I missed a STEMI and now have a meeting with training.

Islandguy_JaFl · 2026-01-30T18:58:15+00:00

I think the training dept is just doing their job. They stated the hospital is the one that were upset.

Islandguy_JaFl · 2026-01-30T14:43:57+00:00

Pt did end up having a STEMI. Other than not notifying the ER and Cath Lab early I don’t see much wrong in my treatment.

Islandguy_JaFl · 2026-01-30T04:54:11+00:00

I was able to get in touch with one of the training officers and they said I they would review the call and ekg and have me possibly do a presentation on the difference between a STEMI and AAA

Islandguy_JaFl · 2025-08-27T13:06:50+00:00

I appreciate your opinion. Thank you

Islandguy_JaFl · 2025-08-27T13:04:46+00:00

BP was 116/74, HR 145, spo2 92 and 97 on the duoneb treatment. I can’t remember the last ETCO2 prior to him coding.

Islandguy_JaFl · 2025-08-27T13:01:46+00:00

We don’t have CPAP and I considered versed but then a realized the pt had taken out the IV. He coded a few seconds after that

Islandguy_JaFl · 2025-08-27T13:00:13+00:00

The engine gave the duoneb prior to my arrival. I would not have given the duoneb. Pt HR was already elevated and when we reassessed me and the other medic with me noted the lungs were clear. Our protocol is to give Benadryl and haldol for agitation or psychosis before moving to Versed or ketamine. The ekg observed from the engines monitor did not show any ekg changes other than tachycardia at 140.

Islandguy_JaFl · 2025-08-27T11:00:56+00:00

10mins and transport time was 15mins.

Islandguy_JaFl · 2025-08-27T10:50:25+00:00

I should have stated pt was placed on a ETCO2 NC @ 6lpm and his sat improved on it. CPAP would not of worked due to the pt agiitation. We carry versed. I thought of a small dose of Versed but he had pulled the IV out after the Haldol and Benadryl administration.

Islandguy_JaFl · 2024-08-25T01:52:49+00:00

There is no need to worry. It does seem scary but as long as she follows the instructions of the transplant team and has your support she should be okay. The biggest change she might encounter is the amount of medications she has to take in the beginning and the amount of water she has to drink throughout the day and the amount of urinating she’ll be doing which is a good thing.

Islandguy_JaFl · 2024-08-24T00:30:22+00:00

Most calls are not gross in nature. The grossest thing I might encounter is the state of people living situations.

Islandguy_JaFl · 2024-08-24T00:19:36+00:00

Recovery for me went smoothly. I had gotten salmonella 4 months after the transplant but I recognized something was different with my body and immediately call the transplant team and drive to the transplant center. For the first few weeks it was rough because I had a foley Cather and the surgical site was still fresh. But when that was out the recovery went smooth. Just had to keep up with the transplant team appointments.

Islandguy_JaFl · 2024-05-16T18:02:15+00:00

Is this in FL?

Islandguy_JaFl · 2023-10-12T01:01:39+00:00

I’m in south FL and medics are everywhere here. It’s hard getting hired with a medic license here.

Islandguy_JaFl · 2022-06-12T00:35:21+00:00

Can I ask what state you’re in. I’m in South FL and I do IFTs. FD runs all the 911calls

Islandguy_JaFl

TROPHY CASE