the 100% directionless thread

Finally got to say "the patient was in the yard walking to the chow line" on a PCR today
 
EMT2015 said:
Santa Clara county....I think. I know for the most part I'll be going to the milpitas location.
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If I'm not mistaken Santa Clara County and Milpitas are two distinct divisions with in the R/M NorCal family.
 
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After 6 months of some brutal tests that really stretch my medical knowledge, that test was almost frustratingly simple and random fact based. Mixed in with a few med questions and some with acronyms I didn't recognize. I didn't get to flex my baby paramessiahness with medical knowledge.
:(

Can't believe I am disappointed in an easy test hahaha.
 
There isn't a more heart sinking feeling then the one I got last night. So we got a late call and cleared the hospital 20 minutes after we were supposed to get off and while driving back we heard the ominous voice of the dispatcher. M112 code 3 Del Webb. Crap I says as we start rolling to the call which was 15 minutes down the road. We ended up getting off 2 hours late and I had very lovely cold dinner. That is the true EMTLife.
 
Just thought I would throw this one in. This is my parking job. (Yes, bragging. :p) My rig is on the right.

20150516_181002.jpg
 
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Code with ROSC today. Ran like a registry mega code where nothiny made any sense. But we got rosc and he was dx with a saddle PE. He will walk out of the hospital
 
TransportJockey said:
Code with ROSC today. Ran like a registry mega code where nothiny made any sense. But we got rosc and he was dx with a saddle PE. He will walk out of the hospital
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Had a code the other night and the patient won't walk out of the hospital. The patient coded something like 4 times and we achieved ROSC each time. Unfortunately the patient's heart just wasn't able to keep going.
 
TransportJockey said:
Code with ROSC today. Ran like a registry mega code where nothiny made any sense. But we got rosc and he was dx with a saddle PE. He will walk out of the hospital
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Awesome!

I went to a really cool presentation at EMS Today regarding treatment of massive PE with emergent ED ECMO and open embolectomy. The physician making the presentation actually suffered from a large PE last year and ended up being treated in the same system and resources that he put in place. It makes me a bit disappointed that emergent ECMO is a long way away for any of our local facilities.
 
Chewy20 said:
Any good recommendations for a cardiology and respiratory book?
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Cardiology as in 12-lead, or general cardiology? And what kind of respiratory? Vent, or general physiology?
 
Chewy20 said:
Both general. College/paramedic level text.
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I'm not familiar with a cardiology or respiratory stand-alone book that doesn't go into way more depth than you need. You may as well get a general Human Physiology book, in which case my recommendation would be either Guyton and Hall's Medical Physiology (excellent, but very in depth), or Marieb's Human Physiology (not as overkill but still good).
 
Guyton & Hall's is good, it is many people's favorite. I prefer Medical Physiology - Principles for Clinical Medicine by Rhoades and Human Physiology - an Integrated Approach by Silverthorn. Ganong's Review of Medical Physiology is more concise than the others. There are actually lots of good phys texts out there.

For clinically oriented books, Marino's The ICU Book may have what you are looking for. Oxford Critical Care Handbook as well. Many anesthesia-oriented texts have really good sections on phys, pharm, cardiology, and pulmonology. Harrison's Pulmonary & Critical Care Medicine is outstanding, but very in depth and maybe hard to follow without already having a good background in pharm & phys.
 
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