bassnmedic
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Posts posted by bassnmedic
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Medic, I'm sure there is not much I can add to what the others have posted already, but I agreethat you oughta take some time and spend it with your family. Those kind of shifts are tough on anyone, personally they always make me appreciate what I have.....my family and my health. We see it most everyday how fast life can change or be taken away. Also, remember that those shifts are few and far between and hopefully you are over the "sh** magnet" phase.
Take care,
Todd
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I would have no idea were you would get the dogs trained nor have I ever heard of an S&R dog. Maybe an S&R provider would have a course?
You really have never heard of a S&R dog???Remember 9/11, any of the pictures from the rescue efforts there? Or maybe the Oklahoma City bombing?
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Okay, I know this is slightly off topic, but I have seen trendelenburg improve a patient's hemodynamic status. I have heard both sides of the story about it not working and so forth, but from my experience it has worked on more than one of my patients, then again it hasn't on others. Sorry.....now back to our regularly scheduled program
Take care,
Todd
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There are plenty of websites in reference to this topic, all you have to do is typw "search and rescue dogs" in the search engine. It pulled up no less than 50 sites. Why can't you pick up the phone and call your dad's friend?
Good Luck and take care,
Todd
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I think some postural changes would be my first line treatment and try putting the patient in trendelenburg along with a fluid bolus of say 250 -300 cc. Since the rhythm is a sinus brady and no block is indicated, I'd try .5mg Atropine IVP, if the fluids didn't help. TCP and or Dopamine may be in the cards for this gentleman if the Atropine and fluids failed to help with his perfusion.
Take care,
Todd
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If you have to use one of these and the patient is still conscious, for the love of God, *PLEASE* flush it with lidocaine first.
Mike, I'm glad you brought that up, we have been using them for about a year now at one of the services I work at, and that was probably the most paramount thing we told our medics. Well, that and the fact that the needles are around 100.00....
To the original poster, the EZ IO is a very beneficial tool and it's even fireman proof. We love it down here.
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Good luck Becksdad, I hope it turns out to be everything you want and expect it to be. I worked as a tech for a couple of years in atlanta before moving to Florida, it was a different but enjoyable, educational experience. The cool thing was having access to the Docs and such whenever I had questions... which was pretty much constantly
Anyway Good luck!!!Take care,
Todd
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I believe you can find that in the same chapter as the one that says you should put your psych patients on the bench seat..
...........
Good catch and sounds like you may have a good partner as well.
Take care,
Todd
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I actually was thinking I'd get mine tattooed around my neck.........LOL
Todd
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I suppose I'm still in this because it's all I really know. From being a Corpsman in the US Navy starting in 1983 til now as a Paramedic. Also, I really can't see myself doing anything else, I love what I do so I suppose I'm a lifer.
Take care,
Todd
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This can certainly be a frustrating experience for those of us that are medically trained and can be even more so for those that are not trained. Their reasons for not doing CPR may vary from not handling emergency situations well to not thinking they will ever need to know CPR. Instead, they call us. Our dispatch center will try to give CPR instructions, but you know the saying"you can lead a horse to water, but can't make him drink" All we can do is do what we know to do and take care of business. I hope that you do not let this frustrate you too much, you will most definitely see it again........and again.
Take care,
Todd
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One thing we're doing right is having forums like this that are getting national exposure and educating ourselves at how far behind the eight ball we really are.
Identifying our shortcomings and voicing ideas on how to fix them.
The pay is getting better(especially in the better run companies)
Becksdad, hit it on the head as well by mentioning the people we work for. For the most part and there are always exceptions, Where I work, we have some very fine Paramedics that are educated and good at what they do.
ok well that's 4....best I could do.
Take care,
Todd
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Likewise in Lake-Sumter we run 10-18 to everything , which i highly disagree with personally. However, effective 11-01-06 we will be switching to priority medical dispatch in which the calls will be triaged at the call center and dispatched appropriately. This dispatch system for those who don't know will also decrease unnecessary radio traffic as well, as the calls will be labeled with a numerical sign followed byAlpha, Bravo Charlie and Delta with Delta being the high priority level calls, then followed by another numerical value indicating how severe the call may be. For instance a 29D4 represents a MVC with entrapment. This system will by far be better than running Code 3 to every stumped toe in central Florida.
take care,
Todd
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I haven't bought the shears yet but I do plan on it. I did, however, buy the Big Shears stethoscope. The acoustics are as good as my Littman but the eartips came off very easily and the rubber protection ring around the bell came off.
Todd
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1- Education
2- Standardized level of care
3- Need better compensation( which would come with more of #1)
4- Lack of our own Identity
5- Public knowledge of job
Take Care,
Todd
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I'm really not sure Michael.....LOL
Todd
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Wow, this comes as a complete shock......I'd like to take this time to thank a few people for whom this wouldn't have possible.......First, God who made this all possible and my parents for their never ending support...........lol
Thanks,
Todd
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Thanks for everyone's input, it has been helpful and informative.
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We have gotten a little off track on this thread which is ok with me, but I was really trying to figure out if there is any pathophysiological reason the pacing may have not worked. Could there have been a high degree earlier in the day that changed to the junctional rhythm that was preventing the pacer from working as it was supposed to?
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Can we talk about this a bit? By what mechanism does atropine potentially worsen the myocardial infarction?
I found this so far.
EDIT: And this.
EDIT 2: And this.......
EDIT 3: This is a good article. It recommends anteroposterior placement for TCP and it suggests that if capture is not obtained pads should be moved (page 4). If that doesn't work they should be replaced. Did you try any of that?
Also, the second column on page two near the top addresses the atropine issue again. Did you have a twelve lead on this pt?
Yes, we did go through all all our troubleshooting steps, pads moved and replaced. The 12 Lead was done quickly after the 3 lead and confirmed only Junctional Bradycardia.
Take care,
Todd
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Oh my, now Ak brings out the big guns of sympathy.......you had me right up to the part of being alone..........lol
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Will post whoring win me the book?
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Sturgeon was taking too long deliberating mode of transport: roe vs. wade.
That there's funny, I don't care who ya are........lol
New Immobilization device
in Equiqment and Apparatus
Posted
The website bstates there are 2 sizes...adult and pediatric. I inquired as to the log rolling question and was told the device is supple enough to log roll onto as it will give. The ad states that this device will do away with the need for cervical collars. However, I see no way that this is possible due to how patients can be trapped in MVCs. As for worrying about dirt or whatever in the middle of a motocross track, I Can't speak for most services here, but our boards are kept in a compartment until needed. Besides the same dirt that might get into this device is going to get on your LSB anyway when you roll the patient onto it. I think Innovative has come up with a device that is heading in the right direction but at those kind of prices I'm not sure how many the can sell.
Take care,
Todd