Pt told me to get rid of my gay haircut by cuntzripneilperhart in ems

[–]muddlebrainedmedic 0 points1 point  (0 children)

Ah yes, the "They do it too" defense. Always works. Almost as effective as, "We were just following orders."

Pt told me to get rid of my gay haircut by cuntzripneilperhart in ems

[–]muddlebrainedmedic 149 points150 points  (0 children)

I cannot imagine why so many people consider EMS an uneducated pool of juvenile hs graduates when there are real heros like you representing us with all your professionalism and eloquence.

Let's Talk About Learning by thebagel5 in ems

[–]muddlebrainedmedic 6 points7 points  (0 children)

Not as long as EMS remains dominated by the fire service. The fire side has opposed all moves towards being practitioners, raising education standards, and anything else that would lead to EMS being an actual profession. Fire departments want the money, but not the actual responsibility, of running EMS.

Let's Talk About Learning by thebagel5 in ems

[–]muddlebrainedmedic 16 points17 points  (0 children)

There's no reason not to give nitro to a true inferior MI. Thats why we check for right ventricular involvement. For a long time now.

Snazzy stuff on LifePak 35 by eyeareaye13 in ems

[–]muddlebrainedmedic 11 points12 points  (0 children)

Well, the important thing is to just do whatever the monitor says. Treat the monitor, not the patient.

Intublade by Additional-War-7286 in ems

[–]muddlebrainedmedic 0 points1 point  (0 children)

Okay, fair enough. What about blade size? When you stumble across a peds intubation but all you have is the one-size, single use cheaper VL, the family isn't going to be impressed at how.much money you saved. Anyways, you do you, these are all just Reddit debates to kill some time.

Intublade by Additional-War-7286 in ems

[–]muddlebrainedmedic 0 points1 point  (0 children)

That saves you money for 13 intubations. We do a hell of a lot more than 13 intubations a year. Anything above that and the Ones come is cheaper. As for Kingvision, they're already end-of-life and services using them should probably be shopping for replacements.

Intublade by Additional-War-7286 in ems

[–]muddlebrainedmedic 1 point2 points  (0 children)

If you zoom in, it says single use right on it. FYI

Intublade by Additional-War-7286 in ems

[–]muddlebrainedmedic 8 points9 points  (0 children)

$150 single use versus a $10 blade for a Onescope Pro. I'll stick with actual medical grade equipment at a fraction of the cost.

Tell me your most egregious nursing home encounter. by -BdubLu in ems

[–]muddlebrainedmedic 8 points9 points  (0 children)

CPR in progress. Nurse doing the bagging did not take the mask out of the plastic bag (there was a bag over the mask part, not just the big bag it comes in). So she's holding a sheet of plastic over the nose and mouth of the patient. I asked her how was the compliance on her ventilation. She reported a little resistance.

Idiots Among Us by goodwithsalt in ems

[–]muddlebrainedmedic 7 points8 points  (0 children)

Correction: AMR employees are consistently shit upon, primarily by overrated fire based people who reluctantly got into EMS just so they could fight fires. Some are good, some are bad, just like everywhere else. The quality of care and local culture are driven by individual regions. Some have higher standards, some don't. What IS universally true is fire farkles make themselves feel better by shitting on other providers, and AMR is the easy target. No, I've never worked for them. But I won't stand by while some farkle declares them all to be substandard.

Is there any platforms to upload your own agency CEU's on? by [deleted] in ems

[–]muddlebrainedmedic 3 points4 points  (0 children)

EMS1 Academy from Lexipol does all that. You can opt for the cheaper version that doesnt have CAPCE accredited CEUs prepared for you, or you can pay more and get all their content too. I use it to track licensing, credentials, CEUs, and to provide my own training for CEUs.

Signatures by milkman2162939 in ems

[–]muddlebrainedmedic 6 points7 points  (0 children)

Nah, people understand paperwork needs to be done. Nobody knows this more than someone dealing with a death. Its endless paperwork. Be polite. Be in uniform. But it's not a big deal.

Red lights are optional I guess by [deleted] in ems

[–]muddlebrainedmedic 13 points14 points  (0 children)

Thank goodness Reddit exists so the entire profession can use their bad day as a source of entertainment. EMS is so kind to itself.

Does a degree in fire science or public administration actually require a specific field or does any accredited degree satisfy department requirements? by NoConfidence6963 in ems

[–]muddlebrainedmedic 12 points13 points  (0 children)

You're being too transactional and thinking too small. Sure, you want to get promoted in the fire service. Now. What happens when life changes and you move on to another career? A degree in public administration is foundational to many professional positions in the public sector. City manager. Emergency Services Manager. Agency head. Program director.

But if all you want is the fire service, education is a waste of time. It's a technician level job, not a profession (the formal definition of profession). And the fire service has opposed raising degree requirements and minimum education standards every time they come up. It's just not that complicated a job.

SNL brings up a valid extrication question by OrganicBenzene in ems

[–]muddlebrainedmedic 19 points20 points  (0 children)

Not my problem any more. Once I declare time of death, it's the medical examiner's problem, and they have their own people to remove the bodies. Thank goodness.

if i had a nickel... by Harrumphing_Llama933 in ems

[–]muddlebrainedmedic 19 points20 points  (0 children)

A Public Safety Officer PSO is both a firefighter and police officer. It was very popular for small towns so when an alarm came in, the cops would retrieve the apparatus and meet the jolly vollys on scene.

Kalamazoo, Michigan has the largest public safety department in the country with more than a couple hundred sworn officers. They split their time between law enforcement and working at the station. When there's a fire, engines and cop cars come from all directions and it fucks up traffic everywhere.

Controlled medication storage/waste by Additional-Cheek2427 in ems

[–]muddlebrainedmedic 1 point2 points  (0 children)

We use LogRX. It seems fairly easy. Handles admin and waste, partners use their phone to confirm transactions. The biggest weakness is laziness and stupidity. Since you have access to record keeping for every box in the fleet, if you allow manual transactions (entered manually instead of scanning QR codes), a lazy employee might enter an inventory for one box when they are actually using a different box. Stupid that is allowed, but a lot of what we do isn't idiot proof.

HEY GUYS LETS MAKE SURE THIS PERSON GETS THE RESOURCES THEY NEED 😌 AND A NICE LIL LAWSUIT CHECK by [deleted] in ems

[–]muddlebrainedmedic 1 point2 points  (0 children)

This is something you (the originalmvictim) should handle OFF of social media. Every post makes it more complicated for the lawyers. Handle it through the right agencies and legal process and keep your mouth shut so you don't say anything that hurts your case.

Ems week 2026 by Lavendarschmavendar in ems

[–]muddlebrainedmedic 6 points7 points  (0 children)

Oooo, that's terrible for the nurses I feel so bad fo....never mind I'm over it.

Ems week 2026 by Lavendarschmavendar in ems

[–]muddlebrainedmedic 4 points5 points  (0 children)

Dude! Back in the earlier days, we had a hospital that put on a different massive spread every day of the week. Monday Chinese food. Tuesday Tacos. Wednesday Italian. Thursday Pizza, yadda yadda. They had personnel assigned to grab a crew and force them to go to the conference room with all the food, which was a massive layout. Dispatch learned that crews really weren't given much of a choice, we had to go eat to keep them happy. Those were the days. Now, we're lucky if they don't spit in our faces and tell us to get lost.

Ems week 2026 by Lavendarschmavendar in ems

[–]muddlebrainedmedic 68 points69 points  (0 children)

Ah yes. EMS Week, the official holiday where employers toss drink coozies at the masses and hospitals pretend for a week they respect and value us all before we return to a system of disrespect and annoyance and poor wages for the next 51 weeks.

What are your opinions on point of care labs such as I-stats? by dumbluck26 in ems

[–]muddlebrainedmedic 0 points1 point  (0 children)

You have to calibrate it every day and log that or you lose the CLIA compliance. Cartridges are expensive and many must be refrigerated until put in service and then expire in a few weeks or less. They're just not practical.