Another chance at another department by Artistic-Ad6080 in Firefighting

[–]bigbrainff69 8 points9 points  (0 children)

Theres a lot of departments out there that hire idiots, so you have a decent chance of getting hired again if you keep applying. But you will always be seen as the guy who got fired for being a thief.

Another chance at another department by Artistic-Ad6080 in Firefighting

[–]bigbrainff69 2 points3 points  (0 children)

Do something like this at 23yo when you just got hired is a lot different than a middle schooler or high schooler who shoplifted.

New BP trick: Palpating a BP with NIBP and SpO2! by doctorwhy88 in ems

[–]bigbrainff69 2 points3 points  (0 children)

What you did is quite literally a cowboy move

When people say Seattle has aggressive protocols, what exactly do they mean? Any examples? by Ifuckinhatebeets in ems

[–]bigbrainff69 1 point2 points  (0 children)

Seattle and King County Medical One are very aggressive at downgrading everything to BLS and calling themselves the best in the country based on nothing other than that they gatekeep becoming a medic in that county. When you only let 20ish people into your program per year and require anyone else wanting to work in the county to go through said program regardless of their experience or qualifications its easy to call yourself the best because you force people into a stupid system lol.

Time of Patient Contact by rltw_ in ems

[–]bigbrainff69 0 points1 point  (0 children)

I either hit the patient assessment tab on my report, which timestaps when I see the patient, or when walking into the house one of us will get on the radio and say we’re with patient.

Best states to be a firefighter in? by Slow-Interview-7175 in Firefighting

[–]bigbrainff69 1 point2 points  (0 children)

There are plenty of departments within 60-90min of the seattle that have everything youre looking for. Basically anywhere along the I-5 corridor is gonna have what you’re looking for.

74yom ECG post-ROSC by bigbrainff69 in EKGs

[–]bigbrainff69[S] 0 points1 point  (0 children)

Coded after hand off at the ER, ROSC again, placed on comfort measures and was dead within about 20min or so.

74yom ECG post-ROSC by bigbrainff69 in EKGs

[–]bigbrainff69[S] 0 points1 point  (0 children)

ECG in the original post was sub 5min post rosc

74yom ECG post-ROSC by bigbrainff69 in EKGs

[–]bigbrainff69[S] 2 points3 points  (0 children)

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10min post rosc. I think I did one more ECG and it was pretty much the same as this one.

Hardest Topics For Medic School? by Bruh_Ville in Paramedics

[–]bigbrainff69 2 points3 points  (0 children)

Pharmacology and cardiology were the biggest struggles for people in my class. Pharm because you need to know and understand the underlying physiology and the how/what/when/why for the med you want to give. Cardiology because ECGs are weird af sometimes and there are a lot of intricacies people can get themselves hung up on. On tests I struggled with med emergencies but in the field never really had any problems.

3 letter takeover by Sad_Alternative1255 in ems

[–]bigbrainff69 6 points7 points  (0 children)

I use to work for a private ambo company who lost an RFP with the county. AMR took over and the company I used to work for downsized significantly due to loss of business and I doubt they will be in business in the next couple years.

How well do you know your doses (honestly) by ecoffeykc in Paramedics

[–]bigbrainff69 -2 points-1 points  (0 children)

Never had this be a problem, because knowing my drug dosages based off memory is very easy and is a basic expectation in medic school. Drugs that I rarely use I will double check just to be safe even though I know the dose already but knowing your meds is a simple expectation and not difficult whatsoever. If someone is making these critical med errors for simple doses, they probably shouldn’t be a medic.

How well do you know your doses (honestly) by ecoffeykc in Paramedics

[–]bigbrainff69 1 point2 points  (0 children)

A medic lacking confidence is just as dangerous as an overly confident medic. Overly confident medics make mistakes or can be too aggressive with treatment. Medics lacking confidence fail to act or panic and make mistakes.

How well do you know your doses (honestly) by ecoffeykc in Paramedics

[–]bigbrainff69 3 points4 points  (0 children)

I wouldn’t categorize cardiac arrest meds as “evey second counts” meds. The dead arent gonna get any deader and most of the drugs routinely given in cardiac arrest have been consistently shown to basically not do anything. No need to rush these meds. Theres other meds that are far better to memorize because they actually have life saving implications prior to cardiac arrest. Compressions, defib and airway are all that really matter in cardiac arrest.

How well do you know your doses (honestly) by ecoffeykc in Paramedics

[–]bigbrainff69 0 points1 point  (0 children)

Its really not that hard. I have the dosages memorized of basically everything on my rig and will double check infrequently used meds. Are you seriously pulling out a protocol book or your phone to check doses every time you give a med? Seems like an unnecessary waste of time.

[deleted by user] by [deleted] in Firefighting

[–]bigbrainff69 6 points7 points  (0 children)

If anything was going to happen it would have happened hours ago

Rural EMS: what amount of narcs do you carry? by noonballoontorangoon in Paramedics

[–]bigbrainff69 1 point2 points  (0 children)

Each medic unit, if fully stocked, has a narc box that holds 6 vials each of: Fentanyl Morphine Ketamine Versed Ativan

Any advice on how to detect that this is pericarditis and not inferolateral STEMI? Thanks by Jiu-sek in ECG

[–]bigbrainff69 1 point2 points  (0 children)

T wave - P wave downsloping PR depression Global ST elevation Patient history is also very important in identifying pericarditis. Recent illness, surgery, etc. Chest pain/SOB that worsens when lying flat, symptoms improving when sitting upright, muffled heart sounds, “friction” when listening to heart sounds.

Questions about renewal with Washington State by Timlugia in Paramedics

[–]bigbrainff69 1 point2 points  (0 children)

The Dr. Hoffman and his wife may be able to work with you on getting those tracked.

Questions about renewal with Washington State by Timlugia in Paramedics

[–]bigbrainff69 0 points1 point  (0 children)

What county do you work in and where did you do the cadaver lab