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CoyoteMedic

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Posts posted by CoyoteMedic

    Funniest pt interview.....

    in Funny Stuff

    Posted

    We had a woman jumping up and down on the bed in a nightgown, her husband laying on the floor with his hands over his groin. She kept yelling that he fell out of bed and broke "it". When they got the guy out of the room, the police Sgt. and I stayed back and asked her exactly what happened. She said he came home drunk and stuck that filthy thing in her face...so... she bit it. They later had to do skin graphs and other things.

    Anyone else thinking we have a relative of the Bobbit family here?

    Funniest pt interview.....

    in Funny Stuff

    Posted

    My best one was when I was working as a EMT-B, we got called out for a man down in a appartment, go walking in to find his pants around his ankles, a wetspot on the floor under this butt, and his buddy walking around holding a ice cube tray. Turns out it was a narc OD, and that his buddy had heard that if he shoved ice cubes where the sun don't shine, it would be all better. Lets just say after a little wake up juice, the guy was wondering why his hole was cold and hurting a little.

    :roll:

    The stripper

    in Funny Stuff

    Posted

    The other day, a guy and some friends of his went to a Night Club. One of the guys wanted to impress the rest of his buds, so he pulled out a $10 bill. When the female dancer came over to us, my friend licked the $10 bill and stuck it to her butt cheek!

    Not to be outdone, another friend pulls out a $20 bill. She calls the gal back over, licks the $20 bill, and sticks it to her other butt cheek. In another attempt to impress the rest of us, my third friend pulls out a $50 bill and calls the girl over, and licks the bill. The orginal guy was worried about the way things are going, but fortunately he just stuck it to one of his butt cheeks, again. The guys relief was short lived. Seeing the way things are going, the girls gyrates over to me! Now everyone's attention is focused on the first, and the guy's egging me on to try to top the $50. His brain was churning as he reached reached for his wallet. What could he do? Then the marketer in him took over! He got out his ATM card, swiped it down the crack of her ass, grabbed the 80 bucks, and went home. . .

    Tracking your Narcotics?

    in Patient Care

    Posted

    Well, I work for a AMR division in California, we get our narcs at the start of the shift, since we work flex cars, from a service tech, who takes them out of a safe, which is under 24/7 video watch. They are sealed by a break-a-way seal. We verify the box number, get the corisponding binder, verify that the seal number is the same as when the last medic signed it off, or the supervisor restocked, and then lock it in a cabnet, which is lock one, and then my company considers locking the ambulance as lock number two. I don't agree with it, but its how they do it.

    Looking for new tricks to play on new hires

    in Funny Stuff

    Posted

    You shouldn't have to worry about pranks if you assert yourself from the beginning. If someone gives you an order respond appropriately. My favorite line is "Do I look like your bitch?" If you make a mistake and someone tells you the right way to do it, just say "I know." Personally I love it when a newbie tells me that.

    If you don't like the way your station does something make sure and point out "that's not the way we did it at Mooseknuckle VFD ." I am sure they will change their policies after that. Also Paramedics tend to get big heads so make sure you point out that "Paramedic save lives, EMT's save Paramedics." I'll tell ya I never get tired of that classic T-shirt line.

    Finally make sure and buy everything you can that says Firefighter or EMT. T-shirts, belt buckles, underwear, watches and of course your own personal jump kit. Galls is always a good source.

    Good luck and welcome to EMS. :wink:

    he forgot that you need to get your own portable BLS equipment with O2 take thats refilled at the O2 refill area for your station, a radio for your personal car to go along with the vector amber lightbar that you are going to be required to buy for your car and have installed along with speakers for the PA system so you can yell at people as your running red lights in your personal car going to calls.

    I think that pretty much hits it.

    Blood pressure based Nitro dosing system in CHF pts

    in Patient Care

    Posted

    Hey folks,

    A couple EMS areas I've worked in have had a blood pressure based nitro dosing system from CHF patients. For example, if someones pressure is 100-120, they'd get one 0.4mg dose, 120-200, two 0.4mg doses, 200 and above, three 0.4 mg doses, every five minutes, with a max of nine doses or a B/P of 100 systolic, and lasix only in extreme cases.

    What I am looking for is any study documentation to a dosing system like this. I am trying to get the EMS agency that I am working in to take a new look at their CHF protocol, and hopefully modify it. As it currently stands, medication wise, you give one 0.4 mg of NTG, along with 40 mg of Lasix if the pt is not taking a diaeretic, or 80 mg if they are.

    I'd love to add other medications like nitro paste, but all I have to work with is ntg and lasix due to local pollices with regards to medications.

    If anyone knows of any case studies, could you link them to me?

    Many thanks

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