MariB

O2 and cot

I'm applying diesel and hoping he makes it to the er. I would have my medic intercept, and call in ahead telling them we have a perforated trachea. This is a patient I don't want to see. It is definitely a reason I want to go back to school. Bls is not going to save this guy of he loses his air way. I can give him an opa, NPA and a king airway, but he needs more than that.

There is really and issue with "c" and "s" here Shall we start correcting that?

You need to go by your state laws. You can let him die, then what happens when she changes her mind then? My laws tell me unless I have papers in hand, I have to do what I have to do. He is not in a state of mind to be making decisions now

Uh the wife is the one who called even after he told her not to. There are no papers at all anywhere you can read. There is nothing else you can do but go off implied consent once he goes unresponsive.

Lvads have a manual over ride pump you can use in case of mechanical failure . I was taught that in EMT b believe it or not Usually your best bet if possible is asking the patient or family as they are best educated hoping they are available to answer.

How long of a transfer? 87% on a nrb? This is a patient I wouldn't hesitate to use lights and sirens on.

Most people get it within 2 hours Log on the nremt site, check pending application status. If it still has "print att letter" then your results agent in yet

yes he works for FDNY. A simple search on him came up with his real name and his occupation. He also states he is an ems instructor. He also does pot runs

Police and soldiers do have emotion.

We obviously don't have the name standards. I can do spo2 I can do a blind airway A bgl A 3 lead 12 lead these are for doctors and nurses benefit Cpap Bipap Epi pen Pt assisted nitro, inhalers Aspirin Activated charcoal Mast trousers (however our medical director has asked us not to use these so we removed them) Helmet removal Glucose.. Um hmmm what else. There isn't national standards. There is local protocols Dang it, didn't edit in time after seeing how poorly written that was I told you what I was going to do. But you got emotional. You got mad and "cried like a girl" and left the thread

My treatments within my scope of practice. Lets just say I have a 15 minute transport time to hospital Eyeing him from the door hearing his mothers story and seeing his head drop, learning his gcs is 14 I worry if he is losing responsiveness. I would alert my driver to call als to intercept. I will do respirations, pulse and spo2. He needs o2. He gets a nasal cannula at 6 since he is pretty low. If that brings it up over 96, I'll turn it down a bit to see how he tolerates it. If it doesn't bring it up to 93 to 94 I'll go with a non rebreather. I will listen to his lungs for bs. Since he may be altered "head dropped" I'm going to get a blood glucose. I realize it may be off a bit as infection can do that but if he has been sick, he may not have been eating or taking meds. Seeing he is coughing yellow secretions I will grab an emmisis bag and try to get him to cough up his sputum into that to show the doctor even though the Dr may or may not want it. I'm going to look him over, put the leads on him , grab a bp since there is a history of hypertension, his pulse is fast and our life pack is right there with us so its fast and quick. Grab his meds and go. Time to load. I will get the pupils medical assessment etc in ambulance enroute As I get the heart monitor print out. I'm going to spike a bag and get an iv ready for my medic. By now she should be meeting up with us. Time to reassess. While she is getting vials of blood and the iv going I'm going to do everything I just did minus the bgl. I'm going to ALERT the er we are enroute with a patient and give a radio report. At that time the medic would be busy doing her als part of the assessment. When we arrive I would take the sputum, blood vials and meds in with us and then wait around because he would be transferred to a bigger facility Eve though they just might fly him.

I know what to do, but you don't seem to. That's what is scary

The piece of metal coughed up was a stent.! The area is severely infected. He is in danger of losing his airway. He is septic, the infection is through out his body. Did you read what the vitals were? People die sitting up, doesn't mean squat. I would keep him sitting for breathing, but torn because I want to start treating him for shock! His airway comes first though. I would be preparing to assist ventilations and you are thinking you might call ahead. Eh. If it is his lucky day. that is all EMTs in NY do? Wowsa why even test? You could save money having kindergartners do that.

what scares me is the answer above this

What about this patient doesn't sound bad to you? And call ahead. This patient is sicker than you think. He needs more than you can give him. I would be calling my medic if I was going to have a longer transport time. One of them would meet in route. In town, it would be quicker just to go. Someone this ill deteriorates rapidly. His history and what he has going on now would kill him without medical intervention. Who knows how he would be had he waited until tomorrow So what about this patient do you not see being that sick?

Oh my, where to begin? Nobody is talking about "girls that cry " " for a half hour after a call " that my friend will someday lead to someone shoving an O2 tank up your unemotional ass. I'll bet you cry then I'm amazed you compared your unemotional self to an asset serial killer who would press a genocide button. Strange way of putting it, but it does make sense, if you feel little to no emotion, how can you feel empathy, compassion or concern? You are wrong about police, military and therapists not feeling any emotion. I've seen police cry. I've seen social workers break down. And therapists usually have that job because they do care. They have compassion and yes, emotion. I would advise you to consider seeing one. Did you just get into ems to see dead people? To get off on peoples pain? Does it turn you on? I know you are new at it. How many hours of CPR are you doing on a patient before you call a medic? Come on. Get a grip. Eh don't fret it. He has said people with no emotion are an asset. And then compared people with no emotion to serial killers. I would rather cry like a girl when I get home after something hits close to home than have little to no emotion. People like that can not feel love, joy or happiness

I didn't get anywhere at all where the OP stated he lived in a state that didn't require the NREMT. YOU live in one of 4 that do not use it to certify a new EMT. He is just confused about it is all.

Hello!

I needed to passed the NREMT to get my EMT in my state, however I do not need to keep it to stay certified in my state.

I was thinking... don't we always call ahead? I mean it is part of transport. Its called " radio report I am wondering if this person does work in ems also. Just did a search on this poster. He just finished his class last year in NYC. So he has been an EMT for a year. Unknown if he is working as one at this time.

No, they are robots I have seen a phycisian cry, a medic tear. It happens. After time you get used to seeing certain things. Sad but true. However there will be some things that will catch you off guard. . People without emotions aren't assets. I believe the word is psychopath

My state does not issue tests. You must take the NREMT. Good luck getting your EMT without it.

We are human and will have emotions. Yes I have felt emotion from a call. Instead of being told you are having emotional reactions you should have been offered a counseling session. Its OK to hurt, be sad, scared etc. But you need to be directed to help so you know how to deal with those feelings so hopefully it gets easier for you. I hope it gets better for you. I think we all have had those one calls. Its OK

Yikes, Als please. He needs o2. Start transport and intercept als. Vitals every 5 or less, watch the bp closing in.