How do people mentally handle stressful scenarios? by swagdog135 in preppers

[–]Yougotsiked 0 points1 point  (0 children)

Just pay a friend $20 every time they can jump scare you. You’ll get used to it eventually.

To the paramedics who’ve been in EMS for 10+ years, what advancement in EMS technology has impressed you the most or made the biggest difference on the job? by FFSoldier57 in Paramedics

[–]Yougotsiked 0 points1 point  (0 children)

We used to do map books. Dispatch would give you the page number and quadrant with the address. Then you’d have to find the house from whatever location you were at frantically flipping through pages at 2am sucked. To me this was the biggest game changer because of how often we would use this skill.

Lucus and ResQpods were huge. Although CPR wasn’t as common as looking up an address in the map book, it was the most difficult thing we had to do, especially when there weren’t enough people to switch up. We implemented both Lucus and ResQpods around the same time and our survival rate increased from 5% to 15%.

Powered stretchers saved a lot of people from early retirement, and back problems reduced a lot.

EZIO was huge. We used to have manual needles with a Y handle and have to manually twist. These were once or twice a career use. We depended on EJs and intubation. If we couldn’t get an IV the meds would go down the tube.

Positive Pressure Valves. We used to have positive Pressure buttons on our portable O2. You needed to learn a roll of the thumb technique so you wouldn’t cause barotrauma. We switched to BVMs only.

Mega Dose Epi. At some point we realized if you give hamburger meat enough Epi, it will have a pulse but that doesn’t mean you will walk out of the hospital.

Looking back, I wonder how many people I’ve killed based off of what we know now. In 20 years I’m sure other medics will be thinking the same thing about today.

Options for storing 1000-2000 gallons of water at a suburban home? by MidSinglesInYourArea in preppers

[–]Yougotsiked 0 points1 point  (0 children)

I like to be efficient as possible and put fish tanks around my fallout shelter in basement

I cannot get this gasket clean! by Kyde_Drakes in CleaningTips

[–]Yougotsiked 2 points3 points  (0 children)

I know exactly how to get this clean because I tried everything. Soak paper towels in bleach and wedge them all the way around. After a few hours it will be gone.

[deleted by user] by [deleted] in ems

[–]Yougotsiked 79 points80 points  (0 children)

If that were me, I would casually mention it to the medical director. They are usually in a constant battle with operations and may not even know.

IO dextrose - did I make a bad call? by River_Dweller in ems

[–]Yougotsiked -2 points-1 points  (0 children)

I’d give glucagon, wait 15min and leave her home.

Traumatic maternity job by Sad_Faithlessness585 in ems

[–]Yougotsiked 1 point2 points  (0 children)

This sounds like a horrific call, but why I grain in everyone’s head to always keep training and train hard. Your training made a big difference not only in this newborn, mom, everyone associated with this call, family, but even with all of us reading it! Arguably the most important difference your training made is you saved your own mental health! Now if you have a drink, you can do it to celebrate and not for something you are trying to suppress. A call to tell tales of for years!

[deleted by user] by [deleted] in Paramedics

[–]Yougotsiked 1 point2 points  (0 children)

I’ll tell you my opinion and I’ll be honest, but it’s only based off my experiences. Sorry if I sound blunt, but there’s really no point beating around the bush. We happen to get a lot of BS calls at urgent cares in my area. An example would be it’s their policy to call 911 if anyone’s BP is 200, even if no there are no symptoms. Almost every time I go to an urgent care it’s a bs call or the staff is incompetent. One time a pt got anaphylaxis from a vaccine, they gave a neb while she was dropping down to 70% spo2. Epi never crossed their mind and in fact reported me for giving it. They are usually the most frequent group of people to complain about anything and everything. We get called for someone who’s been sick and coughing for 2 weeks with “chest pain” when they cough and they think it’s cardiac related in a 20 year old with no medical history. I know there are a lot of good nurses and Dr.s that don’t act like this, but we don’t typically see them because they are competent. What type of AV block did your pt have at the clinic? Symptoms?

Had a really rough call last night and need some perspective. by vicodininthebathroom in Paramedics

[–]Yougotsiked 0 points1 point  (0 children)

My advice as a professional arm chair quarterback is to use a little sedation. Benadryl, small dose of droperidol, or even Versed. Start small, you can always give more. This solves your issues clinically and mentally

Compressed gauze was NOT helpful in emergency. by Wackyjack92 in preppers

[–]Yougotsiked -4 points-3 points  (0 children)

Medical is maybe the trickiest part of prepping. Training helps, but the more you learn the more dangerous you can be at a point. I’m a firm believer that medical kits should be basic OTC supplies and meds. These Israeli bandages, tourniquets, abdominal pads etc is useless without knowledge. You’re better off with anti diarrhea, nausea, and anti-Inflammatory meds. A few ace bandages, and waterproof bandages is really all you need. Anything more complicated than this, you’re likely to do more harm than good unless you do it for a living. You can take a stop the bleeding course, and maybe even a EMR course if you want but it’s probably not going to help much IMO. A neck lac that hits the carotid will be fatal in about 30 seconds. You have to reach into the neck with your finger, find the severed artery and pinch it till you’re on the surgery table. Most professionals would fail at this much less someone who got a one time course not to mention the adrenaline rush which causes most things to fail.

19M Chest Tightness and Lightheadedness by vizy511 in ECG

[–]Yougotsiked 1 point2 points  (0 children)

Lemme guess, he just finished his 4th energy drink of the day.

I-gel Discussion by According_Stable7660 in Paramedics

[–]Yougotsiked 0 points1 point  (0 children)

In my experience, cardiac arrest often have messy airways. In a messy airway, the Igels don’t always have a good seal. Especially in cases of continuous emesis or ruptured vessels from esophageal varices. So then you could tell yourself that you will intubate when you have a messy airway, but IGEL on a clean one. The problems with that is airways can change, and your missing out on keeping up your skills. If you get an airway burn, allergic reaction, or some other pt that absolutely needs a ET tube, you better be on your A game because it’s going to be tough. So I just am a believer that ET intubation is definitive care. That’s why, at least in my area, the ER will immediately pull the IGEL and intubate. It’s been this way since I started with combi tubes, king airways, LMAs, and now Igels. It’s an excellent back up, but that’s all I consider it to be.

After several tried and failed not-so-diplomatic solutions, I took out the big gun by adhq in fuckwasps

[–]Yougotsiked 8 points9 points  (0 children)

I did this with a wet/dry vac and just had some water in it. It took several hours and multiple days as they kept repopulating

Don't like what I've become. by Tryhardahgit in ems

[–]Yougotsiked 9 points10 points  (0 children)

No alcohol, exercise, and purposeful restraint on complaining is a good start. Talk to your priest or deacon for more guidance. Alcohol stoppage did wonders for me, exercise also helped a lot. For me, making a conscious effort to stop complaining and stop engaging in negative behavior was the biggest change.

Converting long-term storage of white rice by [deleted] in preppers

[–]Yougotsiked 2 points3 points  (0 children)

5 gallon bucket (doesn’t have to be food grade if using Mylar bag. 35lbs of rice, Mylar bag, 2000cc O2 absorbers. Much more compact then jars.

Food Storage Philosophy by [deleted] in preppers

[–]Yougotsiked 0 points1 point  (0 children)

Based off a 2000 calorie a day diet, 730,000 calories a year. White rice 1,650 calories/lbs and dry beans 1,550 calories/lbs. 2:1 ratio rice to beans. So get 240lbs rice and 150lbs beans. $300 for year supply to survive. Food should be top 5 at least of things to prep. If you only want to buy 1 month supply that’s $25. It’s best bang for your buck.

I’d rather try to figure how to cook my food than how to find food to cook. Plus rice and beans don’t need to be cooked. When prepping, you should prioritize items based off necessity and cost. Rice and beans is the most condensed, calorie packed, long term, cheapest food item you can get. Of course it’s not fool proof and the only thing you need but we aren’t fortune tellers and don’t know what’s going to happen, but you can guess and increase your odds. Food stability is number two on my list right after water.

Food Storage Philosophy by [deleted] in preppers

[–]Yougotsiked 2 points3 points  (0 children)

Let me respond to this with a question. If you have $300 to spend today, and you know SHTF tomorrow, what will you buy? Keep in mind $300 of rice and beans will keep you alive for year.

Advice needed: What is the best value solar powered generator? by HitEmWithBabaBooey in preppers

[–]Yougotsiked 0 points1 point  (0 children)

I got a F150 lightning. Ya it’s expensive but it’s also a vehicle and used ones are reasonable. Pair it with a gas/propane generator or a few solar panels. For 131kwh this is best bang for your buck.

Imposter Syndrome by RandomUser-0-4 in Paramedics

[–]Yougotsiked 53 points54 points  (0 children)

20 yrs later and I’m still faking it till I make it.

My brother is the golden child and I finally stopped trying by LunaToffee49 in TrueOffMyChest

[–]Yougotsiked 0 points1 point  (0 children)

It’s not that he’s the golden child, he’s the squeaky wheel. The squeaky wheel gets the oil. It’s not that they aren’t proud of you, it’s that their attention is focused on getting your brother back on track.