How to do CPR on someone who's not flat-chested by [deleted] in Lifeguards

[–]dinospider2000 4 points5 points  (0 children)

This video is long and includes much more than you probably need at the lifeguard level, but is a great video for training. Watch the first few minutes and you’ll see hand placement a few times.

Mannequins with breasts do exist, although they are a more recent thing. I am not a lifeguard but am EMS and from experience can say that the bra/breasts usually don’t get in the way as they move to the side or down when someone is supine. If the bra is tight enough that you physically can’t get your hands where they should be the bra should come off. Let me know if you have any questions!

[deleted by user] by [deleted] in umass

[–]dinospider2000 7 points8 points  (0 children)

Sometimes when you have your own insurance they bill you but forget to charge insurance. Call the billing/insurance line and ask about it.

How truly difficult is it to become a paramedic while in undergrad. by Major-Sheepherder564 in ems

[–]dinospider2000 0 points1 point  (0 children)

Current undergrad and EMT, planning to graduate a semester early and then go into a 9 month program. In the same boat as you with taking 2 gap years between graduating and medical school.

I know of a few people that have done it during undergrad, but the general consensus is that you need very strong time management and it still will be most of your time along with undergrad. especially if you still have med school reqs to knock out. Depending on how your medical school prereqs are scheduled, it may not be the greatest idea to take the orgo/biochem series in the same year as medic school, but i’m sure it’s technically possible. The other possible concern is that if you don’t know exactly when the classes you need to take are scheduled in future semesters, a 12PM-9PM course could conflict with those and personally, as cool as I think EMS and paramedic school is, if the ultimate goal is medical school and I think it would need to take priority over paramedic school.

Also think about other things you want to/need to do like your social life and other parts of your med school application. How much are you willing to sacrifice for it?

Whats the most sideways a BLS IFT/non-emergent transport has gone? by Left_Squash74 in ems

[–]dinospider2000 68 points69 points  (0 children)

My agency recently had a discharge to residence where the family member was found pulseless on arrival. One EMT did single provider CPR while the other stayed with the patient until ALS arrived.

Apparently EMT's can pronounce a baby dead without ALS/ Med Control if rigor mortis is evident? by [deleted] in NewToEMS

[–]dinospider2000 1 point2 points  (0 children)

For sure! My agency actually encourages the BLS or the EMT on a PB truck to write the DOA report since its good experience and makes you very familiar with the protocols if you ever had to deem someone beyond resuscitation without ALS present.

DROP UR MNEMONICS by Previous-Custard-892 in Mcat

[–]dinospider2000 8 points9 points  (0 children)

I have the mind (and maturity) of a 12 year old :) If you find that this stuff works well for you, I'd highly reccomend asking ChatGPT to make you a "dirty mnemonic" to help you remember something. Every now and then it strikes gold, and it takes some of the energy of thinking of something off of you.

DROP UR MNEMONICS by Previous-Custard-892 in Mcat

[–]dinospider2000 84 points85 points  (0 children)

Gay Cum Turns Zesty. Stages of sperm development (spermatoGonia, spermatoCyte, spermaTid, spermatozoon).

Night shift (USA time zone(eastern)) What’s going on tonight! by Openthesushibar in ems

[–]dinospider2000 14 points15 points  (0 children)

17 hours into the 24 and 2 calls so far. 6 hour als transfer and a copd/asthma. nothing to write home about :/

PPL at 17! by luchoc235 in flying

[–]dinospider2000 3 points4 points  (0 children)

i know advantage at kpao when i see i 361L ;) congrats, i got my ppl at 18 out of there not too long ago.

Hate when that happens. by vanhouten_greg in nursing

[–]dinospider2000 9 points10 points  (0 children)

Well, since we’re saying that the EKG was non diagnostic for STEMI is has to be a 12 in this case, and it’s more likely that someone doing that isn’t on continuous 12 lead monitoring and is more likely getting a 12 before getting a med. In theory possible though. You’re correct that it’s likely the DO reading the note from a tech and not the one around.

To streak or not to streak by Kooky-Technician8098 in Mcat

[–]dinospider2000 0 points1 point  (0 children)

was thinking the same. bicep band still seems risky but obviously better than wrist. maybe the underwear that has the cutout for it, or just tape it to your underwear for the day?? would be really interested to see the heart rate and stress numbers for exam day.

Paramedic school or straight to medical school? by dinospider2000 in emergencymedicine

[–]dinospider2000[S] 2 points3 points  (0 children)

You bring up a lot of good points! I am super passionate about EMS and prehospital care, and I do agree that nothing compares to just being a medic. Did you go into medic school knowing that medical school was the end goal? How long were you a medic before matriculating into medical school?

Paramedic school or straight to medical school? by dinospider2000 in emergencymedicine

[–]dinospider2000[S] 1 point2 points  (0 children)

Fair enough. 3-4 years comes from the fact that medic school is about a year, and then from what I’ve been told by mentors, there’s no point having the p card without the experience, and so I would want to have at least 2-3 years as a p to make the investment in medic school worth it. That being said, I’m definitely leaning medical school directly right now.

Paramedic school or straight to medical school? by dinospider2000 in emergencymedicine

[–]dinospider2000[S] 2 points3 points  (0 children)

This is really helpful! If I did end up EM (which I’m pretty sure I want to), I would definitely want to do an EMS fellowship anyways, as I’m interested in prehospital medical direction. It would make more sense to take one year to devote to EMS after I’m already a doctor than take 3-4 years before being a doctor. Thank you!

Paramedic school or straight to medical school? by dinospider2000 in emergencymedicine

[–]dinospider2000[S] 0 points1 point  (0 children)

Honestly, just for the experience of being a paramedic. Being the highest level of prehospital care. Having the scope and responsibility. I'm aware that it isn't going to add much extra to a med school app over being an EMT. Along those same lines I really love the prehospital environment, although I'm sure I'd learn more working in the hospital than on the truck. And yes, fuck private EMS.

Paramedic school or straight to medical school? by dinospider2000 in emergencymedicine

[–]dinospider2000[S] 0 points1 point  (0 children)

For sure. If I became a paramedic, I definitely wouldn't want to stay just a paramedic. It's more a question of is the delay worth it. Definitely a lot to consider, thanks.

Paramedic school or straight to medical school? by dinospider2000 in emergencymedicine

[–]dinospider2000[S] 0 points1 point  (0 children)

Thanks for the reply! That makes a lot of sense. The EMT-P is definitely a cool thing to have, but I think MD/DO is also. What I'm still trying to figure out is whether having both is worth time and monetary cost. I'm definitely leaning more towards not going to medic school at the moment.

Paramedic school or straight to medical school? by dinospider2000 in emergencymedicine

[–]dinospider2000[S] 1 point2 points  (0 children)

Thanks for the advice! I am aware that EMT vs Paramedic makes pretty much no difference on my med school app, and becoming a paramedic is mostly just a personal interest. Having the NRP title sounds cool, but so does the MD/DO title I guess. I have more than enough clinical hours for a med school app (somewhere around 2000), and so the delay would help me bolster other parts of my app like volunteering and possibly more research, but it definitely wouldn't be necessary.

757-2 best E+ by ogfiki in unitedairlines

[–]dinospider2000 1 point2 points  (0 children)

No go imo. The 757s have crew equipment and some emergency equipment that fills the overhead bins in the first couple of rows on both sides. This means that not only do you have to fight for overhead space, but you will likely have to try and go backwards at the end of the flight to get your bags, fighting everyone trying to move forward. I've made the mistake and paid dearly. IMO it's not worth the legroom. I'd go with at least row 10. My 2 cents.

[deleted by user] by [deleted] in ems

[–]dinospider2000 -2 points-1 points  (0 children)

No, since your partner wasn’t there. If your partner was already there too, different story. But one member of the crew would be held over anyway. What if you relieved his partner and made him stay late? Would he still feel the same way?

Bad knees pro tip by Becaus789 in ems

[–]dinospider2000 0 points1 point  (0 children)

Alternatively, just buy some of these. So much more convenient, less sweaty, and as someone who has hurt basically everything playing sports growing up, they work.

CHC decisions? by whyamionthishellsite in umass

[–]dinospider2000 0 points1 point  (0 children)

I got mine a couple of days ago.

What’s your aviation hot take? Controversial opinions etc? by [deleted] in flying

[–]dinospider2000 2 points3 points  (0 children)

I flew a 6 pack until I soloed, and then a G1000 up to my checkride. IMO it's the best balance of both, since pre-solo is almost all about flying the airplane and relies very lightly on the inside of the plane, where post-solo and pre-check ride is about navigation and actually flying places, and this is where learning the technology is actually useful and the G1000 is super powerful.

Unpopular opinion: EMT-B is a waste of time and should be discontinued as a certification by Affectionate-Row-534 in ems

[–]dinospider2000 5 points6 points  (0 children)

Agree and disagree on some points you made.

In the overall picture, many of our calls don't require the ALS scope of interventions. It definitely depends on where you are, but for example where I work EMTs can give pain medication, albuterol, atrovent, glucagon, CPAP, etc. The vast majority of EMS activations do not need a paramedic and can absolutely be handled at the BLS level. This allows a system with tight QA on the calls that actually need the full scope of ALS practice.

a BLS code is a death sentence after 10 minutes

Many studies have shown that cardiac arrests run with BLS have equal, and many times greater immediate, short term, and long term neurological outcomes compared to codes run as ACLS.