the 100% directionless thread

30 hrs of CE's down 14 more to go, plus a refresher class that ends a couple weeks before my NREMT expires. Looks like I'll be cutting it close.
 
TransportJockey said:
Never underestimate being persistent when it comes to looking for work. I surprised PHI because I stopped by the local office to ask about my pending application. They seemed impressed I was willing to put the leg work in
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Don't like PECOS anymore?
 
Traffic needs to be placed on a 5150 hold and referred to a psych center because it is certifiably insane >(

Side note, got gas for $2.27/gal at a local Arco (Only to drive by one that was $2.25/gal, but since my guage was just about sitting on the "E" peg I'm fine with that lol)

My sister has a 2012 VW Jetta TDI diesel, she gets something like 50 mpg, makes me jealous, when I get that fire job I'll be seriously looking into buying me a Ram Eco-diesel, that's pushing 30mpg (well according to Ram, but that's still a darn sight better than my ~17mpg right now)

Speaking of coveted fire jobs, I know its far from being the unicorn job for most other people on this board, but I'm stoked, LACoFD apps opened today, time to fill mine out :)
 
Was a few days ago (sunday). First significant auto-ped I
Jim37F said:
Traffic needs to be placed on a 5150 hold and referred to a psych center because it is certifiably insane >(

Side note, got gas for $2.27/gal at a local Arco (Only to drive by one that was $2.25/gal, but since my guage was just about sitting on the "E" peg I'm fine with that lol)

My sister has a 2012 VW Jetta TDI diesel, she gets something like 50 mpg, makes me jealous, when I get that fire job I'll be seriously looking into buying me a Ram Eco-diesel, that's pushing 30mpg (well according to Ram, but that's still a darn sight better than my ~17mpg right now)

Speaking of coveted fire jobs, I know its far from being the unicorn job for most other people on this board, but I'm stoked, LACoFD apps opened today, time to fill mine out :)
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Cant beat the pay
 
ive all but given up on fire jobs. i dont necessarily want to be a FF but they pay and benefits would be nice.
in other news. i think i want a boyfriend. not really sure how to find one. too bad i cant pick one up at the store.
 
Angel said:
ive all but given up on fire jobs. i dont necessarily want to be a FF but they pay and benefits would be nice.
in other news. i think i want a boyfriend. not really sure how to find one. too bad i cant pick one up at the store.
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farmersonly.com
 
Had a motorcycle vs. motorcycle head on accident on Monday. One red patient and one green. First time in my career that I've had someone go from GCS 15 to dead on me. We were about 45-50 minutes by ground with two patients and HEMS was 15 minutes to landing from when we arrived on scene. I chose to fly the red due to the nearest second-in ground unit being 25 minutes out. In the 15 minutes I was with him he went from a GCS of 15 to a GCS of 9 (4/2/3). He was tachy but not horrible at 110 bpm, only had a carotid the entire time though. Myself, the fire medic and my partner all tried multiple times to get manual BPs on him without success, couldn't get a SpO2 off him but he had no outward signs of cyanosis. HEMS RSI'd him in the back of my rig which took about another 10 minutes from them making contact to having the tube secured. Then as we were loading him into the helicopter his EtCO2 dropped from ~40 to 15 and he never came back. They flew him and the TC pronounced him shortly after arrival.

It was ugly, had a open distal femur fx on the right, the let leg was basically jelly from the knee down but was closed, soft belly, equal lung sounds bilaterally but had sub-q air posteriorly on his left side. Other than that his physical exam was unremarkable. The only thing I can think of is I missed something on his head and he had a closed head injury since when his GCS dropped he was dilated at ~7mm bilaterally or he had an aortic tear that let go. Been nagging at me, I knew what he needed but no matter how much I wanted do it for him I couldn't and we couldn't get him to where he needed to be fast enough. Had dealt with it and reconciled with myself until today when I found out he was one of my friend's close friends and he asked me about it. He wanted to know what happened but I told him I didn't want to tell him.

I know that there was nothing more I could've done for him. I mean we had his legs stabilized, had him in spinal motion restriction (I really don't want to argue about it, no way around it with my protocols in this situation), had a 16g IV and a patent airway. Was all set up for HEMS to hop in the back, tube him and send him off but when I found out he was close to someone I'm friends with it made me second guess absolutely everything I did.

In other news I get my first new-hire Paramedic as an FTO on Tuesday. Kind of daunting but I'm looking forward to it.
 
CALEMT said:
WD40 to make it go, duct tape to make it stop.
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I just noticed your tagline....reminds me of this:
corpsman broken leg not a problem.jpeg
 
That sounds intense. I cant think of anything I would've done differently if I was in your shoes. You did all you could so be proud of that.
GL with the new hire.
 
Handsome Robb said:
Had a motorcycle vs. motorcycle head on accident on Monday. One red patient and one green. First time in my career that I've had someone go from GCS 15 to dead on me. We were about 45-50 minutes by ground with two patients and HEMS was 15 minutes to landing from when we arrived on scene. I chose to fly the red due to the nearest second-in ground unit being 25 minutes out. In the 15 minutes I was with him he went from a GCS of 15 to a GCS of 9 (4/2/3). He was tachy but not horrible at 110 bpm, only had a carotid the entire time though. Myself, the fire medic and my partner all tried multiple times to get manual BPs on him without success, couldn't get a SpO2 off him but he had no outward signs of cyanosis. HEMS RSI'd him in the back of my rig which took about another 10 minutes from them making contact to having the tube secured. Then as we were loading him into the helicopter his EtCO2 dropped from ~40 to 15 and he never came back. They flew him and the TC pronounced him shortly after arrival.

It was ugly, had a open distal femur fx on the right, the let leg was basically jelly from the knee down but was closed, soft belly, equal lung sounds bilaterally but had sub-q air posteriorly on his left side. Other than that his physical exam was unremarkable. The only thing I can think of is I missed something on his head and he had a closed head injury since when his GCS dropped he was dilated at ~7mm bilaterally or he had an aortic tear that let go. Been nagging at me, I knew what he needed but no matter how much I wanted do it for him I couldn't and we couldn't get him to where he needed to be fast enough. Had dealt with it and reconciled with myself until today when I found out he was one of my friend's close friends and he asked me about it. He wanted to know what happened but I told him I didn't want to tell him.

I know that there was nothing more I could've done for him. I mean we had his legs stabilized, had him in spinal motion restriction (I really don't want to argue about it, no way around it with my protocols in this situation), had a 16g IV and a patent airway. Was all set up for HEMS to hop in the back, tube him and send him off but when I found out he was close to someone I'm friends with it made me second guess absolutely everything I did.

In other news I get my first new-hire Paramedic as an FTO on Tuesday. Kind of daunting but I'm looking forward to it.
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Sorry, man.

You gave that patient your best and you know as well as anyone else how it goes on trauma like that.
 
Angel said:
in other news. i think i want a boyfriend. not really sure how to find one. too bad i cant pick one up at the store.
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I wish it was that easy to find girls too... Definitely haven't been having the best of luck as of late.
 
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