the 100% directionless thread

Wheel said:
On another note, I feel like these future of EMS threads always go in circles. It starts out nice and optimistic and always ends with crap talking nurses. Shoot me.
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Halothane said:
Yeah, it's always those mean nurses "talking crap" that sends those conversations heading downhill.....:rofl:
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chaz90 said:
In this case, "crap talking nurses" seemed to be referring to people talking badly about nurses, not the other way around. At least that's how I read the initial post.
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Wheel said:
This. My post was admittedly poorly worded in this instance.
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My bad. I misunderstood.
 
I can happily report that we just did a system wide daily training on the Sgarbossa Criteria and recognizing AMI in LBBB and paced rhythms. Not that this shouldn't already have been covered by some kind of education at some point, but hopefully this means I won't have to hear another coworker jawing on about how we "can't see ischemia in LBBB." I'm just proud to see us using some of the fantastic resources that are available online to advance our standard of care :)
 
ImageUploadedByTapatalk1385086765.890397.jpg
It came in :)
 
chaz90 said:
I can happily report that we just did a system wide daily training on the Sgarbossa Criteria and recognizing AMI in LBBB and paced rhythms. Not that this shouldn't already have been covered by some kind of education at some point, but hopefully this means I won't have to hear another coworker jawing on about how we "can't see ischemia in LBBB." I'm just proud to see us using some of the fantastic resources that are available online to advance our standard of care :)
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Just as an FYI, we usually cover this at least once a year. Last year I taught the STEMI mimic con ed. (You may have seen the "cheat sheet" hanging up at 107.) It takes some repeat instruction to pound the message into some of the older medics. And anyone who says "we can't see ischemia in LBBB" shouldn't be working here.
 
Very nice, Transport. I'm a bit jealous :P

Another personal note (I suppose I should forewarn this by saying rant below), today has been all kinds of ups and downs. Mostly the 2nd one, ha.
Way to school to take my final for pharm, have a blowout. Damn. Change it, get there on time, get the test out of the way (got an 89% which is one of the ups) go back out to my car, won't crank... Really, now... Batteries dead. Go get a new one ($100 freakin dollars), try to put it in, positive bolt won't go into the terminal. Look at it, stripped out. Get a new one of those (least the auto store was only a 1/4 mile walk each way), put it back in. It goes in and the car cranks and fires up. Hallelujah (I am shocked I spelt that right on the first go).
Ready to go now, figure I'm well enough acquainted with this fella named Murphy that I don't need another introduction to him. Wrong. Subs won't play now, look at the sub and the output jack is melted down to a tasty looking piece of something that resembled the mess that I saw the one time I admin'd activated charcoal. Trace it back and the inline fuse fried during the battery install and and resulted in that.

I did not realize a single person could have so much bad luck in one damn day. Someone want to take a little off my hands for me?
 
least you passed your pharm test! If it also makes you feel better I passed PHTLS. Not as fancy and exciting as TJ's but still. A step in the right direction to get my medic!
 
FireWA1 said:
least you passed your pharm test! If it also makes you feel better I passed PHTLS. Not as fancy and exciting as TJ's but still. A step in the right direction to get my medic!
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True enough. That was a concern until today. So happy to be done with pharm.
Only thing that actually cost me money was the battery. Have the stuff to fix the output jack, tire was under warranty. Just it's a giant pain in the *** :sad:
 
TransportJockey said:
View attachment 1618
It came in :)
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So I changed my mind. I retract my statement about wanting you to come work and here and be my partner.... Cause we'll both click over to three years of experience right around the same time and I'd have to beat you out for a flight spot... :lol:


In all seriousness congratulations dude, you've been waiting for that darn certificate for a while now! Sorry if that joke sucked, the Lagunitas is flowing well.
 
9D4 said:
Very nice, Transport. I'm a bit jealous :P

Another personal note (I suppose I should forewarn this by saying rant below), today has been all kinds of ups and downs. Mostly the 2nd one, ha.
Way to school to take my final for pharm, have a blowout. Damn. Change it, get there on time, get the test out of the way (got an 89% which is one of the ups) go back out to my car, won't crank... Really, now... Batteries dead. Go get a new one ($100 freakin dollars), try to put it in, positive bolt won't go into the terminal. Look at it, stripped out. Get a new one of those (least the auto store was only a 1/4 mile walk each way), put it back in. It goes in and the car cranks and fires up. Hallelujah (I am shocked I spelt that right on the first go).
Ready to go now, figure I'm well enough acquainted with this fella named Murphy that I don't need another introduction to him. Wrong. Subs won't play now, look at the sub and the output jack is melted down to a tasty looking piece of something that resembled the mess that I saw the one time I admin'd activated charcoal. Trace it back and the inline fuse fried during the battery install and and resulted in that.

I did not realize a single person could have so much bad luck in one damn day. Someone want to take a little off my hands for me?
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I feel your pain.

Last week wife's car (Mazda CX7) threw 8 check engine codes and was running bad. Tracked it down to a bad O2 sensor. Ordered a sensor shipped next day from Rockauto for super cheap. Go to change it Tuesday and as it comes out it takes half the threads with it in the turbo down pipe. Get to researching and find out its normal for these Mazda turbo motors to destroy O2 sensor threads when removing them. Had to order a tap from Amazon shipped next day (love the Prime account) and fixed it between shifts yesterday. Annnnddddd I also found that one of the fluid filled motor mounts self destructed recently so that has to be replaced.

This car is getting sold next year.
 
Robb said:
So I changed my mind. I retract my statement about wanting you to come work and here and be my partner.... Cause we'll both click over to three years of experience right around the same time and I'd have to beat you out for a flight spot... :lol:


In all seriousness congratulations dude, you've been waiting for that darn certificate for a while now! Sorry if that joke sucked, the Lagunitas is flowing well.
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Thanks man! And lol it's still really tempting to move out that way. Even if I would beat you out for a flight spot. ;)
 
chaz90 said:
There's only ~3000 FP-Cs out there? That kinda surprises me. I guess EMS is kind of a small community when you get down to it.
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They do it alphabetically for each month. So I'm betting I'm currently the last number issued right now. But yea there's not many FPCs out there
 
Ugh, nothing like watching EMS action from the sidelines and just shaking my head.

Car accident happened twenty minutes ago. Driver has been walking around just fine, now they are backboarding her. Oh, and the entrance to ED is about 1,000 feet away.
 
Chimpie said:
Ugh, nothing like watching EMS action from the sidelines and just shaking my head.

Car accident happened twenty minutes ago. Driver has been walking around just fine, now they are backboarding her. Oh, and the entrance to ED is about 1,000 feet away.
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I hate back boarding pts, but unfortunately my county has a strict policy on immobilizing pts. Complain of pain above the clavicles and you bought yourself a board regardless of deficits or mechanism.
 
terrible one said:
I hate back boarding pts, but unfortunately my county has a strict policy on immobilizing pts. Complain of pain above the clavicles and you bought yourself a board regardless of deficits or mechanism.
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Really? Ugh... I'm glad our medical director is getting rid of spinal immob with the next protocol update.

Oh and:
https://www.youtube.com/watch?v=YzYxz_uvtSI
 
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terrible one said:
I hate back boarding pts, but unfortunately my county has a strict policy on immobilizing pts. Complain of pain above the clavicles and you bought yourself a board regardless of deficits or mechanism.
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I think the husband, who wasn't here when it happened, had the call stepped up to an accident w/ injuries. SMH
 
terrible one said:
Complain of pain above the clavicles and you bought yourself a board regardless of deficits or mechanism.
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That actually doesn't sound too unreasonable to me.

Perhaps not strictly evidence-based, but far better than what we used to do, which was to simply board E-V-E-R-Y-O-N-E.
 
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