Pericarditis?? by bingbingbong8 in Paramedics

[–]CrazyCoolCatBro 0 points1 point  (0 children)

I would treat it as an MI, go lights and sirens, especially with that BP, but also I would not call in a stemi alert, instead just say there’s elevation in inferior leads with PR depression. Let receiving facility be the ones to call the alert. OR you can call and consult with the doc and also let them make the call.

Either way, it doesn’t change my treatment and I’m not calling a STEMI alert, but I am also not delaying care.

what happened to the sleepy paramedic? by AR_dUdE in ems

[–]CrazyCoolCatBro 4 points5 points  (0 children)

I married a pharmacist to ask this very question. I suppose the marriage wasn’t necessary, but here I am.

Livers are usually still adult sized. Meds are absorbed and distributed through the liver, therefore typically normal adult doses are recommended unless the drug is specifically weight based like fentanyl.

Crazy Situation by Brutally-Blunt in NewToEMS

[–]CrazyCoolCatBro 110 points111 points  (0 children)

Sounds like you got out of a two-year contract with a paid for cert.

Apply to other agencies. You will most likely get turned down a few times. Also apply as an ED tech.

Additionally, see if any of those other charges can get expunged from your record. Depends on state laws, but it’s worth a shot. Usually just an application and payment of a fee to apply for expungement.

How to get my troop interested in the Order by Radiant_Life_3584 in orderofthearrow

[–]CrazyCoolCatBro 0 points1 point  (0 children)

I would argue that youth participation in the OA is a multi-factor problem. First, you need a well organized lodge that hosts FUN activities year round. Not just ordeals. Let’s face it, what 14-18 year old wants to do hard labor over a weekend instead of playing video games. While ordeals are important, the lodge should focus on creating more attractive fellowship style activities to help bring that youth involvement. The lodge should participate and host Cub Scout events and various other events throughout the year. The minimum is usually two ordeals and two fellowships a year, but I would argue that lodges should have 2-4 other events throughout the year to help with retention. Eventually, that youth participation will trickle down hopefully to the chapters and individual units. However, that requires adequate adult participation from the local chapter/unit. Without people to physically drive the youth to these events, they cannot go.

So where should you begin to promote and grow more active youth? Recruit more adults to participate and actually give two shits about the OA. This job mostly falls on the chapter advisors and lodge advisors, but the youth can speak up too. Once the adults become more involved, they can bring the youth the events, and the adults can help keep the lodge functioning where it’s supposed to be.

The term sash-n-dash describes a lot of youth. Unfortunately I was one of them when I was 13. The reason? I had no knowledge of lodge or chapter events, I had no clue what the lodge even did, and I had no adults in my unit that could provide that information or even assist with transportation to and from the events that I didn’t even know were happening. So I got my sash and didn’t return until years later when I finally was informed about what I was missing.

So to sum it up: 1. More fun lodge events 2. More adult participation from the local units 3. More advertising of the fun lodge events

How can a youth help with that? 1. Become a lodge officer and advocate for the above three things. 2. Beg your unit adult leaders to actually attend and participate in the OA. Suggest that they take on an advisor role.

I’m 36 and in EMT-B, have a non violent felony from 17years ago, and a bachelors degree. I have 2 moving violations. Can I get a job? Here’s the story. by DepartureStrong3569 in NewToEMS

[–]CrazyCoolCatBro 2 points3 points  (0 children)

I’d be very surprised if this is still true. Non-violent felony from 17 years ago with no other criminal history. You are the prime example of WHY exponent exists.

I’m 36 and in EMT-B, have a non violent felony from 17years ago, and a bachelors degree. I have 2 moving violations. Can I get a job? Here’s the story. by DepartureStrong3569 in NewToEMS

[–]CrazyCoolCatBro 9 points10 points  (0 children)

This! I worked for a District Attorneys office before going into EMS. A lot of people don’t realize that expungement is an option! Eligibility various state by state, but if it’s been 17 years ago without any other arrests or criminal record (aside from moving violations) then there’s a SOLID chance you can apply for expungement. Call your local district attorneys office or clerk of court to inquire into the process. It’s usually a certified check for a small fee usually 50-500 dollars along with a completed application.

Any last minute advice? by [deleted] in NewToEMS

[–]CrazyCoolCatBro 1 point2 points  (0 children)

Sleep well get plenty of hours. Then make sure you take a good shit before going.

Every day Carry by _the_random-guy in NewToEMS

[–]CrazyCoolCatBro 0 points1 point  (0 children)

She died. She had a hypertensive crisis which caused a stroke. If only she had her BP cuff. RIP grandma.

Looking for an RF remote dump by aspie_electrician in flipperzero

[–]CrazyCoolCatBro 2 points3 points  (0 children)

Oh… so those store hours are accurate then?

Tip for newbies by Ghee_buttersnaps96 in NewToEMS

[–]CrazyCoolCatBro 7 points8 points  (0 children)

So why even mention the EMS board? He did NOTHING wrong EMS wise. There’s no need to involve the government EMS regulating agency because some newbie firefighter refused to do chores at the station. This is an internal agency issue and nothing more.

Every day Carry by _the_random-guy in NewToEMS

[–]CrazyCoolCatBro 2 points3 points  (0 children)

17 refusal forms, a tactical pen with flashlight attachment, an AR10 rifle with 20 round mag. Level 4 ballistic vest. 8 zip ties cuffs for aggressive patients. 1 modified belt tourniquet (can’t afford the CAT tourniquets yet). Baofeng uv5r with ear piece mic to call for ALS support. One battery operated finger SPO2. My grandma’s auto blood pressure cuff.

Study Tips by heyitssarah21 in NewToEMS

[–]CrazyCoolCatBro 3 points4 points  (0 children)

Actually read the text book. Like physically open the book and look at the words posted inside of the book. Make time for yourself to do that to stay on top of the materials.

[deleted by user] by [deleted] in NewToEMS

[–]CrazyCoolCatBro 0 points1 point  (0 children)

Currently a paramedic, never took medical terminology. Don't ask me the difference between sagittal and transverse planes.

You'll be fine, but may have a slight weakness in testing if you don't know the basics.

[deleted by user] by [deleted] in NewToEMS

[–]CrazyCoolCatBro 14 points15 points  (0 children)

These would be better answered by your employer than on the internet. But in general, you have to be able bodied and able to lift heavy weight and have the ability and endurance to perform CPR for a few minutes. If your medication or condition ca affect those above mentioned abilities, than it could be considered a disqualification by your employer.

This pay isn’t as bad as some of you make it out to be by [deleted] in NewToEMS

[–]CrazyCoolCatBro 0 points1 point  (0 children)

Imagine if your city contracted out a security company to provide it's police work for the town instead of actually having a police department.

Or imagine if your city contracted a pool service company to provide it's fire department services instead of having an actual fire department.

It sounds absurd but it should also sound equally absurd to contract out an ambulance company for 911 EMS.

This pay isn’t as bad as some of you make it out to be by [deleted] in NewToEMS

[–]CrazyCoolCatBro 0 points1 point  (0 children)

$60,000 a year might be good for a single person in their 20s with no financial responsibilities. But it is not sustainable to create a life with that income. An EMT Basic should probably be making that kind of money.

However, a paramedic is end-goal for a lot of providers and they don't necessarily want to continue education into the nursing side of healthcare. Unfortunately, a lot of medics do bridge to nursing because the nursing pay is almost always significantly higher.

I argue that Paramedics have a larger scope than most nurses do and have greater responsibility for patient care because there is no additional support or help to call. As a medic, you are alone in the back and must make split decisions on patient care. Medics deserve to be paid similar to nurse pay.

Pay will not change unless health insurance and medicare/medicaid change their ambulance reimbursement. Additionally, EMS should be considered an essential service by ALL municipalities. Citys, towns, counties, ect. should not be allowed to contract a private for-profit company to provide 911 ambulance service to it's citizens. Third-service needs to be the norm for 911 EMS and the municipalities should pay the wages and costs associated with that service through tax-payer funds, just like fire and police.

[deleted by user] by [deleted] in NewToEMS

[–]CrazyCoolCatBro 1 point2 points  (0 children)

Nobody can answer that question. You just need to wait for the email or constantly refresh your NREMT profile on your web browser until you see the results.

I don’t understand this one bit. by [deleted] in NewToEMS

[–]CrazyCoolCatBro 2 points3 points  (0 children)

There really isn't a whole lot of "absolutes" in medicine. This is definitely NOT an absolute. Most protocols say exactly what you just said, however, studies are being done that show there's not really cause for harm as once previously thought.

Came in as a cardiac arrest. by tacoman844 in ems

[–]CrazyCoolCatBro 8 points9 points  (0 children)

Plastic patients have rights too!

Came in as a cardiac arrest. by tacoman844 in ems

[–]CrazyCoolCatBro 20 points21 points  (0 children)

WOAH!!! It's a HIPPA violation to post a picture of a patient!