the 100% directionless thread

Yep. But smaller ROM= more weight. That's probably one of the most exaggerated ones I've come across, though.. Can't really hate on her, though, because she's probably less than half my weight and still above my max :rolleyes: Maybe that's saying something? Lmao
 
Tigger said:
I don't know what to think about our protocols sometimes. Like it's 2013 and we just got IN administration (for any drug that could conceivably be given IN). Meanwhile we've been starting nitro drips without orders for like 12 years now.
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Our basics have had in Narcan forever and I just got pediatric in fent. But most of the drugs I would rather give iv. I have used in fent in little peds and I love it for that
 
22 runs? Sure, let me just grab some lube real quick...
 
Days like yesterday is why I can understand why people do drugs (including EtOH). Thank god it's over.
 
JPINFV said:
Days like yesterday is why I can understand why people do drugs (including EtOH). Thank god it's over.
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That is indeed the one redeeming quality about bad days. They invariably end. Sorry you had a rough day man.
 
JPINFV said:
Days like yesterday is why I can understand why people do drugs (including EtOH). Thank god it's over.
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The sad thing is, is I think Heroin is cheaper (unless you're buying plastic bottle booze labeled "Booze") and has few long-term side effects.

Interesting note: My last opiate addict patient told me that he can score a typical dose for about $10 and he can get clean syringes for free. And in case anyone wants to know, he didn't have chest pain, nor was he asking for pain meds. He had asthma and didn't have his inhaler...because he spent all his money on heroin. anyways...just thought I'd say that.
 
Jambi said:
The sad thing is, is I think Heroin is cheaper (unless you're buying plastic bottle booze labeled "Booze") and has few long-term side effects.

Interesting note: My last opiate addict patient told me that he can score a typical dose for about $10 and he can get clean syringes for free. And in case anyone wants to know, he didn't have chest pain, nor was he asking for pain meds. He had asthma and didn't have his inhaler...because he spent all his money on heroin. anyways...just thought I'd say that.
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That guy has his priorities right.
 
TransportJockey said:
Our basics have had in Narcan forever and I just got pediatric in fent. But most of the drugs I would rather give iv. I have used in fent in little peds and I love it for that
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I was just more commenting on how some of our protocols are super liberal and help our people treat patients with a variety of treatment options. Given that it seemed odd that an entire medication route was left out out for several years.

I have heard that it has limitations but it would have been a nice option a few times. I'd like to see it used in an injured but hemodynamically stable patient in a TA or what not. My last femur fracture didn't need extrication but neither the medic or I could get an IV and the IM fent wasn't very effective.
 
Lost in Canada lol didn't think I would loose cell service. Finally found wi-fi
 
Tigger said:
I was just more commenting on how some of our protocols are super liberal and help our people treat patients with a variety of treatment options. Given that it seemed odd that an entire medication route was left out out for several years.

I have heard that it has limitations but it would have been a nice option a few times. I'd like to see it used in an injured but hemodynamically stable patient in a TA or what not. My last femur fracture didn't need extrication but neither the medic or I could get an IV and the IM fent wasn't very effective.
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I know this comes up repeatedly, but here's my two cents on it. I love IN for cooperative patients. Fentanyl seems to work well since they want the medication and can follow your instructions fairly well (IE, not sneeze it back all over you). IN Versed for sedation or seizure? Not as awesome, particularly since I'd have to have my hand close to the combative patient's mouth. I've had good experience with IN Narcan, but it takes far longer and we often grow impatient. I find myself using IN most of the time as a "hold over" route until I place an IV. For example, I'll give a little bit of IN Fentanyl prior to moving the old lady, then finish with IV Fentanyl in the ambulance, or a touch of IN Narcan as my partner grabs a line. For Versed, I just go IM and don't bother with any other nonsense.
 
Well......get a legit stroke run as a student. Well in the time frame. Assessed, IV, monitor, bgl, and leaving scene within 10 minutes.


Truck died and stayed dead.


Still counts
 
chaz90 said:
I know this comes up repeatedly, but here's my two cents on it. I love IN for cooperative patients. Fentanyl seems to work well since they want the medication and can follow your instructions fairly well (IE, not sneeze it back all over you). IN Versed for sedation or seizure? Not as awesome, particularly since I'd have to have my hand close to the combative patient's mouth. I've had good experience with IN Narcan, but it takes far longer and we often grow impatient. I find myself using IN most of the time as a "hold over" route until I place an IV. For example, I'll give a little bit of IN Fentanyl prior to moving the old lady, then finish with IV Fentanyl in the ambulance, or a touch of IN Narcan as my partner grabs a line. For Versed, I just go IM and don't bother with any other nonsense.
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The "hold over" approach describes why I'm happy we now have it. A femur fracture patient is going to get an IV most likely. But in a cold day I would l rather get them to the truck and start a complete assessment rather than do it in the car. Better lighting and easier access as well as the ability for both of the crew to work simultaneously on the patient is an upgrade.
 
Almost got caught in a drive by shooting tonight. Oh the joys of downtown Saint Louis.

For future reference if a guy comes running down the street yelling "Grab my Banger" it is probably a good idea to walk briskly, jog, or straight up run in the opposite direction.
 
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Chase said:
Almost got caught in a drive by shooting tonight. Oh the joys of downtown Saint Louis.

For future reference if a guy comes running down the street yelling "Grab my Banger" it is probably a good idea to walk briskly, jog, or straight up run in the opposite direction.
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Holy crap! :eek:
 
My friend's sister was beheaded in St Louis.
 
Chase said:
Almost got caught in a drive by shooting tonight. Oh the joys of downtown Saint Louis.

For future reference if a guy comes running down the street yelling "Grab my Banger" it is probably a good idea to walk briskly, jog, or straight up run in the opposite direction.
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I miss living in STL. I had a house in Tower Grove, then a condo in Soulard. It was awesome watching the fights and other craziness.

If they had a third service EMS agency like where I am now, I'd move back in a second. I loved it there.
 
Next healthcare provider that uses the phrase "O2 Stats" in front of me will be directly responsible if my head explodes.
 
chaz90 said:
Next healthcare provider that uses the phrase "O2 Stats" in front of me will be directly responsible if my head explodes.
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I sent a message to an EMT not to long ago and I mentioned a patient's SpO2 and he didn't even know what that was. I have feeling he's probably one of the ones that says "stats" haha
 
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