tskstorm
-
Posts
999 -
Joined
-
Last visited
-
Days Won
2
Content Type
Profiles
Articles
Forums
Gallery
Downloads
Store
Posts posted by tskstorm
-
-
My only concern with this story is why the heck did you stairchair her?!
And what's a RMA?
RMA is refused medical assistance. As per local Abdominal pain protocol, she should have been carried down the stairs by stair chair. We offered the pt and pt's mother refused it, and signed accordingly.
-
I agree with others, careful what you say here. No reason to be so over the top.
Although when I read your statement the first time I read it to be if you good at improvisation they will call you a doc, and if you aren't you're a the other thing you said.
Based on the replies I'm not sure everyone else read it the same.
-
Not to mention less drain on the batteries too
Our batteries die all the time, its an unfortunate side effect of having vehicles run 24/7 without being turned off. So once they do get turned off, don't usually turn back on!
-
Like assessing lung sounds, the only way to become proficient is to practice. As was mentioned, palpate as many people as possible. Review your A&P, and look for landmarks. One thing to keep in mind- be sure the angiocatheter is long enough for the procedure to be successful- some angios are only 1 inch long, and that is not enough.
Will a 1/2 inch work ?
-
Well thats hard to say. Every combat medic has their own ways. Tournakits are the best and preffered way to control the arterial bleeds in a limb. I guess the etb could be a substitute after packing the wound with kerlix or combat gauze(hemostatic agent). Even if the arterial bleed on a limb is already controlled with a tournakit i will still pack the wound with Kerlix or combat gauze(hemostatic agent) to keept dirt and debree from getting into it. Honestly, i would much rather use an Ace Wrap though, pack it, wrap it up tight with the ace then use like 6 inch medical tape to secure it. Im telling you that plastic knotch for holding the pressure cen break. I dont trust it, and its useless because the higher eschelon of care, in my case the aviation/flight medic is just gonna cut it off and use his own preffered dressing.
Okay so its just a preference thing. Thanks.
-
Arrgh, I've had a few times were I thought I might have given myself a cracked skull on those. Sadly we still have the dome fluorescent ones in the patient care compartments
Yup the knew ones are flush with the ceiling. and have 6-7 medium sized LED's lighting it up!
-
Wow, this thread suddenly exploded with comments. True to human nature and our individuality there's positive and negative comments. While I am not a fan of rap either, I say let the man do what he does. We all have our "coping" methods for this job and this might be his. Personally I think it's done really well, and good show to FDNY for supporting him in this. Had I tried (and I don't have an artistic bone in my body) to do something like this, no service within South Africa would be as forth coming as FDNY has been with Farooq. Yet another reason I will cherish my visit to FDNY a few years ago as one of my fondest memories.
Yea funny, how no one had anything to say and then *poof* 6 pages worth.
-
Yea I'm not to picky. Anything can be used to splint. As long as it gets the job done.
-
I hate to say it., but I am not surprised. Calling 911 for menstrual cramps or bleeding is something I think every urban provider has dealt with.
The fact that the mom was allegedly an EMTB is also not surprising, but I would also suggest she's probably full of BS. I've had people claim they were "nurses", and I've asked a few routine questions about a patient's medications or PMH and they finally admit they were "only" LPN"s, CNA's, or Medical Technicians.
Looking for a lotto settlement, maybe? Maybe the hospital told them that calling 911 and going to an ER was silly and they decided to get even with everyone because she looked so foolish?
It is possible and likely it was a lie. She might have been looking for a settlement, but I know she didn't get one. Patient care was never compromised.
-
I am of course assuming you can find a willing, able, and conscious female soldier. If not...there is always the navy.
Oh don't pick on the navy, they have enough problems lol
-
10-4. Hope I didn't sound judgmental. Nosy sure. But I wasn't implying that I thought you guys had f'ed up. Actually the mom as a Basic makes it all quite clear. Also brings to mind a cliche about glass houses.
Didn't take it that way at all.
Thanks for your opinion.
-
Mom's complaint was that we didn't take vitals among other things (I only shared this part because it was relevant to the thread the rest isn't)
I probably should have mentioned when I was being interviewed I was informed mom was a certified EMT-B.
It scared me more that she was a trained EMT calling for her daughters menstrual cycle then anything else.
Nothing within the course of care with us went wrong or had any affect. 30 seconds from putting the vehicle into drive and back into park. I can not speak for what may or may not have happened inside the hospital which they requested to go to.
-
I dont do those other things you listed. The EKG and electrode placement is what EVAC is trained in. I am a front line medic, i work with the supplies in my aid bag. I was just saying because on the training dummies its very easy to find the 2nd intercostal space, but its not so easy on a human being.
Oh I see, I assumed you were also a Paramedic outside of the ARMY.
http://handbook.muh.ie/trauma/Chest/TensionPneumothorax.html
http://www.tacmedsolutions.com/blog/wp-content/uploads/2010/01/TCCC-Sztajnkrycer-Needle-DC-Prehosp-Disaster-Med-2008.pdf interesting study.
It really is pretty simple if you practice. As I stated before have different people from the unit lay down and palpate the ribs!
-
1
-
-
You have got to love the field we are working in. Things like this would make for brilliant reading
Great way to pass some time and have a good laugh!
-
1
-
-
I am a combat medic in the US Army
The Isreali trauma dressing is more of a nickname. its actual name is ETB(Emergency Trauma Bandage) We use them, they are great for the pressure on the arterial bleeds, but the plastic used to secure and create the pressure of the dressing can break sometimes. Therefore we will use a tournakit to control the bleeding first then we will use the ETB after the wound is dressed and then we will take a tournakit off.
Are they used often or only with arterial bleeds?
-
Military Medicine at its finest, US ARMY Combat Medics. Im PFC Doc D with the 101st Airborne Infantry Division. How many other Combat Medics we got here?
There are a few and I beleive there are a few contracted civilian medics out in the sand box.
-
Well, finally getting the hang of the IV's, so I'm happy. And I passed medical module 2 with a 100. Over the hump and now I'm feeling like I may get through this year! Woo hoo! Just thought I would give you an update. Trauma up next.
You're keep your head up, actually, keep your head down in the book! Almost there, any other questions please ask so we can help you!
-
My best advice for you is to make someone from the unit lay down and count his ribs. You can't be good at it if you don't practice. Further I question your ability to properly perform 12 lead EKG, specifically electrode placement, if you can not properly palpate ribs.
-
Hey whats up everyone. Im doc d, i am a combat medic in the US ARMY, 101st AIrborne Infantry division. I have an EMT-B, but as a combat medic i do all kinds of paramedic level skills like IV's, morphine and pain killers, Needle Chest Decompression, Cricothrodotomy's, intubations....etc...etc... This site seems pretty sweet. I am originally from maryland, but rightnow im stationed in fort campbell KY, but by the end of the week ill be in the big A-stan (Afghanistan).
Welcome to the city. You will receive better responses to your posts if you use proper punctuation. I am always guilty of slipping, especially in my early posts, but in general it seems to help.
Good luck!
-
Who made the complaint- the family or the ER? Did the patient code or something?
Pt's family member. No the 13 year old with her menstrual cycle did not code!
-
We've also been using the LED lights for some time now. It beats the old rotators in the dark hands down.
On our newest vehicles we now have LED's in the patient care compartment, beats the heck out of the domes!
-
Whats AGM for us non Canada people?
-
Not really my style of music, but I did like it. Thanks for posting it!
Thank you for appreciating it. You're welcome.
-
A while back I was working BLS at the end of my medic class, Working with a brand new EMT, 3rd or 4th shift, we were working a 911 service, picked up a 13 yr old female with her menstrual period. Long story short, pt vomited, we took her down stairs, mom signed RMA for stair chair, get in vehicle take vitals, palp abd, it was warm out A/c was on pt was cold, put a blanket around her, txp around the corner (Literally 35 seconds from pt's door to ED doors.)
Case closed right?
Its never that simple, my partner and I were told to write incident reports and to come down to be interviewed, because a complaint was made, among the complaints was we didn't take vital signs.
Now by the time the complaint trickled down to me, I had seen another 250+ patients between work and school over the next 2-3 weeks. I couldn't remember which way was up with the patient, and I was driving. During my incident report and interview I specified I remember vital signs being taken but I did not remember who took them. I can attest to this because I know if I don't take them my partner did or as suggested I would have taken them myself, no reason not to they take just a few moments. I would need to review the ACR to be specific (which has a check box for who took the vitals.) I was also asked if my partner took vitals from the time we left the scene to the hospital, honestly not knowing I told them I didn't know, I was focusing on being a good driver if even for a short drive. This was my story and I stuck with it, however my partner being new, when interviewed admitted to not remembering who took the vitals and couldn't remember if we actually took them. He was fired on the spot.
Point here, is if someone asked you did your partner take vitals? What would you say, since you know the answer?
Are you willing to lose your job or your certification/license for this partner?
Not a decision to be made lightly, but a decision that will have an impact on your career, and on your opinion of yourself.
The Emo Patient and You
in Funny Stuff
Posted
If these bands or anything else is in the way or compromising to patient care it gets removed by any means necessary. However the key here is compromising to patient care. If I need to start an IV they need to go.