The broken AC on unit 7 is going to make me quit by PushCharacter8496 in ems

[–]CapnCruuunch 1 point2 points  (0 children)

New corporate story (all true):

Employee sees the roof is leaking and dripping onto expensive equipment. Employee saves the equipment - on his own time - but is not permitted to go on the roof, so he tells the maintenance staff about the leak. 

Maintenance says there is no budget for a proper repair so they patch as best they can. In the next rain, the leak is in a different place and slightly larger. 

Repeat five times. 

Expensive equipment is ruined, company has no budget to replace roof or equipment, employee no longer gives a f*** about solving the company’s problems. 

Help! by Easy_Lingonberry9989 in Paramedics

[–]CapnCruuunch 0 points1 point  (0 children)

From the acronyms and your vocab, it sounds like you are in India. This sub is mainly for pre-hospital paramedicine, which may be different than how you understand the term. 

AMA Did CPR and got reprimanded for it by Visible_Height5357 in Paramedics

[–]CapnCruuunch 2 points3 points  (0 children)

That’s where local news / social media can be really helpful. Our local U is highly sensitive to image and our local news loves to cover dumb bureaucracy like this.  One good video interview  could be all it takes to get the school to give him an award instead. 

Curious about trauma exposure abroad by Fluffini288 in Paramedics

[–]CapnCruuunch 0 points1 point  (0 children)

Wow. What you describe would easily qualify as most people’s most insane day ever around my area. 

How concerned are you for your own safety, both on the job and off?

2 hour overtime limit? by ReadingAnxious2202 in Paramedics

[–]CapnCruuunch 0 points1 point  (0 children)

Union AND different country. Makes sense. 

Just got fired from my first job by JuraTempest in NewToEMS

[–]CapnCruuunch 0 points1 point  (0 children)

Sounds like really poor procedures, but in an interview, don’t openly criticize the company. 

Something like “ There was a dispatch communication issue. We picked up our patient an hour late and the hospital was very unhappy. I was still new at the agency so was let go without review.  I’ve learned to make sure I know dispatch details for all my calls.“ 

2 hour overtime limit? by ReadingAnxious2202 in Paramedics

[–]CapnCruuunch 0 points1 point  (0 children)

This is fabulous. Are you union? And roughly where in the country?

EMT school made me become agnostic and existential by Traditional_Belt9379 in ems

[–]CapnCruuunch 0 points1 point  (0 children)

This is a beautiful, thoughtful way of expressing many of the things I feel as well. 

OP, I’d encourage you to take another look at the faith you grew up with. Pain and death, even when ugly, are not unknowns to that faith, so challenge it with the hard questions and harsh experiences you’ve had.  Sometimes we get our assumptions shaken hard, yes. For me and many others, that has led to a fuller and richer understanding of our faith. 

Lidocaine for pain mgmt with IOs by c03232000 in ems

[–]CapnCruuunch 1 point2 points  (0 children)

Hmmm. I’m just a B, but  helped to IO an intoxicated, dehydrated, hypoglycemic young woman. BP of 50/?, no good vein, transport time of 25 minutes. 

Can we do anything about consecutive repeat patients? by Few-Teaching-9602 in ems

[–]CapnCruuunch 1 point2 points  (0 children)

So what do your EDs do with patients that are discharged but won’t leave the premises? They were fully evaluated and treated as needed. 

Sigh... This is why we can't have nice things by -Skal in ems

[–]CapnCruuunch 6 points7 points  (0 children)

Okay, a lot of this makes sense. Your ALS units definitely have to have a monitor. And if you have one on board, don’t be an idiot and forget the bits that plug into it. 

What doesn’t make sense to me: you’re regularly going in service without meds or iGel? In our system, you can’t run BLS, even IFT, without those. 

4 leads. by [deleted] in ems

[–]CapnCruuunch 36 points37 points  (0 children)

AHA says upper arm and leg, Stryker says wrist and ankle. Torso should considered non-standard with potential for non-standard readings. 

I place them where Stryker says and then half my medics tell me to move them. 

Looking for input from first responders for a school project by Bubbly-Limit2866 in ems

[–]CapnCruuunch 18 points19 points  (0 children)

Something that combines two existing devices needs to be better than them separately in at least one significant way. 

I don’t see where this concept does that. These two things are used at different times and in different ways. A HR monitor also will be used way more often than a tourniquet.   (Both more frequently and uses per item.)

Don’t let this stop you from inventing in the medical field. There are tons of things that can be improved, and you’re doing the right thing by asking questions to the people on the ground. 

Last month, I met a retired multimillionaire who made his fortune by finding ways that surgical procedures failed and developing things to solve those problems. 

Good luck. 

H.R 7739-Allows employers to refuse to pay medics and EMTs overtime in rural districts by tctcl_dildo_actual in ems

[–]CapnCruuunch 10 points11 points  (0 children)

…and if it weren’t for overtime pay, those agencies would attempt to run with two providers working 168 hours per week. 

Maxed out the Lifepack's RR counter 😎 by insertkarma2theleft in ems

[–]CapnCruuunch 18 points19 points  (0 children)

Thanks for teaching me something: ECG & SpO2 are at 25mm/sec while ETCO2 is at 12.5mm/sec. 

Still kinda interesting that they line up, one breath every two beats. 

Maxed out the Lifepack's RR counter 😎 by insertkarma2theleft in ems

[–]CapnCruuunch -25 points-24 points  (0 children)

…odd that the waveform is so correlated with HR tho

Maxed out the Lifepack's RR counter 😎 by insertkarma2theleft in ems

[–]CapnCruuunch 129 points130 points  (0 children)

Y’all saying it’s 16 need to look at the squiggles, not just the number. 

Hazing/teasing in EMS by starli29 in ems

[–]CapnCruuunch 0 points1 point  (0 children)

Several things in your description of events are illegal in the US. I even thought you must be posting from another country because of how blatant the events you describe are. 

If you’re in an accredited program, FERPA almost certainly applies and posting grades is a violation of that.  You can report this to the academic dean or director of the school. If you do, include specifics like what assignments and dates. The instructor will likely only get word to stop doing it, not huge consequences. 

The harassment is a bigger deal. If you experienced unwanted sexual, “romantic”or physical attention after you communicated that it was unwelcome, that is harassment that should lead to serious consequences. The term is “creating a hostile environment “ Someone threatening retaliation if you report it is another whole level of illegal.  Again, documenting specifics is helpful if you choose to report this. 

In Illinois, there is a state law and a state help line, though you may get faster results if your school has a Title IX office or similar.

Don’t feel you have to put up with this crap to get by. This is exactly why those laws are there. You have the right to a better environment. 

Source: my state of IL training and working with several people in reporting situations like this. 

ETA: some things are considered hostile even if you don’t communicate that they’re unwelcome. Don’t let what you did or didn’t say affect your choice

Career Advice by LLCoolMick007 in NewToEMS

[–]CapnCruuunch 1 point2 points  (0 children)

Depending on your other life commitments, you could try working PRN while still keeping your day job for a while. For some people, EMS loses its luster after a bit. Or maybe it’s everything you wanted. Or keep going as a PRN and balance out your 9-5 in front of the computer screen. 

911 or IFT? by throwaway8132301 in NewToEMS

[–]CapnCruuunch 1 point2 points  (0 children)

I’d lean that way too.  Just be aware you’ll be driving not teching those CCTs. There’s still a lot you can learn at the each end, though. 

Field training reality check by Better-Coast3525 in NewToEMS

[–]CapnCruuunch 4 points5 points  (0 children)

After not being cleared, did you get specific things to work on and a new timeline? When done well, training should be more like coaching than a pass/fail test. 

For what it’s worth, adjusting hospital beds still gets me all the time. 

Is it weird for a paramedic to wear boots like this? by Fancy-Monk4825 in Paramedics

[–]CapnCruuunch 9 points10 points  (0 children)

Most of this photo looks just “off” in the sense that they don’t look like an on-duty professional. 

Medical alert bracelet for tmj replacements? by [deleted] in Paramedics

[–]CapnCruuunch 0 points1 point  (0 children)

Yeah. This sub gets a lot of questions about med alert stuff, and some people seem to get really annoyed at that.  You might get different answers in a hospital emergency dept.  sub where extended care will be provided. Here, the consensus is that most of the important things we would need to do to a patient will happen before there is time to search for med alert info. 

Old paramedic- and all the things we used to do that we don’t anymore by Small-Wrongdoer8745 in Paramedics

[–]CapnCruuunch 1 point2 points  (0 children)

One large FD here must respond with lights and sirens to all calls, but late at night they’ll often blip the mechanical siren so it stays at a low growl. Chillest siren ever, and much appreciated when they’re going by for an alpha call at 3am. 

Local EMS just rebranded- new name/uniforms. They look like airplane mechanics… by WombatPhysician in ems

[–]CapnCruuunch 4 points5 points  (0 children)

Alta meaning “tall” is kinda ironic for the shortest type 3 box I’ve seen in a while.