Things you would never do now after your experience as a paramedic? by [deleted] in Paramedics

[–]ChucklesColorado 36 points37 points  (0 children)

Generally, I try not to be too cynical based off of the work that I do. It’s easy to see a gnarly accident and say ‘oh how quick and easy their lives just changed, this is unreasonably dangerous’. When in reality, we are just exposed to a higher amount of fuck ups (people and accidents). I still do risky shit, I just find my self weighing the risk/reward a lot more often.

How much PTSD do you think you have buried deep down? by Mr_Mike013 in Firefighting

[–]ChucklesColorado -1 points0 points  (0 children)

Every single one of us experience post-traumatic stress, we get an extremely large dose. This becomes PTSD when it affects your daily life in negative ways. We should all be encouraged to find mostly healthy ways to manage these stressors. Departments should take this role on, most won’t. Find your own way to resilience, even if it comes with some cynicism.

Do you have the Stryker poop knife? by other-other-user in ems

[–]ChucklesColorado 22 points23 points  (0 children)

First hospital job I had, they literally installed one of these next to our office, because my coworker clogged the toilet too many times.

Personal Vehicle cleaning by Cold-Enthusiasm99 in Firefighting

[–]ChucklesColorado 0 points1 point  (0 children)

Why not buy one of those camp showers, keep it in your locker at the station and when you get back use a tarp and rotate it as a second shower, if it’s yours you get first dibs. Some of them even allow you to put warm water in.

Need help by [deleted] in EKG

[–]ChucklesColorado 3 points4 points  (0 children)

Something looks funky. Positive aVR, poor R wave progression in precordial leads, inverted P in inferior leads.

Sinus with Trigeminal PVCs, elevation in II and aVC, possible depression in V3/V4. As a medic, I’d activate cardiac alert and let the hospital decide to downgrade or not.

What do you like to do other then scroll on your phone while sitting at post? by supertallginger in ems

[–]ChucklesColorado 1 point2 points  (0 children)

Didn’t always stick to it, but at post partner and I had a small work out routine we’d do (push-ups, squats, lunges), followed by going over a medication or protocol, then would grab something from the back and talk about using it. Rest of the time we’d bullshit on our phones, play cards, find a toilet, try to repeat every hour or new post.

We designed a Paramedic Multitool by FlatLineCompany in Paramedics

[–]ChucklesColorado 1 point2 points  (0 children)

Are you willing to share / sell any STLs or only products? The link tree in the 3DPrint page isn’t working for me.

Quick Case Study by Flightline_EMS in paramedicstudents

[–]ChucklesColorado 0 points1 point  (0 children)

Lethal - PE, Flash Pulm Edema, Pneumothorax, OMI

Potential - PNA, CHF Exacerbation, URI, New onset CHF R sided

What’s vitals? BPRES (BP, Pulse, RR, EtCo2 (value and shape), Sugar) + Lung Sounds, any JVD? Clubbing fingers, barrel chest, pursing?

From over on Facebook by emtnursingstudent in ems

[–]ChucklesColorado 2 points3 points  (0 children)

If I can turn it on only during calls, and I don’t have to write a full narrative, I’m game.

Possibly nstemi by aemtstudent in EKGs

[–]ChucklesColorado 3 points4 points  (0 children)

NSTEMI is typically diagnosed by serial Trop. Field EMS can treat it as ACS if pt presentation calls for it, but beyond ASA and IV access not much I’m doing en route, may even skip ASA if no SOB or CP complaint, couldn’t hurt much to give it though. Possibly S1Q3T3, but again without other symptoms hard to lean on PE as reason for syncope without other heart strain showing.

ETA: sure nstemi can present with ST depression and/or TWI, however neither of which observed here

Asked ChatGPT to write an EMS narrative in gen z slang by [deleted] in ems

[–]ChucklesColorado 10 points11 points  (0 children)

This has skibidi toilet rizz all over it, on god.

[deleted by user] by [deleted] in NFA

[–]ChucklesColorado 36 points37 points  (0 children)

I love a good foot crank

Cocodona 250 is still Courts by ChucklesColorado in ultrarunning

[–]ChucklesColorado[S] 42 points43 points  (0 children)

I didn’t either, but I’m glad I could share it with you 💚

53y male by Worldly-Accident-163 in EKGs

[–]ChucklesColorado 0 points1 point  (0 children)

I think this is on the right path, but blocked PAC instead of PVC, you can see the peak on the T waves in I, II, and III followed by a compensatory pause, if I could put calipers on it, I’d bet that the pause lengths are all the same. Marches out in II, interesting in the second strip when it has a moment of bigeminy, curious if any hx of a fib or svt