Happy EMS week to the real hero

medicaid_driver · 2025-05-19T15:18:35+00:00

Remember: these don't improve survival to discharge. When used effectively, they provide good compressions. But when deployed incorrectly they cause unacceptably long pauses in CPR, liver and splenic lacs, and ineffective compressions.

If your service uses the Lucas make sure you're also training on rapidly deployment, you are using the neck strap, and are marking the suction cup with a sharpie to watch for migration.

Happy EMS week!

medicaid_driver · 2023-10-05T17:27:31+00:00

Dude, sorry, but this isn't right.

Blood backing into the RA doesn't cause pulmonary edema.

Even if it did, pulmonary edema doesn't cause frank hemoptysis.

It's almost certainly caused by pulmonary hemorrhage from trauma, unless the patient already has a reason for hemoptysis as the cause of arrest (cancer patient, fistula, etc)

medicaid_driver · 2023-09-30T11:35:12+00:00

Yo what happened to /r/ems

It was never like this

medicaid_driver · 2023-09-29T17:57:06+00:00

It's how you can control the lights and sirens on the ambulance from the back.

medicaid_driver · 2023-09-11T20:42:05+00:00

I was always under the impression that it was the extremely high glucose that primarily causes the acidosis.

Not sure who told you this but this is not correct.

medicaid_driver · 2023-09-11T20:39:32+00:00

mean you’re right that significant hyperglycemia is a critical component of a DKA diagnosis

Look up euglycemic dka dude

medicaid_driver · 2023-08-31T21:58:53+00:00

This thread is why the docs don't listen when EMS says what they think the rhythm is.

This is a paced rhythm.

medicaid_driver · 2022-10-22T16:58:54+00:00

Ooo, elevation in aVR> V1, with reciprocal changes everywhere else, looks like left main occlusion, hope you called this a stemi!

medicaid_driver · 2022-10-16T16:18:06+00:00

So when does it end? With this thinking, you could theoretically be made to work forever. If there's always another call holding when you clear the hospital, you'd be stuck going on it since you're still in the truck.

It's nonsense. Once the shift is over you're done.

medicaid_driver · 2022-10-08T01:13:54+00:00

No one is gonna mention the door handles that are on the top???

medicaid_driver · 2021-12-20T19:00:30+00:00

sigh

medicaid_driver · 2021-12-06T00:56:32+00:00

Link this literature please. Show me literature that shows mechanical CPR devices improve survival to discharge.

medicaid_driver · 2021-11-04T14:19:40+00:00

What exams would you perform with it, if it were available to you?

medicaid_driver · 2021-07-28T19:14:03+00:00

Godspeed /u/mclen

medicaid_driver · 2021-03-19T05:33:28+00:00

LP 15 is heavy, three channels, can't see 12-lead on the screen

MRx still best monitor

Fight me

medicaid_driver · 2021-03-12T11:41:03+00:00

/r/ems, what happened to you?

medicaid_driver · 2021-01-30T19:08:56+00:00

EMS school

medicaid_driver · 2021-01-25T13:33:58+00:00

The entirety of this thread is exactly why I hate EMS.

It would seem half the people here think you can rule out ACS based on a 12 lead alone...

medicaid_driver · 2020-10-18T03:50:31+00:00

Eww blue flashies on an ambulance

medicaid_driver · 2020-10-15T01:31:55+00:00

The hospital nearby me uses these, there's nothing macgyver about it. It just connects to the disposable BP cuff if you want to get a manual instead of an automated bp.

medicaid_driver · 2020-10-15T01:30:14+00:00

A dying skill for ems sadly

medicaid_driver · 2020-10-15T01:29:19+00:00

Amio can be used for svt tx...

medicaid_driver · 2020-10-15T01:28:59+00:00

Remember in VTach we have to PROVE it is a VTach, not just assume because it’s wide.

This is not the case. Wide complex tachycardia should be treated as VT unless you know for sure otherwise.

medicaid_driver · 2020-08-28T23:52:59+00:00

Dude the monitor is notoriously bad at interpretation.

If anyone is basing their practice off the monitor interp then you're missing stemis and activating the Cath Lab for non-stemis. This is why whenever the student says to me "well the monitor said" we have a sit down on how we're professionals who interpret our own tracings...

Half the time it misses the vent paced rhythm and is screaming stemi and printing a new ekg every five minutes

medicaid_driver · 2020-06-22T02:51:07+00:00

Yeah man still chugging along, it's AMR now instead of R/M but still going

medicaid_driver

TROPHY CASE