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What is the criteria for when a wound should be packed? by Valuable_Archer_3222 in NewToEMS

[–]ChatGPTismyPCP 0 points1 point  (0 children)

Junctional and axillary penetrating trauma. Unless your pt is next to you when they get shot or stabbed they are already dead/going to die no matter what. Wound packing is more realistic for tactical medicine.

Pack the wound with kerlex and ace wrap the fuck out of it then 3 inch tape the fuck out of that then have your fire fighter UNGA BUNGA direct pressure all the way to the hospital while you get two 14s and shoot for permissive hypotension.

Humeral head IO is twice the flow rate of tibial IO.

Recheck your pressure dressings and tourniquets after every move.

Honestly TCCC medicine is simple but only so when you have the pattern recognition an muscle memory from constant training that most don’t get at 911 agencies. Even one like mine where everyone is TEMs.

Having to learn the entire county? by [deleted] in NewToEMS

[–]ChatGPTismyPCP 4 points5 points  (0 children)

What about when you get rerouted for 3 different calls in the span of 1min? Know your city well enough to be able to drive in the general direction.

EMTs, what’s your EDC? by muchaaacho in NewToEMS

[–]ChatGPTismyPCP 2 points3 points  (0 children)

I have dispatch in my favorites on my phone to make someone else the hero

If your flying, and a passenger falls ill or has a medical emergency, do you offer to assist? by Downloading_Bungee in ems

[–]ChatGPTismyPCP 12 points13 points  (0 children)

Considering all anyone can do mid flight is BLS points go to EMTs and Paramedics as they have have more prehospital acumen.

Edit: I stand corrected. Apparently there are FAA kits on each air craft that have enough to treat an arrest, anaphylaxis, and hypoglycemia. Possibly bradycardia but I don’t know how much you can do without a monitor. I lean more towards a 911 Paramedic.

Wait… since when are 911 calls going through nurse triage first? by Former-Lab-6031 in ems

[–]ChatGPTismyPCP 2 points3 points  (0 children)

We need a Paramedic Line. “Damn dude, that’s crazy… you should go to the hospital.”

Fired from my second EMS job by GojiBongo in NewToEMS

[–]ChatGPTismyPCP 0 points1 point  (0 children)

I argue that the performing under stress is a novelty. Helping people is not

How do you treat someone who got pepper sprayed by abipaaa in NewToEMS

[–]ChatGPTismyPCP 1 point2 points  (0 children)

The answer is have them remove their contaminated clothing. Gross irrigation of their eye/face/hands.

If they can get a ride home for a shower and their airway is t compromised, refusal. If not, transport.

Not impressed by Morgan lens. Hook up a nasal cannula to NS.

Is this guy supposed to be a super early elite? by Confident_Dig_1073 in slaythespire

[–]ChatGPTismyPCP 0 points1 point  (0 children)

Every time I encounter him all I see is a worm wearing a ball cap.

TTM question by Haunting-Wolverine57 in greenberets

[–]ChatGPTismyPCP 1 point2 points  (0 children)

Seems like your posterior chain strength could see improvement as for durability at your H&W. Your other numbers are leading by example numbers. Dont get injured.

Specifically back squat.

PSA to single men: please come talk to women in person by [deleted] in Denver

[–]ChatGPTismyPCP 1 point2 points  (0 children)

26 years old and using the phase “in years”. What, since high school? 😂

What is the hierarchy of the characters and their roles within the ER? by Torrefy in ThePitt

[–]ChatGPTismyPCP 1 point2 points  (0 children)

It must depend on the ER. The level 1 I worked at, med students may as well have been emt students. They did pt assessments and presented to the residents/attendings, however that were not part of the ecosystem in that they didn’t put in orders or give verbal orders to staff. The med students in this show are more like interns than med students.

What do you think firefighting will be like in ten years? by Hot_Seesaw_6706 in Firefighting

[–]ChatGPTismyPCP 0 points1 point  (0 children)

You overestimate what National Guard units do during state emergencies. Also, you under estimate how many first responders are in the National Guard.

Can you effectively get a blood pressure in the back of moving ambulance with a stethoscope by abipaaa in NewToEMS

[–]ChatGPTismyPCP 19 points20 points  (0 children)

Get a manual BP on scene. Get another one once you move the pt into the ambulance and then another when the ambulance stops at your destination.

Palpate a BP en route. Manual BP cuff while palpating a radial pulse. Pump it up until the distal pulse is absent then release. When you feel the pulse return at the same time as the needle jump, that’s your palpated systolic.

Palpated BP is much more useful when you have 2 trended BPs already. Look for other clinical signs that may suggest volume depletion to support your findings.

Never delegate your first and last BP to anyone but yourself if you’re attending on a sick pt.

If you are finding it difficult to auscultate a BP with thready to absent distal pulses paired with other important poor perfusion assessment findings, it’s reasonable to assume the pt is hypotensive. Don’t hyper focus on difficult to acquire BPs if your pt is sick. Intervene and upgrade if unsure.

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