censored:-eating grin on his face, didn't even have to prompt her.

She made a rock solid argument for IM epi but I vetoed it, had it drawn up though. I was a tad bit hesitant to give the 72 year old patient with an extensive cardiac history epi unless I really had to.

Why can't all students be so motivated?
 
The other day they gave me a brand spanking new partner who was on his first shift after FTO AND a freaking EMT student. I was ready to kill someone.

Didn't we go over this the other day when they stuck you in this debacle? Just be glad you don't have to work with me and my shiny new paramedic self ;)
 
Dear nursing staff,

My patient hasn't been on oxygen for 2 days. Why are you still documenting that she's on 2 liters? Furthermore, she has never been on 2 liters, it's always been 3 liters, so even if she was on oxygen you would still be wrong. It's the line that goes through the ball bearing, not the one immediately below it.

Sincerely,
Grumpy medical student.
 
She made a rock solid argument for IM epi but I vetoed it, had it drawn up though. I was a tad bit hesitant to give the 72 year old patient with an extensive cardiac history epi unless I really had to.
Nice!
 
Dear nursing staff,

My patient hasn't been on oxygen for 2 days. Why are you still documenting that she's on 2 liters? Furthermore, she has never been on 2 liters, it's always been 3 liters, so even if she was on oxygen you would still be wrong. It's the line that goes through the ball bearing, not the one immediately below it.

Sincerely,
Grumpy medical student.

The ability to "copy all fields" in electronic charting is the dumbest idea. All it does is lead to errors like you describe. Having said that, when you have the incredible amount of charting to do on each patient at least twice a shift along with every change and procedure on 6 patients...the charting is usually going to be rushed and poorly done.
 
LOL. Understand the feeling for the most part.

I enjoy GOOD beer occasionally, because it's tasty... not because it's intoxicating. I guess I saw enough sloppy drunk people growing up in College Town EMS that I have never really had a desire to get so drunk I do stupid things.

That said, I wish I was on Bourbon street with some old and new EMS friends tonight, instead of stuck at home because of another darn hurricane.

Bummer you didn't make the expo :/ Next time maybe it will be in Branson :) no hurricanes in Branson!
 
Negative deflection in leads 2 and 3. -60degree deviation. Elevation in v2 and v3.

Would it be appropriate to say a possible anterior hemiblock?
Yes. I don't think the STE is important for diagnosisng an LAFB/LAB. The criterias I recall were: Left axis deviation >-29 degree, qR in lead I, rS or R in III (and probably in the inferior leads). A quick trick (per The Art of Interpretation: 12-lead ECGs) for rapidly diagnosising is positive I, negative in II and aVF.
 
Dear Fever, please go away. I really want to go back to work. Thanks!
 
I think many of us do. Ever notice how when someone says "with all due respect", what follows isn't really respectful at all? Especially when they are the only one NOT sober involved in the conversation?

This is one my personal favorites when it comes to life's paradoxes.
 
Also I was successful in finding a use for that bag...
udu6y4an.jpg

I've got my avy gear, skins, crampons, water bladder, first aid, and other odds and ends all tucked in there. Way better than the milk carton that all that crap was in.
 
Still have no power here on Long Island. It is warmer outside than it is inside my house...

Granted I should be thankful I still have a house to come home to...
 
Carrie underwood is hot!
 
Still have no power here on Long Island. It is warmer outside than it is inside my house...

Granted I should be thankful I still have a house to come home to...

If you'd like I could get you one, and it can power your block.
it'll be 2.00 per mile to drive down there from Detroit plus 200 for fuel, plus the generator costs, and another 2.00 per mike to come pick it up!
So you're looking at about 4000$ but hey, you can split it w/ your neighbors:rofl::rofl:
 
Sleeping on the same bed as the supervisor in the hotel room tonight. I'm scared...

Good thing about being on the management team during a Disaster = hotel rooms.
 
Sleeping on the same bed as the supervisor in the hotel room tonight. I'm scared...

Good thing about being on the management team during a Disaster = hotel rooms.

Meh. Nothing like having about 10 medical students and residents sleeping in the resident lounge together... mostly on couches with feet on a huge ottoman in the middle.
 
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