Imagine89

Why is it that whenever you bring in an incoherent pt, who has vomited, doesn't speak, and isn't cooperative, they decide to tell the ER doc that they had " a bit too much to drink"? as soon as off the ambulance.

Alot of these stories remind me of bringing out the dead, which by the way is a movie everyone should see. I have no stories, unfortunately.

This is going to be through the eyes of a basic, dealing with drugs a basic can give, because that's all I am, so I apologize. You're dispatched to a call for a 64 y/o male pt complaining of chest pain. u/a you find pt seated, pale and slightly diaphoretic. What's your name? As you're putting him on O2, start asking him to describe the pain, go through systematically, When did the pain start? Is there anything that makes it better or worse? Try as best you can to describe what the pain feels like. Does the pain go anywhere, or does it stay localized? On a scale of one to ten how severe is the pain? This will go really quickly. Get a quick set of vitals, then ask if he's allergic to asprin or pks, if not give him 235mg asprin. Get any meds at this point, its important, because we can assist with nitro. At this point, from a basic standpoint, following protocol, ALS would be on scene, and we'd be relocating to the rig. While en route ask what he was doing when teh pain started. What did he eat last? Any PMH? Get more vitals, and continue to check up on the severity of the pain, any other symptoms that should require additional assessment. ---- Essentially, just be systematic. Once you get into the rythym of it, it becomes habitual. I dunno if this really helped, but I tried.

Increase in EMS salary Elimination of job politics Competent partners 100% of the time. I'm sure I could think of better ones, but that's off the top of my head.

So it was my first CMED report to the hospital, and it was late, I was tired, and after establishing connection with CMED, I of course, being the suave person I am, say "we're on route to your facilit-" at this point I realize I haven't been patched through to the hospital yet...I still hear hell about that.

Not stupid, but certainly amusing. Dispatch: Control to 811 Officer: 811 Dispatch: Could you head down to XXXXroad for a possible domestic? Officer: Sure thing derek Dispatch: recieved, but i'm not derek Officer: Yes you are.

"sir how are you feeling today? what seems to be the problem" "well...I had a really bad headache that went away yesterday" "Do you want to go to the hospital" "nah" "..."