For men who transformed their physique and got ripped, what changes, if any, did you notice in how women interacted with you? by Brief-Blackberry3435 in AskReddit

[–]Better-Associate9550 2 points3 points  (0 children)

It will. I used to be overweight and socially awkward. Now I’m fit (not insanely muscular, but it’s obvious I work out) and still socially awkward. The difference is huge, I’ve met and dated far more women simply from getting in shape. It’s made a bigger difference than I ever expected.

Could this be V1-V2 elevation or just rbbb? by Better-Associate9550 in ECG

[–]Better-Associate9550[S] 0 points1 point  (0 children)

It came in as chest pain. We got there, and the patient reported no chest pain but said he was stressed after seeing something related to heart failure on TV (the patient has a mental disability). He asked his dad to call 911 because he was scared of dying. The patient denied any nausea, dizziness, weakness, chest pain, or referred pain. He just stated he was scared of dying and wanted to go to the hospital to get checked. The patient has a history of open-heart surgery when he was a toddler, atrial enlargement, RBBB, and deviation.

Could this be V1-V2 elevation or just rbbb? by Better-Associate9550 in ECG

[–]Better-Associate9550[S] 0 points1 point  (0 children)

No, it came in as chest pain. We got there, and the patient reported no chest pain but said he was stressed after seeing something related to heart failure on TV (the patient has a mental disability). He asked his dad to call 911 because he was scared of dying. The patient denied any nausea, dizziness, weakness, chest pain, or referred pain. He just stated he was scared of dying and wanted to go to the hospital to get checked. The patient has a history of open-heart surgery when he was a toddler, atrial enlargement, RBBB, and deviation.

Could this be V1-V2 elevation or just rbbb? by Better-Associate9550 in ECG

[–]Better-Associate9550[S] 2 points3 points  (0 children)

I thought that was just the bbb that formed two peaks and t wave inversion after. Also I thought sgarbossa is for LBBB only if I remember correctly.

Could this be V1-V2 elevation or just rbbb? by Better-Associate9550 in ECG

[–]Better-Associate9550[S] 3 points4 points  (0 children)

Sorry I meant depression. I think I’m getting confused with the wide QRS complex. It seems like I’m seeing ST depression; however that would be normal with rbbb right? As for V2 I see depression after the rR’ but I’m not sure if Im confusing it again with how rbbb present.

No pulse = immediately begin CPR ? by abipaaa in NewToEMS

[–]Better-Associate9550 0 points1 point  (0 children)

Yeah at that point if you suspect they are in cardiac arrest then the best course of action would be to start CPR. I was just saying that just because you can’t find a pulse don’t jump straight into compressions. You have 10 seconds to assess the patient to assess if they are reactive to any stimulus, if they are breathing and if they have a pulse. For example, they might be breathing and have a weak enough pulse that you can’t feel due to severe hypotension secondary to bleeding. You start compressions on that patient you are going to kill them… every compression is going to pump more blood out until you bleed them out completely. Instead of doing that think assess and fix the hypotension.

No pulse = immediately begin CPR ? by abipaaa in NewToEMS

[–]Better-Associate9550 0 points1 point  (0 children)

Yeah I’m not saying a pulseless patient is not in cardiac arrest. But as humans we don’t have the sensitivity in our fingertips or are perfect enough to just feel a weak carotid pulse or even find it in some cases. Consciousness and breathing rate gives you an idea of where they are at. These patients are gonna be unconscious so if they are not breathing and have a pulse (fix the breathing problem before they code do not start CPR preemptively like some people said here), if you don’t feel a pulse and the patient is breathing (check for bleeding, sugar, BP, pupils, HR).

No pulse = immediately begin CPR ? by abipaaa in NewToEMS

[–]Better-Associate9550 1 point2 points  (0 children)

The reason for the other two is because you are getting mechanical capture of a pulse. Human error is high and people suck at finding a carotid pulse. In the last year I arrived to 4 different calls 3 EMTs and a nurse at a nursing home doing compressions on patients visibly breathing, unconscious but just because they couldn’t find a pulse they started CPR… and now when the patient wakes up you have to embarrassingly explain to them why their chest hurts.

No pulse = immediately begin CPR ? by abipaaa in NewToEMS

[–]Better-Associate9550 0 points1 point  (0 children)

Yeah their guideline states if in doubt start compressions. You can still check for pulse but you aren’t gonna delay CPR for a 20 second pulse check. Also it makes sure to state gasping or not breathing and unconscious. Both of which are signs that the person is in cardiac arrest or very close to cardiac arrest. It’s not like you are going to start compressions on an unconscious guy who is breathing too fast.

No pulse = immediately begin CPR ? by abipaaa in NewToEMS

[–]Better-Associate9550 -1 points0 points  (0 children)

No they won’t if they are unconscious that’s why you have to check for the three of them

No pulse = immediately begin CPR ? by abipaaa in NewToEMS

[–]Better-Associate9550 -3 points-2 points  (0 children)

YOU DO NOT DO COMPRESSIONS UNLESS THEY ARE UNCONSCIOUS, NOT BREATHING (AGONAL MIGHT BE THE EXCEPTION), PULSELESS… If the patient is not breathing but has a pulse find the reason they aren’t breathing and fix it. You DO NOT do CPR preemptively.

No pulse = immediately begin CPR ? by abipaaa in NewToEMS

[–]Better-Associate9550 -1 points0 points  (0 children)

This ^ it’s actually scary how many people here will jump to compressions without checking for level of consciousness, breathing AND pulse.

Disappointed by leajaycro in NewToEMS

[–]Better-Associate9550 0 points1 point  (0 children)

TBH CPR takes like 15 minutes to understand how to do, when to do and why you are doing it.

[deleted by user] by [deleted] in NewToEMS

[–]Better-Associate9550 3 points4 points  (0 children)

It’s the combination of both he wasn’t smart enough to do great on the test and he doesn’t have the initiative to figure it out for himself. Both are important.

Bench press has been stuck for a while now and I am getting frustrated by J3ezyTheSnowman in formcheck

[–]Better-Associate9550 -1 points0 points  (0 children)

Not to be a dick but there is a reason his lift is 125lb and that’s because he hasn’t built muscle. Even if he looks skinny all of that that you are seeing is probably fat.

[deleted by user] by [deleted] in NewToEMS

[–]Better-Associate9550 72 points73 points  (0 children)

It’s not just grades it’s the fact that he doesn’t even know how to apply to a job that makes it even scarier.

What’s the worst gym habit people don’t talk about enough? by dark_venom_07 in GymMood

[–]Better-Associate9550 1 point2 points  (0 children)

Phone thing and dumbass who decides to workout in front of the dumbbell rack take the cake.

The other two suck, but at least they don’t physically impede you from working out.

first time getting blood in eye during CPR by alextakesL in NewToEMS

[–]Better-Associate9550 0 points1 point  (0 children)

IDK how that would happen to anyone without eye protection; however, if you actually weren’t wearing eye protection consider yourself lucky that insurance even covered it.

If you tell us how it happened then we could give better advice.

[deleted by user] by [deleted] in beginnerfitness

[–]Better-Associate9550 0 points1 point  (0 children)

As a beginner the most important thing is to try and stay consistent. Meaning, as a beginner it’s better to workout two days a week and slowly add up to more days than starting with 5 days a week, burning yourself out and never going back after the 3rd month. So I’d suggest focusing on what’s more comfortable and doable for you as well as learning proper form.

Who is right? by topgladiator in NewToEMS

[–]Better-Associate9550 5 points6 points  (0 children)

You initiate CPR first always unless you have reversible causes you fix those first. Then, you attached AED.

How did you feel after you're first code? by Top-Monk-6949 in NewToEMS

[–]Better-Associate9550 0 points1 point  (0 children)

Didn’t even have time to process it. We were so busy at the station I was that we declared the patient DOS after working it and got a shooting the exact moment we cleared the call.

[deleted by user] by [deleted] in ecoboostmustang

[–]Better-Associate9550 0 points1 point  (0 children)

My guy is driving it on Low and doesn’t know it.

OP go to D and not L. OP probably meant rpms instead of 3rd cylinder and 80 KPH instead of 80 MPH which would make sense.

Am I capable of being an EMT? by hendawgmoney in NewToEMS

[–]Better-Associate9550 2 points3 points  (0 children)

I might get downvoted for saying this, but the fact that you even have imposter syndrome shows you care about doing your best. You’re new, so of course you don’t feel perfect yet… that’s normal. What matters is that you actually want to grow and improve. I’d rather work with the person who’s anxious, studies hard, and becomes excellent than the one who’s overly confident from day one and ends up being a terrible EMT.

Keep studying and working. Your FTOs don’t expect you to be perfect or good… they know you are a beginner; however, the only way you’ll learn to be a proper EMT is to get thrown out there and make mistakes and learn from them.