the 100% directionless thread

CALEMT said:
Only if you let me drink Guinness on cinco de drinko... I mean mayo ;)
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Absolutely, Cinco Del Drinko! My people don't care:). Have you not been to one of our parties?
 
Jim37F said:
Well then.....so we got a bed within a couple min of that post (yay), cleared, stopped and got chow (Waba Grill ftw lol) and enroute back to station, got called for a full arrest....DOA, decomposing in packrat conditions.....cleared, enroute to station again called for a person choking, got on scene, they spat up the chunk of potato and were fine now, cleared, finally got back to station and started eating. I had just enough time to ascertain that my laptop opened up the file I'm trying to open on my phone perfectly fine when we got called out again. This time for a reported diabetic who hadn't eaten all day and had collapsed. Well it was in the far south end of our district, so while we didn't dilly dally (still made the ETA) we didn't exactly fly out through traffic either expecting ALS fire to have given them some D50 and signed AMA before we got there....how little we knew..

Arrived at the supermarked, found fire and the patient who was sprawled supine on the ground, walked up just in time to hear fire say "did he just code? He just coded....put him on the pads....yup start CPR". Well then. so we work the arrest, got ROSC after a few minutes (less than 20 min to calling on scene to calling transporting per pager), transported 5 min to the nearby hospital that's a STEMI and Level 1. Story from fire is that they were talking to the guy on scene, he was supposedly A&Ox3, GCS 15 when he had a seizure in front of them, was postictal, and then they noticed he started going agonal on the breathing, and thats when we walked up when he had just gone into arrest. He re-arrested enroute, did transfer of care with CPR still ongoing......as driver I cleaned and redressed the gurney and back of the ambulance, went back and found my partner in the resucitation room, Pt had ROSC again, basically they had asked her to keep a continuous carotid check while the Doc was getting in some sort of femoral line involving a wire (I'm sure y'all ALS peeps know what I'm talking about better than I do on that lol) I took over the carotid check so my partner could start our paperwork....and they guy went into V-Tach, they shocked and we helped out the EMT Techs cycling through CPR for what felt like 45 more min while the hospital worked the code, pt was in persistant V-Tach...shocked him at least 6 times...they finally called it so we finished cleaning up and went back out to the rig, had just gone available over the radio when one of the techs knocked on our window, they were working the guy again, went back inside, and he had ROSC!

And I'm only 12 hours into a 48 this weekend....
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@Jim37F well if makes you feel better I spent all day phone watching waiting for AMR emails.... Totally out of my hands now and was told yesterday anytime between now and two weeks from now most likely..... Unemployment was fun for about two weeks lol
 
Fido198674 said:
@Jim37F well if makes you feel better I spent all day phone watching waiting for AMR emails.... Totally out of my hands now and was told yesterday anytime between now and two weeks from now most likely..... Unemployment was fun for about two weeks lol
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You have an android phone so you will probably never receive the email...
 
So apparently my cloud today has a bit of rain to it as weel, because after that cardiac arrest earlier we just used our Sager traction splint for the first time in like ever lol
 
@Jim37F at least you have the Sager! We have Hare, which is a pain in the behind.


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Yeah, the Sager worked great! Put it on straightforward (trying to remember how at 4 in the morning lol), pulled traction, pt said she got relief, rated a 5/10 afterwards, the guage still showed 15 at transfer of care so yeah, it worked nicely
 
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So we started off our shift with a 4 car tc cut and rescue. Our patient was in his 60's had legit neuro defects and was pretty much a limp noodle from the head down. Partner also noted step offs, so that started off our day.
 
Every call I've run today would have better served by a community paramedic. Nothing of any urgency, but a lot of wasted EMS resources and ED time for stuff that needed a visiting nurse, social services or a case worker. These folks didn't need EMS, they needed a social support framework that just doesn't exist where I am. So, we haul 'em 40 miles away to sit in the ED. Frustrating.
 
NomadicMedic said:
Every call I've run today would have better served by a community paramedic. Nothing of any urgency, but a lot of wasted EMS resources and ED time for stuff that needed a visiting nurse, social services or a case worker. These folks didn't need EMS, they needed a social support framework that just doesn't exist where I am. So, we haul 'em 40 miles away to sit in the ED. Frustrating.
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Community Paramedicine is starting to pick up steam in my area.


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Im working the slow station. 8 hours down and ive napped, watched 3 movies, and cleaned one of the gas tanks for my truck

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