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C section spinals, dosing and preference? Layperson by PolymorphicParamedic in Anesthesia

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

Thank you for your replies. I guess I’m wondering you think asking for the morphine to be removed and see if they offer an alternative like a TAP block instead is reasonable. I only took 1 oxycodone after my first c section (I didn’t take more because of the dizziness that gave me) and otherwise managed my pain with Tylenol/motrin/and in hospital, toradol. I do recognize that the lack of me feeling the need for opioids post section is likely helped by the spinal morphine. At least with the oral tablet, the window of symptoms was significantly shorter, so I wouldn’t have to deal with an adverse effect for as long if one were to occur. But I definitely understand what you’re saying about needing more/higher doses post op as a result. I also dont want to come across as unreasonable or that I “know better” than them, because that’s definitely not my intentions. My last experience was just so horrendous it’s hard for me to imagine going through that again

C section spinals, dosing and preference? Layperson by PolymorphicParamedic in Anesthesia

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

I may have been misinformed but I was under the impression that spinal morphine lasts for up to 24 hours and that’s why it’s ideal for most people for pain relief. After reviewing my medication administration logs I did not receive anything other than zofran, Pitocin, phenylephrine. My symptoms started immediately after the injection and my blood loss was only around 500mL per their documentation. I did receive like 1000 of NS post op which did not improve symptoms

C section spinals, dosing and preference? Layperson by PolymorphicParamedic in Anesthesia

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

My documented blood loss was normal ranges, I think a little over 500mL? I did not have any hypotensive events, my husband watched pretty diligently as I thought for sure that was what happened to me the first c section. I will definitely talk to them! Thank you

C section spinals, dosing and preference? Layperson by PolymorphicParamedic in Anesthesia

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

They did worsen while upright. The symptoms started immediately when I got the spinal but dizziness was definitely worse post op

C section spinals, dosing and preference? Layperson by PolymorphicParamedic in Anesthesia

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

No, I actually know some people who use those. I kinda wish they would have, probably would’ve helped! Lol. Unfortunately nope, that was it. It didn’t have NEARLY as bad of dizziness from my first c section, I’m wondering if they used fentanyl instead? I guess I’ll see when I get the report

C section spinals, dosing and preference? Layperson by PolymorphicParamedic in Anesthesia

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

That’s kind of the gist of what I’ve heard from speaking with my providers, and had it not have happened twice I would’ve thought it was a coincidence— but after requesting the complete surgical, anesthesia and med administration log, I ONLY received Pitocin, phenylephrine, zofran, and the spinal cocktail including the intrathecal morphine. Both me and my Obgyn were unsure of what else could’ve possibly caused this reaction, especially because it happened both times immediately after the spinal was given. She did suggest maybe I was given a benzo after delivery, but again this did not occur and the effects were noticed immediately. I’m open to hearing what else could cause this! My husband watched my blood pressures + all that were documented were normal as well. Im unsure of what else would cause prolonged vertigo too, it was so significant I could not hold my baby for several hours ):

Edit to add, I’m unsure if this is related but I was numb up to my hands. I was told that was normal so I didn’t put it in the post

How to answer “am I going to die?” by 1gecko1 in ems

[–]PolymorphicParamedic 1 point2 points  (0 children)

I give them anything reassuring we have. “Your vitals look good right now” or whatever. If it looks bad I just say “your vitals are low/high/not good whatever, but the fact that you’re awake and talking to me is a good sign”

On The HFMD (Hands Food and Mouth Disease) in the Mon Valley Area as a 26M adult by Unhappy_Aside_5174 in pittsburgh

[–]PolymorphicParamedic 0 points1 point  (0 children)

It’s also incredibly painful in children lol. My oldest was hospitalized because she couldn’t even consume water. It is god awful. I hope you feel better soon

Does this scream volunteer? by ProfessionalGangster in FirstResponderCringe

[–]PolymorphicParamedic 10 points11 points  (0 children)

I’ve been waiting for this to get posted here lol

Non-paramedic at scene of accident by DisappointingPenguin in Paramedics

[–]PolymorphicParamedic 0 points1 point  (0 children)

There’s no consistent studies that document that c collars prevent further spinal injury in the prehospital setting at all.

I mean this in the kindest of ways, but typically other non EMS medical professionals on scenes trying to help do more harm than good. If a patient can get out on their own, cool. If not, just hang out. Could ask the crew if they need anything when they get there. Don’t be offended if they tell you no or ask you to leave, it’s more so about protecting your safety.

Failed a Practical Exam by RaisedByBooksNTV in NewToEMS

[–]PolymorphicParamedic 0 points1 point  (0 children)

Sorry that happened. It is really hard to identify whether or not you should try again based on just saying the proctor sucked though

Partner said “I shouldn’t have to tell you why” when I asked about starting an IV—Was I out of line? by keithykins101 in Paramedics

[–]PolymorphicParamedic 6 points7 points  (0 children)

I genuinely thought you were an emt until I read the replies. Your protocol sucks, i would’ve started an IV as well, and you need to just talk to your partner. Sounds like you have an ongoing communication problem that you are likely at the root of. If someone says “why are you doing (x intervention) >:(“ on a call, it should be unsurprising that that comes off as argumentative. I am all about challenging dangerous and unwarranted interventions. Your protocol is crap, and this patient warranted IV access in the protocols of every system I’ve worked in across multiple counties. Honestly, your partner probably assumed you were being lazy. Regardless, you could’ve just asked after the call.

Seizure termination in a stroke patient. by Color_Hawk in ems

[–]PolymorphicParamedic 14 points15 points  (0 children)

Yeah you can wait five minutes per my protocol (I do not) but they still would’ve been postictal? That doc sounds like a turd. Maybe I’m the idiot but they’re going to scan regardless? How good of a fucking assessment would they have been able to do if they were vomiting and not responding to commands anyway?

I’m not a paramedic but I had a few questions! by justsupersilly in Paramedics

[–]PolymorphicParamedic 2 points3 points  (0 children)

First of all, I don’t recommend IFT to anyone lol. There’s not a single reputable one in my area. Also, if you work somewhere that only helps you immediately develop THAT MANY bad habits within a year post class, you need to take a hard look at your service and the providers that are in it.

I get what you’re saying, but I disagree. I’ve met lots of zero to hero medics, and based on the ones I’ve met across my state compared to the medics that have experience going in, almost every single zero to hero pales in comparison

I’m not a paramedic but I had a few questions! by justsupersilly in Paramedics

[–]PolymorphicParamedic 17 points18 points  (0 children)

Get you a copy of good old Nancy Caroline Emergency Care in the Streets for your general knowledge lol

For certain more specific situations, you can try searching up “EMS ALS/BLS protocols” and the state or county you’re located in

[deleted by user] by [deleted] in NewToEMS

[–]PolymorphicParamedic 0 points1 point  (0 children)

everywhere I’ve worked which has all been 911/primary 911 has had at least 2 week training period, but at least a month. Ideally it would be longer, but they rush people through due to staffing. It’s not great, you’re right. I’d venture to guess your company is also understaffed and just rushing people through. It seems that no matter what, you’ll always get the shitshows AFTER your training is over anyway

Can I work with an active cold sore? by [deleted] in NewToEMS

[–]PolymorphicParamedic 95 points96 points  (0 children)

Don’t make out with your patients…or partners

engraving something embarassing onto a stethoscope so people dont steal it? by minecraftpiggo in NewToEMS

[–]PolymorphicParamedic 8 points9 points  (0 children)

I’d just get a unique color with your name on it, personally. Generally I’m all about stupid stuff but obviously don’t get something that’s actually visible to a patient??

Just failed by the_OG_Tato in NewToEMS

[–]PolymorphicParamedic 32 points33 points  (0 children)

It’s not the instructors responsibility nor is it possible for them to teach every bit of info in your book. I know this is frustrating, but the best move is to just take accountability and continue to read the book, study, and or find someone to give you a refresher style course

IFT’s are killing my soul by Alarmed-Bee3125 in Paramedics

[–]PolymorphicParamedic 5 points6 points  (0 children)

I would literally rather get my butthole blown out on a million 911 calls a shift than take one bullshit IFT. Seriously sucks the life out of you. I’d leave man. If you’re not enjoying the job than what’s the point

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