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  1. Burritomedic1127

    Other 'gigs' for an EMT in RI/MA

    For the most part, a WEMT is the medical person in charge in austere environments far from definitive care. Your job could be anything. Medicine, SAR, logistics, trip planing, evacuation, etc. Your job function will vary based off of trip length, number of people, and severity of the emergency...
  2. Burritomedic1127

    first call of the day is...

    High probability head bleed. Lady told her husband how bad her headache was, then she dropped. Unconscious and vomiting when we got there
  3. Burritomedic1127

    the 100% directionless thread

    Me neither. No disconnect between provider levels. I've worked at other companies where medics get different colored shirts, badges, extra patches, pins, go go gadget radio holders, etc. And they wonder why there are paragods....
  4. Burritomedic1127

    Unsedated Cardioversion

    There was also nothing mentioned of fear of performing these procedures. If it's life threatening and you can fix it, fix it without pain meds (example needle decompression). Again, I'm not saying give pain meds to start IVs, but for other pt's, providing analgesia is not a "abandonment of good...
  5. Burritomedic1127

    Other 'gigs' for an EMT in RI/MA

    Get your wilderness emt and you can be a guide in the White mountains
  6. Burritomedic1127

    the 100% directionless thread

    Company I work for doesn't want medics or EMTs to wear patches on their sleeves. Just the normal uniform with the company logos
  7. Burritomedic1127

    the 100% directionless thread

    Classic oh sh*t moment from the engineers standing too close
  8. Burritomedic1127

    work work work

    Can't take the dirty pieces of paper when your gone
  9. Burritomedic1127

    work work work

    "If you win the rat race, you're still a rat"
  10. Burritomedic1127

    lifeline ambulance in massachusetts

    @Jessanne I used to work their years ago for my first job as a basic. Send me a PM and i can give you a run down of the company No 911 contracts in Mass. you'll get the occasional "bad labs" direct call to Lifeline response to a nursing home
  11. Burritomedic1127

    the 100% directionless thread

    Thought the same thing
  12. Burritomedic1127

    Unsedated Cardioversion

    That's the Irish blood sorry ha. To be honest, i cant stand lazy people (not you guys) in regards to pain management. The line of why give pain meds when the hospital is right down the roads drives me crazy (more than baseline). People withholding pain meds cause its close to shift change and...
  13. Burritomedic1127

    Unsedated Cardioversion

    Right here: "But I hate the distinct fear that we are nervous to do something that can save a life because it will hurt. No kidding it will hurt, but so does an IV, IO and EJ. Am I going to abandon those items and good care because of the pain? No." I agree 0.5mg might be pissing in the wind...
  14. Burritomedic1127

    Unsedated Cardioversion

    Where do i start First off, ill repeat it was never originally directed at you. Yes i was repeating your verbatim of saying i hope you never would, Because you were explaining, you never would cardiovert a stable person. This is us agreeing Just my style of medicine, i would never move a pt...
  15. Burritomedic1127

    the 100% directionless thread

    People higher up on the lift jumped when they started rolling backwards
  16. Burritomedic1127

    Unsedated Cardioversion

    Man I need to proof read my posts for spelling. "Give some sedations" is my new term haha
  17. Burritomedic1127

    Unsedated Cardioversion

    Giving pain management is good Pt care. End of story. I'm not saying sedate someone for every IV but electrical therapies are big painful procedures where sedation will help the pt. Next time you see someone get cardioverted in the ER, not pre hospital, tell me if the MD/PA/RN doesn't have some...
  18. Burritomedic1127

    Unsedated Cardioversion

    Like I said it wasn't directed at you. And I'm not going to go full ACLS refresher, but I would hope you would never cardiovert a stable Pt ever. My point is not the algorithms we choose, medicine before Edison and all that. My point is, if it came to the point where your findings deemed an...
  19. Burritomedic1127

    What are your meals?

    Big ole batch of rice beans and hot sauce go a long way
  20. Burritomedic1127

    Unsedated Cardioversion

    For the most part, you should have time to give some sort of sedation before cardioverting. Yes, if the pt is circling the drain, minimally responsive, with a pressure in the 50-60s refractory to fluid, then hell yeah light em up. But I'd be pretty pissed if I have some symptomatic arrhythmia...
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