musicislife

I live in an all volunteer area. everyone has a dash light and two grill lights at least. My little setup here is nothing compared to most members of my squad. For instance, my friend has this setup: Star High-Intensity StarBurst Phantom Whelen Avenger Dual (6) SNGL 3 light heads SNDL3 Deck light Yea, so if my dash light and two grill lights is too whackerish for y'all, then don't reply to the post in the first place.

-from my protocols and scope of practice as an EMT history? Pain worse on palpation? anything that worsens it or makes it better Family history of heart problems? Trauma? Flight recently? What is the pain like? Could it just be some bad heartburn? Last oral intake? Allergies? Aspirin if on scene and not otherwise contraindicated. Nitro if it is prescribed to him and if his pressure is good. check lung sounds just in case, although this definitely sounds more cardiac in nature. Take vitals, give o2 2-4 lpm via nasal canula if his SpO2 is good That is about all i would do for him, besides calling ALS

quick clot in my experience kinda burns. This is what happens when i get a paper cut at the ambulance building and we have extra quick clot laying around...

study hard. Im not sure what course youre taking, but the one i took in NJ was 250 hours for EMT

Okay so i just bought two SNGL3 light heads from sirennet. My plan it to wire each light into my car's fuse box with 10 amp fuse taps, connect a switch to one light, and sync the two lights using the sync wire. Would this work so that the lights will flash only when I hit the switch? Anyone wire grill lights to their POV before? If so how did you do it?

Ok. In my agency we use paper. I suppose my narrative for a 20 y/o f with ab. pain. Bls 208 dispatched 911 for 20 y/o f. with ab pain. Upon arrival found pt in fetal position on couch being attended to and given 02 by po on scene. Pt stated "severe" pain in ab. Lung sounds assessed. Cap refill assessed. Skin color temp condition assessed. Perfusion appears normal. Focused assessment revealed 10/10 cramping pain in LLQ ab. PT states regular menstural cycle and no possibility of pregnancy. Hx and vitals assessed. Assisted pt to stretcher+secured w/ straps x3. Loaded pt into ambulance. Removed po's O2 and connected pt to main. Transported to valley ER. Pt re assessed en route and found no further problems. No noticed change in condition en route. Handed to nurse Kristen at valley ED. Assisted to pt to bed 2B. Returned to service. What do you guys think?

What do you guys put in the narrative section? It seems that when I write a report, I cannot fit everything into the narrative section, even for simple calls. Any ideas?

well the other two first responders (who helped the PT so i could call it in) told the emt that responded...i just told the officer on the way from his car to the PT..the emt (who was off duty) who helped the PT got the PT info from the other 2 first responders

Wondering if i did okay last night. I was at a party and i was hanging out with my friend all night. She has an eating disorder and hadnt eaten anything but 3 pieces of cauliflower. At the end of the party she was with her other friend and she was getting really dizzy. I came over. She was barely giving me answers to my questions. I told the other friend to get the other two first responders who were at the party, as well as the PT's mother. They came over. the PT had a bounding, fast, regular pulse, and shallow breathing. No drinking at all, i was with her all night. I was holding her because she was really unstable. Once she got really dizzy, i was worried about her going unresponsive, so I put her down in the recovery position. She went totally unresponsive shortly after. I then went on the phone with 911. Right then, an EMT in the area showed up, shortly followed by a cop. I ran to the officer, told him the patient info, assisted with o2 and oral airway. After that, I gave the PT info to ALS who showed up 2 min later, followed by BLS. Did we handle this one well?

sounds like a good line

for some reason, i cant think of a good opening line to a patient besides "hi sir my name is james, Im a first responder, are you okay?"

I have always been confused on when to perform what when dealing with a multi system trauma patient. I think i have to do the rapid trauma assessment on the scene (check, head, neck, chest, abdomen, back, and extremities) and then perform the detailed physical exam in the rig (rapid trauma assessment puls a pupil check, checking the ears and nose, movement of fingers and toes if conscious, etc). Am i correct?

well, my partner tried to simultaneously ask while I was asking different questions. but, normally i think they should be asked after the physical assessment/rapid trauma assessment, before vitals

So we did a drill today. The scenario was a 42 year old male hypoglycemic in an MVC. I was assigned to take history, pt assessment, and vitals. My partner had the history sheet. He started asking him the SAMPLE questions while i was doing a rapid trauma assessment. Should i have done all of the asking, while having my partner write the info down?

i agree with that..aslo being that she certainly knew nothing about proper training and diet for this sort of thing, considering that she was 8 years old..as far as the cramp, could be an electrolyte disturbance from the exertion (i find that my cramps from running go away with some gatorade or something like that)

yea the sugary drink helped her greatly, so did the ice pack and water wait were you thinking it was hypoglycemia or dehydration?

also thinking this could have been dehydration or hypoglycemia.(maybe not due to the sugary cereal, and her appropriate and normal responses to my person, place, time, and event questions)..what do you guys think?

good point

her mom was kinda freaked out so we wanted to at least chek her...had a normal BP anyway...it really was just a really anxious little girl who ran a bit too hard

Ok so we were standing by for a children's triathlon Patient was dizzy, and felt like she would puke (she had just finished) outside temp was 60 A+O times 4...quite nervous, crying-had her cramp in her left side-9 yrs old female Airway: unremarkable, Breathing: Fast, shallow Circulation: Pulse bounding, regular, and fast. skin condition very flushed in the face, hot, and moist pupils: PEARL Ate a sugary cereal this morning No medications, medical history or allergies reported Vitals: BP: 118/80 didnt get rest, because by the time i took the BP, the mother RMA for the child Treatment: we gave her an Ice pack...parents gave her some juice and an orange to suck on...and some water....no adverse reactions to that other than that, kept my hand on the patients shoulder, talked to her, ect This is all the info my partner and I got prior to the RMA (RMA was prior to rig's arrival) patient was a lot better when we checked up 10 min later this was the first time I got to treat someone

thank you...would it be acceptable to perform a physical exam (minus any exposure) /SAMPLE if this patient were conscious? Would a physical exam without exposing do any good? I am guessing it could do some good, but i could be wrong.

yes, that is exactly what I would do

I would say that the index of suspicion comes from the fact that she collapsed and hit her head, without anyone catching her. I would use the jaw thrust due to this index of suspicion. Another possibliliy is the recovery position, but I am not inclined to do that due to my index of suspicion. Also, the age of the woman, indicating a possibly more brittle bone structure, also raises my suspicion of head neck or back trauma. According to my book, unconscious patients often have their airways obstructed by their tongue, and the jaw thrust (among others as well) will alleviate this. Frist three things are Airway, Breathing, and Circulation (C-Spine is also there, as part of the scene size up)

thought you werent supposed to do that for suspected trauma? And cant an unresponsive patients tounge end up obstructing the airway?

i dont know..in all of the cases I have heard, fractures and breaks are not ALS here. maybe im wrong Ill chek with my captain