runswithneedles

Welcome Sharon. You will come to enjoy this site as you progress through your class work. But yes watch out for "the kiwi". Hes a very unique specimen that is easily startled by loud noises. But in the event he should retreat to his yellow ambulance. You can easily coax him out with a good basket of fish and chips. The kiwi loves fish and chips.

Saweet.how about a liver enzyme panel. allong with a complete blood coount

possible liver failure

would like to see if the anemia could be playing a role secondary to poor diet

Fingerstick BGL is 37 (~1 mmol/l)

forgot to mention. I dont know the whole mmol/l. How do you convert that to mg/dL

Can we get a glucose reading to rule out DKA.

Whats his breath smell like. alcohol,fruity,GI smell

Has the patient had a hx of constipation

has he been compliant with all of his medication

Wow. Thats really nice. How does it ride?

One of the competing companies down the road from us have one of those. How much room does it have in the back

Interesting group here.. usually comes with the territory lol.

I cant speak for everyone but I believe most will agree. Theirs no better group of people. These medics and EMT's are some of the best in the business. And if they dont have an answer to your question they know where to find it.

OK, back on the FRU for you it is then?

Seeing as how needles has never driven a right-hand drive or on the left we'll take the risk of having me drive the big yellow box

Red base, November 100, available local area

Oh BTW needles is Big Al a Freightliner by some chance?

yes big Al is a freightliner.

I always called it a medium duty. Whenever I thought of type I I always thought of a box mounted on a f350, chevy 3500, or dodge 3500. Its been so long since I have reviewed EMS ops can you enlighten me as how they classify each ambulance.

My supervisor would die to get it back in service. But the nearest service center is 6 hours away and they dont want it gone for a month or shell out the hundreds of dollars it would cost to fix the short the kills the battery after turning it off. Its our most fuel effcient , smoothest riding, and fastest off the block. But its also the ugliest excuse of a vanbulance I have ever seen.

Merceedes Sprinters are not hybrid, they are ungodly monstrosities straight from the depths of hell!

amen to that kiwi. We have one of those. We call it frankenmobile.

Thank you for the insight kiwi. Back to the pharmacology books I go.

Dwayne is a punk ass bitch

Me on the other hand? I'm a scary mother fucker, when I'm not in the corner rocking back and forth with my pillow, roar!

someones due for their medications

You want to give me a motorbike. Saweet

Now get out there, jump in and participate and remember, what's the worst thing you can do here, offend Dwayne, nah, he's a pussy cat, now offend the great runswithneedles and you are in a shit load of hurt.

Moi, great. Gee that made me all warm in fuzzy inside.

Dwayne, a pussy cat....HAH. Hes the first one on the forum to give me a spanking and I left that post after correcting myself with my tail between my legs.

brb got a run

That I will, don't like getting into debates, but I would love to learn about new up and coming practices, technology and methods of performing skills.

Comes with the territory. Welcome to the city and congrats on your written.

Its the differences in pt care and debate between different views that both enlighten and improve us as health care providers. And as a person as well.

Can I just ship my box. I know where everything is on it

My partner calls it big Al.

I call it the mellow yellow mobile

MFI (Medicine Facilitated Intubation)

Its same principles as RSI however it does not use a paralytic. It just uses versed and a long lasting sedative (cant remember the one our protocols use but Ill be glad to check once I'm done with clinicals)

Wait. If im in the UK I can consume. Now all I need is a long vacation and a plane ticket to london. :-D

Or I can just head up to Canada.

Saving someone from a cardiac arrest is just doing our job. Outcomes post arrest are grim. I've worked 2 arrests in the last week, got a pulse and a pressure back on both of them, only to find out they passed a couple of days later. I sometimes wonder to myself...Have I done them any good at all. I dont think I have. I prolonged thier lives long enough for family to say goodbye. I guess that should be enough but it isnt.

Even though you might not have changed the patients outcome. You did indirectly change the outcome of how the family says goodbye to their loved one. And if a family member has time to say goodbye to them I think that might make it worth it.

should you refer to yourself as a hero.....not on your nelly.......thats conceited and reserved for firefighters

Hmm what happens when you get the hybrid FF/paramedic?

sorry kiwi........

wouldn't that be "ruckit si-unce"?..........

Makes me think of dustdevil

BBQ sounds great. Can I buy a round even though I cant consume.

Open up the lines and titrate to keep bp @ 90 systolic.

Initiate MFI to secure airway

Needle decompression on the affected side (3rd intercostal space if memory should serve me right)

Place the combo pads on in route and be ready for cardiac arrest

Call into the level 1 trauma center and alert them to have a surgical team ready

Be ready for vomiting of blood

put on safety googles/ glasses

do I have an engine onscene where I can take rescue crew with me to handle ventilations?

if not ill steal a cop and have him do it

also I didnt see if anyone else asked this but....Has this guy been searched for weapons himself.

Perhaps I need to better calrify. Under texas penal law section 9.41 states a land owner can use reasonable force if summoning law enforcement is not a viable option or when the actor believes it is ultimately necessary to prevent or terminate trespass. Necessary force can go as far as firing upon trespasser or can be a simple as physically removing said trespasser.

However texas penal law section 9.42 states

A person is justified in using deadly force against another to protect land or tangible, movable property: (1) if he would be justified in using force against the other under Section 9.41; and

(2) when and to the degree he reasonably believes the deadly force is immediately necessary: (A) to prevent the other's imminent commission of arson, burglary, robbery, aggravated robbery, theft during the nighttime, or criminal mischief during the nighttime; or to prevent the other who is fleeing immediately after committing burglary, robbery, aggravated robbery, or theft during the nighttime from escaping with the property; and

(3) he reasonably believes that: (A) the land or property cannot be protected or recovered by any other means; or the use of force other than deadly force to protect or recover the land or property would expose the actor or another to a substantial risk of death or serious bodily injury.

The above post makes me think two different people wrote it. You respect a people but if you see them on the farm you will shoot them. Do you even realize how messed up that is?

I feel for your rancher buddy and every other land owner that suffers property damage.Violence is not the answer.

We used to put water barrels out for them with a sign that said "This water is provided by a Republican".

I resisted the urge to jump in and defend you on the "black" thing because it seemed anecdotal and possibly innocent. These post are of a very different nature.

EDIT: I missed your sideways apology. I will leave the post just because I don't have words to properly express just how messed up what you said nor the attitudes those words reflect.

To be honest. I didnt know what to do when she told me she was illegal. For a moment I was very tempted to turn her in. But I couldnt because was my friend. Some run of the mill man that just crossed the rio grande. Different story

According to Texas law if you are trespassing on another mans property. You can be shot at if the land owner gives warning to the trespasser and he does not acknowledge the warning. (However the owner must cease fire should the said trespasser runs away as if he continues to shoot and succeeds in killing him its murder)

If you saw someone on your land and didnt know their intentions what would you do. Waltz right up to them offer you a cup of tea. Hell no.

For the record people I will do what ever is deemed necessary to protect myself, my family, and my friends. If that only means firing off a warning shot stating I mean business. Smart on him and less headaches for me. But if he pulls out a gun or continues to advance toward me I will act.

I nearly peed my pants. That was awesome

JVD

trachea- is it mid line

what does his abdominal region look like

is it tender, rigid

is there a sucking chest wound

approx how much has he bled out onto the floor?

Does he feel nauseous? Any unusual odors such as GI odors

Go ahead and assist ventilations BVM hooked up to 02

trendleburg postion

have 2 IVS ready to go once he begins entering decompensated shock

manage any bleeding and cover any sucking chest wounds with a three sided occlusive dressing

Prepare for a L sided needle decompression if indicated

*EDIT:TKO....Until signs of decompensated shock are present and titrate to maintain a BP of 90 mmHg systolic

Go ahead and place on cardiac monitor as well. Also clear airway with suction

It was a fun detour though. Gave me a chuckle or two......And a slight headache.