Recent content by mrswicknick

Call volume is usually 8-10 ALS and 2-3 BLS a day, though sometimes we can't find a damn thing to do and sometimes we can't clear airlift quick enough to get the next one out. As for the NIBP issue, our machines are pretty much a joke, the cuff's have never been replaced, and they are about...

^^^ We have two medics for the entire county, a lot of things that should be ALS in other areas usually become BLS. Its one area where I really wish WA would offer ILS as an option, but instead the best we get is IV technician which most of our crews are, and if fluids may be needed one will be...

Appendicitis was considered, but negated with an appendectomy in her prior Hx, sorry for not posting that part.

I always auscultate on scene, but this pt was large enough that auscultation during transport was too muffled and impossible to hear, in which case I trust palpation more than I do NIBP.

I actually disagree with that, as the diaphoresis and skin color are typical of chronic colitis, and in this case don't constitute ALS, though that was one of the main reasons for the ALS eval.

Well put, and Im glad to see that my assumption was most likely in the right direction with the drop being a part of anxiety/pain. All bp's were manual, I cant stand NIBP, I never use them unless I can barely palpate (read: old) and its too loud to auscultate enroute. Thanks for the input.

To be fair, I should add that the exam wasn't just an EKG from the medic, but a full on exam. Also there may be some things that the medic found so show the pt would be stable for the duration of transport. With that said, I understand your point.

Also BP did not drop after that point for the next 30 min.

Had this pt yesterday, most of the symptoms were explained but I wanted to get some other thoughts. 81 yof, LRQ pain, non-radiating, no palpable mass/pulsations, pedal pulses present throughout transport. Pain was 10/10 in relation to childbirth, noticeable grimmace, present for 1 hour but...

^^^^ This is exactly what I have been trying to say this whole time. My apologies if it got strewn into much other B/S. I have always been terrible at explaining things over forums, and sorry to anyone that took offense.

Position found in, MOI (I would not consider 3-4 feet as significant), any presentation of abnormalities in the spinal exam, obvious deformity, reported pain, and pain response in the lower and upper extremities. Now, if someone flew 200 ft on a motorcycle and didnt report any pain in the...

My peers as in the warm bodies ls7 was explaining. I understand anyone can be premed, but it was in reference to the aforementioned warm bodies and how many of them have absolutely no interest in medicine and very little understanding further than the class they took to become a basic. Why...

I have also met many of them that I would trust with my life, and I know many, many others from other areas with different training (see TCC) that I wouldnt let touch me. Maybe I have too much faith in Copass' students, but I find many of them to be some of the best. I have never once been...

Also, I am not trying to be snippy. In no way am I interested in having a pissing contest over the internet, I am simply trying to put out another perspective. In the whole, it seems like he is treating the numbers, not the pt and the clinical picture, and I felt that adding some perspective...

Like I said, I know a lot of people that shouldn't be doing this job. A lot. Im also a premed student, and have devoted my life to learning about medicine. So no, I am not like my peers.