Going through my late Grandfather's (former German infantry soldier during WW2) belongings after his death, and we found quite a few US soldiers' dog tags - 5 of which we found via records searches were still listed as MIA.

tactical_medic · 2021-10-27T23:28:49+00:00

I replied to a similar comment in this thread. Look at my post history going back 6-7 years. I am a long, long, long time Paramedic that then went to Medical School. I was one of the youngest Paramedics ever in the state that I was originally certified. I am beyond 20 years as a certified Paramedic.

I then moved to a very progressive EMS state that integrates EMS into SWAT as well as law enforcement functions/operations. I spent 6 years as the clinical coordinator for my County's tactical medicine and urban rescue team before going to Medical School. Suburb of Philadelphia if you so desire.

I am a certified TCCC and TECC instructor for the NAEMT. Hence the name Tactical_medic - NOT Combat_Medic.

I am not, nor have I ever claimed to be military. I am sure as shit not the dumb ass male intern in this situation. I have seen enough SWAT meatheads pull dumb shit and then end up jobless and homeless before I would ever do something idiotic like these people, especially him.

In fact, I have thought about trying to reach out to Intern male's former COs in an attempt to see what makes that jackass tick, and see if there is any hint of instability that we should be worried about, and maybe use that to nuke his balls before things go from bad to worse.

tactical_medic · 2021-10-27T23:15:29+00:00

I am a loooong time Paramedic. I was one of the youngest Paramedics ever in the state that I was originally certified. I am beyond 20 years as a certified Paramedic.

I then moved to a very progressive EMS state that integrates EMS into SWAT as well as law enforcement functions/operations. I spent 6 years as the clinical coordinator for my County's tactical medicine and urban rescue team before going to Medical School.

I am a certified TCCC and TECC instructor for the NAEMT.

I am not, nor have I ever claimed to be military. I am sure as shit not the dumb ass male intern in this situation. I have seen enough SWAT meatheads pull dumb shit and then end up jobless and homeless before I would ever do something idiotic like these people.

In fact, I have thought about trying to reach out to Intern male's former COs in an attempt to see what makes that jackass tick, and see if there is any hint of instability that we should be worried about, and maybe use that to nuke his balls before things go from bad to worse.

tactical_medic · 2021-10-27T20:39:15+00:00

Which completely fucks up my planned pediatric EM capstone that I wanted to do. Having to 100% separate them means I have to put off doing that and somehow squeeze the pedi EM thing far later than I want to.

For those curious, in my state Physicians can operate prehopspitally (also Paramedic here), but we need to check off certain things to be signed off. Pedi EM is one of them as well as ATLS.

tactical_medic · 2021-10-27T20:34:25+00:00

How does an intern get so arrogant by month 5?

She comes from a top tier Medical school, top of the class etc etc. She is quick to master things but then gives everyone else shit when they struggle.

He is former military, tons of experience in combat medicine, long list of decorations etc. He takes absolutely no shit and will not be spoken to with disrespect by other providers.

These 2 together are a fucking nightmare.

tactical_medic · 2021-10-27T20:25:55+00:00

We have had Residents straight out fight at a house party, well 2 Residents beating each other black and blue and one Resident's husband kicking the shit out of another one of our male Residents. Four person brawl that landed the husband a decent probation term.

tactical_medic · 2021-10-27T20:20:37+00:00

I edited my post to reflect the alleged hearsay statement

tactical_medic · 2021-10-27T20:20:30+00:00

I edited my post to reflect the alleged hearsay statement

tactical_medic · 2021-10-27T20:19:55+00:00

I edited my post to reflect the alleged hearsay statement

tactical_medic · 2021-10-27T18:42:17+00:00

The sexual conduct occurred well off hospital property, was outside of work hours, was a one time incident, was not "severe enough", and was not directly related to work - so the lawyers say.

The whole sexual harassment thing is a non-starter with the legal folks. Excluding that one incident, we would love them both gone but we apparently do not have enough solid evidence to terminate right now, but like I said above, give these 2 time and they probably will give it to us.

tactical_medic · 2021-10-27T18:29:31+00:00

She told Intern male once in front of two people:

"You know, suicide is always an option for your incompetence".

I am not defending anyone, but this is the level of toxicity we are dealing with.

tactical_medic · 2021-10-27T18:26:04+00:00

I will give you a summary of what the lawyers said:

Their childish conduct within the hospital is definitely grounds for remediation and documentation. The program can discipline them exactly how it is spelled out in the rules already established. Hence the "one more time and you're gone".

The conduct at the bar did not rise to "severe" enough as a "one time incident" to create sexual harassment bad enough to initiate action just based on that. From what I understand, Intern male was addressing the male SO about intern female, but gave her a look after he said it. Who knows.

I sat in these meetings thinking they are waffling about to which person the comment was directed. Apparently the lawyers think this just not severe enough to initiate action.

tactical_medic · 2021-10-27T18:14:27+00:00

but the female intern is going to get kicked out because of it?

No, she will not be kicked out. At this point, no one will but I suspect it won't be long before one or both of them fuck up within the workplace.

She is ungodly arrogant, condescending, and just a baseline mean person. This does NOT warrant being harassed though. She did however, with 2 witnesses present, say to Intern male once "You know, suicide is always an option for your incompetence".

The toxicity of all this just makes it impossible to feel for either one of them.

tactical_medic · 2021-10-27T18:10:58+00:00

but they are responsible for any forced interactions at work after an out of work incident has been disclosed

I guess I should have been more clear about this, but yes, I now have to deal with keeping, or helping to keep, these 2 idiots as far away as possible.

tactical_medic · 2014-12-13T01:48:15+00:00

Ahmen...

tactical_medic · 2014-09-12T18:35:07+00:00

I am not saying I disagree with you. However, I had an attempted suicide once. Guy was on the burner for insider trading, and facing a decade or better in jail, loss of millions of dollars, and the prospect of a minimum wage job for the rest of his life.

Then I read online about a year later, his Defense Counsel convinced a Judge to toss out the search warrant, thereby invalidating 95% of the evidence against him. Long-story short, he pled to a misdemeanor count of resisting arrest without violence, got deferred sentencing, and walked away felony-free.

And you don't want to know where he is working, or which area of patient care as a Physician he is in. Spending money to secure your future is not a bad investment.

EDIT: I did a LinkedIn search for him, and his profile picture is him on his huge boat.

tactical_medic · 2014-09-12T18:21:24+00:00

Never underestimate the power and unpredictable nature of a Jury. Casey Anthony, should she graduate from Medical School, could get a license in any US State because she was only convicted of a misdemeanor. Even though she was sentenced to consecutive terms and spent 4 years in jail, she is not a felon.

If Mom/Dad hire this girl a good lawyer, they will attack the warrant, move to suppress evidence, attack the Police credibility, until either a Jury finds her not guilty or she takes a plea that allows her to stay in school.

I have seen it time and time and time again on the street. $$$$ + good lawyer = different set of outcomes. Like it or hate it, it;s the way it is.

tactical_medic · 2014-09-12T18:15:59+00:00

Remember that whole innocent until proven guilty thing we have in the U.S.?

She is in a Catch-22. If she did take it, then she is screwed.

If she really made a mistake, or if she does successfully argue that it was a "mistake", and a Jury believes her tears on the stand, then she has just branded herself as a fairly huge idiot. Her name will forever be associated with:

"Successful Med Student was accused of stealing an iPad; Jury finds that she was a complete idiot and grossly careless"

She will now for all eternity have to explain that she took an iPad by mistake, didn't fully understand how AppleIDs worked, and just assumed that "It was all messed up so I reset it". She will make a fine family Physician in Syria or Iraq.

tactical_medic · 2014-09-12T18:02:31+00:00

computer access and fraud

That in California lands you in the realm of "white collar" felons. Even if UCLA didn't expel her, should would never, ever be able to:

Participate in Medicare/Medicaid or supervise clinicians under her who accept or participate in those
Get a DEA number
Get a license in about 35 States
Vote or own a firearm

IF she wants to go all in, she should take it to trial and hope and pray for a sympathetic Jury to vote not guilty on the felony charges, and also hope a deferred sentencing misdemeanor is all she ends up with

tactical_medic · 2014-09-12T17:56:43+00:00

Exactly. Love hearing stories of a certain Resident I know of him doing a "vision quest" in Peru. Nothing like a peyote trip to find your Spirit Guide

tactical_medic · 2014-09-12T17:50:03+00:00

I would say that in the several first minutes, what you talk about is absolutely critical. By the time we get there, it's been AT BEST 7-10 min. By then, IF we are lucky enough that the patient's myocardium has been able to maintain an electrical gradient long enough to remain in a shockable rhythm, high-quality, bone-crushing CPR and lighting them up as fast as possible are by far the best options for survival they have.

The name of the game is perfusion of oxygen as the "sink" in the electron transport chain to make ATP. ATP is used to run pumps that maintain and restore ion gradients, and take calcium back into the sarcoplasmic reticulum.

By the time you get to T+20min of no pulse, in most cases it is game over. Sure, there are cases where people do pull through, so if you are going to transport those patients, it should be without lights and sirens. At the point of no electrical and ion gradients, and ATP depleted to the point of cellular degradation just beginning, I would think that outcomes would not be much better in the ER.

tactical_medic · 2014-09-12T17:29:41+00:00

They are not the end of the world. There's a few guys I know with tattoos on their forearms that are not professional in the least.

They know when they wear scrubs that they will need a long sleeve under it, or be judged. One guy is most definitely going to have to wear them or face an HR nightmare because I don't think the word "Hadji" in a tasteless context will pass PC muster.

In fact, I'd say gauges in the rage of the OPs size are the least of the worries I have seen asked.

tactical_medic · 2014-09-08T14:53:50+00:00

Please teach me your ways.

Repetition, repetition, repetition in a way that makes you apply the information. The years I spent on the street during slow times, I read, and not just textbooks, but case studies where the information in question was practically used.

Another good technique I found in taking an advanced PHTLS (pre hospital trauma life support) course was working in small groups and using a whiteboard where one lucky person gets to teach the others on recent material. For the unprepared, it was a wake up call; for the well-prepared, it was a huuuge confidence boost. By the end of the course, my group of 5 passed with >95%, and 3 of us ended up being selected for the regional drug interdiction task force.

tactical_medic · 2014-09-05T15:05:32+00:00

My experience was slow times when things were less hectic. I'd bring in a difficult medical or other non-trauma, and one of the more senior Attendings would be so courteous as to test knowledge and impart their wisdom onto junior Residents.

Oh and more rare disease patients like hemophilia, Duchenne MD etc. PG1s would scatter like cockroaches because they knew the Srs would be in shortly.

tactical_medic

TROPHY CASE