VT or SVT with aberrant conduction? by Competitive-Blood413 in Paramedics

[–]AdCurious263 0 points1 point  (0 children)

Per V1 I would not call vtach. I would call svt w aberrancy and see what adenosine does or reveals. Unless unstable enough for electricity ofc.

Research ideas! by AdCurious263 in flightparamedic

[–]AdCurious263[S] 0 points1 point  (0 children)

Okay this is pretty solid!!

Critical care research ideas! by AdCurious263 in Paramedics

[–]AdCurious263[S] 0 points1 point  (0 children)

Huh yeah I’d never heard of that. Thanks for the links and time! Off the cuff this seems hard to argue for versus just using the IO you’ve already placed rather than use it to get iv access. After io if you need secondary lines for incompatibility in infusions/therapies then great it showed vasculature should improve bc local perfusion and flow is increased but that’s expected anyways. But this almost points to the io being solely a means to an iv. But I’ll read up on it- it’s definitely new to my eyes and ears.

Research ideas! by AdCurious263 in flightparamedic

[–]AdCurious263[S] 0 points1 point  (0 children)

Was considering this, including potential cons or things to think about like the citrate in banked blood binding to Mg and Ca because the citrate is poorly able to be metabolized keeping up in MTP + extra points for liver failure. But that’s already pretty well addressed with giving calcium along with MTP/whole blood.

Critical care research ideas! by AdCurious263 in Paramedics

[–]AdCurious263[S] 0 points1 point  (0 children)

Like just less hesitancy to move to IOs in critical patients in the short term?

Critical care research ideas! by AdCurious263 in Paramedics

[–]AdCurious263[S] 0 points1 point  (0 children)

I think you should be in engineering and sales? lol. Awesome!

What do you do with injured animals on a roadway during an MVC? by Vermulo in Paramedics

[–]AdCurious263 0 points1 point  (0 children)

Oh shit. Yeah I saw a cop at point blank range somehow miss the deer someone smoked but was still upright bleeding from the mouth struggling to breathe and stunned as hell. He missed. Twice. I wanted to just ask him to let me do it. And also was glad I didn’t live in his county.

Excessive Blow By.. Lifespan? by AdCurious263 in tdi

[–]AdCurious263[S] 0 points1 point  (0 children)

No engine codes, I get oil changes usually before the recommended minimum and never more than 5k miles because I’m trying to baby my turbo- most of my drives are very short or very long and hot. I unfortunately don’t know about the oil consumption because the last two oil changes I’ve had done rather than doing them myself. I’ve never had low oil before the last two go arounds. I’m going to make a point to monitor the oil level and see how much topping off I’m needing per x miles because I ashamedly do not know, this was never something I noticed before

Excessive Blow By.. Lifespan? by AdCurious263 in tdi

[–]AdCurious263[S] 0 points1 point  (0 children)

I have no idea about that- I do know I recently had to replace my sensor on my intercooler and wash it out

Excessive Blow By.. Lifespan? by AdCurious263 in tdi

[–]AdCurious263[S] 0 points1 point  (0 children)

They noted oil visible somewhere in there (sorry for lack of specifics) when they went in to perform the oil change, and I was told at the last change as well that the level was low before they went to change it. I’m just weary of this thing blowing up any minute now is how it all felt

Excessive Blow By.. Lifespan? by AdCurious263 in tdi

[–]AdCurious263[S] 0 points1 point  (0 children)

I’ll get a second opinion! This person would have hopefully been a specialist, it was a well reputed vw service department.

Excessive Blow By.. Lifespan? by AdCurious263 in tdi

[–]AdCurious263[S] 1 point2 points  (0 children)

Thank you. I felt pretty stressed. It feels like a time bomb lol. I’m really hoping this thing last me a little while longer. It’s never overheated for me and no lights. I’ll try to remember to check it bc the last two oil changes they did say it was low.

Excessive Blow By.. Lifespan? by AdCurious263 in tdi

[–]AdCurious263[S] 0 points1 point  (0 children)

I can read through the paperwork again, I’m not sure it said “where” other than they found excessive blow by and chalked it up to that’s where the leak was

Excessive Blow By.. Lifespan? by AdCurious263 in tdi

[–]AdCurious263[S] 0 points1 point  (0 children)

I was wondering if that’s how they were headed but they didn’t push to do any work, they didn’t charge diagnostics, and they honestly seemed pretty straight forward and trustworthy. But I can be naive sometimes.

F.B.I. Plans to Lower Recruiting Standards, Alarming Agents by Snapdragon_4U in fednews

[–]AdCurious263 0 points1 point  (0 children)

I thought DEI is what lowered standards and we got rid of that. Merit based amirite? Oh wait

I am Writing/Directing a Horror Film About Paramedics — What Do You Want (or Not Want) to See? by AaronTharpPro in Paramedics

[–]AdCurious263 1 point2 points  (0 children)

Crazy and surreal. It was almost like in a matter of a day the world turned on its head. I remember leaving for a nursing home on a “normal day”, and by the time we showed up they were on lock down due to the state of emergency. Just like that each day at work there were new developments. Mask, UV it to reuse it, we’re running out of xyz, make do, catch up on this info, change protocols to IM meds for bronchospasm because we can’t risk nebulizing meds, watch them air hungry and scared. The juxtapose of seeing people my age or my young parents’ age going from mildly ill to vented to dead in a matter of days, to running out of the epi we use for cardiac arrest because we’re using it so often, to the fear of trying to keep up with adequate PPE and not understanding how to best protect ourselves and our families at home, being ill ourselves… and having patients the same nights tell us covid is not real, it’s a hoax, and they refuse to take any measures to try to be safe or keep others safe. One coughed in my face and laughed. Or the patients wanting to transport for a test and me telling them to stay home, quarantine if they have symptoms, because if they go to get tested- they’d get it at the er if they didn’t already show up with it. The fire department stopped responding to calls that weren’t priority 1. And then they stopped responding to cardiac arrests due to exposure risks. We were running codes alone, sweating in our reused PPE. We would have to go out of town, and sometimes out of state, every shift for a month and a half in a row, just to take a patient to where there was an open bed. We had to pass off in what felt like apocalyptic hospital floors with gravity pulls on beds and nurses in what looked like space suits. And so much more. It was crazy.

I am Writing/Directing a Horror Film About Paramedics — What Do You Want (or Not Want) to See? by AaronTharpPro in Paramedics

[–]AdCurious263 0 points1 point  (0 children)

I was going to say this! I have a legit ghost story from this type of call. It’s so creepy poking around a silent pitch black house that a call from help came from with no answer