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airbornemedic11

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  • Gender
    Male
  • Location
    Iraq
  • Interests
    Ice hockey, PT, running, hiking, rock climbing, PT, weight training, combatives, PT, reading, saving lives and taking lives.

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  • Occupation
    Contractor/Medic
  1. Stole this from a military blogger, the Mad Medic. Medics are an odd bunch. Were that strange mix of brains and Braun that is required to work on the Line but also to reasonably diagnose and treat a wide range of injuries and illnesses from food poisoning to traumatic amputations. Were trained to look for the signs of combat stress and the good medics are always watching their Companies (Batteries and Troops) for anything that might affect them. Its a very stressful job, and we tend to blow steam off in very odd ways. Were also odd in that most of the things that make you say aw sick dude we tend to say; DUDE! Thats so freaking sweet! We get a damn good laugh at some of the insanely stupid stories you come up with to explain the bizarre gambit of injuries you somehow inflict upon yourselves (I have pictures so dont try to deny it). We love our guys to death. Ask a good medic what he wouldnt do for their guys and youd be hard pressed to find a limit to how far theyd go for you. Usually this love is mutual. A good medic is worth his weight in gold to a line company, and we pride ourselves on earning that title you bestow on us, Doc. There is just one thing you all should know when dealing with those good medics, that I ought to give you fair warning. Dont EVER piss them off. To explain exactly what I mean I will tell you two little tales to explain just why its such a bad idea to piss off your medic. First comes from one of the NCOs that instructed me way back when real men wore green and Iraq was just won (the first time). You see my instructors hated how terribly dull the Death by Powerpoint slides were and it would often piss them off that some of the privates would fall asleep. So they would tell stories. So one day were going through a series of slides describing some of the treatments of ingestion of poison, and one of the slides mentions that you should never give syrup of ipecac to a person whos ingested an alkaline solution. This seems to be a great time for an aside so he stops the slide show and proceeds with his story. Youre probably never going to see ipecac anymore, but it used to be something we carried all the time. It was supposed to be given in the event of poisoning and certain other emergencies and would cause a person to vomit. At this point Im pretty sure some of us snickered about the possibilities to prank one another. At this point one of the trainees asked if he had ever used it. He smiled and said once He proceeded to explain that a few duty stations ago, he had been a medic tasked to cover the pre-Ranger training his brigade did. While he never went through Ranger School himself he pulled coverage on the candidates all the time. He didnt have to stick to only two MREs a day or less, but it was frowned on if he had a ton of POGie bait sitting around so he would always have an orange and an apple in his FLA, and would eat one or the other while following road marches or waiting for the candidates to move from one area to another. Well once he noticed a few days in that both the apple and the orange would keep disappearing. He was getting annoyed, and knew it wasnt the other medic because he preferred bananas (which hed have in a cargo pocket). After a week of his oranges and apples going MIA he decided hed had just about enough of this shit. He took the syrup of ipecac, drew up 30 CCs in a syringe, and injected both the apple and orange with this miracle drug of super pranks. Word of advice if you bite into something and it tastes like it has maple syrup in it but it shouldnt, spit it out and do not swallow it. Turns out there were two would be Rangers that suddenly came down with a violent case of vomiting, and the FLA was called out to treat them. There were two sad sorry sacks who were on their hands and knees vomiting their brains out and their squad hovering around them completely clueless as to what might have caused them to up chuck till they had no chuck left then keep going. IVs were started, and as soon as they were in the back of the FLA away from the cadre my instructor tapped the two on the shoulder. Now I know that you stole my fruit, he says. I put something in it to make you vomit, so I know it was you guys that did it. Youll keep dry heaving for the next half hour or so and will be pretty weak for the rest of the day but youll be fine by dinner. I wont say anything to anyone, so long as you never ever steal my fruit again. Unfortunately for all those intrepid pranksters out there, you really cant find this wonder anymore. Apparently people would ingest it and the vomiting would be so violent that it would cause other problems, among other things dehydration, and apparently some people would do Family Guy-esque moments where idiots would chug it and see who vomited last. The other situation was actually something I did. This happened on my first tour when I worked in the battalion aid station for the support battalion. Well I happened to be OpCond out to an infantry unit in my brigade. Out at this podunk little FOB, there was this guy who would always hang out at the aid station, and always try to bum food off us (we had a little back door deal with the cooks). He would sit there watch our movies and complain about things we did. Really we couldnt get rid of the SOB. Worst of all we did actually need him to upload commo, and keep us apprised of MEDEVACs in our AO, so we couldnt just whack him upside the head. But slipping him something in his food. . . thats a whole other story. So one day said offender just left the aid station after cutting loose a truly atrocious fart, and I say something to the effect of What I wouldnt give to get him back. At which point my very big brained socially awkward neurologist Doctor pipes up well, you could always turn his urine blue. Say what now? Turn his urine BLUE? Yes in fact there is a pill that is used to turn ones urine blue to aid in the diagnostic of kidney functions (side note, eating a lot of beats will turn it red, and a lot of asparagus will make your urine REALLY stink). The malicious grin that sprang to two young specialists faces was enough to make him realize he probably shouldnt have said that. After two hours of pestering him he told us the name, and told us that only the Aid Station back on the main FOB would have it. A week later, said pills came on a LOGPAC, along with a few choice DVDs, and a months worth of mail. Needless to say we took the liberty of consulting the Nurses Desk Reference to make sure we got the proper dosing. Sure enough Sgt [name removed] comes to the aid station intent on watching our Stargate SG-1 marathon all the while complaining about the lack of good food, and consequently raiding our food. When he got up to piss I delivered the crushed up pills to his drink, a pop top coke then pretend nothing has happened. Said coke was chugged, and I began grinning like an idiot. The aid station didnt have to wait long. Perhaps an hour and a half and two episodes later we hear a scream from the bathroom. The high pitched girlish scream you expect out of your little sister when she sees a spider. He comes tarring into the treatment room and screams MY PISS IS BLUE! Most people would have bust up laughing at this point. I managed to keep my cool, but I couldnt help a grin. Blue you say? Did I F**KING STUTTER? MY PISS WAS F**KING BLUE!!! he screams at me. Gosh, that doesnt sound good, let me get the Doc. I didnt have to go far. The screaming in conjunction with the trampling in the aid station had alerted the NCOIC and the Doctor that somethings up. My partner was off doing something with our ambulance so he was a no-show. I intercepted my Doc in the hallway, while the NCOIC went in to figure out what the hell all the screaming was about. I asked my Doc to play along. I couldnt stay in the treatment room because I was laughing so hard, and my Doctor who had given me the idea, and now had the responsibility for carrying the prank just a little bit further was absolutely brilliant, in one stroke suggesting the hapless Sgt wasnt getting enough PT and was probably eating too much food. Im not sure what he gave him but that Sgt left the aid station with wide eyes, and he never broke wind in our aid station again. I might have been literally rolling on the floor laughing. I might also have had to do a LOT of push-ups, and would have gotten an Article 15 if my NCOIC at the time didnt want that Sgt gone just as much as I did, and she thought (after a day or so) that it WAS pretty funny. The moral of the story is this boys and girls; Medics are an odd bunch. We love you to death, but that does not mean that we wont embarrass the hell out of you if you try to act up with us. Laugh along with us, and dont give us a reason to dislike you. Also it kind of helps to have us on your side because we tend to have connections. Love us or hate us, you cant live without us.
  2. 1. Your first contract will be well over 3-6 months, more like 1 yr with 1 or 2 leave rotations in there. 2. Get your intermediate cert first. Most contracts are moving away from DoD and DoS is taking over. DoS requires intermediate, period. DoD will hire Basics, but there are very few of those contracts out there and if you're not in the good ole buddy system, you ain't getting in. Because the economy back home sucks, the competition over here has gotten tough. And these companies know that. The days of making $1000/day are over. Every new contract is underbid by someone else. 3. Sign up on different contractor forums and read. Don't start asking questions, read and do your homework. Socnet, Secureaspects, Closeprotectionworld, Blackice, Shooterjobs. If you decide to shotgun blast your resume out to all the companies like I did, I recommend Dyncorp, Aegis, Globalgroup. I would stay away from Triple Canopy, just from my experience.
  3. Looks like the 1st move is determining whether this is dystonic or seizure activity. As I explained earlier I was moving away from seizure because of his LOC (but I'm looking into partial complex as Eydawn pointed out) and moving towards TD because of the Haldol history, but now it's looking more like dystonic. After looking into dystonic I would start with Benadryl and move to benzos, as Mobey advised. Thanks for all the responses.
  4. Sorry, my bad. From now on I'll be sure to start every question off with "I've done some extensive research already and can't find the answer. I would like some help," as I have already done the research and I am asking for help. Now, back to the point. Here is why I was leaning towards TD. Call your doctor at once if you have a serious side effect such as: dizziness, fainting, fast or pounding heartbeat; restless muscle movements in your eyes, tongue, jaw, or neck; tremor (uncontrolled shaking); seizure (convulsions); - http://www.rxlist.com/haldol-drug/patient-images-side-effects.htm and http://www.emedicinehealth.com/drug-haloperidol/article_em.htm Which lead me to: Tardive dyskinesias (TDs) are involuntary movements of the tongue, lips, face, trunk, and extremities that occur in patients treated with long-term dopaminergic antagonist medications. Although they are associated with the use of neuroleptics, TDs apparently existed before the development of these agents. People with schizophrenia and other neuropsychiatric disorders are especially vulnerable to the development of TDs after exposure to conventional neuroleptics, anticholinergics, toxins, substances of abuse, and other agents. TDs are most common in patients with schizophrenia, schizoaffective disorder, or bipolar disorder who have been treated with antipsychotic medication for long periods, but they occasionally occur in other patients as well. For example, people with fetal alcohol syndrome, other developmental disabilities, and other brain disorders are vulnerable to the development of TDs, even after receiving only 1 dose of the causative agent. - http://emedicine.medscape.com/article/1151826-overview Now I've explained why I arrived at TD. Those that have offered other possiblities, I thank you, I'll look into those as well. If you have yet another diagnosis, I'd appreciate some input. Hooah.
  5. TD and seizures are common with antipsych meds. I'm ruling out seizure because he can't respond due to his tongue problem, and reponds with grunts. Not possible with a seizure. So I'm thinking TD. There is no mention of Reglan or fever in the question. Is there anything given prehospital for TD?
  6. Here's one of our research questions. Your patient takes haloperidol and presents with his eyes rolled back in his head, tongue sticking out and stiff neck that is “cocked to the side.” He is conscious and breathing, but drooling, and he cannot answer your questions because of the problem with his tongue but responds with grunts. What do you suspect is wrong? I'm thinking TD. What meds does EMS carry for this?
  7. Hello, I'm a contractor in Iraq, working on my EMT-I/A through Percomonline. Prior service US Army, 1 deployment. Civilian contractor, 2 deployments. I've worked tactical, field, ambulance and ER for the past 6 yrs. I plan on using these forums to help out with my studies. If anyone has questions about contracting or life in the 3rd world, feel free to ask. Hooah.
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