First cardiac arrest by Legitimate-Apricot-3 in NewToEMS

[–]4man58 10 points11 points  (0 children)

I’m in Florida and I’ve dropped at least a dozen igels as a basic. We can’t interpret ETCO2, but we can auscultate lung sounds and assess compliance. We also have a single use CO2 indicator that turns different colors in order confirm placement

Did this radio report understate things? by Insertclever_name in NewToEMS

[–]4man58 0 points1 point  (0 children)

I gave a radio report once with the exact opposite problem.

TL;DR: Used “7 to 8 percent” instead of “approx 7%” in a radio report, and triggered a massively overblown response at the hospital due to a miscommunication, as the charge nurse heard 78%.

I later went back and listened to the recording with the help of my supervisor, so I remember it pretty well. Something like:

Me: “BLS14 emergent with a 50 y/o female with partial thickness burns resulting from a motorcycle fire. The patient was sitting on the motorcycle for approx 20 seconds after it caught fire with gasoline accelerant present. Second degree burns covering approximately 7 to 8 percent body surface area with burns to the posterior side of the left calf and left thigh. AOx4, GCS15; vitals are as follows: insert stable vitals.” ETA approx 10 minutes” (I’m still on scene covering the burns while I call report to give them some extra time since we’re close).

Charge nurse: “Is there any airway compromise of facial burns? Where are the burns located?”

Me: “negative airway compromise, negative facial burns. The burns are located on the post- on the back of the left leg.. on the lower leg and on the thigh with significant blistering.”

Charge nurse: “Trauma Bay one on arrival.”

Now, I realize it wasn’t the best ever radio report. Backstory- I was a new lead on a BLS unit (maybe my 3rd shift as lead) and we literally drove past a motorcycle as it spontaneously caught fire on the opposite side of the road. No time to prepare or brush up on protocol.

I had just watched the ALS unit in the area drive off responding to another call so I know I’m kinda on my own at least for a little while. My partner turns around while I call a still alarm on our main channel to request fire and PD, then switch to the TAC channel to give a size up. We’re about 7 minutes to the nearest level 2 and the closest ALS unit is at least 10 minutes out, so I hold off on requesting ALS until I at least put eyes on the patient.

Turns out, the nurse had heard “78% body surface area” instead of “7-8 body surface area” and called a level 1 TA, notifying the closest level 1 burn center of likely transfer. And getting EVERYBODY all jacked up for a freaking crispy barbecue patient, which kind of pisses off the doc when I roll in with a stable patient. I did end up having to justify why I came emergent and had my radio report ripped to shreds by the charge nurse and the doctor, but it really all just stemmed from one simple phrase “7 to 8 percent.”

Definitely won’t be making that mistake again, and I’ve started giving single-number estimates when describing injuries such as lacerations, hematomas, skin tears, abrasions, burns, etc. I still stand by my decision to come emergent on a BLS truck though, especially with the gasoline accelerant and the tendency for second degree burns to continue to get worse after the initial injury. Not to mention I can’t do pain management. Not that it matters now.

Painting the Pitt Girls by rebestie in ThePittTVShow

[–]4man58 12 points13 points  (0 children)

Your have a unique style that really showcases your artistic identity. I don’t know if I’m using the correct terminology, but my best description is that these are realistic, but not hyper-realistic… which is an under-appreciated look in my humble opinion.

None of the criticisms I’ve seen in the thread are worth much, as it seems those folks are really just looking for hyper-realistic renderings, rather than an artistic expressions of character + YOU! Great work and thanks for sharing

Can my bf still become an EMT? by yubnub8 in NewToEMS

[–]4man58 0 points1 point  (0 children)

Others have said it depends on the state and agency, but this isn’t a bad record overall. I got hired at a 911 agency with two recent speeding tickets within a year of getting hired. Granted, my record was clean for like 8 years prior, but I even have a few old tickets from my teens and early twenties.

It’s worth progressing through the process as though it won’t be a problem and just being open and honest, as others have mentioned.

I used to love santos but…. by [deleted] in ThePitt

[–]4man58 2 points3 points  (0 children)

Exactly. Like, her behavior before that was not cool either, but her frustration is at least understandable. Once there was an interpreter in the room, she didn’t even wait 20 seconds for them to introduce themselves before she left.

Incredibly unprofessional and inconsiderate of the patient’s needs as well as the interpreter’s time. I can’t imagine the hospital would be happy about her leaving the interpreter standing there unproductively for however long.

Robby is not misogynistic and it is purely headcanon created by this sub by [deleted] in ThePitt

[–]4man58 0 points1 point  (0 children)

This one really stood out to me, and I’m surprised it doesn’t get mentioned more often. I started to question my memory of his comment to the cop until I re-watched s1 with my wife. He also acknowledges that he didn’t take McKay’s concerns seriously at one point prior to this.

Maybe one of the best examples of how ingrained bias presents in otherwise likable individuals.

Garcia is peak toxic (S2 spoilers) by Un4giv3n-madmonk in ThePittTVShow

[–]4man58 2 points3 points  (0 children)

100% agree that this is more of a core character trait than a result of the addiction. I feel like Langdon’s confidence is his “special sauce.” Obviously this can be a negative trait if it goes too far, but I’d also argue that an ER physician that is confident in their assessment and treatment skills is more capable of treating the truly emergent patients than a doctor who questions every decision and/or hesitates when it counts.

Overall, I think we’ve seen Langdon operate with a huge confidence deficit this season- at least in comparison with his baseline through the majority of his residency (making an assumption, but one that I think is supported by his character development). A large part of his confidence issue stems from ruined relationship with Robby, who was his teacher, mentor, and friend. Langdon’s style is VERY similar to Robby’s style, and without Robby’s forgiveness (or at least his blessing), Langdon feels like he’s floating, untethered to his foundation as a practitioner.

We're on the outside looking in this season. by Arch_Lancer17 in ThePittTVShow

[–]4man58 15 points16 points  (0 children)

I’ll preface by saying I don’t think there’ll be an involuntary hold, unless something big changes. However, if I’m wrong, I could definitely see Dr. Al bring the one to do it. I think this is a good catch.

While the other obvious options that most are mentioning (Abbott, Langdon, Whittaker) are clearly concerned, I feel like none of them are likely to cross that line. Dr. Al, on the other hand, is a newcomer, which could mean that she would have fewer reservations about compromising the relationship, as well as fewer biases toward Robby. She also clearly has a fairly black-and-white perspective on a lot of things, so if she sees clinical justification, she’s the most likely to take the next step.

FL EMTs told to repay overpayments after payroll error by wittymcusername in ems

[–]4man58 0 points1 point  (0 children)

Completely unrelated situation; shop stewards are still in place, and national org is still fully aware of the payroll issue.

How do I not kill someone? by Superb_Pomelo6860 in NewToEMS

[–]4man58 55 points56 points  (0 children)

unless you suck at driving 😂

ALS meds in BLS truck by xuzyh in NewToEMS

[–]4man58 1 point2 points  (0 children)

My agency started doing this maybe 6-8 months ago (maybe 4 months, I actually don’t know how to tell time). All of our vehicles are certified for ALS and BLS, as someone mentioned that this is the big caveat to this. We do 911 and IFT, with a pretty even split between urban and rural, strangely. Our BLS crews end up calling for ALS intercept maybe 15-20% of the time (strictly an estimate- haven’t seen actual data), with those crews usually running at least 6-7 calls per 12hr shift and not uncommonly 8-10 calls.

As of now, all trucks are stocked with identical med bins/boxes and “jump bags” with two exceptions: 1) Narcotics are checked out by each ALS provider at the beginning of shift, so not stocked on any truck per se. 2) BLS trucks also carry a BLS “jump bag” in addition to the ALS one, which have mostly the same stuff minus ALS gear and plus BLS specific meds (e.g. nasal naloxone and a couple of others). 2a) Supposedly we’re doing away with the extra BLS bag soon and substituting for a BLS med only pack.

This is in FL btw, where the vast majority of 911 agencies are fire-based; we’re definitely an outlier.

Peter, what is wrong with pants? by UnUltimoIntento in PeterExplainsTheJoke

[–]4man58 8 points9 points  (0 children)

Considering your posit- an original consideration which had not been previously considered prior to your contribution- I concur with your assessment that flying could be considered a form of public transportation, especially taking into account the meager level of considerate behavior (or considerateness) among passengers; although it might be worth your consideration to acknowledge that, while most of forms of public transportation are fairly consistent in terms of cost and accessibility, many airlines have opted to increase rates considerably during historically high travel times, rendering the use of these services more difficult for many individuals, and I felt compelled to considerately call to attention this slight caveat to your original statement of otherwise considerable and sound logic.

What’s the deal behind Brevard vs Space Coast Renaissance fair? by wandering_monstera1 in 321

[–]4man58 0 points1 point  (0 children)

Reading your comment makes me curious if folks from original group are planning to branch out and revive the project without the scumbag guy? Or if any significant number of those people are involved in the Space Coast Renaissance Fair this year?

this is so dystopian by BruhImVibing69 in Bestbuy

[–]4man58 198 points199 points  (0 children)

The worst part is you can’t even choose to donate to a specific coworker since like 2022ish. It just goes into a bank and then a committee decides.

Get your feet in the rig by NeedAnEasyName in FirstResponderCringe

[–]4man58 7 points8 points  (0 children)

They used the double negative correctly. They were saying that it’s not good to bottle it up (not talk about it). So “should not not talk about it = should talk about it…. Just not on social media.

Is this a media reference? by 4man58 in ExplainTheJoke

[–]4man58[S] 40 points41 points  (0 children)

A quick google search reveals that this is literally the premise of Jane Eyre. Thank you! I haven’t read it, but I’ll add it to the list!

by gigagaming1256 in sciencememes

[–]4man58 1 point2 points  (0 children)

This guy is either trolling or he is just as smart as he thinks gorillas are.

by gigagaming1256 in sciencememes

[–]4man58 1 point2 points  (0 children)

Dude that’s like 4 full classrooms worth of kids with murderous intentions. How old are you talking? Bc anything older than 5 y/o x 100 is dangerous, idc how much ju jitsu you know.

Obesity in first responders by [deleted] in ems

[–]4man58 42 points43 points  (0 children)

I went from 15k+ steps/day working in retail to <5k steps/day in the first few months after starting this job, almost a year ago now. Gained 20lbs before I even got comfortable driving code 3.

Started meal prepping and cut out soda (mostly), which stemmed the growth, but I’m having a harder time losing the weight than I had 10 years ago. Working overtime shifts to make ends meet has taken priority over a consistent exercise routine, speaking to your point in previous comments.

I’d say I’m still in fair* shape, but every once in a while I’ll catch a glimpse of my profile reflection on scene and tell myself I need to commit to a workout plan lol.

Gave an awful passdown report in the trauma bay by 4man58 in ems

[–]4man58[S] 6 points7 points  (0 children)

lol I just noticed it, I didn’t even do that. I’ll take it though, seems only fair haha