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I have a chill job call volume wise. Our busiest unit averages four calls in 24 hours. A transport is 90-120 minute affair depending on the area so it’s not the slowest. I’m going through a process with a job that is much busier. Like 11k calls between four stations but has a hospital in...

The Fire Chief is rarely expected to have any sort of tactical involvement, which is a role filled by an operations deputy or other similar title. Often happens at EMS services too.

I think at his ripe age of 20 he just doesn’t know any better. Fancy radio strap, rolls of tape on the pockets, etc etc. new guy vibes. One day I’m sure he’ll see pictures of himself and be like “why didn’t someone bully me out of wearing this.” Working on a 911 ambulance when you’re 20 makes...

He’s got it filled with all sorts of supplies. Starts his IVs right off his leg. What a moment.

Working with a stranger today. He has a thigh rig. I cannot.

Ruh roh.

My part time AMR job does have a bari rig with ramps and the super wide manual cot. Usually they send a BLS crew to bring it out to us or a supervisor if it’s urgent. It’s also available to mutual aid agencies if the system isn’t too overloaded. I have also used wheelchair cans to transport...

Anyone here using a Pyxis to issue narcotics? I don’t mean at hospitals, or hospitals issuing to EMS. My department purchased a small unit which should allow crews to issue narcs to themselves. So far it’s been a bit of a disaster, would love to hear if anyone has had success.

With the advent of the wing side rails on the cot and auto loader systems, we have minimal use for specialized bariatric equipment. But this is Colorado, I would have a different opinion if I live elsewhere I’m sure.

We had half sets for our mini meds and those made those pumps even more temperamental so we stopped carrying them. We changed to spectrums and just stuck with full sets.

The minimed coulda been the transport pump to rule them all. But alas. So persnickety. I miss having a pump.

Yes, this is unusual. Not sure what one poster here is trying to prove. Would probably argue the color of the sky with you too.

Rate control is a great way to provide symptoms relief. I suspect this patient will feel much better post CCB, which is a big reason why I give them.

If a 12 lead has not been obtained, that would be first. Assuming nothing is pointing towards a latent infection or volume loss, I’d hang some fluids and give some fentanyl. If a 250 NS challenge has no effect on the rate, I would give diltiazem. I’d continue the fluids. If the diltiazem was...

Haven’t taken the keys out of the ignition in 11 years. Fire me.

90 degrees and our ambulance has no air conditioning. Our reserves are broken. Asked if we might borrow another service’s rig. Told no. This place can well… Even at AMR if our air goes out it’s immediately back to base for a new rig. No questions asked. Unclear how a fire department with a 19...

Spent nine months in a big FD’s hiring process. Got dropped in the medical for what I assume is a preexisting injury. Fitted for gear, ready to start the academy (bummer no laterals), and this was the last box. Used lots of time off to make it to all the events, postponed my wedding when I got...

I feel like it has limited utility. Generally, I can find a PIV, it might be a 22 in a weird vein but it usually will do for my purposes. Is delaying transport to get a larger gauge of access useful? I don’t know. Seems unlikely? If it’s not a critical need the hospital can have at it, even with...

I think it would be unwise to base any of the refusal process on the monitor’s interpretation, which is not known for its steadfast accuracy. Not that paramedics and doctors are either. The EKG is just one piece of a refusal. I would not want an EMT using the monitor at all to obtain a BLS...

An ALS provider took a hypoglycemic patient back emergent and did nothing but have them drink tea? Am I missing something?