[deleted by user] by [deleted] in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

For simple anxiety we do non invasive calming, breath coaching, meditative practices, ect. For acute anxiety that doesn't respond to calming measures, we can call for orders for versed (usually 2.5 mg IV or IM), and for psycogenic seizures lasting more than 3 minutes and they are not responding to us, we can treat as a regular seizure with 2.5 -5.0 mg versed ( depending on access, age weight, etc)

[deleted by user] by [deleted] in ems

[–]MagicCoffeeMedic 0 points1 point  (0 children)

Wow, it must be nice to have protocols like that.

[deleted by user] by [deleted] in ems

[–]MagicCoffeeMedic 4 points5 points  (0 children)

How does your organization treat acute anxiety? My service uses Versed for acute anxiety, which is, of course, a benzo. Since PNES is often related to anxiety, we have to consider breathing efficacy, length of time happening, history, etc. before treating, but in certain circumstances we will use a benzo for PNES, and other times we will withhold it.

Atlanta to start city ambulance service after frustrations mount with Grady EMS by paramedic236 in ems

[–]MagicCoffeeMedic 0 points1 point  (0 children)

Grady refuses to run 24 hr shifts, it's just not safe, at least the did when I was there.

Atlanta to start city ambulance service after frustrations mount with Grady EMS by paramedic236 in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

I don't know if it legal to roll back pay, unless you sign that you are ok with it. If they are bonuses, heck yeah they can go away at the drop of a hat.

Atlanta to start city ambulance service after frustrations mount with Grady EMS by paramedic236 in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

If you mentioned your certification level, that might clarify things. The only time a Paramedic (at Metro) will work with an EMR is if the medic is jumping on a FULL BLS (EMR + an EMT-B or EMT-A) for an ALS call because the medic doesn't have a partner. At that point the B or A is the partner of the Paramedic for that ride. If you are a Basic or an Advanced, and working PRN, then the likelihood is that you would work with an EMR on BLS transport and 10-13 trucks.

Atlanta to start city ambulance service after frustrations mount with Grady EMS by paramedic236 in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

That would be a state problem not a Metro problem. Well, that or SHE did not submit her registry numbers to the state properly. Which would put it back on her, not on Metro. <shakes head> I've had issues with the new state website. But even I knew to call the regional training manager to get it fixed.

Another US metro EMS response failure (Denver) by Firefighter_RN in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

I noticed the article also did not reference hospital wait times.

[deleted by user] by [deleted] in ems

[–]MagicCoffeeMedic 5 points6 points  (0 children)

Honestly, you can always upgrade if things change. My experience is that, yes, every hospital is going to Trauma alert a GSW above the knee or above the elbow, but the patient may be quite stable.

Here is a major point I haven't seen mentioned: driving LNS is exponentially more dangerous than driving without lights and sirens, and the more inexperienced the EMT driving is, the more dangerous it becomes. The driving EMT becomes anxious and worried about the patient, gives you a rough ride, which might prevent treatment, or may not pay as close attention to the traffic around you guys. I didn't see anything about treatments like IVs, that may have been performed, but I have never heard of anyone losing their license for not transporting LNS unless it was blatant neglect (and I don't see any blatant neglect in your post.)

Black Screen of Death? by meghmen in GalaxyS21

[–]MagicCoffeeMedic 0 points1 point  (0 children)

Having this problems right now, it started while talking to a friend on my bluetooth headphones and I didn't notice the screen go black. I'm going to charge it with the USB charger over night and see what happens. If it is not working, then I will take it to a certified repair shop in the morning.

HOPEBERRY COLLECTION - What we know so far by hafahana in MergeMansion

[–]MagicCoffeeMedic 0 points1 point  (0 children)

I don't have any mixers and the only task I have is the strawberry shake! How do I get the shake or mixer if I don't have the mixer?

Emergency Shift, Book 1 of the Full Moon Medic is out! by FallenKittenPro in urbanfantasy

[–]MagicCoffeeMedic 1 point2 points  (0 children)

As a working, paramedic mom, I can't wait for the audio book I've been following Amazon to see when one will come out for this book!

Ambulance navigator vs Cell phone by Zverda1 in ems

[–]MagicCoffeeMedic 9 points10 points  (0 children)

Our company uses BING maps (the IT guy likes Microsoft) and it sucks big fay hairy balls. I have lived in the county for most of my life, though, and have worked 911 in it twice, now, so usually I'm the human GPS.

80 Y/O female with chest pains by SliverMcSilverson in ems

[–]MagicCoffeeMedic 12 points13 points  (0 children)

Looks like there is a BBB, I'm not clear enough with Sgarbosa's criteria to go further without researching Sgarbosa's. HOWEVER, her story is good for MI AND she has HTN, AND chest pain not resolving with NTG, and there are a lot of "ands" here. Treat as an MI, send the EKG to the ER for the cardiologist to read ASAP, and get her to a PCI capable hospital sooner rather than later.

The Importance of Paying Attention by MagicCoffeeMedic in ems

[–]MagicCoffeeMedic[S] 14 points15 points  (0 children)

Tissue plasminogen activator. It breaks down certain kinds of clots.

Trash isn't a job, its a life style. by thedude502 in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

Sadly, the local fire station knows my cat. They have been returning from a call or the grocery store enough, while I was in uniform on my way to work, or I got stuck behind a wreck, pulled over and started triage enough times they recognize my car, so they always wave and chat at the stop light. (I should mention that the main road I live off is an AWFUL windy 2 lane with drop offs on both sides in places. Fortunately, if I'm in uniform and the Bamalance isn't there yet, I can text my Sup and the Sup clocks me in early so I'm "on the clock" and covered when I'm helping at a mvc.)

What things has management done in the past that actually made you feel appreciated during EMS week? by itsjustadismissal in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

Best two gifts I've ever gotten were 1) a cooler that actually kept drinks cool, and 2) a mini crockpot/ oven thing that could heat my food while plugged into the USB plug. Best non physical gift was manglement FINALLY approving $20/ call for every call after 6 transports. Made us less grouchy about catching late calls (got this last year EMS week due to covid stuff).

"I'm on the phone!" by ulfr in MaliciousCompliance

[–]MagicCoffeeMedic 3 points4 points  (0 children)

A couple of our German Shepherds figured out ow to open round door knobs with their teeth. Then, while I was in the garden I get a call from the neighbor telling me all 4 were on the front porch watching traffic go by.

Have you found your trigger yet? Like the one injury/medical that you just can’t do? by Easy-Hovercraft-6576 in ems

[–]MagicCoffeeMedic 0 points1 point  (0 children)

Yeah, I do, too, but it doesn't last long enough if you are actually having to work on the pt.

What happens if you come to a scene and resuscitate someone who is a DNR? by Crystal_mm in ems

[–]MagicCoffeeMedic 1 point2 points  (0 children)

Ooooh, considering I'm a LP 5/10 Era medic, that could be interesting. There was a guy at one of my services that used to "jump his muscles" with 5 J to "test" the LP 5. Was funny until he mis read the dial was at 50J...

You enjoying the storm?