the 100% directionless thread

Dam....drive all the way home from work, 50 min drive one way....and realize as soon as I get to my building I forgot my keys at work
 
Dam....drive all the way home from work, 50 min drive one way....and realize as soon as I get to my building I forgot my keys at work

Damn that sucks. Car keys and house keys aren't on same ring? Time to get you a Tile. I live by those things. Have one on my keys and my wallet, and able to ring my phone from them. My 3 most often misplaced items lol.
 
Pissed off 2 of 3 captains and most of dispatch...does surgilube come in bulk?
Gotta be strategic. I've ruffled feathers of some dispatchers who are just grumpy in general, but my main crew I keep in the good graces of. My only request is to keep me fed when I get hungry. I will bust my *** when we are busy, clear up early if we are holding calls if you need, and take the non-emergent transfers when not busy. Just get me to the chick fil a for that holy chicken when I ask as soon as it is possible. Get ****ty on the radio though.....
 
I’ve yet to understand what gives dispatch the idea that they’re much better than us simple mortals.
 
I’ve yet to understand what gives dispatch the idea that they’re much better than us simple mortals.
Because we command you simple mortals!
 
<geek>so, the relationship between field crews and dispatch are the same as the relationship between Goua’uld and the rest of the galaxy</geek>

Gotcha [emoji1305]
If it makes you feel better you can consider me a Tok'ra since I'm both field and dispatch.
 
Gotta be strategic. I've ruffled feathers of some dispatchers who are just grumpy in general, but my main crew I keep in the good graces of. My only request is to keep me fed when I get hungry. I will bust my *** when we are busy, clear up early if we are holding calls if you need, and take the non-emergent transfers when not busy. Just get me to the chick fil a for that holy chicken when I ask as soon as it is possible. Get ****ty on the radio though.....

All I did intially was ask the ETA for the po-po
 
Put pt on 4 leak. Sad looking 4 lead with a rate of 40. Do a 12 because dialysis. P waves gone and nice pointy t waves, no QRS changes yet though. Talked to some friends there later and dude man had a K of 8.5.

To the calcium and dialysis machine!
 
To the calcium and dialysis machine!
Oooh yea....I didn't like what I saw lol. His heart rate was 40 and initial BP was something like 76/51. Didn't think volume was his problem considering the rate and lack of dialysis or prolonged vomiting. Atropine or pacing isn't effective in that level of hyperkalemia from what I understand about it. However he did not have any QRS widening, so I wasn't at the point where we are supposed to give Calcium/Bicarb. Not a fan of NS in this case, but a small bolus seemed to get his MAP back to a better level. Nice easy ride and a visit by the MD on arrival.
 
I am very liberal with calcium administration. It's a low risk high reward drug for these patients and will fix a lot of problems.
 
Go figure ESPN sends the update from the Angels game that our new pitcher has a perfect game through 6 1/3 innings only to be broken up immediately after I get the notification. Damn you ESPN.
 
Go figure ESPN sends the update from the Angels game that our new pitcher has a perfect game through 6 1/3 innings only to be broken up immediately after I get the notification. Damn you ESPN.
Your new pitcher/hitter extraordinaire that you poached from the Braves...
 
I am very liberal with calcium administration. It's a low risk high reward drug for these patients and will fix a lot of problems.
I was on the fence with him. I got access fully expecting to be pushing Calcium, but that's usually something I've only seen at places I've worked with widening QRS. Surprisingly that was not the case with him given his K.

I considered doing it and just shooting something to clinical after, but since this level of hyperkalemia I haven't had much exposure to and it varies from person to peraon I just opted to monitored the ekg.
 
IA’d two working structure fires in 2 days. That was a good shift, but exhausting
 
I'm off today, but I saw that there was a structure fire two blocks from my station, but my usual engine wasn't dispatched. the reason: they were OOS attending EMS continuing education at another station. Bet the crew was pissed, they would have definitely been first due to that one.
 
Hypothetical "what would you do?"

Dispatched for a psych run called by a 3rd party not on scene. CAD notes say pt is schizophrenic, urinating on self and hearing
voices. Police have been dispatched.

Stage for PD or check it out?
 
is the patient outside, or inside a structure. are there any reports of the patient being violent?

drive up, pull up and talk to the patient. if they want to go to the hospital (and often psych patients will), take them to the ER. If not, retreat, and tell PD to call you back when they get on scene.
 
is the patient outside, or inside a structure. are there any reports of the patient being violent?

drive up, pull up and talk to the patient. if they want to go to the hospital (and often psych patients will), take them to the ER. If not, retreat, and tell PD to call you back when they get on scene.

Inside, back bedroom.
 
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