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runswithneedles

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Everything posted by runswithneedles

  1. Ive recently received my rank as a texas certified EMT-I last week.
  2. Dont forget about CCEMT-P program. Though its not an additional license it is the highest level of certification aside from the National registry
  3. Thankfully I dont need to fret. Im off duty for an additional 36 hours :-D
  4. thank you. Im soo excited and I go back for my paramedic im the falll
  5. I got word yesterday. I passed my National. Im up for another 2 years. :-D
  6. Another one bites the dun nuh dun dun dun another one bites the dust.
  7. generally on scenes like those PD/SO/ state troopers will be there before the ambulance. First triage to determine what you have and direct SO/PD/ or state troopers as what is needed. If not than triage them on your own and provide minimal basic care until the ambulance arrives.
  8. Sorry its been so long since I posted, Been incredibly busy last several months. I finally left private EMS and im doing my first 911 job in my home town. Looking at finishing up my paramedic probably next year. Couldnt finish because I was getting incredibly burn out from my old job. How has everyone been?
  9. Its hard to say. Im twenty and got my EMT-B when I was 18. Ill be sitting for my paramedic licensure in less than a month and I know I have the mental capacity to handle the responsibilities I will be granted upon licensing. Some of my previous post may reflect otherwise but its because I came to this site and posted them I am beginning to understand the magnitude of what you (currently acting and retired paramedics) do, have done, can do, and ultimately what a outcome could be if a medic should make a error in judgement. It truly depends on the student and how serious he takes this massive undertaking and if he is willing to take the time to do outside research and reach out to find mentors to help guide them.
  10. unfortunately the bug bite was not pointed out until after the scenario. I totally fudged up on my complete physical assessment. Dexamethasone wouldve been another good one for this patient.
  11. As far as the cookbook medic the idea seemed sound at the time. Looking at it now I couldve accomplished the same method of killing two birds with one stone by doing the epi IM. With respirations at 40+ i'm starting to think the nebulized epi wouldve been useless because the tidal volume (or is it inspiratory volume? I need to double check that) wouldve been insufficient.
  12. Is it common for patients to not show hives during a allergic reaction? That was one of the key factors that made me rule out allergic reaction as a primary diagnosis. Because in this scenario she had not developed that nor was she experiencing the sensation at the time of her throat swelling or anything. It was only wheezing at the time. Sorry I didnt post that in the original.
  13. I was thinking the increased BP was from anxiety from the asthma attack and the increased heart rate from the albuterol combined with the anxiety. And the reason why I posted was for constructive criticism. So im not taking it as bagging at all. And I'll be sure to begin breaking up large posts into paragraphs. Along with double spacing. The little research ive done between the racemic epi and the epi IM was the dosing and I think the concentration (I cant remember specifically as this scenarion was done three weeks ago). But im curious as what kind of impact between the different route, dosing, and concentration would have for this patient. Since both asthma and allergic reaction constrict the airway the racemic epi seemed like a way to knock out two birds with one stone. But to be straight forward I think I got so tunnel visioned on the asthma I ignored anything else.
  14. I have gotten better. And witnessing my first code on a fire rotation has helped me realize what he mightve meant when he said "private ambulance isnt box time". But having seen the fast pace of a true emergency versus the slower pace of a private it makes me nervous making the transition as a paramedic.
  15. We did a pediatric scenario lab recently and one of which was a 6 y.o female which had a severe allergic reaction secondary to a bug bite. She had a Hx of asthma and seasonal allergies and NKDA. And last time she had anything to eat or drink was lunch several hours prior. Her signs and symptoms came on 20 minutes prior to EMS arrival. Had I did a full body exam I wouldve found the moulaged bug bite on her left shoulder and known it was a severe allergic reaction. (sorry if my spelling is off) Her pulse was 140 BP 100/75 Resp around 40 SPO2 98% RA. My primary diagnosis was severe asthma attack and my differential was a allergic reaction from a unknown etiology. My treatments were begin pt on racemic epi via nebulizer mask 8LPM, begin IV access at TKO for drug administration, and transport code 3 to nearest emergency facility. When my instructor told me I had the incorrect diagnosis and what needed to be done it made me wonder as to if the treatment I had rendered would have been detrimental or beneficial to the patient. My theory behind the racemic epi was she was nearly maxed out on her albuterol treatments and if was indeed a allergic reaction it might alleviate it or if it was a severe asthma attack it would open up her bronchioles. What are your thoughts on it
  16. I think he was joking on that. Ive heard other medics make similiar jokes with NaChl. Ive heard the arm drop test isnt all that effective. Especially if the patient is experienced with the test. Are you referring to arm drop on the face or the crotch? Ive heard about both of these tests. (Having never seen either one done I dont know if its just a joke or if its an actual test)
  17. my prayers go out to the families of those who are all involved. Another sad day in America.
  18. Its pretty obvious im out of touch. And you guys have more experience and knowledge in this Ill just scrap that Idea. So Ill just do a pre professional (pre med) major to avoid taking the incorrect courses.
  19. I'm still working on grammar and spelling. Its a slow tedious process but its getting better. And as far as why I'm doing it this way. Im using my paramedic to gain experience, a working knowledge of what I have learned, and financing my BSN along with my first car. Which to say the least not a junker. But a almost new Mazda RX-8. And yes you are correct the BSN does lack in several courses for a pre medical major however I will be taking the other courses in semesters where I have a low course load.Mostly the summers. Im acquiring my BSN because of the wage difference between medic and RN (which in west texas is relatively significant) and I will have some possibility of administrative positions in hospitals. But more importantly its a solid fall back in the event I should not succeed in getting into medical school. The university I am attending does require those for the BSN Along with micro-bio, genetics, and several others. I can bring a list back tomorrow since i'm consulting with them tomorrow.
  20. most traditional stories regarding zombie bugs are viruses so I wonder why he has PCN in it. But aside the nit picking thats pretty funny. My medical protocols state 1.45 ACP round placed between eyes. Repeat until zombie no longer moving or trigger finger is satisfied.
  21. Thats perfect. Someone forgot to take off the airbrake XD.
  22. Hey guys. Last time I was on here 2 months ago I was in a downward spiral after a bad ending of a relationship and the stress of paramedic classes. Well good news is I have put back most of the pieces together and im ready to re enter to forum with productive posts. So Im back to stay. And in less than five weeks I will be sitting for my national registry at the paramedic level and be starting pre nursing for my BSN to gear me up for med school.
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