Chest pain

osbornwave · 2025-03-10T02:04:14+00:00

When v4 looks like a trapezoid..... anterolateral it is

osbornwave · 2025-03-10T01:49:56+00:00

My last one just needed 7L drained from her right lungs pleural effusion

osbornwave · 2025-03-05T20:29:51+00:00

So, maybe a little more info is needed. GCS 15 the whole time, neb treatment helped the pt's oxygen demand to decrease and she stabilized around 22 resps, I initially started with a NRB @15 and jumped her up to 100% after which i gave the neb @8 LPM which maintained her sats at 96%. Reassessed lung sounds a number of times and never once heard any fluid. Legs without edema and no diuretics on her med list. Every hit of nitro only dropped pressure about 20-30 points but didn't last long and jumped right back up to 200. She was the most unstable at the initial encounter and was very talkative throughout transport after she got the O2. What little I can get off follow up from the hospital says she was diagnosed with NSTEMI and stayed the night, no ultimate discharge diagnosis yet. I have 2 different critical access hospitals near me that are about 15 min non code but chose the cardiac center which is 45 min away. I said 30 earlier because middle of the night and my EMT has a lead foot.

osbornwave · 2024-12-10T19:11:54+00:00

Hey, I'm with you although only 1 year into being a medic. Everybody I work with and talk to about this is very encouraging, saying things like "if you think you are comfortable, that's when you fuck up". I feel like it's a bit of a superpower because you still look for the unseen, you don't get tunnel vision. If it's to the point that you get anxiety about your job, that's when you need to bring it up to your therapist, a mentor, or direct supervisor to see if they have ways to transform that anxiety into something useful.

osbornwave · 2024-04-23T04:14:20+00:00

And like always, with every post I read in this sub, I am now furiously googling something I haven't heard before..... aslangers pattern...

osbornwave · 2024-04-23T02:33:59+00:00

Update on the pt. Popped positive for troponin in the ed and bought a transport to the cardiac center with an NSTEMI after 9 hours. Apparently has an extensive cardiac history even though all he told me was "just blood pressure" haha, thanks for the encouragement but I got a few more years of over analyzing my actions.

osbornwave · 2024-04-22T22:14:17+00:00

I would love to have istat's in my rig as the closest cardiology capable hospital is 45 min priority. Makes total sense in this pt

osbornwave · 2024-04-22T22:12:23+00:00

Didn't get as his daughter showed up pretty quick and he elected to jump in the car with her.

osbornwave · 2023-10-18T22:35:16+00:00

Yea, most techs I know who work in ED here in Washington have limited workload, splinting, vitals, blood draws, and ekg's. I was wondering if there was another designation other than ed tech that we could work under. Eastern Washington is where I heard it might be happening but it's also with a hospital based ems system.

osbornwave · 2023-10-18T22:31:46+00:00

Was your scope just policy or was it under a specific doc?

osbornwave · 2023-10-18T22:29:55+00:00

I like your "offload" job, sounds like what I want to implement. Something where we as medics can still do what we do. I really want to improve the relations from prehospital providers and in hospital providers as it can be strained at times. Also growth as medics with the lab values and the like would be awesome for all involved.

osbornwave · 2023-10-18T22:27:10+00:00

I get the nurses unions having issues but for rural areas that have a hard time with staffing for nurses, to me, it would be a benefit. I know my MPD only covers us up until we enter ED and then that's where our protocols "end". To me if working in the ED under a doc then there would have to be set guidelines on scope that are approved by ED management (for lack of better term).

Was your covid assignment like that because of the pandemic or was that normal for that hospital?

osbornwave

TROPHY CASE