paramedicmike

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Everything posted by paramedicmike

  1. paramedicmike

    Pain Management

    No standing orders for pain control on interfacility transport? I'm going to channel Dust a bit here: Your agency sucks. What kind of advocacy did you attempt for your patient? How many times did you call to ask? If you weren't pestering them for orders every five minutes why weren't you? What was the reasoning of the doc in question to deny your request and to provide such short term pain management before the onset of transport? What does it matter if the doc in question is not a fan of ketamine? So many questions.
  2. paramedicmike

    Pain Management

    What are your treatment guidelines with regards to pain?
  3. paramedicmike

    Tyler Hastings Passing

    Don't underestimate influenza. Not that Tyler did. Just generally speaking. RIP, Tyler. Condolences to your family and friends.
  4. We've talked about this at length here before. Saw this and thought it was was worth a mention. Link.
  5. paramedicmike

    Blast Medics

    Heh. BMs. Sounds like a good a good abbreviation for what sounds like a rather sh*tty company. BMs. Sh*tty. HA! I'll see myself out.
  6. paramedicmike

    last post was Feb 22

    Kemper Arena. Got to play soccer on the floor before a Kansas City Comets game there when I was a kid. Fun times. Good on the Eagles for still touring. Would like to see them. Not sure I want to shell out the bucks to do it, though. That might be one of those "once in a lifetime" events, though. Glad it was a good show.
  7. paramedicmike

    Another new guy, but perhaps a little different

    Welcome. Good luck.
  8. paramedicmike

    Intubation vs BVM in out of hospital cardiac arrest

    Unless, what I meant by actually posting a link to the study, was that you read it. The study looks at outcomes. Take a few minutes to review the abstract. Not entirely sure where you're coming up with the things on which you're commenting.
  9. paramedicmike

    Challenging NCLEX

    Have your upvote, Spock. Well said.
  10. paramedicmike

    High Utilizer Care Plans

    In areas where I've worked these types of care plans have been individualized for the person in question. There was no template used as a basis for patient interactions. And honestly? Most of these care plans were "ensure patient and crew safety, transport to the ED". For some of these folks social work at the receiving hospital has had to get involved as the ER was seeing these folks as often, if not more often, than we were. If that's not a resource you've looked at yet they may be of help. Sorry this is not of more help. These are tough cases that usually don't follow a global script or fit into a neat template.
  11. paramedicmike

    Challenging NCLEX

    Dust wasn't the only one who didn't, or doesn't, suffer fools lightly. If you're interested in intelligent, well reasoned and fact based discussion this is the place to be. It has been the place to be for years. If you're looking for some ego-fluffing prepare to be disappointed.
  12. paramedicmike

    Challenging NCLEX

    No, Ruff. "Assenite" is not a real word. The irony demonstrated by our new contributor's posts is not unnoticed or, sadly, unexpected.
  13. paramedicmike

    Challenging NCLEX

    How is it ignorance? Did you read and comprehend the discussion taking place starting with the initial question posed? Or did you jump to conclusions and instantly feign offense because you didn't take the time to think through what was being said in the context presented? Your posts so far point to the latter which, sadly, only proves the point Dust was trying to make with his initial comments in the thread. You are missing the point being made entirely. Whether innocently or on purpose for some other nefarious reason remains to be seen. Please go back and read, from the beginning, the thread starting with the question posed in the OP.
  14. paramedicmike

    Challenging NCLEX

    Did you read his very next contribution to the discussion? Did any of you guys go back and read beyond Dust's initial comments in the thread?
  15. paramedicmike

    Challenging NCLEX

    This is the post in question quoted in its entirety for context. For our new friend who referred to DustDevil as a moron some perspective is in order. Dust was one of our most senior members. He was one of our most experienced members, too, having been an EMT, paramedic both in a civilian and military capacity as well as an RN. He was no nonsense, pulled no punches and called things like he saw them. As such this was likely to ruffle some feathers... usually of those who didn't like being put back in their place in such a blunt manner. That you were so willing to jump in, take one post out of context and then refer to someone about whom you knew absolutely nothing as a moron says more about you than you'd perhaps like to admit. Sadly, Dust is dead. He died a few years ago from complications of ALS. That doesn't change the veracity of his statements within this thread or elsewhere in these forums. Fortunately for us, his comments are still available for people to read. It may be worth your while to get to know someone, virtually if necessary in a situation like this, before jumping to conclusions about anything. Welcome to the City.
  16. paramedicmike

    Do Not Resuscitate Tattoo

    Here's an interesting story about a patient with a chest tattoo reading "Do Not Resuscitate". We've joked about this in these forums before. We've questioned how legitimately we should consider a tattoo like this. It seems we now have a case study to look at.
  17. paramedicmike

    Old folks Still here?

    Dude. I am sincerely glad to hear you're still out there, kicking and doing well. I do hope this means we'll start seeing more of you around here again.
  18. paramedicmike

    Old folks Still here?

    Hey man! I wondered what happened to you. Glad to see you're still out there and doing good in the world. When did you finish residency? How've you been?
  19. paramedicmike

    Old folks Still here?

    Vent seemed to have some issues that came through in her posts. AK called her out on a bunch of stuff when it started. She's come back a few times under various pseudonyms usually to demonstrate some pretty angry behavior only to get called out again.
  20. paramedicmike

    Old folks Still here?

    He left a message at one point saying that he was stepping away from the site. Tried to find it but don't have a lot of time to dig for it at the moment. Looks like he last stopped in sometime last year.
  21. paramedicmike

    The aggressive methamphetamine patient

    Codeine products OTC? Interesting. How does that work? How's it regulated? Sounds like it's going away from your statement. Abuse issues with this kind of availability?
  22. paramedicmike

    The aggressive methamphetamine patient

    All of our folks used to be prescription opioid abusers. We've been clamping down on prescription narcotics for a while now. While we still get some folks who are angling for narcs from the ER it doesn't happen nearly as often as it used to. When oxys and percocets became more expensive due to decreased supply they started going to heroin. Or going back to heroin.
  23. paramedicmike

    The aggressive methamphetamine patient

    Meth isn't a big thing in my area. I'm in heroin central. Heroin, heroin and more heroin. It's cheap, plentiful and potent. At one of the ERs where I'm working we get pretty regular drive up for the unresponsive respiratory arrest from heroin OD. The few meth patients we have seen can get pretty scary pretty quickly. They'll flip like a switch and become wicked violent. Ketamine has worked well as, similar to your experience, midaz wasn't doing much.
  24. paramedicmike

    Old folks Still here?

    Bushy, Am also glad to see you came out on top. Sounds like an interesting ride. Hope to see you around here more often. 'Zilla, Texas is supposed to be a good practice environment for docs. Congrats on the new gig!
  25. paramedicmike

    Old folks Still here?

    Bushy! It's been way too long, mate. How've you been?