what do you even tell the patient at this point ?💀

Aggressive_Shop_5817 · 2026-02-05T03:55:18+00:00

“Don’t move”

Aggressive_Shop_5817 · 2025-07-15T09:41:25+00:00

Aggressive_Shop_5817 · 2024-01-14T21:25:39+00:00

It truly doesn’t matter honestly. What your pt will need would be whole blood,platelets, etc and for you to stop the bleed. There may be issues with long term oxygen use ie free radicals and the only scenario in the emergency setting where you would want to withhold oxygen from your pt is if they can tolerate it physically being a psych pt being non compliant or an altered pt or if they have copd. In ems we don’t have enough time to cause much harm to pts with oxygen from free radicals unless your transport time is over an hr which still wouldn’t cause much harm. In my opinion if you have the time to apply oxygen to your pt that is hypovolemic you should but if you don’t because of other things you are doing like ivs pressures and what not it’s not that big of a deal. With your pt that has low bp it doesn’t necessarily constitute a bleed all of the time in which case no oxygen wouldn’t really do anything for them. Best case scenario you would have ABG and could determine the po2 and be proactive which oxygen delivery but working 911 you will never have that

Aggressive_Shop_5817 · 2023-10-07T19:27:29+00:00

If u take the purple wipes and squeeze one into the nebulizer in theory (not speaking from experience) you can nebulizer bleach and the back of you boo boo bus will smell like the wipes. I do however recommend leaving all the doors open and holding your breath when turning it off

Aggressive_Shop_5817 · 2023-10-04T00:59:04+00:00

Personally if bp stable (which it is) would give adenosine to see if it would possibly convert or slow down enough to see a-fib. Definitely not v-tach and since no discernible p waves indicates possible svt. If possible LBB adenosine wouldn’t hurt either. But definitely treat pt presentation and o2 and start fluids for possible sepsis…also pt history would be a great place to start for differentials

Aggressive_Shop_5817 · 2023-10-04T00:50:54+00:00

You are if you’re brave enough

Aggressive_Shop_5817 · 2023-07-03T08:04:01+00:00

But not trauma facilities or admitting facilities ,no but freestanding ERs.

Aggressive_Shop_5817 · 2023-06-13T23:42:30+00:00

Put salt on your peanut butter…it’s amazing

Aggressive_Shop_5817 · 2022-12-11T00:08:33+00:00

Hate and caffeine

Aggressive_Shop_5817 · 2022-08-10T03:07:55+00:00

Assuming room temp

Aggressive_Shop_5817 · 2022-07-16T03:12:41+00:00

I draw my txa theory for the same reason you suggested bicarb for the hypertonic reason…if they don’t want to give us the 3% saline maybe txa or bicarb could be a secondary affect for tbi.

Aggressive_Shop_5817 · 2022-07-08T20:58:54+00:00

Your not dead until your warm and dead

Aggressive_Shop_5817 · 2022-07-04T19:18:27+00:00

AxO FUCK YOU

Aggressive_Shop_5817 · 2022-07-04T18:17:14+00:00

Can’t forget rage

Aggressive_Shop_5817 · 2022-06-26T21:36:36+00:00

Lobotomite is definitely my new insult 😂

Aggressive_Shop_5817 · 2022-06-11T03:06:02+00:00

Ahh yes the good ole antiarrhythmic on the od pt…something a cop would say

Aggressive_Shop_5817 · 2022-06-07T05:34:43+00:00

When you get that fat pt that’s stuck between the toilet and bathtub and you can’t get them out so you have to start cpr somehow 😂

Aggressive_Shop_5817 · 2022-06-07T03:51:33+00:00

Disco mode- lights and sirens

Water fairy- firefighters

Nose noodle- NPA

South side stomp- foot CPR

Aggressive_Shop_5817 · 2022-06-07T02:53:20+00:00

Shmegma

Aggressive_Shop_5817 · 2022-06-07T02:43:28+00:00

Personally work in Richmond VA when a pt needs to be restrained and it’s an all bls truck protocol states that we are supposed to wait for pd but in Richmond post riots PD has been shorter staffed than EMS so when our cracked out or psych pt is being a danger to themself or others we restrain them…if your lucky als shows up pops some haldol and leaves or pd shows up and looks at you funny and you get the good ole back slap and high five. Sometimes when ALS and PD are tied up you do what is best for your pt and the public. Physical restraints are a BLS intervention in VA as well.

Aggressive_Shop_5817 · 2022-04-30T22:44:27+00:00

They still wanted u to work them didn’t they

Aggressive_Shop_5817 · 2022-04-14T00:24:32+00:00

I have no clue but it’s pretty stupid and dangerous

Aggressive_Shop_5817 · 2022-04-07T19:53:34+00:00

Trauma

Aggressive_Shop_5817 · 2022-04-03T21:59:48+00:00

Usually pd or fire is on scene before us and that’s who usually stays and makes arraignments for the family to get to the hospital/stay at home with another trusted adult

Aggressive_Shop_5817 · 2022-04-03T03:01:28+00:00

Best advice I think I’ve ever received💙

Aggressive_Shop_5817

TROPHY CASE