Recent content by Psych

Ah, the have a nice day wave.

We had an issue at our service with a privacy violation involving someone posting something to an online ems forum. It is now policy to both remove any identifying information as well as receive permission from the patient when posting things even as innocuous as a pic of a 12 lead. Unnecessary...

I do have the 12 lead in front of me now, I cannot post it today but when I get a chance to go to the hospital and a) see if the patient is still alive / b) ask his permission if he is indeed alive and able to speak I will definitely post it. I still have to look at it a little more (back and...

My computer is pretty much deteriorating as fast as this patient was so forgive me if I miss anything. Becks Triad is present 100%, heart tones are "muffled". I didn't get percussion notes so I can't comment on that. The chest is rising and falling equally. Reassessment immediately prior to...

We do not carry thermometers (I know right) but the temp at the hospital was 98.1F

Oops, almost forgot the best part. It is 0910. While you are preparing to load, the daughter, upon asking about the catheter ablation/med changes, recalls the doctor said something about this medication making sure he "doesn't have a stroke cause of the clots in his legs". Yes this really...

Secondary physical assessment reveals two ~4-5cm hematomas around left intersection of sternal plane and posterior axillary line, jugular vein distension noted, decreased breath sounds left side, pitting edema of the lower extremities, palpable pain and tenderness of left hemithorax, crepitus...

HAHA I got my medic at CR.

Dispatched at 0845 to a private residence for chest pain/SOB. AOS TFA 68y/o obese M sitting on the floor AA+Ox0/1, in moderate respiratory distress (3 word sentences), skin pale, cool and diaphoretic, agitated. Pt c/c "it feels like I'm getting stabbed in the chest" (x3h, left hemithorax, worse...

On second thought, I should have said deteriorating into septic shock and that multiple organ dysfunction was probably imminent without some sort of rapid treatment different from however they were treating it at the SNF. Sorry sometimes when you're fresh off a complicated patient that crashes...

I have rarely, if ever, seen a case of sepsis with any sort of complication treated with oral medications at a SNF, most of the time it is going to be going through a PICC line. Levoquin is an issue in patients with extensive cardiac history who are at risk for complications d/t urosepsis, you...

You have a pretty typical case for advanced urosepsis here. I had a patient very similar to this, call came out of a SNF, she was A&Ox0-1 (baseline A&Ox4), having convulsions, being treated for urosepsis with levoquin (due to her PCN allergy...terrible decision, they should have been using...

Ohhh okay, I saw your post history about working in Eureka and the triangle and I remembered all his crazy stories about the grow operations and cultists and :censored::censored::censored::censored:. Small world eh?

No way haha I knew it. One of the best courses I ever took I was still in medic school when I took it and when I went back home I was teaching my preceptor how to do seated intubation lol.

This is going to sound random but have you ever taught a PHTLS class at AMR on rollins rd in Burlingame, CA?