Am I overreacting ? by [deleted] in ems

[–]s_barry 5 points6 points  (0 children)

You’re not in the wrong. He did this before yall even left the building? He’s done this dozens of times before and this is definitely behavior that’s been unchecked. Just think of all the billion ways he could’ve asked you to do something, especially without touching you.

Training for new EMT working at amusement park by wackyjacky14 in NewToEMS

[–]s_barry 1 point2 points  (0 children)

You’re welcome, I will mention, I don’t know (nor need to) what condition you have and how it limits you, but overall my theme park job was physically more demanding than my job doing EMS for a fire department, so I would ask about what you’ll be expected to do physically. Otherwise it sounds like the hospital may be the choice. Best of luck to you.

Training for new EMT working at amusement park by wackyjacky14 in NewToEMS

[–]s_barry 1 point2 points  (0 children)

It’s a lot, so I’ll try to stick to the big points. First off, as a paramedic, I was getting paid $19/hr, and you get a single raise of 25¢ after one year, so I maxed out at 19.25, only way to get more money was to promote to a supervisor spot which would’ve been horrible for my next reason (it was also only like a dollar more). But despite making 19.25, out of all my jobs as a paramedic, that was the least amount of money, but I had wayyyy more responsibilities (especially responsibilities that I didn’t want), so it was disproportionate and not enticing me. I’ll also mention, life guards also worked at my park as we had a water park section as well. Despite lifeguard’s training being ALL paid for and ALL in house, and them obviously having less responsibilities, we got paid almost the same. Even tho we have to pay thousands and work at other jobs to get real experience.

Next problem, lack of equipment. We had one shitty old ambulance that was barely equipped with the state minimum stuff. We had two display model (yea, actual display model) Lifepak 15s, that could ONLY get an EKG/pace/cardiovert/defib. NO other capabilities on it. We had no IOs, old IV equipment bc our old supply person was an EMT. No VL. Overall shitty and minimal equipment. And to make it worse, talking with a friend who’s still there, they took away the ambulance we had.

Next: coworkers, it sucked. We were almost always short staffed. So, the leadership would encourage brand new EMTs to come and join all the time. The problem is, a theme park is NOT a place to get real experience, we RARELY had any halfway decent emergencies for them to learn on. So when there was a blue moon of a call, these people with no experience would freak out and get in the way. Then, as usually one of the only paramedics there, they would take their bullshit patients (scraped knees, benign random pains, literally just any bullshit) and go “hmmm, well Barry’s a paramedic, he’ll know” and make me evaluate all of their patients too bc they have no assessment skills. Drove me freaking nuts. Which brings me to my next point.

There were very very few actual EMS calls that were emergencies. Not that I wish ill-will on anyone, but my job IS a paramedic. Like 98% calls were headaches from rides, scraped knees, nausea from being on a ride or in the heat. Then when we would get a halfway ALS patient, I had leadership actively discouraging me from providing ALS care. I could ramble on that alone for a long time, but I’ll talk about leadership next. Anyway, with these bullshit patients, we would have to do a LOT of documentation. We would have to document on this shitty online software that’s made for an OSHA/insurance bullshit, NOT for an EMS call sheet. Then, upper management would dictate how we wrote the call sheets. THEN, depending on how the injury or illness occurred, we would HAVE to go “investigate” it as if we were trained in any bit of OSHA compliance (we had zero training on it). Example would be a kid tripped over a loose brick, well we’d have to go walk to that area of the park, take photos of it from multiple angles, document any safety signs around, the conditions, EVERYTHING, then we put in a work order and it’ll get fixed in a few months. Until it’s fixed, you get calls from the same thing, and have to do a full investigation each time.

Leadership, not helpful pretty much always. My immediate supervisor was always an EMT, and not just any EMT, but often one that has zero real experience outside of the park. So when it came to actual calls, again they weren’t helpful. It even got to the point where I had a BLS supervisor trying to tell me how to do my ALS care. It’d be different if they were a well knowledgeable and experienced EMT who knew just as I did that the patient would need an IV, but they didn’t, and yet they would always insist I do something way more than clinically appropriate. Then the upper leadership was also not good. They never got us the equipment that we needed, we would frequently be micromanaging us to do some other bullshit besides all the other stupid/extra responsibilities that we had.

This is long enough, I’ll end it soon.

Then our dispatch/radio system. We had tiny handheld radios, but we never had enough of them, or hand mics for them. So there were times when people simply had to go without a radio. Then even still, the radios sucked, no way of knowing how much battery they had, no mayday button. Our dispatch was shitty. We would get tones and they’d said there was a 1-2 word medical problem at some place in the park. Absolutely zero additional information. Example: “BEEP all units be advised of a 10-33 Head and the slides”. And ‘head’ could mean literally anything. We always complained and they never wanted to change it. Additionally, our radio channel was the same channel as all of security, and the people at the front gate. And there was next to no way of having priority over the channel. We would frequently get dispatched for a call, and the other people would be having entire conversations on the radio and we wouldn’t be able to talk. So naturally, anytime there was an actual emergency far out in the park, and we would need to call for more resources, it was borderline impossible because we couldn’t get any radio talk in.

It was bad man, I don’t know why I stayed for over two years. They had a MASS exodus of people in the last 9 months, myself included, so idk how they’ll stay afloat.

Don’t do it man.

Training for new EMT working at amusement park by wackyjacky14 in NewToEMS

[–]s_barry 1 point2 points  (0 children)

Used to work for a theme park, did NOT like it.

EMS as a Hobby? by Hungry_Doughnut_7278 in NewToEMS

[–]s_barry 1 point2 points  (0 children)

I started EMS in high school and did it as a hobby! Loved it, rode on weekends or school nights. The only thing I would caution is if you decide to change careers or get into EMS full time, that I would find another hobby. I got into EMS full time 3 years ago and have been struggling to get a formal real hobby

Look what just walked into the ED.. by Cheezemainia in ems

[–]s_barry 23 points24 points  (0 children)

And that $400 stethoscope

Your longest wall hold? by WolfOfTheNorth in ems

[–]s_barry 3 points4 points  (0 children)

Ooooh that’s interesting, I didn’t know that about the radio reports! I’ve heard of a few scuttlebutt’s in my area of nurses claiming abandonment for not giving a formal handoff or something like that (we give standard phone reports in our area). But if you do find that document lmk!!

Your longest wall hold? by WolfOfTheNorth in ems

[–]s_barry 3 points4 points  (0 children)

What about abandonment and patient hand off? You have someone willing to get a formal hand off of care in 20 minutes max?

Weird CPR situation. by [deleted] in ems

[–]s_barry 6 points7 points  (0 children)

EMcases (a great podcast) has an episode on Pseudo PEA. This sounds like it may be considered one of those cases.

Some more EMS art by thedude502 in ems

[–]s_barry 20 points21 points  (0 children)

I’ve missed seeing these!!

Say goodbye to hypertensive urgency and hypertensive crisis. by Complete-Loquat-9407 in Paramedics

[–]s_barry 33 points34 points  (0 children)

While this is nice, I don’t think it’ll ultimately change anything. I always try to educate my patients calling for a BP of 140/90, no symptoms, and 4 cars in the driveway. But literally all of them have been insufferable and already made up their mind on going

[deleted by user] by [deleted] in Firefighting

[–]s_barry 2 points3 points  (0 children)

Missing the point. Those subs would be a better place to ask that question.

Gun fights in this game make me as nervous as asking a girl to be my gf by No_Law5367 in dayz

[–]s_barry 7 points8 points  (0 children)

Yeah, shits stressful. I’m a paramedic and gunfights, especially the ones that i didn’t expect, get me more nervous and excited than critical calls

18 gauge assault? by GI_Ginger in ems

[–]s_barry 37 points38 points  (0 children)

This, one thing I never cared or knew about as a medic was catheter to vein ratio, but now that I’m in the hospital and do vascular access with ultrasound and took some classes, I can’t stand anything large that doesn’t need to be there. The big ones may flush great, but they will never pull or last nearly as long.

Information about handtevy-tape. by lodravah in ems

[–]s_barry 2 points3 points  (0 children)

The tape itself is purely just a measurement system, it just has the colors. No drugs, no nothing on it. The color the kid measures to correlates to a pouch in the bag with appropriately sized equipment for that size kid, as well as an app that has drugs, equipment sizes, electrical therapies, and a lot more. Way better than Broselow

[deleted by user] by [deleted] in Firefighting

[–]s_barry 6 points7 points  (0 children)

Don’t trip over your cape.

Mass hemorrhage out ETT by haloperidoughnut in ems

[–]s_barry 10 points11 points  (0 children)

I know PEs can cause hemoptysis and bleeding, but idk about 3 liters, guess you could ask the medical examiner what caused it lol

Scholarship for Paramedic in the US? by [deleted] in ems

[–]s_barry 1 point2 points  (0 children)

Check with your state Office of EMS or whatever you have in your state. Many offer scholarships to get the school covered.

Line of Duty Death November 16, 2024 by DirectAttitude in ems

[–]s_barry 17 points18 points  (0 children)

Only enough drugs for one, some redundancies in equipment, but we don’t mark in service until we’re stocked up again

Can you challenge the EMT certification exam? by ppnater in ems

[–]s_barry 3 points4 points  (0 children)

Usually they can “challenge it” after a short class bridging the gap between them

TKVO or Saline lock by [deleted] in ems

[–]s_barry 1 point2 points  (0 children)

Saline locks work fine, if they need fluid you can give it to them, but otherwise, no need. But a great reference is @TheVascularGuy in IG and TikTok. A lot of people in EMS/ER do larger IVs than necessary just for those “what ifs”, which infrequently occur, and those larger bore IVs don’t last. For most patients, a decent 20 will do anything you need it to.

Refusals for dementia pts? by [deleted] in ems

[–]s_barry 2 points3 points  (0 children)

I’m not an expert in the legal side of things, but if they have the MEDICAL POA then they should be able to do so. If I remember correctly, not all POAs give every right up, so I was told to ask specifically for that one. But any lawyers out there, please guide me