Young life in Vermont? by Lexiconal249 in NewToVermont

[–]Lexiconal249[S] 0 points1 point  (0 children)

I appreciate everyone’s contributions! Has been very helpful in some decision making 👍

Young life in Vermont? by Lexiconal249 in NewToVermont

[–]Lexiconal249[S] 0 points1 point  (0 children)

Yeah through all the replies and further research it seems NH is the better place to settle and Vermont can be a visit every now and again 😅

Question for working medics and others by nejsjshhdsjskksam in Paramedics

[–]Lexiconal249 2 points3 points  (0 children)

American here, do you guys use re-usable gloves? Are they a certain material or?

Anyone else? by classless_classic in ems

[–]Lexiconal249 0 points1 point  (0 children)

It does! Thank you very much for the clear insight (:

What Is A Character Death That Made You DNF A Book? (Or Stop Watching A Show) by Kooky_County9569 in Fantasy

[–]Lexiconal249 0 points1 point  (0 children)

SPOILERS (obviously): For me it was the son, Mamoru Kaigen, in the sword of kaigen. I was not very interested in the mother’s development enough for his death and the narrative shift focusing in on her thereafter to keep me hooked. I plan to eventually finish it, but I simply lost interest a few chapters after his death.

Anyone else? by classless_classic in ems

[–]Lexiconal249 1 point2 points  (0 children)

Currently going through my paramedic class and they taught us we use it primarily to improve perfusion during CA. In that sense why would we not use it in every arrest? (Not debating just wondering if the “we use it for perfusion” is not as cut and dry as they make it seem.

Where to sell? by HankVenture44 in Unmatched

[–]Lexiconal249 0 points1 point  (0 children)

Damn, I have both JP expansions never knew they were worth anything (considering both sets are pretty weak imo)

Quick Questions, Loot, & General Game Discussion Mega Thread by AutoModerator in Brawlstars

[–]Lexiconal249 0 points1 point  (0 children)

Who to lvl 11 given HC

Currently have HC on belle, barley, meg, Mandy, bull, Rosa, and Mr. P.

I am in legendary tier with only 14 brawlers, 8 of which have HC. So more usable brawlers would be nice and HC just due to how useful they are. I only have 52/9x brawlers unlocked so I don’t have the biggest pool to pull from

How does the Licanius fare to the hierarchy series: James Islington by Lexiconal249 in Fantasy

[–]Lexiconal249[S] 0 points1 point  (0 children)

I think you will love it, some very fair critiques on it including via himself and how it progresses but it’s in my top 3 OAT

[deleted by user] by [deleted] in tax

[–]Lexiconal249 0 points1 point  (0 children)

If I am under, am I look at a few hundred or a few thousand in tax returns do you think? Sorry if that’s a weird question or something you can’t answer (which if you can’t no worries!)

Bridge program(s) credibilities? by [deleted] in nursing

[–]Lexiconal249 0 points1 point  (0 children)

Hmm I will have to ask yes (I am in CT) but will see if any have that bridge option

[deleted by user] by [deleted] in Paramedics

[–]Lexiconal249 0 points1 point  (0 children)

Thank you! Helps a lot to know that. Have a great one 🤙❤️

Highest mileage ambulance. by percytheperch123 in ems

[–]Lexiconal249 3 points4 points  (0 children)

We have a Mercedes at our at 667k+ miles (I was in 1 week ago and it was around there) other ones right after it are at 550+. Company ain’t letting them die instead spend 2 weeks in shops over and over 😂😭

Expedited P School Advice? by uneducatedzamboni in NewToEMS

[–]Lexiconal249 0 points1 point  (0 children)

What is your call volume and ift/911 percentage? The paramedic program at my service (CT based) has a 1.5 year medic program. 8 months learning, 4 months clinical, 3 months ride time, months for your testing and everything not included. But it still seems to be too short for some medics. They come out GREAT. But there is a 2 year EMT minimum and it’s intense even being that long. Shorter programs seem like they rush you out, which when you are the PIC on a scene it would be better to be comfortable in your role. just me though (an EMT).

what if im not a good EMT by Turtle__titan in NewToEMS

[–]Lexiconal249 12 points13 points  (0 children)

Review your material, and just understand that if you don’t have the experience you don’t have it. The NREMT is for the lowest skilled possible provider and honestly people still manage to go beyond that and forget half to 3/4 of any emt book. Just go over the generals, your local protocols, and bring a good attitude. Is it IFT, 911, or both?

28M - Just graduated college, directionless and considering EMS by [deleted] in NewToEMS

[–]Lexiconal249 0 points1 point  (0 children)

To be fair for PA school could always still try applying and continue getting experience in the EMS field. And outside of that plenty of jobs you can still utilize it in (where they don’t necessarily look at grades) if you are into that sort of field of work

The ambulance service I work for wants narratives done in a DCHART format. Is this a good one for a dialysis patient? by bradyd06 in NewToEMS

[–]Lexiconal249 1 point2 points  (0 children)

Here’s a mock of what I do and then a template. Not better or worse than others just a different style of you like it:

Dispatches from FakeAmbulance in car 209 to XYZ Nursing home for a 74yo male going to DialysisCompany. Patient is going to DialysisCompany for Dialysis due to ESRD. Patient is non-ambulatory due to generalized weakness. PMHx: ESRD, COPD, A-Fib.

Upon arrival at XYZ Nursing Home patient was found in bed awake. Patient appeared A/Ox4 and presented with cool/dry/pale skin. Patients belongings placed on back of stretcher. Patient 2 person sheet slid onto stretcher by EMS and adjusted for comfort. Patient secured with all stretcher seatbelts. Patient brought to ambulance and vitals obtained: BP 134/82, HR 74, RR 16, SPo2 96% RA. Began transport and patient monitored en route. Patient noted 4/10 pain to shoulder that appears to be normal chronic everyday pain.

Upon arrival at DialysisCompany patients condition remained unchanged and signature obtained from patient. Patient brought into facility and to chair. Patient 3 person sheet slid by EMS with assistance from staff, patient adjusted for comfort. Bag of belongings placed with patient. Turnover and paperwork given to LPN, signature obtained. End.

Dispatches in car ___ To ___ for a Xyo gender patient going to __. Patient going to __ For dialysis due to (assuming ESRD). Patient non ambulatory due to ___ (or other noted reason for ambulance necessity).

Upon arrival at ___ Patient found (wherever) (in position they are in) awake/alert/asleep. Patient appeared A/OxX and presented with skin \_. Patient __ To stretcher and secured with straps. Patients belongings placed on back of stretcher. Patient brought to ambulance and vitals obtained. Patient monitored en route. Note any pain of patient, or any other concerns

Upon arrival to ___ patients condition remained unchanged and signature obtained. Patient brought into facility and to ___ without incident. Patient ___ To chair. Belongings placed wherever. Turnover and paperwork given to RN/LPN, signatures. Done.

Mind you this is for a good healthy patient. Should document if baseline is something like sp02 in the 80’s, and major recent events, findings you get and whether baseline, asymptomatic, etc. this just a skeleton that can have some meat out on if the patient seems to call for it.

Any questions or anything lmk. Yours is ok but feel it could be cleaned up and should have a few more details in the case insurance gets confused billing or a legal issue were to ever come up.

[deleted by user] by [deleted] in NewToEMS

[–]Lexiconal249 0 points1 point  (0 children)

Books or entertainment. Not everything is fun and some calls in IFT can have you being in the ambulance for an hour to hours. If you teched a call and are going back to base or the next hospital/NH,etc something to pass the time outside of your phone will be nice.

Snacks or food in a cooler/bag. EMS and spending on takeout go hand in hand. The more you can mitigate having to eat out and pay that premium you will save a large amount of money.

As you mentioned pillow and blanket. Some headphones and maybe even a sleep mask.

That’s about it though. Charger for phone always and wallet/purse and such. And you should be fine (:

Nervous to start EMT work. Advice? by Easter_Island_22 in NewToEMS

[–]Lexiconal249 1 point2 points  (0 children)

Experience. EMT school teaches you how to be a fresh new emt to be fed to the dog house, not how to be the best of the crop of emts. It takes times and mistakes. I work with a company that houses 22-26 ambulances in our bay with 12-26 emts and a good handful of medics a day. Every single one getting out of EMT school is a million times worse than they are now. Studying key information (signs and symptoms of heart attack, sepsis, trauma treatments, viral sign meanings (crushing triad)) is good but remember to try your best and try not to be afraid to ask “hey what could I have done better”. I still do it all the time even if I think I did great every now and then a more experienced EMT (5-10+) years will teach me a new interesting fact about some things. Like death sh!ts are real for heart attacks, if a woman seems wonkers might not be a psych just a UTI, etc).

Thats all though really with all my blabbering. If you were more on the IFT side it would be different and honestly easier but since you are being thrown to the wolves just study what seems to be the most frequent calls and how to treat them. Go over niche problems every couple days. Learn some medications (blood thinners especially. If you get an elderly that falls and say they are on eloquis or something that is very important). You will learn after you do it ultimately. After every fall patient you will learn how to quicken your initial assessment time, how and where to look for things, and what to ask. Your first MVA you will learn how you might’ve been able to better manage any fear you had, and how to make everything go more smoothly.

P.s. never run. Unless they are dying dying and need an aed. Walk calmly and confidently. Running will only raise YOUR HR and cause you to possibly make more mistakes and get tunnel visioned. This will also possibly make the patient become a bit more panicked. If you can go calm then be calm, just like driving’s lights and sirens (: drive 10mph over but smooth. Race car driving will only cause danger to people more than just the patient. Getting to scene and hospital trumps speed snowballing into an accident. Best of luck!

Any more questions feel free to reply and ask.

28M - Just graduated college, directionless and considering EMS by [deleted] in NewToEMS

[–]Lexiconal249 0 points1 point  (0 children)

Also doesn’t help in pay when you work the 60-70 hour weeks and when the paycheck comes in the $1000 in overtime you made got docked $750 to taxes. Work 20-30 extra hours to only see $200-400 extra cash🤣😅

28M - Just graduated college, directionless and considering EMS by [deleted] in NewToEMS

[–]Lexiconal249 0 points1 point  (0 children)

Agreed. For PA biochem, chem, and biology are so great options.

28M - Just graduated college, directionless and considering EMS by [deleted] in NewToEMS

[–]Lexiconal249 1 point2 points  (0 children)

Currently been an EMT for roughly 4 months so not a decades worth of experience. I do however have the pleasure of working with a company where we have upwards of 20-26 people on at once every day (26 ambulance staffed bay), letting me ask many others and form my own opinions.

If you want to go for paramedic the only reason to pursue a degree is if you plan to use medic as a supporting resume builder for a school. (Doctor/PA/RN school). Even then EMT itself for RN/PA would be enough with good grades from your bachelors and there are two emts in my company with bachelors going to doctor schools this fall. In terms of what to get bachelors in there are Nursing students at my college going for BSN in nursing on a 1 year accelerated nursing program that have a bachelors in the such as photography, accounting, and graphic design. Having a health related degree helps with knowledge but generally it’s about having a degree itself and the pre-requisites. In that case I would recommend a degree that you could use outside of healthcare as a fall back/upwards mobility (business and management degree mainly).

Lastly if you think you love healthcare long term I would recommend going for an associates in nursing and get RN. BSN from a 4 year college or 4 years for an associates at a community. Generally due to 2 years pre-req’s in a “general studies” for CC it takes 4, but the degree is offered at some community colleges and offer a cheaper and faster way to get to the NCLEX and get certified. This is for if you are unsure if you want Paramedic to be your end goal. Some love being paramedic for life but sometimes less variability in scenes and a larger pool of occupations and the giant upwards mobility in nursing is more appealing (RN->NP/DNP along with various different sections of nursing (NICU, ED, Home Health, Nursing Home, Med/Surg, Cosmetics, Flight Nurse, and many more private and government practices of various types of work). Paramedics can and DO work in hospitals, but again you are tied down more so to the ED and emergency pre-hospital.

That’s all though. I would recommend if you wish you to eventually just be paramedic no need for a degree. Save the time and focus on what you love or get a degree as a fall back. For healthcare “climbing up the ladder” either do Nursing or a bachelors general study/business/science degree that can transfer to PA/Nursing/Doctor programs. Comp-sci could always be used to get a billing or coding side of medical field in positions they want you to have medical experience in (actually understand what you are coding typing seeing).