the 100% directionless thread

So glad today is now over... long day, good learning experience with hyperK with a great outcome.
 
Amazing how I have almost zero interest in anything EMS related these days. It's the same old thing, day after day.

And yeah, I still work PRN, but the low level crap just wears me out.
 
DesertMedic66 said:
Glitter everywhere!! Haha
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Haha it wasn't that bad, but then again it was a night so you couldn't really see all of it. I guess we'll see just how much glitter your partner threw in the ambulance when I come on tonight haha.
 
CALEMT said:
Haha it wasn't that bad, but then again it was a night so you couldn't really see all of it. I guess we'll see just how much glitter your partner threw in the ambulance when I come on tonight haha.
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She nailed me with a whole bottle of the glitter last night. Good thing we didn't get a call, would have shown up on scene looking fabulous
 
DesertMedic66 said:
She nailed me with a whole bottle of the glitter last night. Good thing we didn't get a call, would have shown up on scene looking fabulous
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Haha. When your partner jumper through my window I was kinda out of it and it took a second to register in my head that someone was crawling through my window. I was like WTF is going on, then it registered... oh Desert's crazy *** partner has infiltrated our ambulance.
 
CALEMT said:
Haha. When your partner jumper through my window I was kinda out of it and it took a second to register in my head that someone was crawling through my window. I was like WTF is going on, then it registered... oh Desert's crazy *** partner has infiltrated our ambulance.
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I prefer the word penetrated to infiltrated, personally. ;):p
 
CALEMT said:
Haha. When your partner jumper through my window I was kinda out of it and it took a second to register in my head that someone was crawling through my window. I was like WTF is going on, then it registered... oh Desert's crazy *** partner has infiltrated our ambulance.
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You guys should have drove off with her still hanging in the window. I could have done with an early end of shift haha
 
DesertMedic66 said:
You guys should have drove off with her still hanging in the window. I could have done with an early end of shift haha
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Dude, I was considering it haha. I was thinking she's crazy to jump through a window with me in the drivers seat cause I'll take off haha.
 
I'm going to my first NFL football game that I don't have to work at today!!!!!! WOOHOO!!!!!! Go Niners! :)
 
I love the Falcons. #RiseUp #Quinning
 
Anyone know about ways to boost cell phone signal? Last time I was at Best Buy I remember seeing a kit thing that looked like an extra flat antenna you attached inside the phone case....but a quick Google search shows more like big repeaters and the like that are completely separate hardware. I kinda have my doubts about those little ones I saw but don't want to spend 200 bucks just to ensure cell coverage in my bedroom haha
 
So at our interventional stroke center we are completely bypassing the ED and going directly to CT if the patient is under an 8 hour time frame from time of onset. So the time from wheels stopped to CT scan is just a matter of minutes.

There is also rumors of us bypassing the ED and going directly to cath lab for STEMI patients.
 
DesertMedic66 said:
So at our interventional stroke center we are completely bypassing the ED and going directly to CT if the patient is under an 8 hour time frame from time of onset. So the time from wheels stopped to CT scan is just a matter of minutes.

There is also rumors of us bypassing the ED and going directly to cath lab for STEMI patients.
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I've heard we may start doing the same thing here....last Code Stroke we called the MD asked us if we wanted to wheel the patient directly to CT on our gurney, but they were a bit uncomfortable doing that, not 100% sure exactly why, but the doc was fine with taking the patient to CT on the hospital bed as soon as we moved her over so (at least to me) it didn't look like any great delay more than a min or two.

I've personally taken two STEMI patients directly to the cath lab....but both of those were STEMI transfers from the one hospital to the other where everything was set up and waiting (I guess there's a certain time limit on when our hospital will call us, the FD, instead of a private if they have an extended ETA)
 
Jim37F said:
I've heard we may start doing the same thing here....last Code Stroke we called the MD asked us if we wanted to wheel the patient directly to CT on our gurney, but they were a bit uncomfortable doing that, not 100% sure exactly why, but the doc was fine with taking the patient to CT on the hospital bed as soon as we moved her over so (at least to me) it didn't look like any great delay more than a min or two.

I've personally taken two STEMI patients directly to the cath lab....but both of those were STEMI transfers from the one hospital to the other where everything was set up and waiting (I guess there's a certain time limit on when our hospital will call us, the FD, instead of a private if they have an extended ETA)
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I've taken STEMI transfers directly to the cath lab. For us it will be directly from the field. The paramedic identifies a STEMI, transmits the 12-lead to the ED, and draws labs in the field so as we are walking to the cath lab they are testing bloods.

From the cath lab the patient will go directly to ICU so in a sense the patient never sees the E .
 
We routinely take stroke alert patients directly to CT on our stretcher at one of our receiving hospitals. Not so much at the other ones.

We took STEMIs to the cath lab pretty frequently in CO, but only do that at our largest local facility here when they're in a good mood and the moon cycle is right.

Now I take both of those and raise you Trauma 10. It's a designated OR at St. Anthony's Central in Denver that takes critically injured trauma patients directly to the OR from the field. I have no idea what their criteria is for usage but imagine it must be pretty narrow. I admit, I never saw this one in action, but know they love to publicize it.
 
Seems like we don't take anyone but the ED in the Springs unless it's a transfer. We can't transmit our 12 leads so they won't let us go upstairs until they get their own, even if we walk in with one that was printed pulling in. We also don't typically draw blood as our transport times are fairly long. Working a city ambulance, if the stars align we'll go upstairs but even then...

Most of the time a tourniquet application means the crew takes the patient straight to the OR, but that's rare.
 
So last night was the most amazing shift I've ever had (1900-0700). Parked the rig at one of our comfort stations at 2000 and didn't move till 0615. No post moves, no calls, and slept a good part of the night. A true no hitter.
 
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