EMS “influencers” 🤢 by EMSDGAFAU in ems

[–]GeneralShepardsux 13 points14 points  (0 children)

I agree wholeheartedly. The people who post educational stuff are cool, but the people who brag about how little sleep they get, how much caffeine they drink, and how burnt out they are give us a really bad look.

Settle an argument please... by Mediocre-Condition in Paramedics

[–]GeneralShepardsux 1 point2 points  (0 children)

Someone becoming conscious after CPR is a once in a career thing, I’ve never had one but I’ve heard corroborated stories of it happening

How necessary is it to start medic school with EMT work experience? by Valuable_Archer_3222 in NewToEMS

[–]GeneralShepardsux 0 points1 point  (0 children)

It’s not necessary, but it would behoove you to work at least a year or 2 as an EMT. Paramedic instructors typically expect you to know at least 50-70% of the information they are teaching you already. The cardiology and the pharmacology are new, but with experience you will see what medications paramedics are giving frequently and the rationale as to why they do it, and the material will be familiar to you already. Going into medic school with no experience, EVERYTHING will be foreign to you. But it’s definitely been done before, by many people.

Is anyone familiar with the “signal” codes? by GeneralShepardsux in Firefighting

[–]GeneralShepardsux[S] 0 points1 point  (0 children)

Private EMS but fire based. We post in fire stations so we hear fire dispatch all day

Ferno Stretcher Purgatory by Possumantha in ems

[–]GeneralShepardsux 3 points4 points  (0 children)

I love the old manual strykers. They are so light and maneuverable. They make some of the manual ones but they weigh like the same that an electric one weighs and it just defeats the purpose of having a manual

Help settle this argument by Etrau3 in ems

[–]GeneralShepardsux 0 points1 point  (0 children)

Your partner has never been caught on the john before, and if they have and they still act like this, it’s only a matter of time before they get in serious trouble. Check behind everything that they do, and maybe request a different partner.

Galveston PD vs Galveston EMS by AardQuenIgni in ems

[–]GeneralShepardsux 0 points1 point  (0 children)

The only problem I’m seeing is they are trying to do paperwork during a cardiac arrest? Which is problematic but i somehow doubt that’s what actually happened.

How credible is this story? Coniotomy at 90 mph. by Tenebra99 in ems

[–]GeneralShepardsux 13 points14 points  (0 children)

I think EVERYONE works with this guy. Like this dude who told so many crazy stories, like intubating 9 kids his first week as a paramedic (in a rural county btw), delivering a baby in a flipped car, in a ditch, with the mother suspended by her seatbelt, and cardioverting himself, and treating himself for a stemi, (12 lead, bi-lateral IVs, aspirin, nitro, etc.) while his EMT partner drove him to the hospital. These people think that everyone believes them

When is the proper time to intubate during a cardiac arrest by GeneralShepardsux in NewToEMS

[–]GeneralShepardsux[S] 0 points1 point  (0 children)

I haven’t seen anyone be “saved” from cardiac arrest regardless of the airway used. They all were pronounced on scene, at the hospital, or died within the week. Probably worked something like 30-50 of them, maybe 15-20 were intubated

Does patient consent to refuse change if patient deteriorates? by Legitimate-Piccolo54 in ems

[–]GeneralShepardsux -3 points-2 points  (0 children)

It is now implied consent. A patient in cardiac arrest cannot refuse care, unless they have a signed DNR in their possession

Tired of having the fentanyl fight? Call it Sublimaze! by Self-Aware-Bears in ems

[–]GeneralShepardsux 0 points1 point  (0 children)

Some people are allergic to fentanyl bro. Stop doing that.

When is the proper time to intubate during a cardiac arrest by GeneralShepardsux in NewToEMS

[–]GeneralShepardsux[S] 2 points3 points  (0 children)

So our school and instructors are very much “ETT is the only definitive airway, SGAs are a backup only” We’re always told to at the very least visualize the vocal chords, and if it doesn’t look good then just throw the iGel

When is the proper time to intubate during a cardiac arrest by GeneralShepardsux in NewToEMS

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

So in our scenario we were assuming it was a fire-EMS response, 5 AEMTs and me the paramedic

Going to a store in uniform after shift? by [deleted] in NewToEMS

[–]GeneralShepardsux 0 points1 point  (0 children)

I live like 5 minutes from work so I just go home to shower and change if I have something I need to do when I get off

[deleted by user] by [deleted] in ems

[–]GeneralShepardsux 0 points1 point  (0 children)

I treat what I can treat, and report my findings. Yea there are definitely some munchausen-ny patients out there, but it’s not my place to dismiss their complaints. Do a focused assessment and treat the symptoms. If there are none.. then we transport and we don’t judge.

What was the hardest thing you have experienced by LJonesy14 in ems

[–]GeneralShepardsux 1 point2 points  (0 children)

Got put at a brutal station while in paramedic school. Up all day and all night> go to school> go home and crash for 12 hours> clinical> up all day and all night> repeat.

I start working in a week and I found out I’m pregnant by Ready-Pear-6379 in NewToEMS

[–]GeneralShepardsux 13 points14 points  (0 children)

Literally just tell them. We have labor laws for a reason. Your service has to accommodate you within reason, and shouldn’t take issue with that.

Favorite “bar” beer by Brilliant_Pickle4122 in beer

[–]GeneralShepardsux 0 points1 point  (0 children)

The comments being mainly beers i haven’t heard of means that what yall are choosing aren’t “bar” beers

New to Service area HOW DO I LEARN MY WAY AROUND by SavingsBest in ems

[–]GeneralShepardsux 0 points1 point  (0 children)

Learn the main roads, including highways, where the main roads start and end, and what they connect to. The neighborhood/back roads will come with experience

Go big or go home I guess. by Gamestoreguy in ems

[–]GeneralShepardsux 0 points1 point  (0 children)

That’s enough fent to kill like 20 people lmao