shannon710

I have really been liking "Shift Work" By Kenny Chesney.... Take out the F in shift and it makes sooooo much sense!! lol

besides being tachy@ 160 now, EKG 12 lead unremarkable. head to toe reveals nothing, abd is soft non tender. **BTW BS is 464 mg/dl- tested by 2 different glucometers

lung sounds are clear, and i was leaning the same way, but there is something missing still. pt had been able to ambulate on his own, not bed ridden, and only in the wheel chair bc of surgery

no fever, skin is warm and dry. he complained to staff about feeling generally weak in the morning, but had still been able to ambulate to and from his wheel chair fine. nurse also states his fluid intake was alot more than normal. no longer on antibiotics and no new meds.

nurse suctioned about 45 minutes before this sudden onset. When you arrive on scene, initial vitals are BP 110/70 HR 130 Resp. 20 labored skin is pink from the chest line up, mottled from the waist down Patient's only known HX is diabetes. He is temporarily in the ALF for rehab of foot surgery 3 weeks ago. he had a reaction to anesthesia and had to be trached.

You are dispatched for difficulty breathing. 65 yo male trach pt at an ALF presents with SOB, decreased LOC and low o2 sats. Nurse states she found him supine in bed, semi fowlers position with sats in the 70's...what do ya wanna know?

we generally have about 35 trucks on the road during peak hours(with planty in reserve and some down for maintenance at any given time), less at night, we average around 400 calls per day and around 370 transports, and our shifts are 12 hours, not 24, imagine 10-12 calls in a 12 hour shift.

well, as far as busy counties, we have one sole ambulance company in our county with 64 trucks in the fleet, we average anywhere from 10-12,000, yes THOUSAND calls a MONTH and 9-11,000 transports monthly, and thats our "slow season" before the snow birds come!! We have some down time on a 12 hour shift, but generally just enough to eat a few bites and regroup for the next call.

very interesting..good one emt322632!!

our system is dual response, fire responds to EVERY EMS call, wheteher its a possible cardiac arrest or grandma that isn't feeling well. EMS responds to all fire calls. Anything could hapen at a fire call as anything could happen at an EMS call, multiple pts could become evident. Being a dual response, we are an all ALS system, so with fire there as well, there is potential to be 4-5 medics on scene. You can't swing a dead cat without hitting a medic here. Plenty of helping hands for what may come up.

attempt to awake the pt. assess her ABC's and loc at that point. get a hx of the present problem. get a set of vitals, SAMPLE and have the husband get meds together

Thats a BIOTCH to maneuver...for an ambulance...

wow that is great :!:

I post at work..in our system we have no station, only HQ where we start and end. We just went to the new E-PCR's (electronic patient care reports) so we have WIFI on the trucks to be abe to sync up with HQ's computers...or e-mail :wink: ....its nice...

We run an al ALS system here, our medics administer EPI 1:1000 for anaphylaxis. As far as BlS, we can assist the pt with administration of their own prescription.