the 100% directionless thread

[Akulahawk]

Fentanyl just came into the state formulary for EMS here in California. Now it's just a waiting game for each county to adopt/allow it in their protocols. I can still only give MS for either cardiac pain unrelieved by NTG or isolated extremity trauma on standing order. There is/are no protocols that even address any other kind of pain in our county.

On that. I gave for fentanyl in my clinical time to kill a circus full of elephants.

Sacramento County doesn't have fentanyl in their orders yet... they still have morphine for extremity trauma (2-5 mg dose/20mg max), burns (0.1mg/kg max 10mg/dose; 30 mg max total), and chest pain (2 mg/dose, max total 0.1mg/kg). If the burn/trauma presents with any evidence of internal head, neck, or torso trauma, then no morphine is allowed. As long as it's allowed, at least we can titrate the morphine to effect... what little effect there will be with burns/trauma, anyway.

 

[Wheel]

Turned in my medic application 2 days ago. When the secretary was looking through all the paperwork she looked at my AP class grade and said "wow, I haven't seen an A in AP in a long time". Now I'm not so worried about the entrance tests.

Yeah you've got that. Keep us updated on how everything goes.

In other news, first week of orientation is in the books. One more week before FTO starts. My FTO seems like a cool guy, so I'm ready to get back on a truck and start learning the system. (Plus I get a raise when I'm cleared to be a crew chief)

 

[Handsome Robb]

AMR AMR REMSA...all are hiring...

We're hiring a lot. They just cleared 4 new medic FTOs to help train all the new hires we're picking up.

We have extremity trauma, chest trauma, back pain, and abdominal pain protocols but as far as pain management go they all say "refer to pain/sedation management protocol."

 

[ffemt8978]

I drive a Toyota Tacoma. All of my "big truck driving" firefighter friends asked me if it came with a dental dam and Lilith Faire tickets. :/

The nice thing about a Toyota Tacoma is that when it breaks down, they can load it in the back of their "big trucks" to give you a ride home.

:rofl:

 

[mike1390]

boxing stand by tomorrow yes please!

 

[TransportJockey]

We're hiring a lot. They just cleared 4 new medic FTOs to help train all the new hires we're picking up.

We have extremity trauma, chest trauma, back pain, and abdominal pain protocols but as far as pain management go they all say "refer to pain/sedation management protocol."

Ours just say to treat pain. 20mg MS max w/out orders, 3mcg/kg Fent max w/out orders... I like my new protocols

 

[shfd739]

Well, decided to sell my truck. Finally got fed up with 14mpg. Ended up going with a new Subi Outback Still fits my needs, but just over double the gas mileage

14mpg?

That'd be a nice improvement over my 9-10 lol

Subis are nice. I've considered an older WRX or Saabaru 9-2x as a fun commuter car.

 

[Jim37F]

14mpg?

That'd be a nice improvement over my 9-10 lol

Subis are nice. I've considered an older WRX or Saabaru 9-2x as a fun commuter car.

I'm getting about 17-18 in my '05 Dodge Dakota, but that's only because I haven't quite got the hang of this whole "social life" thingy yet lol and my driving is pretty much all highway to and from work

 

[VFlutter]

Revatio, Imdur, and Sublingual Nitro. I wonder why you came in for syncope and hypotension. That's a trifecta

 

[Handsome Robb]

If I hear one more unit come up and say "we're at XXX if we can help with that" I'm going to start killing babies.

That is all.

Mind your damn business, clear when you're done with your call don't wait for something "cool" to drop near you then jump it and especially don't get made when someone calls you out on it and cite "good patient care" as your reasoning.

 

[DesertMedic66]

If I hear one more unit come up and say "we're at XXX if we can help with that" I'm going to start killing babies.

That is all.

Mind your damn business, clear when you're done with your call don't wait for something "cool" to drop near you then jump it and especially don't get made when someone calls you out on it and cite "good patient care" as your reasoning.

I was wondering if you were going to post about that haha.

 

[JPINFV]

Revatio, Imdur, and Sublingual Nitro. I wonder why you came in for syncope and hypotension. That's a trifecta

Huh? It's not like their on erectile dysfunction medications or anything.


/sarcasm.

 

[JPINFV]

Rotation site: We've got that rotation open for these dates.
School: Sorry, that site is full.
Rotation site: Um... have them email me... it's open.
School: No really, it's full.

School: Dear students, please don't talk about the schedule at core hospitals, especially [hospital in question]. If you do, we'll deny the rotation automatically and, possibly, suspend you.


I'm really getting about this l__l close to recommending people stay away from my school. The shenanigans are getting to be too much.

 

[Handsome Robb]

I was wondering if you were going to post about that haha.

Dude people are idiots bro.

Someone jumped our LDT right after I said that too! Woulda taken us right to EOS but they gave it to a night car.

Thinking of calling off tomorrow, I really don't wanna sit in this smoke again all day.

There's supposed to be a mountain range right there.

 

[Jambi]

Only one Ricky Rescue/Eager Beaver in class today. He came complete with camo belt pouches and a marked overconfidence.

For some reason what bother me the most is the girls and their low-cut tops...I mean, they're showing up for EMT class, what exactly did they think was going to happen?

 

[Jambi]

Rotation site: We've got that rotation open for these dates.
School: Sorry, that site is full.
Rotation site: Um... have them email me... it's open.
School: No really, it's full.

School: Dear students, please don't talk about the schedule at core hospitals, especially [hospital in question]. If you do, we'll deny the rotation automatically and, possibly, suspend you.


I'm really getting about this l__l close to recommending people stay away from my school. The shenanigans are getting to be too much.

Making waves and asking too many questions eh?

 

[Rhonda]

Dude people are idiots bro.

Someone jumped our LDT right after I said that too! Woulda taken us right to EOS but they gave it to a night car.

Thinking of calling off tomorrow, I really don't wanna sit in this smoke again all day.

There's supposed to be a mountain range right there.

I heard the smoke is getting bad back home.

 

[Akulahawk]

Rotation site: We've got that rotation open for these dates.
School: Sorry, that site is full.
Rotation site: Um... have them email me... it's open.
School: No really, it's full.

School: Dear students, please don't talk about the schedule at core hospitals, especially [hospital in question]. If you do, we'll deny the rotation automatically and, possibly, suspend you.


I'm really getting about this l__l close to recommending people stay away from my school. The shenanigans are getting to be too much.

 

[DesertMedic66]

Only one Ricky Rescue/Eager Beaver in class today. He came complete with camo belt pouches and a marked overconfidence.

For some reason what bother me the most is the girls and their low-cut tops...I mean, they're showing up for EMT class, what exactly did they think was going to happen?

Did he have a backboard in his car? haha

 

[Jambi]

Did he have a backboard in his car? haha

LOL I didn't get a chance to look...I don't doubt someone out there had at least a "jump kit" in their vehicle. Someone did refer to their car as a POV, and someone was already talking about how they had an "in" at some fire department and how him getting his class A CDL was a surefire way to get a fire job.

Of course all these people then promptly screwed up basic CPR after many assured us they had taken it recently.

So far par for the course.