Contracting Illness in the field- my first post..umm novel

jfz6

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I am brand new to this site!!! I am taking my NREMT this Tuesday and I am excited about starting work as a B-EMT- if I pass.

One problem though. MERSA!!!!:unsure:

*I tend to babble so those of you who are impatient can skip down to the next *

I started working at a local hospital when I started Basic so I could surround myself with the sick, the dying, the puke, the sh*t, the dead, the blood, the diseases, the drama and the trauma.

I work as a patient transport- boring-except tha the ER does not have transportation on the overnight shift and the staff as overworked and taxed as they are were more than willing to have someone with knowledge beyond how a wheelchair works on staff.

So I get to do all of the fun stuff ER techs do short of drawing blood and I get A LOT of good practice for things to come in the field- CPR, splinting, trying to control bleeding, etc., etc. plus I have been able to assist and watch minor surgeries (holding stuff) and do a few minor things in serious emergencies that I would never be allowed to do as a Basic- I am sure you all have been there.

Also I have seen the other side of the ER doors before I go into the field which I really think is a plus.

Yes, I am still an idealistic person that believes that care starts at the scene and continues until the patient walks out of the hospital or is put into the ground. Except with the occasional patient( every 15 minutes ) when I would like to have a chute that looks like a CT that actually dumps the patient at the local Doc-in-a-box. But then again I have seen one of those type patients (cold symptoms) go into respiratory distress, then failure, and die and that woke me up.

*Enough with all the stuff you guys have seen and done.

I am worried to death..hmmm...bad choice of words. I am very nervous about my exam on Tuesday due to the fact that about two weeks ago I found cellulitis on my lower left leg- just a spot. I figured I would get it taken care of that night at work in the ER.

I woke up to go to work and it had spread around my calf. The doc gave me some bactrim told me to stay away from the ER for a few days and go and see my doctor. That was a friday. By tuesday my foot was back to being purple (poor left lag has history of trauma and surgery) and I left the doctors office with MERSA, painkillers, 300mg of clindamycin (t.i.d? good guess? I'm terrible with abbreviations and finding pulses) 3x a day.

I know everyone feels the same way but my body HATES antibiotics. No amount of probiotics seems to help. All I do is sleep, sleep, sleep, and feel sicker when I am done with them then when I started.

That is why I am nervous about the test. Three weeks out of school with a strong 86 as my final grade- I feel good about it. I am 37 never cared about school until now, extremely ADD (can you tell?), and finished with an 83 on my final without ever taking a single page of notes- no I will not make that mistake in Paramedic. I am just finally learning how to learn at my ripe old age.

Good lord I ramble.

* How many of you have contracted something while working in the field and I don't mean a cold? How common is this? I had the heebie jeebies about the all the germs in the beginning and they went away- until a patient bit me- and then they went away again.

Now with the whole MERSA deal I am a little freaked again. No one has any idea where I got it- we are pretty sure it wasn't in house but in the community as we are seeing more and more of. Are we going the route of BSI for everyone everywhere?:rolleyes: It just has me freaked out a little bit. I am really good about protection.

BTW My leg is looking great. I broke my ankle and fibula in 93'. Over the years my greater saphenous vein dilated to the point where I had a big purple foot and had a saphenous vain ablation. A little over a month after that I had a motorcycle accident where the titanium plates and screws in my leg saved me from breaking and tearing all that up again and now my leg looks like I just got out of surgery and is a nice skin color with scars.

Hell, that should count for my first 10 posts you think????
Sorry for the long ramble- I am taking my adderall which I only take when I have to study- evil drug- and as you see it tends to make me ramble.

So what is everyone's take on acquiring illness on the job?
 
Myself and my partner got hella sick after transporting a real bad flu patient. We were both out for an entire week. Never found out what it is. But, I'm pretty lax on BSI for not-sick patients, like people in there for trauma things, or mi's, or strokes, etc.
 
MRSA: Methicillin-resistant Staphylococcus Aureus

Good links and reading material in these threads.

TB
http://www.emtlife.com/showthread.php?t=12272&highlight=infectious+diseases

Being an EMT is scary
http://www.emtlife.com/showthread.php?t=6236&highlight=infectious+diseases

OMG the patient has AIDS! (also other diseases discussed with good links)
http://www.emtlife.com/showthread.php?t=9132&highlight=infectious+diseases

How clean is your stethoscope?
http://www.emtlife.com/showthread.php?t=11714&highlight=MRSA

Do you sanitize your pulse ox?
http://www.emtlife.com/showthread.php?t=11513&highlight=MRSA

When do gloves come off?
http://www.emtlife.com/showthread.php?t=5861&highlight=MRSA
 
Could you maybe postpone the test until your leg is better and you have gotten some sleep? The NREMT-B exam is challenging so you want to be really prepared before you take it.

No idea what postponement procedures there are but if you have documentation from your MD...

Whatever you decide, good luck!
 
how do you know that this was contracted in the field? it is on your leg, and you were wearing pants (i hope). There is a possibility that it is from that, but maybe not.

best of luck with the exam, you will do well!
 
Contracting MERSA in the field....maybe

how do you know that this was contracted in the field? it is on your leg, and you were wearing pants (i hope). There is a possibility that it is from that, but maybe not.

best of luck with the exam, you will do well!

Thanks for the good luck wish!!!

Actually we are seeing more and more of MRS cases walking in off of the street in the ER lately. One of my favorite ER docs I work with and my physician said it was more likely that I was exposed to it outside of the ER and the hospital than in it. More cases of community acquired MRS has been seen around the Birmingham, AL area lately than hospital acquired cases it seems.

My leg is a great site for immune deficient problems according to all the doctors I have spoken with about it as it has seen a lot of trauma and surgery and I really need to exercise it more. The more I sit an study the more swollen it gets. The more I walk around and exercise the better it is.

They think the staph went straight for the leg/ankle area. I didn't know it could be so picky- learn something new every day.

I had been breaking in my new EMT boots and had been lacing them pretty tight to give me ankle support which probably restricted the blood flow and allowed the crap to fester as the cellulitis first showed up where the sock band was.

Personally, I think I got it in the back of the Ambulances I rode in doing my rotations. I swear on my bad leg, as lazy as I am, I am going to clean those things before every shift. I rode with some great people that I learned a lot from. I also did my rotations back to back when possible. Twice I got in the same ambulance and it had not been cleaned.

One of the FF's in my class did a rotation 2 :censored: WEEKS apart on the same ambulance. The first ride he left his $130 sunglasses where he had set them near the gloves by the oxygen (christmas tree) and came back to find them sitting in the same spot.

That is how I think I think I got this-
MRSA-cellulitis.jpg

my early warning sign:excl: Glad I caught it....discovered it.
 
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