the 100% directionless thread

[ViolynEMT]

I wasn't thinking something as drastic as a splint. I passed all the fit and lift tests with flying colors. I was just thinking proactively.

 

[Akulahawk]

Just found out that my first cardiac arrest patient ever as a medic was discharged home with no lasting disabilities and full able to take care of himself.

That's pretty awesome!

 

[NomadicMedic]

That's would be a great question for whoever heads up employee health for your department. They may have a recommendation or exercises to strengthen your weak points.

 

[Ewok Jerky]

When we got to the ED, I thought he had a bleed and was herniating.

We came back about 6hrs later and the nurse pulled us aside. He had an ischemic bowel that perf'd, causing acute peritonitis and sepsis. He had a lactate of 13.7mg/dl.

Not going to catch that one easily without a portable CT in the back of the truck.

EDIT: and I would have thought it was a bleed too.

 

[Ewok Jerky]

Does anyone have suggestions for wrist supports? Does anyone use them on the job?

If its a UCL sprain a wrist support won't help. Look into an unloader elbow brace.

 

[Kate22]

Three weeks on the job and I'm injured and on light duty.

Ouch. Feel better soon, love.

 

[Angel]

so...i thought i wanted to do fire for a long time...idk if thats for me...not now anyway, i really want to accomplish my goal of being a PA...if everything works out, i should be able to go back to uni in the spring...

 

[Chewy20]

When we got to the ED, I thought he had a bleed and was herniating.

We came back about 6hrs later and the nurse pulled us aside. He had an ischemic bowel that perf'd, causing acute peritonitis and sepsis. He had a lactate of 13.7mg/dl.

We just got lactate monitors (same thing as a d-stick), so if they are symptomatic, and have a lactate of over a "4" we are supposed to call a "sepsis alert" to the hospital so they can get antibiotics going, in under an hour.

Hospital already had this type of thing in place, now moving it out into the field. We will see how it works.

 

[STXmedic]

We just got lactate monitors (same thing as a d-stick), so if they are symptomatic, and have a lactate of over a "4" we are supposed to call a "sepsis alert" to the hospital so they can get antibiotics going, in under an hour.

Hospital already had this type of thing in place, now moving it out into the field. We will see how it works.

We've talked about getting them, but it got put on the back burner. Especially with the new things we're working on- I don't think they want to overload our guys..... Not hard to do for some...

 

[chaz90]

We just got lactate monitors (same thing as a d-stick), so if they are symptomatic, and have a lactate of over a "4" we are supposed to call a "sepsis alert" to the hospital so they can get antibiotics going, in under an hour.

Hospital already had this type of thing in place, now moving it out into the field. We will see how it works.

What one are you using? We're using the LactatePRO, but they're out of production at this point. They're still producing our strips fortunately. It's very difficult to find a strip based POC lactate meter approved for medical use by the FDA...

 

[Kate22]

so...i thought i wanted to do fire for a long time...idk if thats for me...not now anyway, i really want to accomplish my goal of being a PA...if everything works out, i should be able to go back to uni in the spring...

Good for you, man. Good luck. Are you thinking EM PA? Different specialty?

 

[Jim37F]

So I failed both the LA County FD written test and my San Diego FD oral interview.....but on the flip side was invited to turn in my resume to Long Beach FD today, complete with a whole orientation. They're taking 450 of us to interviews for a little less than 30 to start Drill School in January so I still got some hope after all lol

 

[Angel]

Good for you, man. Good luck. Are you thinking EM PA? Different specialty?

maybe surgery...im not 100% sure of the role of a PA in surgery, i just know (and youre gonna think im crazy) in HS when we dissected cats, it was a lot of fun...college we only did prosections and that was fine too, but something about looking inside the body is interesting for me.

 

[PotatoMedic]

maybe surgery...im not 100% sure of the role of a PA in surgery, i just know (and youre gonna think im crazy) in HS when we dissected cats, it was a lot of fun...college we only did prosections and that was fine too, but something about looking inside the body is interesting for me.

Coroner!

 

[Flying]

Hm, I forgot that carbonates form co2 when mixed with acid. The **** organic chemistry class does to you.

The test I thought was golden, isn't.

 

[Tigger]

What one are you using? We're using the LactatePRO, but they're out of production at this point. They're still producing our strips fortunately. It's very difficult to find a strip based POC lactate meter approved for medical use by the FDA...

I want lactate monitors but we have also run into this issue.

 

[Chewy20]

What one are you using? We're using the LactatePRO, but they're out of production at this point. They're still producing our strips fortunately. It's very difficult to find a strip based POC lactate meter approved for medical use by the FDA...

Not sure, but LactatePro sounds familiar. They have not hit the trucks yet. Only put my hands on them in CE a couple weeks ago.

 

[PotatoMedic]

Applying to possibly my dream paramedic job in Washington state. Doubt I'll get it since im not even done with school yet (6 weeks!) but going to try anyways!

 

[Aprz]

Weren't you guys talking about Super Trooper a couple of weeks ago? It's on Netflix.

 

[Ewok Jerky]

I think there is a surgical PA here in the forum if you have any questions.

*cough cough*