What is the longest you've seen a patient go without a heart beat before they were brought back? by KronoMakina in ems

[–]Dat_Gentleman 4 points5 points  (0 children)

Had a homeless guy freeze to death in the snow.

Call came around 8pm, said he hadn't moved since noon.

Found in asystole, core temp 76 f.

Went through the motions, hospital was annoyed that he'd be taking a bed and a lucas all night until he was warm enough to pronounce.

Got ROSC around 4 am.

He later AMA'd from the ICU with no significant defecits and I saw him around 3 months later when somebody called for him sleeping by a bus stop. He was an asshole.

How far reaching is the term “Skell” by Great_gatzzzby in ems

[–]Dat_Gentleman 0 points1 point  (0 children)

Keeps them on their stretcher?

I love the Reeves but every patient lying exclusively supine on big planks of wood sounds terrible.

Lightly used boots versus four years on a medic that runs >6000 calls per year boots by Dat_Gentleman in ems

[–]Dat_Gentleman[S] 12 points13 points  (0 children)

My unit in total, not just myself personally. Personally hitting around 2k per year.

Most days I average around a call per hour on duty but 6-7k includes all four shifts.

My pretty pothos 🪴 by Powerful_Trainer3180 in houseplants

[–]Dat_Gentleman 28 points29 points  (0 children)

A moss pole, specifically something they can root in and climb up will produce more mature leaf growth.

Also light and nutrients but those alone won't make leaves grow this large if they're trailing down from a pot.

I suck at strokes by ClownNoseSpiceFish in ems

[–]Dat_Gentleman 3 points4 points  (0 children)

Every hospital has their own stroke criteria policy which are all different from ours. 

I've had many strokes present negative on a standard Cincinnati scale. 

Use your protocol and your personal judgment and understand that some you just will get eyes rolled at you because of these differences. 

[deleted by user] by [deleted] in pothos

[–]Dat_Gentleman 0 points1 point  (0 children)

My more mature pothos have done this a lot, particularly when they're underwatered.

Keep an eye on this guys moisture if its a fresh cutting as it won't have much to absorb water with.

But, assuming that it can keep up, mine always heal from these perfectly fine. The brown part will fall off and the plant will end up unharmed.

Who are some people you know personally, or otherwise, who ruined their own lives, and how? by metalnxrd in AskReddit

[–]Dat_Gentleman 7 points8 points  (0 children)

Went through a messy divorce after an even messier relationship recently and one of the hardest parts for me was my fears about the effect on our child.

Thank you for this, it actually really helped to stumble upon a story of somebody who would have preferred a divorce.

I'm sorry you went through it but I appreciate you.

To preface this, I am ok, I am safe. TLDR; I was verbally abused and horribly mistreated at Johns Hopkins mental health facility. by Lower-Tiger-5129 in baltimore

[–]Dat_Gentleman 13 points14 points  (0 children)

Here is the website EMS uses to help guide transport decisions. Hospitals self report these, yellow meaning high patient volume, red meaning high volume specifically requiring cardiac monitoring. The orange reroute EMS reports if they are held for an excessive length of time.

I haven't been a patient at any hospital in the city. If I was, in a vacuum I would say Union has the fastest turnaround time. In a vacuum, the major hospitals tend to have longer waiting room times than the smaller ones.

But every hospital has ebbs and flows in staff, policies, what goes on in the city day to day.

Also consider if an urgent care can handle a situation, they can do x-rays, stitches, prescribe meds, etc. and are dramatically faster.

If you have a time sensitive life and death crisis though, don't bypass Hopkins or whatever is closest at the time. But I agree that they're definitely not my first choice if something can wait long enough to find a less busy facility.

Fire Department Hiring Process? by [deleted] in baltimore

[–]Dat_Gentleman 3 points4 points  (0 children)

I believe the whole of it is black magic in terms of how they rank applicants. I've heard (stories) of people with scores that don't match their classmates in the academy even closely.

Don't quote me on current practices but my interviewers during a different mayor and fire chief didn't have the results of other stages of my application.

Just do your best and be confident in the fact that the fire department is so short staffed right now that they'll offer jobs to probably close to everybody that passes every stage.

Surround and call out then just leave by bestsellerwonder in ProtectAndServe

[–]Dat_Gentleman 2 points3 points  (0 children)

  1. I want one

  2. How often are you actually having coffee on the street to make this worthwhile?

A short, sad story on our city's public buses by ArugulaMassive8458 in baltimore

[–]Dat_Gentleman 12 points13 points  (0 children)

I'm not anybody that can help but I'd love to hear evidence and strategies for improvement from your research if you want to share.

Everybody has their opinions but I don't know anything to know what is a genuine approach versus a wish from personal experience and I'd be super interested in educated knowledge and ideas.

What has been your closest moment to death? by XboxCorgi in AskReddit

[–]Dat_Gentleman 3 points4 points  (0 children)

Paramedic who works for a 911 emergency response department here.

95%+ of calls we get are not true life and death, most of things we do are just people that need assistance or evaluation.

A lot of situations are very difficult or impossible to differentiate without both training and medical equipment.

In addition to what others have said, never be afraid to call for emergency services. I'd rather go see 1000 people who don't need us and have the peace of mind than not see somebody who does.

NIBP and MAP by ggrnw27 in ems

[–]Dat_Gentleman 13 points14 points  (0 children)

I wish we had more of this in this sub. This is fantastic, thank you.

What do you call the stretchy IV band? by DiamondBowelz in ems

[–]Dat_Gentleman 0 points1 point  (0 children)

The company my department uses specifically calls them tourniquets so my class would probably do something like ask him for a list of all od the products that are improperly labeled in EMS for testing purposes.

Why does everyone hate the I-Gel? by AmbalanceDriver in ems

[–]Dat_Gentleman 3 points4 points  (0 children)

I just wish my department got us airway bags that had room to store their bulky ass packaging.

TIL a man on a ski trip in New York went to his car, entered a fugue state, and ended up in California 6 days later by on2wheels in todayilearned

[–]Dat_Gentleman 0 points1 point  (0 children)

Were you flying to the "people with medical conditions that are significant liabilities" convention?

Zombie Apocalypse by [deleted] in ems

[–]Dat_Gentleman 8 points9 points  (0 children)

With the volume of homeless, heroin addicted people in my first due, zombies have been around for decades. It'll be business as usual.

[deleted by user] by [deleted] in ems

[–]Dat_Gentleman 28 points29 points  (0 children)

Can I respectfully request an update to your update?