Discussion in 'EMS Lounge' started by KEVD18, Dec 11, 2008.
@CALEMT , y'all have cardizem in CA?
That sounds like a great way to introduce myself to the ED night shift crews once I make the switch in a week.
I wish. No this was my clinical rotations for paramedic school.
Just remember that it's never, ever appropriate to practice this technique on a dispatcher... especially one that doesn't need pacing or is your dispatcher.
While going over one of the cardiac lectures in our class, they talked about Commotio cordis and asked the one guy in our class who was a former medic if he'd ever done a precordial thump. Apparently during one of his hospital clinicals their was a Pt in the ER that would go into sustained runs of ....V-tach or Fib I think? (I forget exactly) and they found that the Pt would convert back to sinus with a precordial thump, so our former medic got assigned to watch over the patient and give them a whack every time they went into the rythm....guy said he gave like 17 or 18 whacks before all was said and done...
Nickname is now "Thumper."
One of my Paramedic instructors had a patient that kept going into either VT or VF (I forget which) and this was back in the days of the paddles. He saw the patient "go out" and saw the arrythmia on the machine and promptly thumped the patient, which converted the rhythm back to a sinus rhythm. Apparently it took too long to pull out the paddles, charge, lube, and spark... thus leading to "the thump." This patient repeatedly kept going back to the arrythmia and because it was so easy to convert back to the sinus rhythm, a precordial thump was performed each time, to the tune of >20 thumps throughout his entire contact with the patient.
Another patient of his was sedated and paced, but that's another story for another time.
guess who delivered a baby today.... this guy!
I'll take cookies n cream, a quart will be sufficient. Congrats, hope it wasn't in the ambulance. Deliveries can be very messy.
Literally the only bucket list call I have. I would pass on so many of the "cool", incredibly rare interventions we could do if I had to choose between that or a delivery. I'm jealous, but congrats dude! That's awesome.
was certainly an experience. i think the mom was joking, she was scheduled for a C-Section(which worried me immensely), and went into labor, asked if i was going to do it in the middle of the establishment we were at. (spork in one hand, napkin in the other lol)
Make sure you get the good, name brand stuff, not the cheap store brand gallon at the bottom of the freezer....
Funny because that was literally our lecture today in class was childbirth
and I'm kinda glad I have never pulled up to the hospital with more patients than what I loaded in on scene lol
I should clarify, I don't want tiny humans entering the world IN the ambulance. Preferably carried to the ambulance with most of the messiness still on scene. Although I would still grudgingly take the former. I just think it would be cool since it is one of the rare things we do that (usually) has a good outcome and isn't a bad life event that we get called for.
Meanwhile, this just happened to me:
a nice new spiderweb pattern in my windshield, curteousy of some chunk of I-don't-know debris flew up and hit me whilst driving 60mph down the H1 freeway....I literally had an "Oh Shi...!" moment and ducked when I saw it ha
I had a rock crack my windshield in the bottom left corner that slowly traveled to the top right corner of my windshield.
When I lived in Washington I replaced my windshield 4 times, thanks to the cinders WADOT put down on I90 over the pass when it snowed.
Next time it happens, dremel a slightly wider indentation at the outer end of the crack and fill it with SuperGlue. That’ll stop the crack from traveling and save you the trouble of buying a new windshield (and a potential citation).
I'm out of the loop when it comes to CPR education. Did the AHA change "BLS for Healthcare Providers" to "BLS Provider"? I'm assuming that the Red Cross rebranding their class to "BLS for Healthcare Providers" has also taken in a lot of confused people.
Edit: After some deeper searching, found my answer.
Strange, but I guess I'll be seeing stuff like this more in the future.
In a lot of counties, no. I once actually got accused of being a fake paramedic on here because I wasn't familiar with the bolus dose of Cardizem.
Well time to start my transitional shifts to nights. Not too thrilled about this change, but at least I will have a steady partner that is good.
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