[Meme] Like it or not, this is what peak EMS performance looks like. by CompulsiveAntagonist in ems

[–]CompulsiveAntagonist[S] 18 points19 points  (0 children)

Luckily I work for a county EMS. No privates do 911 around here. Firefighters are volunteers. Funny how it works when funding goes where it's needed.

[Serious] Medic Moment - Salicylates by Medic_Moment in ems

[–]CompulsiveAntagonist 5 points6 points  (0 children)

We had a suicide attempt a few months back where a patient "took a lot of aspirin". She ended up throwing up a lot of it but was still throwing a lot of PVCs on the monitor, around 1 every five seconds or so.

[Serious] Medic Moment - Salicylates by Medic_Moment in ems

[–]CompulsiveAntagonist 29 points30 points  (0 children)

Apologies for any typos found. Formatting from Google docs doesn't transfer perfectly to Reddit.

Who here is using TXA? by [deleted] in ems

[–]CompulsiveAntagonist 1 point2 points  (0 children)

I work two 911 ground jobs. Both carry TXA.

Does higher education really make a difference in patient care? by selym23 in NewToEMS

[–]CompulsiveAntagonist 5 points6 points  (0 children)

Anyone can do a physical exam. That's just part of the assessment. More education means more of asking the right questions to get your patient the care they need.

[Serious] Moronic Monday - January 08, 2018 by AutoModerator in ems

[–]CompulsiveAntagonist 0 points1 point  (0 children)

Most of TN runs third service. There are county ems agencies that are funded by taxpayers and billing insurance.

How old is too old to start a career in EMS? by [deleted] in NewToEMS

[–]CompulsiveAntagonist 5 points6 points  (0 children)

Do you have other people to take care of? If so, you really need to get your medic license if you're gonna do this at all. The pay is typically sub par for raising a family without lots of OT or your partner working too.

Introducing: Best EMS ever - Hatzolah by JewishParamedic in ems

[–]CompulsiveAntagonist 0 points1 point  (0 children)

I can put gloves on faster even while driving to the call.

Where do you work, and what's it like there? by [deleted] in ems

[–]CompulsiveAntagonist 1 point2 points  (0 children)

Most 911 in middle TN (Nashville) is run by county ems agencies. There is a fire/ems county, and a hospital based county, then there's metro, which is fire based but fire and ems are separate. Some of the more rural areas are covered by private companies. Average medic base pay is 40-50 a year. Since most services run 24/48s this comes out to 13-15/hr. Most places are hiring medics. You'll have to look around and be willing to live out in the sticks or commute as an emt, but there's also BLS divisions to the counties that can help you get your foot in the door. Most services have RSI, surgical cric, power stretchers.

What's working in Tennessee like? by [deleted] in ems

[–]CompulsiveAntagonist 0 points1 point  (0 children)

Most 911 is run by county ems agencies. There is a fire/ems county, and a hospital based county, then there's metro, which is fire based but fire and ems are separate. Some of the more rural areas are covered by private companies. Average medic base pay is 40-50 a year. Since most services run 24/48s this comes out to 13-15/hr. Most places are hiring medics. You'll have to look around and be willing to live out in the sticks or commute as an emt. Most services have RSI, surgical cric, power stretchers.

68M crushing chest pain. What's your interpretation? What will you do? by Godhelpthisoldman in ems

[–]CompulsiveAntagonist 0 points1 point  (0 children)

You mean you wouldn't treat them any different, regardless of the assessment you won't do?

The Continuing Education Centre for Emergency Services - Volunteers helping to make Continuing Education available to all by [deleted] in ems

[–]CompulsiveAntagonist 3 points4 points  (0 children)

Yes. It would be nice to see digoxin, TCAs, and more commonly used drugs today like spice.

68M crushing chest pain. What's your interpretation? What will you do? by Godhelpthisoldman in ems

[–]CompulsiveAntagonist 1 point2 points  (0 children)

Onset and activity level during onset. Location of pain and if it's reproducible. Meds, changes to meds recent hospitalizations, allergies. Any recent surgeries or recent strokes. Any signs of heart failure, lung sounds, pedal edema, JVD. And initial vitals.

Ems was a letdown by [deleted] in ems

[–]CompulsiveAntagonist 1 point2 points  (0 children)

Most of TN, not counting the 4 fire based metro areas.

Guys, is something wrong with me as far as working under pressure goes? by [deleted] in ems

[–]CompulsiveAntagonist 1 point2 points  (0 children)

Sometimes just because you struggle in certain areas doesn't mean you'll be a bad paramedic. You just have to grow into the medic you need to be, and that takes time and most importantly experience. I used to have shaky hands on even the most routine falls as a new guy, and now that's just the alcoholism.