the 100% directionless thread

StCEMT

Forum Deputy Chief
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Didn't think of it. My medic partner was in back, did 4-5 12 lead and I think he said 2 or 3 were showing STEMI .
Huh...might be the one time someone could say doing heroin was good for them....
 

PotatoMedic

Has no idea what I'm doing.
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Got to give adenosine for the first time. Always fun when the pt is flat line says "OMG this does not feel right" for about 4 seconds.
 

kylej432

Forum Ride Along
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Interviewed with Long Beach FD today. Felt ok in it, felt I was able to answer most all questions with "nugget" stories and say what I wanted to say. Though I felt pretty weak about the "What do you know about LB and LBFD" and 'Why do you want to be a Long Beach FF" (as opposed to FF in general) mostly because my only station visit lasted all of 10 min before they all got calls so I really only had some statistics I gleamed from online so those def felt like weak canned answers in my head. But overall I felt I ended on a good note so hopefully I'll get good news. For now its hurry up and wait for the letter in the mail :)

Also I got my background packet for LA City turned in and have my initial background investigator meeting scheduled day after tomorrow, hopefully get this ball rolling, and be cleared for medical/psych and all that by the time I'm done with my Annual Training in August (yeah yeah, a teeeennyyyy bit too optimistic there lol)[/QUOTE

I know this is old but thread! But did you ever get picked up by LBFD?
 

Jim37F

Forum Deputy Chief
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Waaayyyy old, like what 3 or 4 years old now?? And no, as it turns out I basically bombed that interview and did not advance in their hiring process.
 

taxidriver

Forum Crew Member
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Any particular learning points worth sharing?
We all performed well as a team, but this guy was beyond any help. Hospital was 5 minutes out so we didn’t waste time on scene. Gsw to the head with a very difficult airway. Attempted to control the bleeding as best as possible, IV’s were established, and the pt was intubated. Ended up losing a pulse during transport.
 

Old Tracker

Forum Asst. Chief
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That sounds like one of those less than 5% situations where the outcome is ordained before you ever arrive on scene. Sorry.
 

StCEMT

Forum Deputy Chief
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We all performed well as a team, but this guy was beyond any help. Hospital was 5 minutes out so we didn’t waste time on scene. Gsw to the head with a very difficult airway. Attempted to control the bleeding as best as possible, IV’s were established, and the pt was intubated. Ended up losing a pulse during transport.
Yea anything to the head like that is bad news. Doesn't sound like the not going well was on your end at least.

Those are ones I almost would rather not get a pulse back. I don't want to leave someone "living" a life on a vent as a vegetable, however sometimes patients like this can help with organ donation and a lot of good comes from that. That's what happened with a friend of mine. After hearing some about his injuries, I would never want that for him and ultimately a lot of people were helped by his death.
 

NomadicMedic

I know a guy who knows a guy.
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I had a great meeting with our medical director this morning. It’s so good to have a doc that believes in EMS and wants to be involved.

It’s not always like that. At my last job, I never met the medical director.
 

EpiEMS

Forum Deputy Chief
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Got to give adenosine for the first time. Always fun when the pt is flat line says "OMG this does not feel right" for about 4 seconds.
Saw adenosine given for the first time a week or two ago. Pretty cool to watch the HR fall fall fall! (Just our luck, this time it came back up, but still!)
 

StCEMT

Forum Deputy Chief
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I had a great meeting with our medical director this morning. It’s so good to have a doc that believes in EMS and wants to be involved.

It’s not always like that. At my last job, I never met the medical director.
Besides the Jarvis airway course, what other things did y'all discuss bringing?
 

NomadicMedic

I know a guy who knows a guy.
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Besides the Jarvis airway course, what other things did y'all discuss bringing?

Starting a “grand rounds” program with ED docs and EMS, for one. Lots of housekeeping stuff that needed going over. It was a good meeting.
 

StCEMT

Forum Deputy Chief
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Starting a “grand rounds” program with ED docs and EMS, for one. Lots of housekeeping stuff that needed going over. It was a good meeting.
That actually sounds awesome. We have docs that ride here from the local level 1, I wonder if we could talk them into doing this with us.
 

NomadicMedic

I know a guy who knows a guy.
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Also working on OR time for our medics, working on how to submit for a trial study of Ketamine for pain management, talked about POCUS and a lot more...
 

CALEMT

The Other Guy/ Paramaybe?
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Also working on OR time for our medics, working on how to submit for a trial study of Ketamine for pain management, talked about POCUS and a lot more...

I could shoot you a copy of the protocol for our special K trial study if you want.
 

DesertMedic66

Forum Troll
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Just gave Ketamine for my first time today. Patient went from 5/10 pain to “my body feels numb”. Well that works for me haha
 

Jim37F

Forum Deputy Chief
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Never go to the grocery store hungry (or while thinking about breakfast).

There were 3 things I wanted...checked out with 9 items (not too bad, tho still 3x as much as original goal)...and discovered 2 of those things I already had at home lol
 

taxidriver

Forum Crew Member
47
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8
Yea anything to the head like that is bad news. Doesn't sound like the not going well was on your end at least.

Those are ones I almost would rather not get a pulse back. I don't want to leave someone "living" a life on a vent as a vegetable, however sometimes patients like this can help with organ donation and a lot of good comes from that. That's what happened with a friend of mine. After hearing some about his injuries, I would never want that for him and ultimately a lot of people were helped by his death.
Yeah, as stated previously the outcome was determined before we even got there. It still sucks to lose a young patient. I found out that the patient and I had mutual friends, small world.
 
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