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mrsbull

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Everything posted by mrsbull

  1. mrsbull

    Hey Guys!

    Both of the kids were not breathing when we got to them. Baby was brought to me by a freaked out daddy.( to a freaked out but calm EMT btw) On vacation baby was drooling and blue, resp of maybe 1 (attempted by pt) I didnt really count, cpr was initiated on both kids (DUH). Baby #2 (2 yo) was down and blue prior to assist ventilation's. It was then when we realized SHIT my job does not carry Peds masks. Although we had a peds BVM. WTH!! I was unable to get any sounds AT ALL, although rise and fall was ok for me at the time. Baby #2 and #1 were both attached to pads. (Also at this time I was cursing my job in my head for not having peds pads or peds settings) Every time I would begin compressions her HR would go from 20s to 140, she was closely monitored and breathing improved with bagging then blow by (per my partner during transport). On calls like this we transport ALONE, 99% of the time it is with a freaked out parent or FM. An adrenaline filled ranger to take us to meet with ALS. It's a scary ride on a mostly guardrail less mountain. Thank goodness I do not tend to get carsick while providing pt care. I am too focused, however I can not sit in the back of a vehicle during a trip.
  2. mrsbull

    Hey Guys!

    Yes both kids were "saves". Nothing like seeing a blue baby on the ground. Scary. And Thanks!!
  3. mrsbull

    Hey Guys!

    I know it has been a while since I have posted here. I hope to post more often. I had a Tummy Tuck 2 weeks ago and am doing fine. Just some residual shooting pain from the incisions and nerves healing that hurt like hell. I have moved into a new place and am trying to get it together. It is kinda hard when you cant lift more than a gal of milk (hell that is still hard). My son is coming for Christmas from Ohio and I am so thankful for that!! My tummy is flat and I am thankful for that too . I have a new home and a great daughter who is healthy and alive as well as a bf who is the same. I again am thankful. My last week of work before my TT, I had 2 kids code on me. As some of you know I work on the top of a mountain. We have 2 ems providers up there (usually) sometimes were alone. I was thankful enough to have my awesome partner up there with me when both of the kids went down. A 2 yo and a 7mo both girls. Both of the kids got to me emotionally. Nothing like seeing a parent beg and plead for us to "do something". Both kids are fine (that I know of) breathing and crying when transferred to local EMS who take out pts to the ERs because by law we HAVE To be on the summit for it to be open. The dad of the 7 month old. Was a fellow brother to us in the EMS field. He is a FF and an EMT as well. My heart truly broke for this man. However I realized just how important it is to be able to work on a baby ALONE but having "jobs" for the parent to do. For example this dad was an EMT, I had him do some "chores" as well as writing vitals down for me while transport and him seeing the trending upward of his child helped to calm him down and be a better (and more rational) support for his daughter. I dont have many peds pts. The occasional vomiting kid or bloody knee from running on the top of a mtn. But to have 2 codes in 1 week just before Thanksgiving has made me a different person and a more compassionate provider as well. I think this comes from me "being there" as a parent. I have posted before on a why I became an EMT topic so I will not go into it. As providers we often forger it is not ALL about treating the pt. It is about making a difference. I have also recently gotten my first "thank you" card from a pt. It meant more to me than any other metal or commendation, good grade, thank you or anything I have ever had. I can look it at anytime and be able to remember that I meant something to someone and I will likely never see her again. That is just one of the sweet parts about this job. It is nothing to someone but to me it is the world. Take Car ya'all Happy Holidays.
  4. Thaw was discussed. I have been there now for a bit however the lack of being able to take care of a pt better. For example not having the supplies needed. Not that not having lancets or fluids wouldnt be beneficial but it would help to access and establish care up there a bit better. I hope that comment makes sense. I know what I cam trying to say it is just not forming in my mind well enough to type out.
  5. They are (mostly) I think coming from the Company I work for. However I was told Med Control approved the "standards". On a side note I am 84 up there. We are talking 14,110 feet. Oxygen in the air is thinner and less of it. I do not know the %. Even in the city I live in is 92 is acceptable. As posted above I DO NOT treat from the monitor I treat from the pts appearance and vitals etc...
  6. It would be nice to meet another "city" person. PM me if you go. I will send you my # and we can meet up if you like.
  7. Well I could not think of a better title lol. This post is about my job. For those who dont know I work as an EMT on the top of a pretty busy mountain. I was recently asked to read/sign a few "standards" that some emts at my job have not either been aware of or things that they do not do. This is one of the "standards" as written (capitals and all) **Patients only need oxygen if they are BELOW 70% or if they are cyanotic (blue in the lips or nail beds). If patient is around 60% try to coach them up with out oxygen first. Have them sit down, drink water, and focus on deep breathing (in through nose and out through mouth with a small pause in between inhalation and expiration). ** NRBs should ONLY be used for EXTREME cases such as: Potential Heart Attack Patients, patients with severe head trauma, patients severe altitude sickenss and a nasal canula is not enough. What do you think of this?? I treat according to S/S. Not just the monitor. I also work at 14,110 feet. O2 is limited up there (supply) they want us to "conserve" O2. I understand that. It is difficult getting decent supplies up there. Let alone a pulse ox I can trust (another reason I treat the pt not monitor) I have no way of cardiac monitoring, we ran out of lancets yesterday. No IV supplies at ALL. No ALS for around an hour (less if flight is needed). However UP TOP we have to call in the Army for a Shinook due to altitude. We have to head down with a ranger to meet FFL if PT is not TOO Critical but needing flight. We also would have to clear a LZ of up to several hundred cars on top of the mtn depending on traffic that day. No idea on the time that could take. No LZ is kept free from visitors. STUPID I know!! I have to call a ranger to pick up (only 1 EMT normally) to transport an pt to ALS. So I have to wait for a ranger to get to the top, meanwhile I get als rolling. I get in with the ranger and pt. Head down a mtn (with lots of switchbacks). L/S depending usually lights tho... 2 days ago I was transporting (no seat belt on me) I have to sit sideways in the vehicle to be able to properly attend to my pt. The breaks locked up on the vehicle ON a switchback. If my pt was not already having an MI he just started :0. Also there is sometimes ONLY 1 emt up there alone and thusly we are not "allowed" to leave to transport. Thoughts??? It is scary up there with the lack of supplies/communication etc. I am not used to working in such a rural area. Any advice is appreciated. NOTE: We are also a free service up there. All "tips" are for our EMS fund.
  8. Today is the annual FF memorial here in Colorado Springs. Is anyone attending here? I plan on going. (I live 10-15 mins away.) It is at 1 pm. Oops posted in wrong place. Mods please feel free to move.
  9. I was living in Ohio. Columbus to be exact. I was giving (my then 28 day old son a bath). Got a call (did not answer it) during the bath. I called back a few mins later on to "see" who called. It was my friend telling me to turn on the TV NOW!!! I asked what channel. She said ANY!! Turned it on and thought so many things. Too many to post. Mostly Who,What, Why, How and etc... I was NOT about to leave my DS but I am/was more concerned about the fact that he needed me more. I also would have (maybe) been there had I been needed at that time and needed then.
  10. http://awtr.blogspot.com/2007/09/cake-in-jar.html This is a good idea!! (my ex is in the Army) and I would send him things from here. http://www.minimus.biz/ Minimus ships super fast and they are so nice. Thanks your hubby for his service.
  11. mrsbull

    Whacker Gear

    Your welcome. I have not seen the knife care to post it?
  12. mrsbull

    Whacker Gear

    I thought it would be fun to post whacker gear. Things we run across that are funny etc... Here is something I found on craigslist looking for some work pants. http://denver.craigslist.org/tag/1842515430.html
  13. OK that said (my responses) I have read no further than Dwaynes post. Off to read more!
  14. I went to EMT class in Wa State. I WAS checked for background in that state. I was also CBI/FBI Checked here in CO. That said, I also believe that just because you have a clear background check DOES NOT mean that you are exempt from you being a sexual predator. It VERY WELL can mean someone (you OR anyone) just has not been caught is all.. All in all it is scary and it also means be on your guard, watch your partner and be an advocate if something does not seem right for your pts. Be observant be aware and for goodness sake be INTOLERANT of any odd behavior.
  15. Plus the elevation. i know that going up you loose a liter of fluids going up in elevation and down. That is above 7,000 ft. I dont know about fluids going to almost sea level. I would imagine so as well. Good luck on your test!!
  16. Personally I am interested in working on my local SAR team. I spoke with some SAR members yesterday at work. There was a hiker hiking up Pikes Peak (a 14er) made it close to the top (about a mile) the gal had someone go up to the summit because she was feeling ill (altitude) and we sent some EMTs down to find her. It took them over an hour to search for her. (I had the sups activate SAR) I TOLD them to activate it after 20 mins of no contact but..... They can always be canceled. They found her an hour later. It was over 2 hrs this lady who was ill before she was found. Should she have been (charged)?? No it was not her fault. She did not do anything stupid to my knowledge. She was responsible. Hiking with friends and in a public area. She was not able to be found right away as the friend who came up, got ems got lost showing them where she was. She was a bit disoriented as to location from a bit of altitude sickness. SAR is all volunteers here. They WANT to do it. I also DO agree that SAR should charge some sort of a fee. An activation fee of some sort. Mostly to keep up equipment and radios etc up to par. Depending on resources and the like. However some folks can not pay. If not I think it should be OK. For folks who get themselves into trouble by doing something innocent such as a car accident or whatever they should not be "charged" It is a yes and no for me. I am not thinking clearly enough right now. (pain meds for my ankle). Will post a better response later on.
  17. First of all I would like to welcome you to the city. Getting your B will be a good start to see if you like what you are thinking about. Or even see if you can sit in a class to check it out. If you like your job and don't want to pursue EMS as a career, you can always volunteer with SAR (search and rescue) and use your skills like that to help when needed. Also I am SURE your local red cross is needing volunteers to help with disasters and the like. If you like it you will know REALLY fast. If it is not for you you will know that as well. It is several factors for all of us on here who do it. From First Responders to paramedics to Nurses and ER docs. It is a passion, it lives inside of you. You will know the first time you REALLY helps someone. Not someone with a nosebleed or stubbed toe. I just started a new job a few days ago working on a mountain. It became worth it when my pt told me I was her angel. You had to be there. Also read my post on my first day. You will understand a bit more. It meant the world to me. Something I will NEVER forget!! It is the little things!. Good luck on your decision. Keep posting. Do not be afraid to ask questions. And once again Welcome!!
  18. The house wine is TO DIE FOR!!! Best wine I have EVER had and it was pretty cheap for emerils. 7 bucks a glass (4 yrs ago) Oh btw Congrats!!
  19. Exactly!! However If I get into trouble providing pt care and correctly. I will have fun making things right with me and the company. I can not see a single atty not siding with me over providing proper pt care. I DARE them to fire me!
  20. For clarity I DID put her on an NRB. For clarity I DID put her on an NRB.
  21. Edited cause I forgot to bold something.
  22. Well today went well. I was being trained on a few things (besides ems) Went to lunch. Went to clock in and I get grabbed my mgr and dragged out to the train tracks. Reported pt fell on the mtn/train tracks. That was when it started!! 86 y/o f, fell approx 6-20 feet off the mtn. Not onto train tracks but below. I nearly rolled my ankle and sup and other ems got hurt getting to pt. (we are ALL good at mtn rescue and well trained, Terrain was rough.) I think it was 10-15 ft. (poss 20 feet ONTO rocks). If it is calculated by where her shoe was it was 6-7 feet. But by the MOI was it was 15 ish feet on Rocks. 100 feet on rocks to get her to the summit. Here is my ?? Pt was AAOx2 bp 170/90 resp 70 sats in the 80s. Keep in mind that anything above 70 at my (new) job is good. My sats are at 80-85 up there. Uncomfortable yes but adaptable. We are not to give O2 above 70% depending on pts MS and a few other factors. Pt was reported to have loc and fell reason unknown her family was not there. She knew time person place (mostly) but has poss dementia as she was asking what happened (dementia via daughter) Hx of glaucoma, family hx of heart problems. (pt states she has none) Pt broke her arm obvious break/avulsion 1 in lac on eye (Seen bone and "fat pad") on both injuries. Skin was like tissue paper. I completed my Trauma assessment mostly clear but wounds I have spoken of. PMS appropriate pre and post spinal precautions and splinting of arm/body. Pupils Right was 2mm non reactive and left was pinpoint. Abd was rigid and felt like marbles (WTH MARBLES??.) At first it was normal on the ruq and rlq. LUQ and LLQ rigid and non tender to palp. Re assessment 5-8 min later (by me) was what felt like a tight pouch of marbles... I have never heard/seen/known of this. We made the decision to have ALS intercept on the mtn. I TOLD my sup to get flight going and to get an LZ established. (keep in mind this is my first call and first time ANYONE on the EMS staff has met me). So we get her rolling via back of truck by Rangers. (I did not go) pt started to crash bp 130/70 o2 80%-85% and dropping(last vitals I heard about) pt was on 15 lpm nrb sats stayed about 85 pulse is unk but def below what I got. She has a hx of syncopal (sp) episodes via 1 yr @ last episode. Pt came from Texas and went to 14,110 feet within 2 days (not wise). Question is what could have caused the abd full of marbles (feeling)? I have never felt it before never told of it. ALS was intercepted 2 miles from flight so they got a set of vitals and a line established (we cant do lines via med control we will be working on that tho). Unknown if pt is ok as we are not allowed to FU. However friends of friends can help!! So this was my first pt and first call at this job. I have been told now that I am mgmt material because I am just that awesome!! Thanks for reading I am just wondering about the "marbles" Mostly. I think it was just the altitude per syncopal episode. for reason of fall. This gal was AWESOME!! She only complained once in the hour I had her of "my arm is sore". Family was great and it was so smooth. There was me and another guy who just started today and 3 other EMS personnel and it was/flowed like we had been working together for years. I know elderly pts are better with pain than younger pts. Hell I would have been complaining of of my arm and head, no way she did not feel that!! I would think. I was told by my sup that this was the worst call she has had in 3 yrs as an EMt on the mtn) and the first call for flight in approx 5 yrs (besides mtn accidents which we do not normally go on, like the Pikes Peak Hill climb. Depending on # of ems ppl staffed.)
  23. Well today went well. I was being trained on a few things (besides ems) Went to lunch. Went to clock in and I get grabbed my mgr and dragged out to the train tracks. Reported pt fell on the mtn/train tracks. That was when it started!! 86 y/o f, fell approx 6-20 feet off the mtn. Not onto train tracks but below. I nearly rolled my ancle and sup and other ems got hurt getting to pt. (we are ALL good at mtn rescue and well trained. Terrain was rough.) I think it was 10-15 ft. (poss 20 feet ONTO rocks). If it is calculated by where her shoe was it was 6-7 feet. But by the MOI was it was 15 ish feet on Rocks. Here is my ?? Pt was AAOx2 bp 170/90 resp 70 sats in the 80s. Keep in mind that anything above 70 at my (new) job is good. My sats are at 80-85 up there. Uncomfortable yes but adaptable. We are not to give O2 above 70% depending on pts MS and a few other factors. Pt was reported to have loc and fell reason unknown her family was not there. She knew time person place (mostly) but has poss dimentia as she was asking what hppned (dementia via daughter) Hx of glaucoma, family hx of heart problems. (pt states she has none) Pt broke her arm obvious break/avulsion 1 in lac on eye (Seen bone and "fat pad") on both injuries. I completed my Trauma assessment mostly clear but wounds I have spoken of. PMS appropriate pre and post spinal precautions and splinting of arm/body. Pupils Right was 2mm non reactive and left was pinpoint. Abd was rigid and felt like marbles (WTH MARBLES??.) At first it was normal on the ruq and rlq. LUQ and LLQ rigid and non tender to palp. Re assessment 5-8 min later (by me) was what felt like a tight pouch of marbles... I have never heard/seen/known of this. We made the decision to have ALS intercept on the mtn. I TOLD my sup to get flight going and to get an LZ established. (keep in mind this is my first call and first time ANYONE on the EMS staff has met me). So we get her rolling via back of truck by Rangers. (I did not go) pt started to crash bp 130/70 o2 80%-85% and dropping(last vitals I heard about) pt was on 15 lpm nrb sats stayed about 85 pulse is unk but def below what I got. She has a hx of syncopal (sp) episodes via 1 yr @ last episode. Pt came from Texas and went to 14,110 feet within 2 days (not wise). Question is what could have caused the abd full of marbles (feeling)? I have never felt it before never told of it. ALS was intercepted 2 miles from flight so they got a set of vitals and a line established (we cant do lines via med control we will be working on that tho). Unkonown if pt is ok as we are not allowed to FU. However friends of friends can help!! So this was my first pt and first call at this job. I have been told now that I am mgmt material because I am just that awesome!! Thanks for reading I am just wondering about the "marbles" Mostly. I think it was just the altitude. This gal was AWESOME!! She only complained once in the hour I had her of "my arm is sore". Family was great and it was so smooth. There was me and another guy who just started today and it was/flowed like we had been working together for years.
  24. Aww hun I am so sorry. I was able to "feel" the excitement in your post. I am sorry to hear that you were chosen but had to give it up. That sucks!! Look on the bright side you are next for the upcoming opening.
  25. Thanks!! I am not finding a lot online about altitude sickness. Mostly to check vitals (DUH) get a sat level apply o2 (amount varies for sat level) and monitor for worse SOB and CP n/v (very common) Needless to say that vomit covering sawdust type stuff will be on my person at ALL times lol. Re asses in 15-30 mins. Mostly things I know and common sense type stuff. I will keep looking. edited cause I cant spell UGH lol.
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