What would you do in this scenerio?

Veneficus said:
Is hacking off the leg, replacing it with a peg, giving the guy a parrot and teaching him to say "aye" and "argh" an option?

:)
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Only if you want him to find himself in a ditch on the side of the road when people want to find out how tough he really is.
 
JPINFV said:
Only if you want him to find himself in a ditch on the side of the road when people want to find out how tough he really is.
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just get him a friend, nobody messes with the 2 dudes and comes out the better.
 
I'm confused. Did I miss the post that explained whether this was trolling/english as a second language/typing on a iphone keypad? Whats happening here?
 
Veneficus said:
just get him a friend, nobody messes with the 2 dudes and comes out the better.
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Emergency Medicine:

Worst disease: Two Dudes.
Worst location: Sitting on the front porch, minding your own business.
 
JPINFV said:
Emergency Medicine:

Worst disease: Two Dudes.
Worst location: Sitting on the front porch, minding your own business.
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I thought the worst location was minding your own business taking your library books back at 3am so you could be a responsible citizen and not return them past due?
 
I haven't heard the taking library books back at 3am bit yet.
 
JPINFV said:
I haven't heard the taking library books back at 3am bit yet.
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That is original Veneficus.

The 2 dudes and I go way back and they travel easily as much as I do.
 
I'll bite. I have an interview next week which involves a scenario, so this will be good for me:

(The following is Scenarioland for my province. Real life is waaaaay faster, but I think the OP was talking about a scenario which is a different beast. Your state/province/planet may have different protocols but I'm very confident that the below is correct for where I work)

Anyway.

* BSI precautions and check the time
* Scene survey - any fire, wire, water, gas or glass?
* Broad mechanism of injury? Ask bystanders what happened.
* Is this my only patient? Confirm with bystanders.
* Do I need any specialised equipment? Call for backup. Scenarioland is Fire, police, ALS, BLS and 24,000 of each :rolleyes:
* Get closer and look at you patient:
* Are their eyes open and tracking?
* What's their skin colour and condition like?
* Do they seem to be in any respiratory distress?
* Do they seem to have any obvious fractures, dislocations, or deadly bleeds?
* Partner goes over and holds C-spine for manual spinal motion restriction
* available EMS goes over and deals with the deadly bleed. They do this in the following order:
Direct pressure, if that fails:
Pressure point, if that fails:
Pressure dressing, if that fails:
Elevation, if that fails:
Tourniquet (preferably after calling medical director at EMR level) and write on the pt.s forehead "T time"
* Now me again, I check LOC, finding Unresponsive
* Available EMS brings over a backboard and places it next to the patient
* Check posterior for DCAPBTLS and palpate for TIC (we're only allowed to roll the patient once in Scenarioland)
* Using appropriate number of people, roll the pt. onto the backboard
* Airway: Dude holding the head does a modified jaw thrust and I check for blockages. If clear, size and fit for and OPA adjunct (after having checked the eyelashes for a flicker indicating a gag reflex - if gag reflex found fit and NPA assuming no signs of skull fractures)
* Breathing: O2 provided by available EMS using appropriate method (BVM, NRB whatever) at appropriate flowrate (15lpm in my world)
* Circulation: what's their pulse?
* rapid wet check
* check skin colour, condition and temperature with back of ungloved hand
* critical intervention check
* continue...

There we go. My interview is in the bag :P
 
hippocratical said:
I'll bite. I have an interview next week which involves a scenario, so this will be good for me:

(The following is Scenarioland for my province. Real life is waaaaay faster, but I think the OP was talking about a scenario which is a different beast. Your state/province/planet may have different protocols but I'm very confident that the below is correct for where I work)

Anyway.

* BSI precautions and check the time
* Scene survey - any fire, wire, water, gas or glass?
* Broad mechanism of injury? Ask bystanders what happened.
* Is this my only patient? Confirm with bystanders.
* Do I need any specialised equipment? Call for backup. Scenarioland is Fire, police, ALS, BLS and 24,000 of each :rolleyes:
* Get closer and look at you patient:
* Are their eyes open and tracking?
* What's their skin colour and condition like?
* Do they seem to be in any respiratory distress?
* Do they seem to have any obvious fractures, dislocations, or deadly bleeds?
* Partner goes over and holds C-spine for manual spinal motion restriction
* available EMS goes over and deals with the deadly bleed. They do this in the following order:
Direct pressure, if that fails:
Pressure point, if that fails:
Pressure dressing, if that fails:
Elevation, if that fails:
Tourniquet (preferably after calling medical director at EMR level) and write on the pt.s forehead "T time"
* Now me again, I check LOC, finding Unresponsive
* Available EMS brings over a backboard and places it next to the patient
* Check posterior for DCAPBTLS and palpate for TIC (we're only allowed to roll the patient once in Scenarioland)
* Using appropriate number of people, roll the pt. onto the backboard
* Airway: Dude holding the head does a modified jaw thrust and I check for blockages. If clear, size and fit for and OPA adjunct (after having checked the eyelashes for a flicker indicating a gag reflex - if gag reflex found fit and NPA assuming no signs of skull fractures)
* Breathing: O2 provided by available EMS using appropriate method (BVM, NRB whatever) at appropriate flowrate (15lpm in my world)
* Circulation: what's their pulse?
* rapid wet check
* check skin colour, condition and temperature with back of ungloved hand
* critical intervention check
* continue...

There we go. My interview is in the bag :P
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:D awesome! What are you? Paramedic? Also how would you put this on a rapport? Please write it based on the procedures you listed :)
 
not sure why people are so quick to RSI, whats the patients rate, quality etc? o2 sat? and as a basic you will not get to intubate anyways.
 
tssemt2010 said:
not sure why people are so quick to RSI, whats the patients rate, quality etc? o2 sat? and as a basic you will not get to intubate anyways.
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Anything to still a tube from a gas passer.
 
Jon said:
Alright, I'll bite.

Yes, you can spell-check medical terms. Charting programs often have a variety of common medical terms within their spell check database.

That said, spell check only gets you so far. You've got to use the RIGHT word, too - Best example in the above?
Rapport: http://en.wiktionary.org/wiki/rapport
Report: http://en.wiktionary.org/wiki/report

Grammar is important, too. "I" should be capitalized. And "firemen/paramedic" isn't correct because the single and plural don't agree with each other. Further, in today's politically-correct world, the word "firefighter" is considered more appropriate because it is gender neutral. So the correct way to write that would be firefighter/paramedic, or the plural firefighter/paramedics.



As for the question about court - Appropriate spelling/grammar will NOT keep you from going to court. Documenting well won't keep you from going to court, either. Only way to avoid court is to not work in this field. That said, proper spelling/grammar and good documentation skills WILL help WHEN you get called to court to testify. It is likely that the opposing side will attempt to discredit you based on your poor documentation.
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I know lol, i won't spell 100 percent correct on the internet, its a start though. Also, how much money can you be sued for? Were you sued before, please state why if you were sued(if its personal i understand).
 
Melclin said:
I'm confused. Did I miss the post that explained whether this was trolling/english as a second language/typing on a iphone keypad? Whats happening here?
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English is my native language. How am i spelling incorrectly? Maybe a few typos, but it isn't atrocious. Maybe i formatted it wrong???
 
tssemt2010 said:
not sure why people are so quick to RSI, whats the patients rate, quality etc? o2 sat? and as a basic you will not get to intubate anyways.
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The rate, rhythm and quality can be fine but if they aspirate secondary to ICP induced vomiting you've set them up for a bad outcome down the road.
 
Cup of Joe said:
I had assumed you were a little more advanced in the course. We aren't trying to make you feel stupid, we want you to think. If we hand you the answers, you will learn less than if you think about why you're doing something.
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Thank you for the good gesture. ^_^ I don't even know what half of you are talking about, but i just want to get a feel of what it will be like as a paramedic. I'm still filling out papers for my class. I originally studied computer science and networking for 3 years. As you can guess this is very new to me. The whole concept and blah blah blah. I was pretty good at computers, i was one of the three kids in class who got an email and certification from CISCO. My mom is almost an RN, and she talks me about medical things 24/7; i actually like to talk about it and very interested in the medical field. I am trying to as lucid as possible. It was a notion i had to explore. I'm still young(18) and i don't know what i want to do with my life... If all else fails I might want to join the marines or be a field medic in the army. My mom told me to keep on looking for something i really enjoy even though she wasted well over 1k on this class. She said she wouldn't be disappointed if i failed.
 
> What are you? Paramedic?

My wife says I'm special

> Also how would you put this on a rapport?

My rapport is smooth

> Please write it based on the procedures you listed

o.O

What i wrote is the first 5 minutes of a 20 minute spiel that one does in a scenario in my part of the world. Real life, and potentially where you are, is different. I'm assuming your class will have it's own flavour of a scenario sheet.
Get that -> Memorize it -> Profit.
 
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hippocratical said:
> What are you? Paramedic?

My wife says I'm special

> Also how would you put this on a rapport?

My rapport is smooth

> Please write it based on the procedures you listed

o.O

What i wrote is the first 5 minutes of a 20 minute spiel that one does in a scenario in my part of the world. Real life, and potentially where you are, is different. I'm assuming your class will have it's own flavour of a scenario sheet.
Get that -> Memorize it -> Profit.
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thanks bra lol ill try my hardest!
 
Judeau said:
Thank you for the good gesture. ^_^ I don't even know what half of you are talking about, but i just want to get a feel of what it will be like as a paramedic. I'm still filling out papers for my class. I originally studied computer science and networking for 3 years. As you can guess this is very new to me. The whole concept and blah blah blah. I was pretty good at computers, i was one of the three kids in class who got an email and certification from CISCO. My mom is almost an RN, and she talks me about medical things 24/7; i actually like to talk about it and very interested in the medical field. I am trying to as lucid as possible. It was a notion i had to explore. I'm still young(18) and i don't know what i want to do with my life... If all else fails I might want to join the marines or be a field medic in the army. My mom told me to keep on looking for something i really enjoy even though she wasted well over 1k on this class. She said she wouldn't be disappointed if i failed.
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Before anyone corrects me, yes i forgot to add in some words between my sentences. I do that occasionally because i type fast and don't review it. Its easy to spell incorrectly on the internet, but in real life its not the same. I generally don't care how i type on the internet and that is the general consensus on the net. I do realize that i have spell correctly and use lucidity on this forum though, so i can get my point across.
 
tssemt2010 said:
not sure why people are so quick to RSI, whats the patients rate, quality etc? o2 sat? and as a basic you will not get to intubate anyways.
Click to expand...

It's not just rate/quality/o2sat etc. It's also expected clinical course, preventive, and protective.
 
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