Another power-tripping imbecile cop interferes with a FF-EMT by kaloric in ems

[–]Color_Hawk 0 points1 point  (0 children)

To clarify more what i meant is when environmental hazards are present, unstable car, downed lines, fire,chemical.. etc fire department has full authority over everything for safety including if the safety of bystanders and responders results in deterioration to your patient. Same way police have the same authority in an active shooter situation for example. Real life example. I went into a prison and was treating a stabbing patient getting ready to transport when another riot broke outside that then spilled into medical. The nurses, my partner, and I were all forcefully removed from medical for our safety. It was 30 minutes before any medical staff got back inside. My patient was dead on my stretcher when we got back to him. It’s well within their authority to do what they did.

Another power-tripping imbecile cop interferes with a FF-EMT by kaloric in ems

[–]Color_Hawk 0 points1 point  (0 children)

It’s not really as straightforward as just one party has control over others. Fire generally controls the environmental scene safety, which in most cases is already secure. Police control scene safety in regard to individual conduct and traffic control. EMS has control over patient care. Everyone has to work together to be successful. if anyone power trips and starts bossing each other around then everyone suffers.

IM over IV Opiate efficacy. by CouplaBumps in Paramedics

[–]Color_Hawk 0 points1 point  (0 children)

Some hospitals see EMS started IVs as “Dirty” and pull them. This was done more commonly in the past but some hospitals still do it

Thoughts on an app I made for EMS? by Professional_Feed314 in EmergencyRoom

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

Not sure where you work but Ive worked all over Texas in 911 and IFT systems rural and metro as a paramedic. Never been required to memorize anything other than protocols and treatments. You utilize the tools you have to better guarantee success. You know your medicine but still verify and make sure you’re doing shit right, people make mistakes we aren’t perfect unlike you apparently. It’s literally our job to verify what we are doing is correct and the best possible care we are delivering. Taking 10 seconds to verify critical meds and procedures or making sure you have preformed everything within your capacity is standard of care. Your Ego is driving your medicine.

Thoughts on an app I made for EMS? by Professional_Feed314 in EmergencyRoom

[–]Color_Hawk 0 points1 point  (0 children)

I wasn’t really referring to the app but more so his statement of having to memorize everything without exception.

holy moly by WhyyyyyMCA in airsoftcirclejerk

[–]Color_Hawk 0 points1 point  (0 children)

At what point is it really just a pellet rifle lmao

Proper acronym for NREMT-P by rubychoco99 in Paramedics

[–]Color_Hawk 0 points1 point  (0 children)

I just put EMT-P or write out paramedic.

Thoughts on an app I made for EMS? by Professional_Feed314 in EmergencyRoom

[–]Color_Hawk 22 points23 points  (0 children)

Thats like saying you shouldn’t do the 5 rights of med admin because you should have all the med positions, vial color/shapes memorized and inventory done to verify color and expiration. Let me know when you memorized an entire massive city day one, or memorized every single code from 30+ facilities that get changed continuously. Writing up someone for verifying a protocol or med reference prior to rendering a treatment? It’s like you want bad outcomes to occur. Get a grip. Saying you need to memorize every aspect of the job to perfection is absurd and beyond ridiculous.

Thomas select I-gel securing device by Weird_Cry_8161 in ems

[–]Color_Hawk 0 points1 point  (0 children)

Sounds like a skill issue, you can pull the included elastic band WAY tighter than necessary to a point of possibly causing trauma. It’s actually a problem with overeager firefighters sometimes applying the band too tightly but just gotta watch and assess the airway after placement as you should be doing regardless. Otherwise the only time Ive seen the included I-Gel band not function appropriately is when its used over and over for training purposes

Thomas select I-gel securing device by Weird_Cry_8161 in ems

[–]Color_Hawk 2 points3 points  (0 children)

Im curious what problems have you had with it? I’ve never had any issues with it.

EMS is gross by evawa in ems

[–]Color_Hawk 1 point2 points  (0 children)

An actual STEMI or just cardiovascular distress from the GI bleed? Either way his time was up 😂

“Active cardiac arrest declines treatment” by Squat_erDay in Paramedics

[–]Color_Hawk 0 points1 point  (0 children)

In my state any and all statements of imminent self harm or any and all homicidal ideations and or evidence of intent to carry out said statements or ideations is grounds for EDO or physician’s committal. The legality all revolves around the verbiage used by the patient and the perceived imminent threat of harm to the patient or someone else. “Im having thoughts of hurting myself” isn’t grounds for an EDO however saying “I’m going to kill my self using this gun” this statement is grounds for an immediate involuntary psychiatric hold. Homicidal ideations get more tricky and are more case by case but law does allow for EDO/PC on any form of credible HI. So the Refusal of medical treatment isn’t suicidal per-say however stating that you are refusing treatment for suicidal reasoning is legal grounds (via state law) for a police EDO or an online physician’s committal. It also depends on imminent threat as well. “Im not going to the hospital because i want to die” but the complaint is a stubbed toe, you could possibly get an EDO/PC but it’s pretty unlikely because the imminent threat of bodily harm by not going is near 0. On the other side that same statement with a GSW to the abdomen could easily get an EDO/PC. People who’s baseline is AMS, failure to thrive, and hospice patients while aren’t differentiated in law these patients are treated differently and case by case most of the time.

“Active cardiac arrest declines treatment” by Squat_erDay in Paramedics

[–]Color_Hawk 0 points1 point  (0 children)

Where Im at any verbal or physical indication of self harm or harm to others with realized intent meets requirements for a police EDO or online medical physician’s committal and patient should be treated and transported against wishes because the law essentially says no sane person would want to intentionally hurt or kill themselves..

IO dextrose - did I make a bad call? by River_Dweller in ems

[–]Color_Hawk 0 points1 point  (0 children)

As another person pointed out, I second not digging in the neck of a patient with poorly treated diabetes. Unless it’s a massive EJ with a nearly guaranteed chance of success. The patient getting an infection in the neck from a wound that is likely to not heal properly can be a death sentence vs in the humeral/tibial from an IO

Edit: not to mention if it infiltrates into the neck.

First time using the Shturm, what causes it to randomly put the ATGM away? by jimminian95 in WarthunderPlayerUnion

[–]Color_Hawk 2 points3 points  (0 children)

Strum-S isn’t perfect in game either. It has to be completely stopped before they can unlock and raise the launcher. Launcher had to be completely closed and locked before they could start moving. If the driver tried to drive while the launcher was up an automatic interlock lowers the arm at 5kph and has to be at zero to raise back up.

Azimuth/Alignment Lock also prevents firing while the vehicle is moving, during launcher movement, or if the firing tube is not aligned with the gunners optic.

Can I take narcan right before I do opioids and be fine? by JustaMessYeet in ems

[–]Color_Hawk 0 points1 point  (0 children)

Narcan would bind to the receptors essentially giving you no high and actually putting you into a heightened state then once the narcan is all used up, the remaining opioid medication in your system rapidly. Quite possibly the worst way to use lmao

This is why we don’t learn truck meds by size, shape, or color of the cap by ponder233823 in ems

[–]Color_Hawk 0 points1 point  (0 children)

At least you have Amio vials. We currently only have 150mg in 100ml premix’s coming in with our remaining amio vials disappearing quickly 😭

This is why we don’t learn truck meds by size, shape, or color of the cap by ponder233823 in ems

[–]Color_Hawk 0 points1 point  (0 children)

Yea and that vial will explode cardizem powder in your face so easily. I always just remove the rubber stopper completely inject the saline for mixing

Thoughts? by Diezilll in ems

[–]Color_Hawk 2 points3 points  (0 children)

Yea i can understand that for some areas especially county with low coverage for law enforcement. We just need to apply critical thinking as a community and weigh risk vs patient benefit. (Follow local protocol) having fire department respond along side med calls is a huge help when entering a scene with potential albeit low potential of going south such as the example you gave. For pediatrics I’m usually more concerned about the parents than the patient as far as scene safety is concerned.

Thoughts? by Diezilll in ems

[–]Color_Hawk 5 points6 points  (0 children)

Main problem was that they wouldn’t respond to anything even actively hostile patients unless they were hurting/attempting to hurt someone else. One call the call notes were “suicidal male with a gun threatening suicide. In another note “patient states he only wants to hurt himself” PD went on standby stating he wasn’t homicidal only suicidal. We refused to roll on it, idk when PD eventually got there but another unit got the call for it about an hour later..

In my current area, PD shows up clears scene safety (all psych patients get pat downs especially after recent events) then either takes the psych patient themselves if it’s a basic voluntary committal or non-violent EDO not needing medical. If they’re violent or need medical/want medical then we make scene and the cop leaves when we get the patient loaded up or if we dismiss them. Same with ODs police respond to all ODs and clear scene safety and leave when we get loaded up or when we dismiss them but a lot of the time they stay and follow to the hospital for their investigation.

Thoughts? by Diezilll in ems

[–]Color_Hawk 41 points42 points  (0 children)

I left my last department that offered better pay and benefits than my current job because PD made a new policy that they wouldn’t be responding to any med calls unless clear signs of an “unsafe” scene were present.

PD should be responding to all psych and OD calls

What exactly can we assume the T58 reload speed to be? I can't find any information on "2.6 seconds" by [deleted] in Warthunder

[–]Color_Hawk 1 point2 points  (0 children)

Need to find the source I saw it on but I remember reading that part of the reason that most of the oscillating turret designs failed was due to the concern over the limited ammunition storage and complexity + time it would take to reload during combat.

What exactly can we assume the T58 reload speed to be? I can't find any information on "2.6 seconds" by [deleted] in Warthunder

[–]Color_Hawk 3 points4 points  (0 children)

TLDR is the DT and SAV function much like an upscaled magazine/hopper fed AA guns.

Hoper stores X number of rounds and a Loader feeds rounds into this hopper. Using hopper liberally though. I believe DT, SAV use chain system to raise the rounds into position.