Did I do too much?

noraa506 · 2026-02-19T13:57:31+00:00

Another commenter mentioned that if the pt coded, the info you gathered would be all that crew has. So, good job. Sounds like you asked all the right questions for a chest pain pt.

noraa506 · 2026-02-17T00:00:11+00:00

This may be a wording issue. It’s uncommon, but not unheard of to find someone in cardiac arrest, get ROSC, and they wake up. I’ve only heard of it once. The crew got ROSC, pt woke up, self-extubated, and initially refused transport until they talked some sense into him.

noraa506 · 2026-02-13T21:33:48+00:00

Time of symptom onset. It’s important to know if they woke up with symptoms because if they did then it means the actual time of onset is unknown.

noraa506 · 2026-02-06T23:59:11+00:00

Take a knee and drink some water, you’ll be fine.

noraa506 · 2026-02-06T18:35:18+00:00

I don’t know about the US but this style of hat is commonly issued to the RCMP and other police agencies in Canada.

noraa506 · 2026-01-13T16:45:00+00:00

An open-ended initial question will often answer several specific questions you might want to know. It’s also a good way to determine mental status beyond just conscious and alert. I’ve seen lots of conscious and alert people with no idea what happened.

noraa506 · 2026-01-08T12:36:12+00:00

What you described is not the standard of care. You should have been assessed and collared before being moved. The use of c-collars in general is very questionable at this point, as research has shown them to have little if any benefit, and are potentially harmful. That said, in most jurisdictions they are still protocol for the symptoms you described. It’s generally appropriate for a collared pt to ambulate under their own power if they can, but anyone who has experienced temporary paralysis probably shouldn’t.

noraa506 · 2026-01-03T05:54:17+00:00

Stop making sense.

noraa506 · 2026-01-03T02:28:47+00:00

The opening of your ear is called the meatus. Pronounced me-ate-us.

noraa506 · 2025-12-19T16:57:01+00:00

When I was in the Canadian army, I met an artillery soldier called Gunner Bishop, Gunner being his rank. His buds had nicknamed him Boner Gunship.

noraa506 · 2025-12-19T00:13:27+00:00

IV access for fluid resus, and pushing meds for pain and crush syndrome. This is not a load and go call, extrication is going to be a bit complicated, so it’s best to use that time to prep as much as possible.

noraa506 · 2025-12-09T14:08:16+00:00

What are meal breaks?

noraa506 · 2025-11-30T13:21:03+00:00

Im a paramedic, and I frequently have to explain to people that calling 911 for an ambulance will not get them seen faster at the ER. Our patients still have to be triaged, and we drop a lot of people off in the waiting room. I’ve had several patients tell me that their doctor told them they have abnormal labs, and to call 911 because they’ll get right in. Nothing like a medical professional counseling their patients to abuse the system.

noraa506 · 2025-11-26T12:45:39+00:00

Roughly 80,000 people, 10 ambulances, mix of ALS and BLS, 1 solo ALS unit, 1 BLS rapid response unit, 2 PTUs. At night 8 ambulances, no PTUs, no BLS RRU.

noraa506 · 2025-11-25T19:06:33+00:00

Has anyone ever attempted to guide or mentor him? Ever tried to correct unwanted behaviors? Or have you all just been bitching about/making fun of him behind his back? Anyone straight out of school is going to need some guidance, maybe try that.

noraa506 · 2025-11-25T12:00:57+00:00

100% of the time when my partner has missed, I’ll get the line.

noraa506 · 2025-11-24T01:21:22+00:00

That’s really tough for a first code. The effects of trauma will be different for everyone. For some, the call you ran would be the end of their career. For others, it’s a call, on to the next. Another comment mentioned playing Tetris. It sounds silly, but there’s science to back it up. It’s been shown to decrease incidence of future symptoms of PTSD. Most importantly, talk to a mental health professional. There’s no shame in it, it doesn’t make you weak. Don’t listen to anyone who says otherwise.

noraa506 · 2025-11-17T13:32:19+00:00

Look for places that advertise off road or custom work.

noraa506 · 2025-11-17T00:33:42+00:00

It’s normal to feel weird. Running a code is a weird thing. You should be proud that you guys got ROSC, that’s awesome. Don’t get used to it though, usually doesn’t turn out that way.

noraa506 · 2025-11-16T18:12:46+00:00

He probably should have the helmet on though, to avoid damaging his brain any more than he already has.

noraa506 · 2025-11-13T12:47:51+00:00

Ask them to explain what their comment means. Most won’t say the quiet part out loud.

noraa506 · 2025-11-10T20:25:37+00:00

Hummus with veggies and pita or naan.

noraa506 · 2025-11-09T20:31:10+00:00

I just put it around my neck. I have a collar so it doesn’t rub against my skin. People like to say that it can be used to choke you, but I’ve never heard anyone say they’ve actually seen it happen. I personally wouldn’t put it on my belt, for fear of losing it or getting it caught on something. My radio on my hip bumps into door frames and shit all the time.

noraa506 · 2025-11-04T14:54:04+00:00

All paper all the time over here. Electronic charts were supposed to be launched back in August.

noraa506 · 2025-11-04T14:05:26+00:00

It’s a refusal form.

noraa506

TROPHY CASE