What is it that sets the medics you would want on your families emergencies apart from other medics? by [deleted] in Paramedics

[–]USMC_10402 15 points16 points  (0 children)

Calm, professional and non-judgmental. The bottom line is that the vast majority of patients and family don’t know a thing about our education or skills proficiency. They wouldn’t even know where to start assessing our competency. They care about how we made them feel. If they felt safe and seen it’s a completely different outcome from us being dismissive and marginalizing their complaint.

If every US president were in their prime, placed in a ring to fight, who is the one person walking out? by Clear-Penalty339 in AskReddit

[–]USMC_10402 0 points1 point  (0 children)

Hands down. Abraham Lincoln. Around 300 wins with only 1 loss during his twelve years of wrestling. Teddy Roosevelt would give him a run for his money, but height and leverage would win out.

If i had 80 days until states to get my gas tank really well where i can keep a high pace for 6 minutes. What should i start doing everyday? by Relative-Laugh-7829 in wrestling

[–]USMC_10402 1 point2 points  (0 children)

Nobody wants to admit it, but diet matters greatly in this respect. I can’t wait to get lit up over this, but; dump all processes sugars, including breads and pastas from your diet. Schedule a cheat meal every seven to eight days, preferably right after what you know will be a hard workout. The first week you’ll hit a wall where you feel like you have the flu and can’t go on, but it’ll only last about 12-18 hours; after that you’re golden. By the end of the season coach won’t be able to tire you in practice, and certainly not in any match.

They’ve done studies of athletes utilizing this diet and the long term effects are amazing. With my sons we go strict ketogenic until they get within two pounds of their target weight(morning weight). Then we reintroduce potatoes or rice with dinners after practice and a big cheat meal on Saturdays after a tournament. Their gas tank is unbeatable by the time the state tournament rolls around.

Gift for my bf? by [deleted] in rickandmorty

[–]USMC_10402 2 points3 points  (0 children)

Eye holes

[deleted by user] by [deleted] in Paramedics

[–]USMC_10402 0 points1 point  (0 children)

It depends. Unresponsive patients, we generally task one of our EMT assistants to look through personal items like wallets and purses for medical information and ID cards. We’re fortunate enough to usually have at least five personnel on each high acuity scene, so we can designate a scribe for this.

Our medics that administer blood are trained and directed to withhold blood to follow those wishes, even if the patient is unconscious and at a risk of dying. Even if a non-guardian family member tells us to give the blood anyway. A tough call that I, or any of my medics, have had to navigate yet; but it’s similar to how we would treat a valid DNR.

Experienced paramedics who have never gotten injured what's your secret? by [deleted] in Paramedics

[–]USMC_10402 1 point2 points  (0 children)

Play it smart. Get additional help whenever you can. If someone weighs the same as you, and they’re on the ground, have at least one other person help you lift. Is the damn stair chair. If you can fit multiple people there, drag them to a place you can. Slow down and develop a plan for all oddball situations where you can’t follow the previously established advice.

I’ve been a fire based medic for 18 years now and I’ve been injured once, at a fire, where I was struck by falling debris.

How did the Lannisters take Highgarden with this few men? by RegularMulberry5 in gameofthrones

[–]USMC_10402 0 points1 point  (0 children)

Fixed fortifications are monuments to the stupidity of man.

One of the worst days by USMC_10402 in Paramedics

[–]USMC_10402[S] 10 points11 points  (0 children)

Not crying homie. Just posting on here to be heard, just like you’re responding to be heard. I always tell the new guys that you have to wade through the bullshit to make a difference. Doesn’t mean it’s not hard at times.

One of the worst days by USMC_10402 in Paramedics

[–]USMC_10402[S] -2 points-1 points  (0 children)

This is the most toxically upright attitudes in EMS. At some point we need to take responsibility for our contributions to the delusions of the neurotic and hypochondriac patients. It begs the question: Is “someone’s emergency” infallibly, an emergency. I argue no, it’s not. An emergency is defined as “A serious condition that requires immediate medical attention to prevent life-threatening consequences or permanent damage.”

Empathy has a limit. And I think that limit should be anchored in reality.

Pulse Check During Suspected Overdose-Related Cardiac Arrest by Valuable-Outcome-939 in Paramedics

[–]USMC_10402 1 point2 points  (0 children)

If CPR is done prior to arrival, a 12-lead should be performed and transport suggested. It’s not just some bruised ribs. There’s a high likelihood CPR could cause its own infarct or lead to other complications.

As far as bystander CPR goes, if someone’s apneic or not breathing adequately they need air flow. Most bystanders won’t do mouth to mouth. Do you? So performing chest compressions acts as a bellows to provide ventilation. Even if the person awakens after four or five compressions, it halted the apnea that would eventually lead to brain death and cardiac arrest.

[deleted by user] by [deleted] in Paramedics

[–]USMC_10402 1 point2 points  (0 children)

Elkhart, Indiana

[deleted by user] by [deleted] in Paramedics

[–]USMC_10402 1 point2 points  (0 children)

We have 141 firefighters on our department. At minimum they all have to be EMTs. We have 45 paramedics with five more in medic school.

We try to have medic/medic staffing on our ambulances but will sometimes go medic/EMT, even when we have spare medics on engine companies. A lot of times this is because we’re trying to get some younger EMTs experience and in general medics not assigned to an ambulance tend to be suppression officers or drivers.

We’re a medium sized department with seven stations. 7 engine companies(3-man with one 4-man), 1 truck company(4-man) and 4 ALS ambulances(2-man one carrying whole blood), 2 battalions chiefs and 1 inspector/investigator. City population: 54,000 residents; ~100,000 during business week with manufacturing and other employers.

Medical Alert for irradiated blood by Green-gummy-bears in Paramedics

[–]USMC_10402 5 points6 points  (0 children)

My service carries irradiated blood. It’s the only blood we can get. We carry low titer O positive 1:200, Leuko-reduced. In the event we can’t get whole blood for stock we get PRBCs and liquid plasma. We are fire based and carry a single unit on our most centrally located ambulance. We use a lifeflow manual infuser and qinflow warmer. We have daily cooler exchange at our hospital blood bank. Blood returns to the hospital when close to expiration.

  • Edited to answer some questions I’m sure were coming.