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Curiosity

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Everything posted by Curiosity

  1. That's something I'd like to bring up to the department as well. I know some services around here do that already so I'm hoping they take to it. ITLS has a section about how to clear someone from immobilization. It's pretty good info.
  2. I'll tell you how we run here. As of 3 years ago, our basics can no longer administer any meds or do a glucose reading during their preceptorship. They can do vitals, talk, splint if their preceptors want to, that's it. Some of our services don't follow AHA guidelines either. They are enrolled in studies that compare different protocols. I and many people I know went through this process and we are no worse than any other medic out there. I went on to do my ALS and I didn't feel I was lacking in any way. Different strokes for different folks.
  3. Traumatic asphyxia. The sudden compression of the heart and mediastinum transmits this force to the capillaries of the head and neck. Pt presents with swelling and cyanosis to the head and neck. The skin below the will remain pink. Could your patient have lost consciousness with his chest against the tub?
  4. I cringe when people say the word quiet outside of work now. I hit the deck expecting someone to blow up.
  5. I love the conversations I have with psych patients! Sometimes I make my partner wonder who he's taking to the hospital
  6. I'm not clear about whether this is her preceptorship or ride outs. Based on what she's saying I'm thinking these are meant to be observational shifts and not her being evaluated on any skills. Some medics don't mind letting them get their feet wet on ride outs, but some prefer the student to observe, take notes, ask questions and learn before being thrown in the deep end. I have to agree with not overwhelming a student with tasks and simply having them watch and learn. I remember my ride outs, I was very content to simply observe, see how the medics asked questions, see where their priorities were. I also remember being fairly comfortable during my first preceptorship shifts because of that. I learned a lot about communication and history taking during my ride outs. Skills will be evaluated during preceptorship.
  7. What does she look like in general, skin, level of consciousness, 12 years ago, how often would she have seizures, would she get them back to back, does she look well kept, Any recent injuries, falls, bumps on the head, Any change in her daily routine, Was the seizure sudden or did she know it was coming (aura)
  8. I cant wait for the next weeks episodes. I know it's unrealistic but you have to admit, the people in there are GORGEOUS!!
  9. Im sorry, I still don't understand what you're looking for. Doesn't your book have a chapters outline? Wouldn't that tell you what's in there?
  10. Might I suggest you read over some topics already posted? There are a lot of great questions asked by a lot of people and a lot of great answers from some very experienced medics. If there's something you would like more clarification on, then ask. There's a lot to cover in this field, you're going to have to be a little more specific with what you want help with.
  11. Second interview done. It went well I think. Offers go out next week. Fingers crossed.
  12. Electrolyte imbalance (poor diet), stimulants (caffeine), smoking, stress Those were the causes given to me by my doc for the frequent PVCs I was getting. I would suddenly feel like my heart was going to explode out of my chest. I sometimes find myself with a sudden spike in hr to around 120. Usually happens later in the day after a coffee and smoke diet though.
  13. I passed the interview!!! Now to a second informal interview with the chief! So excited
  14. Saw tooth P waves is indicative of Aflutter is it not? I don't recall seeing those in Afib.
  15. My personal cell phone has my drug guide and such. I've also had to use my personal phone to get a hold of med control, dispatch, supervisors because our company phone didn't work for a million different reasons.
  16. http://www.jems.com/article/news/cell-phones-limits-paramedics-firefighte I carry drug guides, dosage calculators on my phone (yes I know how to do them manually but it never hurts to double check) I don't like this idea. What do you all think? Does any other service have this policy?
  17. I see Afib with rapid ventricular response.
  18. Thank you. I know this doesn't have one correct answer. It's a stupid scenario to give. I was wondering what exactly the interviewers were look for as an answer. Patient care or rules. Around here, as sad as it is, rules are what matter to them. If a patient dies, but the rules are followed, then their butts are covered. Unfortunately, my conscious is not.
  19. Yes, that scenario was already set and established there was st elevation on a 12 lead and such. While asking for backup, the interviewers state there's an MCI somewhere in the city and no ones available. (they want to see what you will do on your own). One monitor, one O2 delivery system, one stair chair, can't abandon one to carry the other down, can't leave one downstairs alone to go get the other, no one in the building to keep an eye on your patients, can't make ischemic chest pain pts walk down stairs. Suppose to keep patients on cardiac monitor in order to administer meds... It's obviously something that will never happen but I think they want to see if you'll go by the book, which would mean you can't do anything, or break a rule or two in order to help these people. In my seat, I would break rules to help, but in the interviewers seat, is that what they want to see or do they want to make sure you'll follow every rule in their book to the letter?
  20. Reviving an old post. I have an interview with an other service in a few weeks. My experience with interviews is confusing. I've had one very professional, and one very casual which landed me a job. Both interviews had similar types of questions. The ones where there's a "by the book" answer and there's a "real live" answer. Example: your truck is scheduled for a deep clean and your partner tells you he doesn't feel like doing it. What do you do? Book answer: inform your supervisor Real life answer: anything that doesn't involve ratting your partner out over what I consider such a trivial thing unless of course this is an every day occurrence. Real live, you gotta work with this person every shift for 12 hours. Creating animosity isn't healthy. How do you answer these types of questions? And here's an other question that screwed with my head: Called for patient A experiencing ischemic chest pain. STEMI positive. Your on the second floor of a building, no elevators. Patients spouse suddenly develops chest pain, non STEMI. Backup is half hour away. What do you do? Help! I hate these questions!
  21. I smell sarcasm What the hell was I thinking. Sorry for being stupid.
  22. My fluid idea was based off the 180 hr. I agree, 280 is nothing to mess around with. I'm curious why cardiovert before drugs? He's maintaining a pressure. It's a dual paramedic crew, one could administer drugs while the other preps for cardiovert in case the drugs don't work. I've never seen cardioversion done at that high a rate, wouldn't it be difficult to sync? And aren't you risking a more lethal rhythm? I know if it needs to be done it needs to be done but wouldn't it be more prudent to try the drugs first? I'm sorry if these are stupid questions, it's the way I understand this, if I'm wrong, please correct me.
  23. Narrow complex tachy, regular rhythm, see some P waves in leads II and III, no delta waves. I'm calling it a SVT.
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