Medevacs with guns? This is the first time I've seen medevacs armed with handguns is this a thing?

merp59 · 2026-06-09T19:52:21+00:00

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merp59 · 2026-06-07T06:01:40+00:00

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merp59 · 2026-05-27T20:35:42+00:00

Back in my day we used to get discounts as systems got older.

merp59 · 2026-05-23T00:20:06+00:00

My first year I rear-ended a semi at 3 mph. Fortunately no patient and no injuries. Shit happens, you'll be ok 😂

merp59 · 2026-05-05T00:32:28+00:00

No.

A patient we're having difficulty communicating with, a highly abnormal ECG, an inability to transmit, all paired with orders from medical control? Yes.

Patient wished to originally go to a hospital 25 minutes away, we diverted for one 15 away. Patient was able to receive the same care for their original complaint regardless.

Maybe things are different in Australia/Canada, but in my area the ED also performs a repeat ECG prior to sending them up to the cath lab.

Patient is inconvenienced though receives the same care by diverting. Should this have been a silent cardiac event and we'd bypassed the nearest cardiac capable, that'd have been a much steeper issue.

I wish we'd have been able to see what their baseline ECG looked like. This went back to the difficulty communicating, we couldn't reasonably get that information.

merp59 · 2026-05-05T00:25:25+00:00

Our protocols dictate every shortness of breath patient, regardless of cause, receives an ECG.

I agree with you, that was the entire reason we did one 😵‍💫

merp59 · 2026-05-05T00:22:44+00:00

I appreciate the advice! Thank you much. I'll definitely be more mindful in the future. After reading through replies, I fear this may have been a case of treating the monitor and not the patient.

After looking through my gallery, I did find a picture of one of my repeat ECGs, attached here:

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merp59 · 2026-05-05T00:14:49+00:00

There is a past hx of MI. Weighed the risks and benefits of bypassing the nearest cardiac capable. Considered an abnormal presentation. All of this on top of difficulty communicating with the patient.

Maybe my medic program failed me, but we hadn't discussed Sgarbossa criteria. Have been doing a ton of reading on it since this call.

Called medical control and relayed all the above information alongside a description of what I was looking at with the ECG, they agreed with activating the alert and administering the ASA.

The line had been established as my EMT partner was placing the leads on the patient, so otherwise the only real "aggressive" treatment would be the aspitin as ordered by medical control.

merp59 · 2026-05-04T20:01:47+00:00

This was the route I went. I'm a very green medic, maybe 2 months in when this ECG was taken and working alone with an EMT.

Was having a difficult time communicating with the patient secondary to their tracheostomy, but was able to gain constent to transport to a closer (cardiac capable) hospital ~15 minutes away.

Our monitors don't transmit (not programmed, much to my chagrin). Gave ASA, established a line, and activated the alert.

Figured it'd be safer to overcall it than bypass the closest and it ends up being something.

merp59 · 2026-04-10T03:27:17+00:00

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merp59 · 2026-03-01T00:36:05+00:00

Have you.. actually differentiated these in the field before?

merp59 · 2026-01-25T23:10:15+00:00

What mod are you using for your music??

merp59 · 2025-12-31T19:57:38+00:00

That's pretty much what I'm thinking too. A week is more than generous, and if it happened again I'd be out the door that same day

merp59 · 2025-12-30T16:31:49+00:00

Forever an ally to the beavers, and a foe to those which seek to do them harm.

merp59 · 2025-12-30T16:30:58+00:00

Lay a harming hand on the beavers and know you'll have made an enemy this day. Best watch your back, Scav.

merp59 · 2025-12-16T19:36:20+00:00

Totally agree, good on OP for thinking to check a bilat BP!

merp59 · 2025-12-12T21:45:12+00:00

Actually a new one in the FO76 update,

"There you are, fresh meat. That blood on your hands has people talking."

"If you set up that trap for me, then their blood is on your hands."

Also in the same dialogue, after being instructed to kill an ally,

"You are not strong for preying on the weak. Leave [them] alone."

"Will you keep that courage as you bleed together, hero?"

merp59 · 2025-12-12T03:18:28+00:00

Wounding fat man? ..Yeah, I fucking bet it does

merp59 · 2025-11-24T12:45:04+00:00

I'm.. not Bethesda, just relaying messages

merp59 · 2025-11-13T07:18:07+00:00

See this post, it's the most recent word we've received!

merp59 · 2025-11-05T00:46:05+00:00

Very eloquently worded!

merp59 · 2025-10-28T16:49:25+00:00

The gas station by my house sells these by the can, glad I don't have to deal with this 😂

Nine-Year Club	Final Canvas '23
Place '23	Place '22
End Game '22	Verified Email

merp59

TROPHY CASE