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MikeEMT last won the day on November 14 2013

MikeEMT had the most liked content!

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About MikeEMT

  • Birthday 01/05/1981

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    under a bridge

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  1. A humbling call

    The best part of this job is you can never see it or know it all.
  2. New Partners!

    I'm not calling BS or anything but this story pops up time from time almost word for word. Always a new guy showing up at the Hospital to relieve your partner. Always taking off Hot. And always slammng brakes on at last minute. What agency would swap out providers at a hospital without a supervisor being present to begin with.
  3. Caller advises you will need your stairchair

    The stryker can go up stairs easily, just don't use the tracks. We always use two people on our stryker's one at the feet and one at the head whether going up or down.
  4. C-Collar only immobilization

    We do C-collar only immobilization all the time. We don't have protocol for it though, usually its because fire will give us a patient and say "oh its a ground level fall with some foot pain" we get them in the ambulance and they complain of head or neck pain. I don't know how I feel about backboards. I think they have their purpose but i'm not sure they are used appropriately.
  5. Pediatric respiratory care

    iStater hit it on the head. The point I was trying to make is a NRB isn't the automatic best choice in every situation. I was hoping that the OP would come back and reply to my original post with the reason why he chose an NRB. I would like to see that the OP knew why he was providing the treatment rather than "the book says too". One of the most important things you need to do as a provider at ANY level is to justify your interventions. Being someone who wasn't at this call and knowing it was a peds with hx of asthma why did the NRB come out? Were there other signs and symptoms related to respiratory distress? I question the Pulse Ox reading, especially on a child. The pulse ox is very sensitive to dirt and grime on the patients fingers. Did you check the cleanliness of the fingertips? Was the child still? If they are in true respiratory distress they wont be sitting still, if they are that is REAL BAD. Did you consider other conditions responsible for the breathing problems? BTW thank you MariB, you seem to be the only one that actually read my post and got my point. Just so you know our cardiac monitors have SpO2. We just don't carry them BLS. Neither do the fire departments around here but this is a discussion for another thread.
  6. I hate GCS. They updated our ePCR and it is now a requirement to do it twice for EVERY patient. While I see its benefit in say a trauma or ALOC patient I really don't see the need for doing it twice when we have a 5 - 7minute transport time. We have to do a minimum of 2 full exams for every patient anyway.
  7. Pediatric respiratory care

    While I agree with the other posts about the NRB I am going to play devils advocate here for the sake of discussion. I find it doubtful that the CC is incompetent and would do anything to harm the patient (maybe they are, I don't know). So this leads me to question your facts and whether you have the knowledge to treat the patient or if your using textbook medicine. The patient was apparently having an Asthma attack and had an SpO2 of 89%. What were the kids vitals? Did you auscultate the lungs? Did the patient have a hx of asthma? Skin condition? Hot to touch? Audible sounds? I could be wrong but it sounds to me like you focused strictly on the SpO2 reading and not the entire condition of the patient. In my system we don't use SpO2 for this reason, we give oxygen only when medically necessary and to be honest when I first started I hated not having Spo2 readings though I find we have better care and better outcome when not relying on SpO2 reading. The other thing is maybe the CC was angry because he was testing you. Maybe he wanted to see if you could defend your actions. I have rolled into an ER numerous times only to be yelled at by doctors and nurses for either doing something or not doing something. One of the lessons you will learn is regardless of what your protocol or book says, you need to be able to back up and defend your actions. Maybe, the attitude of the CC wasn't to come down on you but to see if you could defend yourself. I have not heard anything from you that supports your actions except for the SpO2 reading.
  8. I would say probably 75% of my calls involve Geriatric patients. Of those I probably respond to some type of care facility probably 80% of the time. You don't really understand how many "old people" are around until you start responding for them. It can be fun or frustrating to deal with them. I have had geriatric patients that were fun and talkative and I have had ones that cursed, were rude and made the drunk, belligerent college kids look tame in comparison. I have also had patients who were truly sick and tested my skills as an EMT and others who confided to me they were just lonely.
  9. Studying in California

    I'll play, hope it helps.
  10. Hello. So where are you a EMT or medic?

    I was going to elaborate on this but I see others have beat me to it and you now seem to understand the issue judging by your clarification. I will say this though - don't question my level of experience. You have no clue as to my experience or history.
  11. Hello. So where are you a EMT or medic?

    Oh lil grasshopper you have much to learn. I see you are a student. When you get in the field you will see the real world of EMS. You are right, it may not be an emergency to me but it is an emergency to the patient. That doesn't necessarily mean they need an ambulance. The laws are written so that if you call 911 and say you want to go to the hospital I must take you. Why should I waste resources on the homeless guy who calls 911 with a fake complaint so he can get a ride up the hill because he can't afford a bus? He even brags about making up ailments. Why should I rush a patient to the ER with insomnia because she is arguing with her neighbors? These people need some form of help, but they don't need my help. As an EMT my job is to educate the community. That means I need to know what local resources I have at my disposal so that I can get these "patients" to the appropriate level of care. Remember, the goal of EMS is to get a patient to the appropriate level of care in the appropriate amount of time. EMS is not for every patient. We do no good for the patient if we codell them and ship them off to the ER. Can a minor complaint be serious? Yes it can. It is up to you to weigh the patient's condition with what they really need. If you think taking frequent fliers to the ER - and that there is nothing wrong with that - then you got a lot to learn.
  12. Hello. So where are you a EMT or medic?

    To the OP, I am an EMT with AMR in Seattle. I am fairly new (was hired in october) but it has already driven me to further my knowledge. Currently I am teaching myself (with the help of some very awesome Medics at Medic One) EKG interpritation and pharmacology. Enjoy the field, learn something new everyday. Being an EMT doesn't mean you have to limit what you learn.
  13. For the New England people... (AMR/Cataldo)

    I know about the issue AMR had back there. Something about a health insurance company changing their reimbursement policies or something so AMR wasn't getting paid. What I don't understand is how a company who serves 12 communities in the Boston area (according to their website) can even claim to be a savior to a company that serves over 2,100 communities across the country. Must be a New England thing. Kind of like British humor - dry to the rest of the world but funny to the locals.
  14. For the New England people... (AMR/Cataldo)

    I don't get this. Is this supposed to be a dig at AMR?
  15. Specially for Mike

    That is awesome