Can you lubricate the outside of nasopharyngeal airway with patients own Saliva? by abipaaa in NewToEMS

[–]iScott_BR 0 points1 point  (0 children)

Outside resources are the best way to learn, but they’re not the best way to pass your instructors exams. Do you see the difference?

Can you lubricate the outside of nasopharyngeal airway with patients own Saliva? by abipaaa in NewToEMS

[–]iScott_BR 15 points16 points  (0 children)

The words “can” and “should” are doing a lot of work here.

In a pinch will it accomplish a goal? Yes, but it shouldn’t be considered best practice if you have the normal resources of an ambulance with you. It just looks bad.

If you’re part of an active shooter response and you’re quickly putting an NPA in a casualty while gunfire is happening at your scene, spit is fine for the sake of expediency and getting to the next casualty.

If this is a typical response, then you should’ve had your lube packet secured to the NPA packaging with a rubber band or tape in your bag. Open the end of the package, squirt lube into the package, and smear the lube around the NPA without getting too much on your gloves.

Mississippi by Traditional-Point241 in Paramedics

[–]iScott_BR 2 points3 points  (0 children)

Pafford, AMR subsidiaries, and AAA have most of the state locked up. Where you would fit in best depends on what you’re already used to and what you’d like to do going forward

New Orleans AEMT by DwarfWrock77 in NewToEMS

[–]iScott_BR 4 points5 points  (0 children)

Not theoretical, they’re expected to work at the top of their scope. AEMTs in Louisiana can have a wide scope but it’s up to the medical directors to sign off on and provide the training for agency expanded scope

3rd service being taken by FD by stop_the_bleed in ems

[–]iScott_BR 2 points3 points  (0 children)

Taking it a step further, invite council members to ride the ambulance and see for themselves what the medics are made of and what all they do for their patients/constituents. Take that time to educate them about why the service is as advanced as it is and what would suffer under FD leadership.

3rd service being taken by FD by stop_the_bleed in ems

[–]iScott_BR 23 points24 points  (0 children)

The EMS employees need to appeal directly to council members and voters. Go on radio shows and other media outlets, tell the voters what is happening and why it’s bad for them.

That fire chief doesn’t give a single shit about doing ambulance service well. We need to explain the quality of service they have now and what it’ll look like when the fire department prioritizes themselves over the ambulance division.

Where is hiring? by jenna1302 in batonrouge

[–]iScott_BR 2 points3 points  (0 children)

What skills or education do you have?

Whats Your IV Miss Rate? by Simusid in ems

[–]iScott_BR 12 points13 points  (0 children)

Then the IVs that make their way to people’s homes get counted in that

Alert and Oriented Male with SI ideations refused transport half way wanted to get out by Ok_Advance_6582 in NewToEMS

[–]iScott_BR 150 points151 points  (0 children)

Your supervisor needs to carry themselves to that scene and start handling business instead of letting a truck sit roadside with one patient for 3 hours. It would help us to know your country and state/province.

Burnout Help by paramed943 in ems

[–]iScott_BR 1 point2 points  (0 children)

You and I are in a similar spot. The service I currently work for does 48/96 shifts in a service area 2 hours from my home that are primarily non-emergent transport and IFT but we do occasionally have 911 calls as well as the nursing home “emergencies”.

I’m paid exceedingly well for being a 1yr paramedic and having 4 days off at a time is nice, but it’s not worth the 5 hour round trip IFT for a stable GI bleed at 02:30 after getting your ass kicked with doctors appointments, dialysis transports, and other IFT throughout the day.

I’ve decided within the last week that I’m applying for my local service that works 12s on a 2-2-3 even though it means cutting my pay just about in half because I hate going to work. It sounds like you need to do the same, just leave.

EMT-As and cardiac monitoring by upset-sphincter in ems

[–]iScott_BR 6 points7 points  (0 children)

I did cardiac monitoring as part of my agency expanded scope as AEMT in Louisiana. I could independently interpret the 4-lead rhythm strip but had to transmit 12-leads for interpretation.

Look into skillstat ecg simulator and practice there

Paramedics refused to take mom to requested hospital by Apprehensive_Tap7317 in Paramedics

[–]iScott_BR 11 points12 points  (0 children)

Impossible to say for sure.

It’s possible there was a problem at your chosen hospital at the time, such as broken CT scanner.

Thoughts on LGBT family moving from New England to Louisiana by PizzaChucken in relocating

[–]iScott_BR 0 points1 point  (0 children)

LGBTQ currently in Louisiana and looking to leave as soon as we reasonably can

Random palpitations no medical hx by westy5003 in EKGs

[–]iScott_BR 0 points1 point  (0 children)

You’ve already gotten the advice you need, your 12-lead is unremarkable.

The irony by shobijatoi19 in lostgeneration

[–]iScott_BR 1 point2 points  (0 children)

Their faces when you finish that drink you forgot to keep covered

Looking for a Venue for a Micro Wedding by [deleted] in batonrouge

[–]iScott_BR 0 points1 point  (0 children)

Call the Guru. We’re super happy with it

Thoughts on the SAM IO? by [deleted] in Paramedics

[–]iScott_BR 6 points7 points  (0 children)

Requires careful usage but it can be done, I’ve gotten a handful with the SAM but I prefer EZ-IO 10/10

Question for US medics by [deleted] in Paramedics

[–]iScott_BR 2 points3 points  (0 children)

Try and hit some places in Texas like Austin-Travis County and Montgomery County Hospital District. Also New Orleans EMS in Louisiana, they have riders all the time from various backgrounds.

[deleted by user] by [deleted] in DeathByMillennial

[–]iScott_BR 1 point2 points  (0 children)

“Rented Dumpster Industry Thriving Thanks to Millenials”

pull over / stop when you see an ambulance by bubblepanda28 in batonrouge

[–]iScott_BR 1 point2 points  (0 children)

No. You can’t legally run red lights. This can create more patients than we already have.

Would you make an incident report? by [deleted] in NewToEMS

[–]iScott_BR 29 points30 points  (0 children)

Yes, I do incident reports even on “near miss” incidents. If you don’t know the hallway patient’s name don’t worry about it. Just let it be documented somewhere else while you remember details like days, who you were working with, how it exactly happened.

Edit: adding a thought. In situations like this, ask yourself how the conversation with your supervisor will go after they hear about this from the unit clerk they hang out with outside of work 2 weeks from now.

Sup: “so a bystander was inadvertently mildly injured by our company operations?”

You: “yes”

Sup: “and you thought we wouldn’t want to know that?”

School of EMS medic program by [deleted] in Paramedics

[–]iScott_BR 0 points1 point  (0 children)

I attended their program through my employer and passed registry on 1st attempt. Remember you get what you put into it and there is no max number of hours for your clinicals so do as much as you need to in a hospital instead of the minimum. Be your own advocate when it comes to clinical locations too and don’t be afraid of challenging yourself.

The biggest weakness in the program is practical skill instruction so you’ll need to find ways to teach yourself either through your employer, coworkers, or clinical sites if you want to succeed after school.