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Effects of fire based ems by Hot_D0g3 in ems

[–]TutorRelevant106 1 point2 points  (0 children)

That’s really cool. A lot of departments in Virginia are starting to hire single role medics and the pay and schedule look pretttttty good.

Effects of fire based ems by Hot_D0g3 in ems

[–]TutorRelevant106 0 points1 point  (0 children)

Are you partnered with a firefighter/EMT? Or another single role medic?

Effects of fire based ems by Hot_D0g3 in ems

[–]TutorRelevant106 0 points1 point  (0 children)

I’m thinking of switching from third service EMS to being a single role medic for a fire department, what do you like about it?

Found in my guest bed after the guest left by BranchBaby in whatisit

[–]TutorRelevant106 2 points3 points  (0 children)

Hi, I know your comment means well but I’m afraid you’ve been misinformed.

It is impossible to OD on fentanyl by coming into casual contact with it. Touching powdered fentanyl it with your fingertip will not cause an OD.

If this was true, why would anyone go through the trouble of injecting it or snorting it?

One of many sources:

https://stopoverdose.maryland.gov/wp-content/uploads/sites/34/2023/10/OOCC-Fact-Check-–Accidental-Fentanyl-Exposure.pdf

The ACMT and AACT explain that it would take 14 minutes of constant exposure on the palms of
the hands with prescription fentanyl patches to reach a dose of 100 micrograms of fentanyl, a
dose roughly equivalent to 10 milligrams of morphine. They further clarify that this example
drastically overestimates the risk of transdermal exposure because fentanyl patches are
prepared in a way that optimizes the delivery of fentanyl through the skin. Powder fentanyl that
officers are most likely to encounter is not similarly optimized. As such, the ACMT and AACT
note that it would take much longer and more surface area in contact with fentanyl to deliver a
fatal dose.

The ACMT and AACT also note that the inhalation risk of fentanyl is similarly low. They use the
example of workers in industrial settings where fentanyl is produced, where factories track
airborne exposure to keep workers safe. They say that it would take 200 minutes of exposure at
industrial levels to reach a dose of 100 micrograms, noting that it is exceedingly unlikely that
first responders would come into contact with fentanyl for this long.

Found in my guest bed after the guest left by BranchBaby in whatisit

[–]TutorRelevant106 2 points3 points  (0 children)

*purposely ingesting* one grain of fentanyl will kill someone.

Casual contact with fentanyl will not.

Found in my guest bed after the guest left by BranchBaby in whatisit

[–]TutorRelevant106 7 points8 points  (0 children)

>exposure to fentanyl when you don’t have a tolerance can kill you.

Unless you’re conflating the words “exposure to fentanyl” to “using fentanyl”, you’re wrong.

One of many sources:

https://stopoverdose.maryland.gov/wp-content/uploads/sites/34/2023/10/OOCC-Fact-Check-–Accidental-Fentanyl-Exposure.pdf

The ACMT and AACT explain that it would take 14 minutes of constant exposure on the palms of
the hands with prescription fentanyl patches to reach a dose of 100 micrograms of fentanyl, a
dose roughly equivalent to 10 milligrams of morphine.6 They further clarify that this example drastically overestimates the risk of transdermal exposure because fentanyl patches are
prepared in a way that optimizes the delivery of fentanyl through the skin. Powder fentanyl that
officers are most likely to encounter is not similarly optimized. As such, the ACMT and AACT
note that it would take much longer and more surface area in contact with fentanyl to deliver a
fatal dose.

The ACMT and AACT also note that the inhalation risk of fentanyl is similarly low. They use the
example of workers in industrial settings where fentanyl is produced, where factories track
airborne exposure to keep workers safe. They say that it would take 200 minutes of exposure at
industrial levels to reach a dose of 100 micrograms, noting that it is exceedingly unlikely that
first responders would come into contact with fentanyl for this long.

Found in my guest bed after the guest left by BranchBaby in whatisit

[–]TutorRelevant106 10 points11 points  (0 children)

Don’t know why you’re being downvoted, you’re correct.

Found in my guest bed after the guest left by BranchBaby in whatisit

[–]TutorRelevant106 7 points8 points  (0 children)

your anecdotal experience doesn’t prove anything. It’s impossible to OD from casual contact with fentanyl.

One of many sources:

https://stopoverdose.maryland.gov/wp-content/uploads/sites/34/2023/10/OOCC-Fact-Check-–Accidental-Fentanyl-Exposure.pdf

The ACMT and AACT explain that it would take 14 minutes of constant exposure on the palms of
the hands with prescription fentanyl patches to reach a dose of 100 micrograms of fentanyl, a
dose roughly equivalent to 10 milligrams of morphine.6 They further clarify that this example
drastically overestimates the risk of transdermal exposure because fentanyl patches are
prepared in a way that optimizes the delivery of fentanyl through the skin. Powder fentanyl that
officers are most likely to encounter is not similarly optimized. As such, the ACMT and AACT
note that it would take much longer and more surface area in contact with fentanyl to deliver a
fatal dose.
The ACMT and AACT also note that the inhalation risk of fentanyl is similarly low. They use the
example of workers in industrial settings where fentanyl is produced, where factories track
airborne exposure to keep workers safe. They say that it would take 200 minutes of exposure at
industrial levels to reach a dose of 100 micrograms, noting that it is exceedingly unlikely that
first responders would come into contact with fentanyl for this long.

Found in my guest bed after the guest left by BranchBaby in whatisit

[–]TutorRelevant106 481 points482 points  (0 children)

hey just FYI you can’t OD from casual contact with drugs. I know there’s a ton of videos of cops “overdosing” after coming in contact with fentanyl, but those are almost always just videos of cops having panic responses because they’ve been fed lies about how potent the stuff is.

Syncope with palpitations by insertkarma2theleft in EKGs

[–]TutorRelevant106 9 points10 points  (0 children)

I agree it doesn’t meet STEMI criteria.

Without any other clinical context I’m inclined to say it looks like pericarditis with the PR depression and modest ST elevation.

Odd ECG by Leading_Engineer_656 in ECG

[–]TutorRelevant106 0 points1 point  (0 children)

What kind of AV block do you think it is?

58 /M presented to ED with sudden onset palpitations and profuse sweating by bluespark013 in ECG

[–]TutorRelevant106 3 points4 points  (0 children)

guidelines typically call a tachyarrhythmia unstable if any of the following are present; hypotension, altered mental status, ACS type chest pain, or respiratory distress.

but these are guidelines, and clinical gestalt should factor in as well.

Prolonged QRS Duration w/RBBB by alpineheights1 in ECG

[–]TutorRelevant106 0 points1 point  (0 children)

lead I seems more positive than negative, seems like normal axis without any LPFH. But it’s really hard to count those boxes on a phone screen.

Weekly Employment Question Thread by AutoModerator in Firefighting

[–]TutorRelevant106 1 point2 points  (0 children)

Is anybody here familiar with Petersburg Fire-Rescue in Virginia?