mediccjh

Greetings from Division 5.

You know Dougie will fill out your ACR for you if you ask him, right?

I usally don't have to deal with him...joys of being a medic.

Where in the city are ya shook?

I told my parents that's what I want for my birthday.

Hope your leg's healing well.

hey does the "D" you refer to rhyme with menace??

if so lol!!!

Nope. Think Doogie, but replace one o with a u........

Welcome back Woody! Make sure you get out of the chair once in awhile so you don't develop a clot.

I'm staying out of this one....it's been humorous to read though, in a f-cked up kinda sense.

Did V4R....nutin'.

No CP...why give ASA?

In my fridge no some Yinglang(sp) Porter and some Coronas and a few limes, some Chinese food ... but no Kwell

I think that is the worst attempt at spelling Yuengling I have ever seen.

The 12 lead at the hospital did not show AMI. He does have h/o A-Fib, which he does take meds for (don't remember off top of my head). (+) Orthopnea, and dyspnea on exertion, while occasionally coughing up white sputum, but not too much, maybe once or twice his wife said.

Lasix dose was 40 mg once daily, for as he said, "water on the lungs".

I do also believe there was left side going on, which was what would cause the rales.

Room air SpO2 was in the low 90s, but that was my last concern....the shallow resps of 36 while sitting tripod was.

My protcols, as stated, called for 80 mg Lasix IV. This guy weighed about 100 kg.

Keep 'em coming.

You have a 64 y/o male, c/o SOB, onset 1700 hrs at rest. It is now 2200 hrs. Did not take Lasix today; was supposed to this AM. D/C from hospital s/p SOB, pt did not specify dx. Pt took inhaler x 3 w/o relief (Albuterol). 156/80, 118 in A-fib, 36 and labored. Rales 1/2 way up, diminished bases. Peripheral pedal edema, and ascites present, (+) JVD when palpating abdomen. Unable to do a 12-lead, since I don't have the capabilities at my full-time job.

I think it was right sided b/c of all the edema going on, which means fluid is backing up since the right-side doesn't appear to be pumping correctly.

Do you give NTG?

I was debating with the other medic on my tour, and want to hear everyone else's thoughts.

My APE protocol is 80 mg Lasix IV, NTG q 5 mins SL up to 3 total if B/P > 100 systolic, which it was (lowest was 138/80).

Thoughts, comments, opinions appreciated.

Thanks,

Herbie

If the Dodgers were still in Brooklyn, I'd be a Dodger fan.

So, for all those Sawx fans....

How come it took them 86 years to do once what my team did 26 times in that span??

GO YANKEES!!!!!!

When I went through medic class, I had a choice of a 2 yrs Associate's program, or just the certification. I didn't take the Associate's. Why? It's not gonna make a difference around here. Either way medics get paid sh-t here.

So, because I didn't take the Associate's program, does that make me a bad medic? I don't think so.

Will I go for my Associate's? I don't see why, unless someone's gonna pay for me to go to school and pay my bills while I'm in school.

I like using Saline Locks. It's nice not to have to worry about IV tubing getting caught up and tangled while moving and extricating a patient, or some moron pulling on the tubing, thus the IV. When I do have to hang a bag, I put a lock at the end of the tubing. This way, when the cutting's done and time to move person out of car, d/c the bag and still have access.

You know D----- (Bay Ridge and Bensonhurst Brooklyn).

You took D----, paid for his ticket, brought him to the EMS Party, dropped him back off, and then picked him up shortly thereafter because he called 911.

You have to push through FDNY and NYPD ESU fighting over a pin job just to get to the patient.

You know what "facilitate" means.

You give up a job because either you or your partner is facilitating.

You know what "on the job" and "Back in the game" mean......

You purposely listen to PD radios and UCA yourself to the atom where the good job is going to be dispatched.

>Charlie, I'm in the system for 20 years now, what is a "duck" in your >reference?

Oh I know! I know! I know! I know!

Ducks are in reference to firefighters. I think this is because on scene they tend to follow their lieutenant around akin to a group of ducks, or a mother duck and her ducklings. In the same vein we used to refer to the group of medical students and interns that followed the doctor around in the hospital as doclings.

What he said. Basically a derogatory term for the FDNY firefighters.....they're good on supression.............

You might be in the NYC*EMS System if........

1. You know what a bus is.

2. You know what the term "PUT A RUSH ON THE BUS" means.

3. You know what a Conditions Boss is.

4. You can't stand most of the #3s.

5. You can understand the dispatchers, even though they either don't speak English, sit too close to the mike, sit too far away from the mike, or talk too low or too fast.

6. You know what a duck is.

7. Your toe pain comes in as as DIFFBR.

8. Your man eating his own feces comes in as a DIFFBR.

9. If you get the sinking feeling that the UNConscious that comes in says on the KDT "Passerby sts...person laying on ground...UNC....NFI.

10. You know what a KDT is.

11. Your cardiac arrests get up and walk away.

12. You know what EDP, CSL, PAR mean.

13. You drive around looking for a good spot to sit in your 89.

14. You drive around your 89, looking for a spot to mooch a wireless signal.

15. You know what a Matzo box is.

OK all the other NYC guys and gals, let's here them....

21W, 40X and 40W (all per diem now, because I can't stand it there f/t).

You get 2 Rope Rescues in 2 states on opposite sides of the river, and and DOA on the Appalachian Trail....

ALL IN ABOUT 3 HOURS.

When the most common fragrance in the elevators is URINE.

When you cannot put your equipment down because the highly visible roach population in the pt's apartment may decide to relocate to your jump bag.

when your OB patients are waiting at the curb with their luggage and 10 other children. (where's the father again???)

when your EDP's have a preference of Psych ER based on the food

In NYC only: when your MVA is on the BQE and when you arrive there are 20 minivans and 10 crown vic's with flashing lights blocking traffic waiting for the Hatzolah bus to arrive for the "scratched hand".

IrishEDP

Be safe out there.

Oy Vey!!! (Can I sing the song? Or would that offend too many people?)

The soft top is FINALLY on my Jeep! Did it dodging severe thunderstorms today. Pictures to follow when I get a new camera.

I love it when women rub their hands on my head after I just shaved it.

better to shave your head then to look like a smelly penniless hippy

What he said. DAMN HIPPIES!!!!

Blood is thicker than water, so my sibling first.

St. Luke's Hospital, Bethlehem, PA

or

Lehigh Valley Hospital, Allentown, PA