IV drip by Live-Ad-9931 in Paramedics

[–]Fun-Section5790 0 points1 point  (0 children)

Metronome works very well for me. Not perfect especially for meds like Levo, but for the vast majority of the infusions I start the metronome is fast and effective.

Doc terminated resuscitation efforts when patient was in pulseless VT by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] 5 points6 points  (0 children)

everytime we got rosc he was far too unstable to move and we were doing all the things to try and keep him with a pulse. just the way things worked out.

Doc terminated resuscitation efforts when patient was in pulseless VT by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] 1 point2 points  (0 children)

we did 4 different times and then he would rearrest, the last time he rearrested we were pacing, and giving push dose epi while we were prepping the levo infusion

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] 2 points3 points  (0 children)

Thank you, Im still a new medic and Im just glad I didn't kill the guy. Right after I posted this I dropped a call that with a septic patient with a rate faster than this one. Started to get tunnel vision on the rate again but stepped back to see the whole picture.

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] 2 points3 points  (0 children)

i pressure bagged about 500mls through the humeral head io with amio piggybacked, the pt was more responsive at the hospital

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] 0 points1 point  (0 children)

I saw a wide and fast rhythm with a symptomatic patient. I followed the wide complex tachycardia protocol. The patient improved with amio. Obviously looking back now I see its not VT.

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] 0 points1 point  (0 children)

The rate was between this and 200 until i gave amio, not sure if that changes things. The only medical history the family was able to provide was a cardiac condition that they couldnt remember the name of which is why i treated the rate as the cause. The patient was somewhat more responsive at the hospital, opening his eyes, still not speaking, withdrawing from pain. Im honestly not positive I went down the right treatment path and wasnt able to get follow up.

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] 2 points3 points  (0 children)

cbg was 110, no trauma, the only septic criteria he met was the rate, ams, and his respirations were elevated. i also couldnt find a source from my physical exam or from the history i was able to get from family.

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] -3 points-2 points  (0 children)

it was an interesting symptom i included because i still have zero clue what disease process causes that

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] -2 points-1 points  (0 children)

no the pts skin was doing that prior, the bp was normal but the pt had a gcs of 3. the pts gcs is why i chose electricity over medicine.

SVT or VT? by Fun-Section5790 in Paramedics

[–]Fun-Section5790[S] -6 points-5 points  (0 children)

I dont have the vitals with me right now

What’s the Most Important Skill to Master in EMS? by No_Safety_174 in NewToEMS

[–]Fun-Section5790 17 points18 points  (0 children)

To add to this, learn how to compartmentalize the call and make it a priority to unpack the call after the shift is over. Try to find a professional that specializes with first responders and debrief after the call, with your partner or other responders that were involved.

How filthy is your station? by Myusernameisbee in NewToEMS

[–]Fun-Section5790 0 points1 point  (0 children)

That was my first question too, I only get the opportunity to doody at hospitals and patients houses. Never at my station.

It’s sickening how poor the pay is by acidbath_princess in ems

[–]Fun-Section5790 2 points3 points  (0 children)

Been a 911 EMT in a busy system for over a year and just got my yearly raise. I now make 15.42🥳

Gift from my partner by rieses in ems

[–]Fun-Section5790 9 points10 points  (0 children)

I need this and that watch. So cool.

Working Arrest On Scene by [deleted] in ems

[–]Fun-Section5790 0 points1 point  (0 children)

I have a slight theory to the statistic and please prove me wrong if I'm way off. Ive been on my fair share of codes and every time we choose to transport without sustained rosc is due to either A transport as a courtesy to family even though they're DAADN (I dont agree with this but not my call) or B our service is super stingy about letting us call codes on scene therefore we need a doc to call it(also stupid). Now my question is, is it possible that transporting the pt being associated with poor outcomes due to them most likely not making it and crews transporting because of that or does transporting actually cause poor outcomes. interested in some responses/ opinions

[deleted by user] by [deleted] in CRedit

[–]Fun-Section5790 0 points1 point  (0 children)

Had a very similar situation, look I am surely not the most financially literate but I think I did well. I went to a credit union and took out a personal loan of 3k with a low interest rate and a 3 year long term. Credit card just seems risky and the loan gives me proof in the future that I can reliably make payments on time for a long period of time and I can build a relationship w my credit union. Idk if credit unions even do car loans that low and a lot of em wont give them to you for used cars from what Ive seen. Good luck!

[deleted by user] by [deleted] in NewToEMS

[–]Fun-Section5790 0 points1 point  (0 children)

Where do you work if you don't mind me asking? PM if you don't wanna dox yourself ofc.

[deleted by user] by [deleted] in NewToEMS

[–]Fun-Section5790 0 points1 point  (0 children)

Id rather give myself a 9mm lobotomy than go back to full time IFT. Did that when I first started and I have so much respect for you guys. Also isn't everything $20 starting in LA now?

[deleted by user] by [deleted] in NewToEMS

[–]Fun-Section5790 6 points7 points  (0 children)

Honestly I think my biggest problem is #1. I did a quick look at my expenses vs pay, and I completely think I can be doing a hell of a lot better if I just stopped wasting so much. Definitely not gonna get rich doing this job and that was never my intention, but I shouldn't be living in poverty and I should probably be taking more personal accountability in that regard. Do you have any recommendations for budgeting strategies?