Recent content by Onceamedic

  1. O

    If you could go back to the start of your EMS career and give yourself advice, what would it be?

    I didn't mean to imply that nursing was in any way an inevitable or natural progression from EMS. I was speaking from a strictly personal point of view. I have no interest in management, or in substantiating change or progression within the industry. My interest has always been direct patient...
  2. O

    If you could go back to the start of your EMS career and give yourself advice, what would it be?

    go directly to nursing school.... paramedic was fun, but ultimately dead ended in career advancement, scope of practice and engagement
  3. O

    What's the Deal With Vegas?

    The biggest problem I saw in my years with AMR was poor management. It was an old boys club with superstar de jour coming in every year or so to shake thngs up. I did my job in spite of management. When my personal goals were no longer being met I skedaddled. I am lucky that I am able to do...
  4. O

    Probably Shouldn't have said that....

    Patient being transported literally across the street from the mall to the ED. She says "hey, wait a minute. How much is this going to cost?" Me: Approximately 1,300$ ma'am" Patient: Are you joking me? That's crazy" Me: I'm a trained professional. Patient: <stares> Me: And I get 10 bucks...
  5. O

    Heart attack vs panic attack

    Hey... that's still our protocol.....
  6. O

    Fear mongering

    Structure fires are so rare that recent photos are hard to obtain....
  7. O

    Favorite city you have worked in?

    Jackson MS - mind you it was only a one month deployment so I imagine it would get old fast. It was SSM, which has pluses and minuses. My favorite part was being one of only 1,800 medics in the state, thus responsible for the scene and the call. The calls were amazing and not tripping over...
  8. O

    Feeling discouraged, freakish. Am I cut out for EMS?

    I know medics should be intelligent, but they are not. The intelligent medics are targeted by the mouth breathers who run the show. They are the heros after all, and understanding pathophysiology, diagnosing (horrors!) and looking at the big picture paints a target on your back. You don't know...
  9. O

    Feeling discouraged, freakish. Am I cut out for EMS?

    EMS is very attractive to those of us that want to "help" and are curious and nosy and impatient and let's be honest; thrill seekers. Paramedicine is the only field where we get to act like doctors and not need all that book larning. We are thrown into the field with insufficient...
  10. O

    Backboarding a Hip fx

    The only way I would backboard this patient is if I planned to take her sledding before going to the ED.
  11. O

    Another Cold Read

    I'm thinking afib with aberrant conduction
  12. O

    Mistaken for anaphylaxis?

    An allergic reaction is an autoimmune response to a trigger with the involvement of only one body system - IE a rash An anaphylactic reaction is an autoimmune response to a trigger with the involvement of more than one body system IE - hives, difficulty breathing. With the previously...
  13. O

    OK - So I'm done.

    I am one of those posters with the signature line that is now in violation of the new rules. I am also one of the posters that experienced an inability to log onto the site for a couple of days. I thought to myself - do I have a virus? is the site really really busy at Christmas? is it...
  14. O

    Another best wishes thread

    Hyvää joulua ja onnellista uutta vuotta عيد ميلاد مجيد وسنة جديدة سعيدة ¡Feliz Navidad y feliz año nuevo Весела Коледа и щастлива нова година Frohe Weihnachten und guten Rutsch ins neue Jahr Buon Natale e felice anno nuovo Joyeux Noël et bonne année Feliz Natal e feliz ano novo 기쁜 성탄과 새해...
  15. O

    Lawrence Kohlberg: classic moral problem

    Throw it out of the ambulance and say nothing to the cops
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