the 100% directionless thread

Miller guy
 
DesertEMT66 said:
3amuqu6e.jpg


Got to have a way of laughing during medic school
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The guy standing works in my division....
 
Tigger said:
He lost the right to take the lead on assessments when we show up on scene together with that one. I didn't. notice what he was doing since I was starting an IV and my medic partner was talking to family. Learned a lesson on that one.
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Yeah not to mention he gave a drug that wasn't called for in a patient who said they didn't want any meds. I would have been very upset.
 
Easy 7hr round trip CCT at the beginning of the shift. Sure!! Out of the loop and unusable.
 
odd day,,

first I'm dayshift.. That rarely happens I hide in the shadows of the night.. :ph34r:

Then I find out when I go for my usual coffee run, that the girl that's been serving me has had a thing for me for months. never said nothing, and now she's prego. At least I can say not mine, but so much for pursuing that endeavor lol..
 
My standard pre-op cocktail is "2 and 2", that is, 2cc of versed and 2cc of fentanyl mixed in a 5cc syringe. I use this for pretty much every patient and every procedure. I usually give it as we are rolling from pre-op to the OR and it normally results in a calm and drowsy but alert patient who is breathing fine and is able to move themselves to the OR table, but goes to sleep easily on <20cc of prop.

This morning however, I had two consecutive patients go completely apneic after that premedication. One was a healthy 6'2", 200# male in his early 40's, and the second was a 360# female, otherwise healthy in her early 30's. Both were ambulatory patients having minor outpatient ortho procedures. The girl came back pretty quick but the dude didn't start breathing again until about 45 minutes after the dosing, nearing the end of the procedure.

You expect to see an anomalous response like that once in a while, but two in a row? On a Friday morning, no less? Geez Louise.
 
Halothane said:
My standard pre-op cocktail is "2 and 2", that is, 2cc of versed and 2cc of fentanyl mixed in a 5cc syringe. I use this for pretty much every patient and every procedure. I usually give it as we are rolling from pre-op to the OR and it normally results in a calm and drowsy but alert patient who is breathing fine and is able to move themselves to the OR table, but goes to sleep easily on <20cc of prop.



This morning however, I had two consecutive patients go completely apneic after that premedication. One was a healthy 6'2", 200# male in his early 40's, and the second was a 360# female, otherwise healthy in her early 30's. Both were ambulatory patients having minor outpatient ortho procedures. The girl came back pretty quick but the dude didn't start breathing again until about 45 minutes after the dosing, nearing the end of the procedure.



You expect to see an anomalous response like that once in a while, but two in a row? On a Friday morning, no less? Geez Louise.
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I hear two CCs of versed and think 10mg. I'm guessing that's not the case lol.

Sounds like a rough Friday that's for sure.
 
Robb said:
I hear two CCs of versed and think 10mg. I'm guessing that's not the case lol.

Sounds like a rough Friday that's for sure.
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I shouldn't refer to versed in cc's because unlike fentanyl, I know it comes in different concentrations, but everywhere I've done clinical it's always been 1:1 so I've gotten in the habit of saying "2 cc's".

It was actually pretty amusing. The first one we were all like "Huh, what's up with that?" and were joking about it as we moved him from the gurney to the OR table and I masked him as the OR nurse placed the monitors for me.

The second time it was really humorous, nobody could believe it.

An interesting aside: as the OR nurse and me started to wheel the female from pre-op, I went to give the drugs. The OR nurse looked at me and sternly shook her head "no". I was a little confused because I had no idea why she did that, but respecting her experience, I figured she must have had a reason for not wanting me to give it. So instead, I waited and gave it after the pt was on the OR table, that's when she quickly stopped breathing. Anyway, after induction I asked her why she didn't want me to give it....she laughed and said "are you kidding me? there's no way I was gonna take any chance on that big girl not being able to move herself over" - which is unlikely, but exactly what would have happened for the second time in a row.

It was pretty funny if you were there. We are easily amused at the end of a very busy week.
 
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Halothane said:
I shouldn't refer to versed in cc's because unlike fentanyl, I know it comes in different concentrations, but everywhere I've done clinical it's always been 1:1 so I've gotten in the habit of saying "2 cc's".



It was actually pretty amusing. The first one we were all like "Huh, what's up with that?" and were joking about it as we moved him from the gurney to the OR table and I masked him as the OR nurse placed the monitors for me.



The second time it was really humorous, nobody could believe it.



As an interesting aside, as the OR nurse and me started to wheel the female from pre-op, I went to give the drugs. The OR nurse looked at me and sternly shook her head "no". I was a little confused because I had no idea why she did that, but respecting her experience, I figured she must have had a reason for not wanting me to give it. So instead, I waited and gave it after the pt was on the OR table, that's when she quickly stopped breathing. Anyway, after induction I asked her why she didn't want me to give it....she laughed and said "are you kidding me? there's no way I was gonna take any chance on that big girl not being able to move herself over". It was pretty funny if you were there. We are easily amused at the end of a very busy week.
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That is pretty good hahaha. She saved your back!
 
Note to self: bouncing off the side of the C-130 on exit during a parachute jump is a bad idea. So is doing a somersault on landing
 
Wheel said:
Yeah not to mention he gave a drug that wasn't called for in a patient who said they didn't want any meds. I would have been very upset.
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Agreed.

I would have had a firm chat with him, then his preceptor, then his preceptor's captain then I would've written it up and given it to my Supe.

The patient has every right to refuse medications.
 
Robb said:
Agreed.

I would have had a firm chat with him, then his preceptor, then his preceptor's captain then I would've written it up and given it to my Supe.

The patient has every right to refuse medications.
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The patient did say ok when he said well I think you should have some zofran so there's that. My partners dealing with it.
 
PHTLS today and tomorrow. Shoot me.
 
I'm out of here for a while.
 
Ciao...
 
STXmedic said:
PHTLS today and tomorrow. Shoot me.
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Boring book. Test is not as hard as you think. Study hemorrhages and know the differences between them.
 
FireWA1 said:
Boring book. Test is not as hard as you think. Study hemorrhages and know the differences between them.
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Oh, I'm not worried. I actually teach PHTLS; I was just a dumbass and didn't realize my PHTLS provider card expired. Downside to having the city "manage" and track your certs.
 
Ha! That's funny. One would think if you teach it you know it.
 
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