Kiwiology

LMAO thats funny. Those Sprinters are not unlike our new ones, damn they ugly!

click the image and you can it opens in a new window

Rate: 60 (both atrial and ventricular rate are the same) Regular: Yes P waves: Yes, before each QRS (no extrasystoles) PR interval: Seems normal but could almost be 0.16 seconds as the tracing is not great QRS complex: seems to be an RS complex with no ventricular extrasystoles T wave: Depressed, very depressed in V2-6 and appears nonexistant in aVL although the depression may be very small Is this a bradycardic escape rhythm perhaps?

Hey all; School's out so I'm off on vacation for a bit in a couple weeks... gonna hit up Toronto; if anybody wants to meet up food and booze are on me, eh Might try and get me a hat or something from TEMS, anybody here work for em? Ben

Yeah I remember that when I was about 11.... it was bad, like we're talking made you feel sick watching it coz it was soooo cheesy and predictable, oop i just puked in my mouth.

OK This just looks really bad .... like OMG shoot myself in the foot stop take the pain of watching it away FYI the "Rebel" looks like Cliff Curtis a Kiwi actor; he used to hang out in my dad's lounge ... wow I feel big, not

That was pretty badass

Aw jeez ...here's what I see - its a regularly irregular rhythm of about 50 - looks like AF - could be a ventricular rhythm or third degree block

dude thats hella funny i cant stop laughing check it out this one is funny as shit

You call that a medium sized ambulance? God by our standard that thing is a freaking monstrosity, I'd hate to see a "big" ambulance!

Um, .... hell even with ME driving the freaking thing I could see a mile away, ME!!! so I dno HTF they managed that. Dispatch er, we'll be out for a while on a, ahhhh howinthefuckdidwemanagetodothat? job

ive seen that before its pretty good

As a "young" provider (at 23) I am going to play devils advocate here for a moment. There are a lot of young people out there in EMS who are very confident, competent and trustworthy EMTs and Paramedics. There are also some who do raise a few genuine issues such as ... - Very little (or zero) life experience and argubally associated to this, maturity - Lack of English composition and a professional level of grammar - Some just cannot talk to people on a professional interpersonal level - A few I've seen just do not inspire confidence that they know what they are doing I'm not saying I am some supermature, experienced, seen it all three times and done it twice burnt out old relic (not by any stretch of a dream, that's Dust's job ) but I've seen EMTs my age who lack the life experience to be able to think on thier feet or outside the box without calling telemetry or just sort of staring blankly going "ummm......", they get freaked out really easily because they have never come across the sight of guts, blood, death, gang members or some meth'd up bash freak being held down by the cops while you have to examine him. While you can't generalize and lump all the eggs in one basket some of the young providers (and some of the older ones) I have seen just scare the crap out of me; I wouldn't let them near me with a band aid or fully authomated defibrillator if I were in the biggest, most coarse and detectable VF ever. They just don't have the maturity and what I'd call common sense to be out in the street dealing with crazies and sick people making complex clinical decisions.

Peachemt What can I say, this doesn't come as a suprise ... this is pretty low mate, I suggest you go somewhere far away from here, fast, do it now.

Ah, perfect idea, I mean who has anything better to do but sit up at 1am reading the journals? What, don't look at me like that ... we all need hobbies

Is this a scenario you want us to solve or are you fishing for answers to something you saw or happened to you/somebody you know? If it's the latter you won't find many people here willing to second guess and judge what others have done with limited information. I'd want a complete medical history, 12 lead ECG, detailed physical exam and just because this guy "wants" to go to a particular hospital; well it dont work like that here, you go where we take you IF we think you need to go there in the first place. For 2/10 chest pain I'd barely be inclined to give a tab of nitro let alone morphine.

From our protocol/SOP

Looks like a bunch of electrical alternans or some whacky axis thing .... I'm going with cardiac tamponade.

WTF that guy needs putting down ...

Can they be used instead of the Wong Baker faces? (I really like the Wong Baker faces.....)

Here's the latest episode -- the audio in part 3 is a bit out of sync, best I could do sorry guys. I recently had the pleasure of spending some time with one of the Advanced Paramedics (EMT-Ps) who is in this episode; however alas the cameras didnt turn up (probably a good thing ) Episode Six Part One Part Two Part Three

Mayb it was Kovach from ER, wasn't he Croatian?

We don't have to call for orders for anything but we do provide status reports (an R40) to the hospital if we are bringing in a statue 1 (critical) or 2 (unstable) patient; or if we need Police there or something like that. Example from Thursday: "Shore ED, Shore 1 how copy?" "Loud and clear" "Roger, seventy six year old female, cardiac chest pain relieved with O2 and GTN, our ETA with you is five minutes and we're calling the patient status two" I've read the examples in textbooks like Brady/Mosby that are about two paragraphs in length and contain a novel of events that we record on the PRF or give at handover so we only give very short reports.

BGL is normal at 5 mmol (90 ml/dl) Are you sure you want to give this pt. an NSAID given she has asthma? You give the pt. 3 x .4mg nitro's but she said it makes no difference

Try the AVI Codec Pack http://www.avicodecpack.com/