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  1. J

    Frozen NACL

    Kind of funny since they say not to let it get colder than 45 deg. F or throw it out: I had to check on all of our medications because we didn't have an ambulance garage and that was how we were able to get a heated/AC garage built is to keep medications healthy
  2. J

    A 'lil Dizzy

    For approx. 5 years our area did 12mg Adenosine only (12, 12, 12). I never had to give it. Last 2 years they went back to 6, 12 and 12 and I have had to give it 3 times since. 6mg has worked all 3 times for me. Prior to that 6 mg only worked once, I had to cardiovert * 2; When I was BLS and...
  3. J

    NY Paramedic shot in back of ambulance

    Last patient that I flew to the hospital when they stripped him for surgery, (he was unconscious) an small .22 fell out of his crotch. Scared the crap out of the nurses, and we got called and chew out by the flight crew, who had been chewed out by the hospital: I asked the same question the...
  4. J

    Should EMS/Fire be armed?

    My PT job we can carry concealed, owner is ok with it, and her insurance company is too. Especially since in the 8,500 square mile response area we may be 2 hours from the police and part of the area we don't have cell and radio coverage so calling the police is tough. Carrying into schools...
  5. J

    Please help me

    What Mike says.
  6. J

    NY Paramedic shot in back of ambulance

    And that happening is scary as hell. Last time I found a gun on a patient was 30 minutes into a 45 minute transport going to a helicopter, when everything was done and I was trying to find ID, and medication list and Med hx. (hoping) trying to find out why my 76 y/o was unconscious. Found ID...
  7. J

    NY Paramedic shot in back of ambulance

    So you are doing a full head to toe assessment, for an ankle injury? that includes hands on every part of the patient? Hands into the crotch? let us know how that works,
  8. J

    Should EMS/Fire be armed?

    If I was allowed to carry on duty (CCW) and someone pulled a gun and shot me or my partner (or shot at us) in the back of the ambulance; yes I would pull mine and shoot back, and continue shooting him until he stopped moving. Hypothetically of course. Otherwise it is beat the patient with our...
  9. J

    How did that get there again???

    Was he a former prisoner? I used to do a lot of prison transfers and we had quite a few of those. Usually they were honest about doing it though. Had a nurse on her last day in the prison infirmary that took 5 prisoners that came in to get help getting them back out (which is something I am...
  10. J

    What is your most ridiculous call?

    We had a suicide on the freeway in my last area (FD); guy drove 200 miles till he ran out of gas, pulled over; popped the hood. Watched and timed it right and walked in the front of a Semi. He was hit by 2 Semi's and 5 cars. He didn't survive. We ended transporting a total of 7 people out of...
  11. J

    Hypotensive CHF patient

    What was her normal BP? People get so stressed out about BP being low, without ever asking what the patients normal BP is. If this patient was my dad, yes that is a low BP (he is normally 150/90). If this is me, this is a little high (normal 80/40).
  12. J

    What was your first 911 call?

    Fast Frankie; please tell me your Black cloud has greyed out a little. lol
  13. J

    Is there a place someone can train a new EMT to drive a ambulance outside of a company?

    What nomadic said works great. I didn't like driving the Internationals that my PT job has, then I drove a 20' Penske from NW Utah to San Antonio, and the Internationals are no problem now.
  14. J

    Do you need to stop at MVAs? What do you do if there is no need for EMS

    That is always a tough question: I always stopped when I didn't have a patient on board; and a couple of times if it looked bad, when we did: but 1 of us always stayed with our patient. I put a tourniquet on a partially amputated leg on a motorcycle accident. When fire arrived, I got yelled...
  15. J

    New Cardiac Scenario

    The patient was me: and yes that is my normal BP; worries people sometimes. I was glad that I was sort of awake both when they took my BP and when the nurse came to give me the NTG paste. Although it would be kind of interesting to find out what happened (especially since I was already in...
  16. J

    New Cardiac Scenario

    Good Zebra; No all medical. No trauma. Turned out to be all stress related. Walk in to ED at 2130, walk out (of floor) at 1530 next day. CT stress test showed 24% EF (Ejection Fraction); but the cardiologist didn't believe it; so he ordered a bedside Ultrasound Echo which showed 64%. Slight...
  17. J

    New Cardiac Scenario

    2nd round VS: SPO2 and Cap approx the same, HR 80. BP 124/60. Chest and arm pain still about the same; at least until 1st dose of 5mg Morphine was given; along with Zofran. Patient felt like vomiting but Zofran finally kicked it. All of this is at the hospital; it was a walk in. 324mg...
  18. J

    New Cardiac Scenario

    oops missed that; 90-94% normal for patient due to asthma history; Cap 34-38.
  19. J

    New Cardiac Scenario

    P.E.'s were 10 day's post Knee Scope; and he wouldn't listen to his wife; so 4 days later after going to the surgeon to get cleared for work he went to the family doctor to find out why the Asthma was acting up so much. Doc was in the room for less than 1 minute, walked out, 2 minutes later...
  20. J

    Medical alert activation WWYD?

    I would call the police: bad thing in my PT job, rural area, PD may be 2 hours away, and may refuse to come for that. We have them refuse to come on a potentially dangerous run, "unless you are actively being shot at", So we force entry.
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