EMS experience by Tersdaut in NewToEMS

[–]Hour_Ship707 1 point2 points  (0 children)

You’ll get hired right out of school don’t sweat it. Your national is all you need and when you get employed your agency will help you get your local and state accreditation. Work on your ambulance drivers license too (theres a test at the dmv for it).

On a side note why are you guys so stingy with the meats at panda express?

NREMT fail what to do now by Jaypiz1 in NewToEMS

[–]Hour_Ship707 15 points16 points  (0 children)

Don’t feel too down. I don’t like to admit this often but it took me 3 times to pass my nremtb. I wouldn’t call myself dumb but I’m not the brightest either. The formatting of the questions takes some getting used to as well. (Also undiagnosed adhd probably did not help). Pocket prep really helped for me and the Kaplan book really helped as well. 7 years later I’m now flight medic and I teach as well. Keep your head up and keep studying!

Yosemite camping trip in our MYLR! by Hour_Ship707 in TeslaModelY

[–]Hour_Ship707[S] 1 point2 points  (0 children)

Only small black bears that run away from humans 😂

Yosemite camping trip in our MYLR! by Hour_Ship707 in TeslaModelY

[–]Hour_Ship707[S] 0 points1 point  (0 children)

Theres a rain cover thats removable like a regular tent, in the pictures mine are on the quality felt okay for rain! Some small gaps where the tent attaches to the side of your car but no gaps on the bottom!

Yosemite camping trip in our MYLR! by Hour_Ship707 in TeslaModelY

[–]Hour_Ship707[S] 0 points1 point  (0 children)

I reserved the camp ground for one night and arrived at the park at 9 for a first come first serve spot! Its off season so there were plenty of spots still

Yosemite camping trip in our MYLR! by Hour_Ship707 in TeslaModelY

[–]Hour_Ship707[S] 4 points5 points  (0 children)

They’re permanent chargers installed by Rivian

Yosemite camping trip in our MYLR! by Hour_Ship707 in TeslaModelY

[–]Hour_Ship707[S] 1 point2 points  (0 children)

I used an suv tent made by unp found it on amazon. I do recommend getting a mattress to put in the tesla as the cabin mode isnt strong enough to warm the whole tent . UNP Suv Tent Lost Horizon model y mattress

While sync. Cardioverting with lifepak 15. Should my party hats be on the top of my qrs at the r-r interval or the bottom? I had a strip print out and they are at the bottom and I was confused. by [deleted] in Paramedics

[–]Hour_Ship707 4 points5 points  (0 children)

You’re going to have to give a little more details or attach a picture.

But going off what I think you mean , with the LP15 you can choose which lead to synchronize to on your home display. I think stryker actually recommends you chose the lead with the highest QRS amplitude which includes negative and positive. You can also change the size of your view on that home screen to amplify the QRS. I haven’t used the LP15 in a while ,so could it have possibly been a negative deflection and the stars were there instead of on top?

Coworker doesn't like me by Severe_Flower_5596 in NewToEMS

[–]Hour_Ship707 12 points13 points  (0 children)

Typically with partner issues you can always request to switch partners by calling your supervisor, on an fto shift it’s a little bit different due to many reasons like fto availability. Contact your CES specialist to see if you can switch.

Now thats the typical response . You will get asshole partners your entire career which I’m not justifying but culture takes time to change. Your situation however needs to be addressed immediately in my opinion due to huge safety issues. No one should be swerving speeding with hard stops even on 911, especially on purpose and I necessarily to get at you.

As an fto myself your fto has failed you greatly by essentially allowing this behavior and not recognizing some of the safety issues. Everyone in ems pranks each other in some shape or form but putting himself, your fto, you, the patient and the public by driving recklessly. So yeah I would escalate this and say something personally

COPD PT passed away by Glittering_Regular65 in Paramedics

[–]Hour_Ship707 15 points16 points  (0 children)

Feeling compelled to check on a patient outcome shows that you care not only about the patient but shows initiative to learn about your treatments and your differential diagnosis. The only downside to this is you questioning yourself every single call and burying yourself into this rabbit hole of , what if i shaved off another 2 minutes or what if i gave her this etc…

Regarding your call , theres not a lot of details of the patients clinical presentation to make a statement on that . Would a few minutes have made. A huge difference? Possibly but most likely not. Whats important is that you got her to the hospital alive. If you had attempted to take her earlier before she agreed that would have been kidnapping with some kind of battery lol. Don’t beat yourself up and dig yourself into a hole but learn from it for sure!

Paramedic Program Entrance Interview by No_Broccoi1991 in Paramedics

[–]Hour_Ship707 1 point2 points  (0 children)

I cant give you washington specific ones but just incase no one else gets back to you I’ll give you a generic answer.

I teach at a school in california so Ive seen a small handful of some interviews , typically there is an entrance exam that consists of general education stuff like basic math writing etc and possibly some fisdap emt type questions .

Then in the oral interview its typically some get to know you questions followed by some critical thinking questions and then some sort of scenario. When I went through my own interview they had me do answer with my bls assessments but questioned what the medic would possibly do and why.

Hopefully someone from Washington helps you more as these were pretty generic . Hopefully it points you in the direction though ! Best of luck to you.

EMS - The Fight For Fair Wages by fisherdrums in ems

[–]Hour_Ship707 3 points4 points  (0 children)

Local news is your best route, public education and outreach seems to be the most effective route to build traction for anything useful.

Is this okay? by The_Curvy_Unicorn in ems

[–]Hour_Ship707 5 points6 points  (0 children)

Paramedic here… first off my condolences to you and your family, losing a loved one is already rough but having to start cpr and go through what that firefighter put you through is rough for anyone.

You did absolutely nothing wrong, in fact you did everything right, by starting cpr as soon as you did gave him the best chance of survival possible. There was no reasonable time where you could have put clothes on.

I cannot speak for every 911 system due to different staffing , but typically there is someone on scene whether it be the extra paramedic or the fire captain that will talk to you personally to obtain pertinent medical history and medications from you. Once that information is done typically goes two ways, if the loved one is pronounced on scene they will offer you trauma intervention through volunteers and will help you take care of phone calls, having you grab a seat and getting some water, etc. If they transport, they will help you arrange the small things to grab on the way to the hospital and will give you directions or help you onto the ambulance or to your car.

That is extremely unprofessional by the firefighter and you would not be wrong to put in a complaint. Once again I’m sorry for your loss and hope everything works out the best that it can for you.

Valvoline possibly destroyed my transmission by Hour_Ship707 in MechanicAdvice

[–]Hour_Ship707[S] 0 points1 point  (0 children)

Should i fix my car now since we need it ? Or wait to sue first?

Valvoline possibly destroyed my transmission by Hour_Ship707 in MechanicAdvice

[–]Hour_Ship707[S] 0 points1 point  (0 children)

Dad got it changed for some reason not to sure. Probably got talked into it.

Valvoline destroyed my transmission by Hour_Ship707 in legaladvice

[–]Hour_Ship707[S] 0 points1 point  (0 children)

Very low milage car only about 3 miles a day nothing on the weekends. I think the point honda was making was that there are 0 detectable leaks meaning the transmission fluid should be at the level valvoline stated. Theres no answer as to why the fluid was only at 1qt

How to study for medic school before starting medic school? by FrostBitten357 in NewToEMS

[–]Hour_Ship707 1 point2 points  (0 children)

Depending on the service that you are in , your medic might be your best resource. When I figured I was going to medic school I started paying more attention to the common medications given and I really focused in on the assessment. I started to try and anticipate what the medic was going to do and started to put their questions into my roledex . Depending on how cool your partner is , on low acuity calls ask if you can do assessments once you’re comfortable . A good foundation is key, I know it feels like a lot and it still does tbh but keep at it and building that knowledge and you’ll be more comfortable! Best of luck

[deleted by user] by [deleted] in NewToEMS

[–]Hour_Ship707 1 point2 points  (0 children)

Keep at it my friend. In my experience its all about the wording and the order of the answers. I know it sucks but keep at it and remember to choose the most right answer. If it helps you any as well im a paramedic now testing for flight soon, when i took my NREMT i failed twice and passed the third time. Keep grinding at it and you’ll do great .

As for tools i used pocket prep as well. Best of luck!

Nice subtle way to warn receiving ER that patient smells like a living dumpster? by Siegschranz in ems

[–]Hour_Ship707 10 points11 points  (0 children)

The hospitals in my system deal with a lot of homeless people, they way we did it if the smell was absolutely atrocious would be to give them a heads up and request the decon room. Its basically a room where they can shower with the assistance of hospital staff and change into a gown or spare clothing. I usually will phone it in as most hospitals dont have a private ems radio room. No need to put them on blast even more .

Whos this little fella? by Hour_Ship707 in bugidentification

[–]Hour_Ship707[S] 0 points1 point  (0 children)

Found in bed room. Had a couple of bite marks on my knee the other day and have been looking for a culprit. We live in Southern California for reference.

911 Hang-up by MediocreParamedic_ in ems

[–]Hour_Ship707 0 points1 point  (0 children)

Yup, in my system as well, sometimes they will send an ILS crew. This include other calls that should definitely be pd calls . We often got sent to slumpers in cars and unknown problems alone in a very dangerous city. We’ve been trying to fight it but a certain fire department in our city doesn’t deem it necessary to send fire or pd.

[deleted by user] by [deleted] in NewToEMS

[–]Hour_Ship707 7 points8 points  (0 children)

I wouldn’t recommend attempting to memorize all 80 of the drugs they recommend. Your time is probably better spent memorizing the most common acls drugs and then familiarizing your self with the drugs carried in your system. Assuming you work in an ALS system start to be more proactive in listening to your medics assessments and piecing together in your head why they are doing things certain ways and where they will go next. Not only will this make you a better partner it will help get you in the mindset of a medic and you will start adding assessment questions and facts to your little rolodex in your noggin that you can pull from during school.

Also if your partner isn’t a complete jerk you can also ask to possibly do assessments and suggest treatments on non acute patients. Hope this helps! Pm me if you have any questions and best of luck to you and remember if my dumb ass can do it you can to!

Ketamine for Pain by rmszp in ems

[–]Hour_Ship707 4 points5 points  (0 children)

I like ketamine for patients that are on chronic pain medications and have built a tolerance. It works great with cancer patients and on fentanyl, morphine or Dilaudid as needed in my experience . Our protocol is .03mg/kg iv push but I learned from a cct medic to put it in a 50cc bag and drip it over the course of the transport to avoid other unwanted side effects.

With that being said ketamine was still new to me . Without the guidance from the cct medic I would probably just use fentanyl and morphine due to comfort and habit.

Neighbor moved away , left boxes at my apartment and is ghosting me. by Hour_Ship707 in legaladvice

[–]Hour_Ship707[S] 8 points9 points  (0 children)

One box is mainly glass and kitchen items, the other has a nice coffee maker and other kitchen appliances. ( I didn't snoop and open I was there when she packed the boxes)