Recent content by OrthoHypo

  1. O

    Down After a Night Out

    I agree with your judgment, but that was not an option at the time. If I post more scenarios in the future, I'll make sure to better clarify how the system functions, and what its capabilities are. I also don't know how I missed patient demographics in the original post since I always include...
  2. O

    Down After a Night Out

    Pretty much what happened. On arrival at hospital (when I saw the patient) the ER MD performed RSI and the patient was placed on a ventilator. Labs were drawn and CT scan (head-neck-chest) was ordered. CT revealed no intracranial or spinal abnormalities but showed evidence of aspiration. Labs...
  3. O

    Down After a Night Out

    Patient is a 25-30ish male. The station attendant states that the patient looked confused and was unsteady on his feet, then slumped over while sitting on a bench waiting for the train. She did not see him use any substance or interact with anyone. She does not know the patient. Any other...
  4. O

    Down After a Night Out

    Forgot to mention but the patient is a male in his mid-20s-early-30s. During assessment, a strong odor of alcohol is noted and multiple empty syringes are found in the patient's pocket. The pupils are equal, round, fixed, and dilated. The blood sweep is clean and a quick head-toe reveals no...
  5. O

    Down After a Night Out

    Ambulance ALS 69 is dispatched code 3 to a train station in a major urban area for the unconscious person. On arrival, the patient is found prone on the platform. Crew repositions him for assessment. He winces in response to pain but is otherwise unresponsive. ABCs are as follows: Vomitus in his...
  6. O

    What does your agency ride in...

    I'm at a private service that has multiple garages/stations throughout a major metropolitan area. My garage mostly runs Ford Transit vans, converted by either Miller or AEV (the AEV rigs are a lot better). We just got a few "new" rigs from another department that are high-top Chevy Express...
  7. O

    Paramedics transporting patients with drips and pumps

    Where I live, paramedics absolutely can and do transport patients on multiple infusions. If there's a ventilator or something more advanced involved, they will have a critical care paramedic do it. Very rarely does an RN come along on transport unless it's by air. I would imagine TX allows for...
  8. O

    Dumbest thing heard on the radio

    My service is heavily reliant on cell phones so these things rarely happen. Luckily, dispatchers still exist. Deez Patcho: "Unit B41, what is your status?" Partner: "Dispatch, this is B41. We're charting this last call right now. Is it alright if we get lunch after?" (we get a 40min break...
  9. O

    AED deployment in metal grandstands at track meet

    I wasn't there, so I don't know what the location really looked like. Depending on the size/shape/positioning/crowding of the grandstands, it may not be a safe or effective location to work a code, to begin with. Starting compressions and quickly scooping the patient to flat and level ground may...
  10. O

    At a crossroads. PM? RN? Both?

    Hi all, I feel like I'm against a wall here, any advice would be much appreciated. I took my EMT-B course in the spring of 2020, while I was still in high school. I passed the NREMT that summer. Due to a mix of circumstances (no driver's license, state cert issues, mental health, other classes...
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