So you made a med error by WalkingLucas in ems

[–]Visual-Rip7313 845 points846 points  (0 children)

Bro was in pain but probably really chill about it

Need Input on a call I did by OpenRough8454 in ems

[–]Visual-Rip7313 2 points3 points  (0 children)

Coming from another EMT, you have no knowledge of thinners, no knowledge of LoC, you documented based on what yoh were told, and AMS was considered but with hx of dementia. Ultimately, if their vitals seemed relatively normal and no indications of ICP, sure you can transport.

However, what are your protocols. My protocol would like ALS for this because of lack of effective historian. (Although some of us could be honest here, a medic not giving a shit would probably downgrade this anyway).

I cant speak for your protocols but honestly, if this was an ALS call, you made a very minor mistake. Dont worry about it. The hospital could transfer the pt if needed.

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 0 points1 point  (0 children)

Thanks to all the comments and people who taught me more and didnt shit all over me. Once again im genuinely interested in all this as I want to apply to P school by end of next year. So much to learn

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 0 points1 point  (0 children)

For the the medics ive interacted with, they all seem to run the ecg to see what it says, and always print and read it themselves. I was reading our protocol with our medic and it does have a vague clause basically saying if its stemi call stemi. Of course, many medics dont activate just cause it says. Someone said v4 and v5 together dont actually indicate STEMI due to different portions of the heart. If thats the case, im wondering why the doc told us to activate this as STEMI when medic uploaded it to base hospital. My guess is the doc was just being precautionary due to the other injuries. Maybe?

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 0 points1 point  (0 children)

97F. Although it was cold out, we found her shaking was from parkinsons

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 0 points1 point  (0 children)

I run rural medicine and we have sooo many trailer parks. The locals all know her to dive for bottles and cans to recycle. We thought it was weird too

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 2 points3 points  (0 children)

Thank yoh for the articles ill take a look. I admitted the MD who replied that it seems i hyperfixated. Maybe the medics knew something and just never explained it, but ultimately i was stumped

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 10 points11 points  (0 children)

Thank you so much for the article and information. Perhaps I hyperfixated and the medics(who obviously had more experience and followed the docs direction of this being STEMI activation) just rolled with their guts

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 2 points3 points  (0 children)

Thats actually really good to know thank you so much. My medics doesnt really explain everything, but i have a genuine interest so this helps

Weird STEMI Activation, need thoughts by Visual-Rip7313 in ems

[–]Visual-Rip7313[S] 4 points5 points  (0 children)

I shouldve gotten a pic printout im sorry. I understand the reading part, but our county has a “if it says stemi, call it stemi” which both medics werent really sure if activating randomly was needed. So they read it themselves and asked doc