Jumping in with both feet

Epi-do

I see dead people
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I have been cleared and working as a medic now for about a month. In that time, I have already had 2 overdoses, 3 cardiac arrests, 2 burn patients from house fires, 2 COPD/CHF'ers that I almost had to intubate, and a pedestrian struck by an SUV and thrown through the air.

Of course, there have been your everyday, "run of the mill" ALS runs too - chest pain, difficulty breathing, diabetic, etc. So much for easing into this new role. I guess, on the bright side, I have been "fortunate" to get several "oh crap" runs right off the bat while all that information is still fresh, rather than wondering when the first "big one" is going to come along.

So far, I have managed to make it through each run, learning along the way. All through class, respiratory runs were the hardest for me to feel comfortable with, and I feel as if I am gaining confidence with them. With each one, I feel a little bit more certain with my working/field diagnosis and treatment decisions. Not only is that good for me, I am positive it is good for my patients as well.

I have been told by several people that your first year as a medic is the biggest part of the learning curve, and I am finding alot of truth to that. Even though I had been a basic for almost 10 years when I finally got my medic cert, I feel as if I have a different perspective on patient care now. I am sure a part of that is due to the increased knowledge obtained during class, and some of it is due to the realization that I have to ability to do something for my patients, besides give them a taxi ride - and that whatever "something" I chose to do will have consequences, good or bad, for the patient. Not only am I learning how to provide better patient care, I am also learning "how to be a medic."

I hope the rest of our baby medics here are having good experiences. I know there were a few of us that all finished class around the same time and I would love to hear how you think things are going. As for me, it seems to be a trial by fire, but I am surviving!
 
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You are maturing as a medic well. I always inform newbie Paramedics is much different the first time you actually make the decision to administer a medication..... all by yourself. There is no other to back you up or assist you. You realize as it enters through the IV and no point of return, it will either help them or may cause problems if you were wrong.

There are very few that do not remember the first time. True each time gets a little easier but there is always that little hint of hesitation or doubt afterwards. After each call you realize that you are still learning and after a while, realize that you will always will.

Keep up the attitude of the desire to learn and know your boundaries will grow with you.
As my motto goes..." I must be smart, as they say ..."You learn off your mistakes"...

R/r 911
 
I hear you epi.... I was "cleared" after 2 weeks with a different "preceptor" each time. Every one of the medics in the company strongly recommended to management that I get at least 6 months either with another medic or as an EMT(:wacko:?). I was past my 3 month probationary period with the company last week and have been running as a medic on my own with an EMT partner for 2 1/2 months. The first bit was extremely difficult. At my low point, I seriously reconsidered, if not my career choice, the place I was working at. I am getting comfortable in the field. I have found my own rhythm (ha ha... medic joke) and am really starting to enjoy my job. By the same token, I am extremely grateful that the first 2 months my calls were either cardiac which I am very comfortable with or BS. The first flash pulmonary edema patient I ran on died. That call will be with me forever. The multi casualty MVA where I am the first and only response has so far eluded me. I thank God that it has worked out the way it has. I am doing good work, and while I fully expect to make mistakes, I am more confident each day in myself and my abilities to do the job well. I love this job.
 
I cant wait to be like yall. Im still in emt class. As a matter of fact I had a dream I was an EMT last night LOL
 
I cant wait to be like yall. Im still in emt class. As a matter of fact I had a dream I was an EMT last night LOL

what a nightmere?
 
I was recently told that I was 'banned' from attending some jobs as I am a truama magnet, and gave the motorsport crew I was working with 4 very busy days!

And as I was on the alpha 2 truck (second standby ambulance) I actually managed to get out of doing anything!
 
Epi-doo, where are you? (Couldn't resist)

Good on you!
You did well as an EMT I am sure, because the first level of any profession (and especially EMS) is to learn what not to do and when not to do it. Even the docs are taught "Do no harm!" as their preeminent doctrine.
How are you interfacing with your former peers!?
 
The multi casualty MVA where I am the first and only response has so far eluded me. I thank God that it has worked out the way it has. I am doing good work, and while I fully expect to make mistakes, I am more confident each day in myself and my abilities to do the job well. I love this job.

That was my first job after doing my first training course, and I have done a few since. Just remember your ABCs- makes it easy to triage, and now I do jobs from time to time where triage is a basic skill that is needed, even as a 'one out'!

Always remember that practice makes perfect, and even the most basic of skills can be used in any situation.
 
Good on you!
You did well as an EMT I am sure, because the first level of any profession (and especially EMS) is to learn what not to do and when not to do it. Even the docs are taught "Do no harm!" as their preeminent doctrine.
How are you interfacing with your former peers!?


Thanks! Things are going well with the guys at work. They have all been very supportive and helpful over the last year +, while making this journey from basic to medic. It is sort of funny, because I know which guys like to hurry up and get out to the truck and which ones prefer to hang in the house a little bit longer before moving to the truck, and am finding that I am not moving "fast enough" for some of them. I haven't done anything "wrong" or grossly inappropriate - still trying to figure out what my "style" is going to be, and I have moved quickly when the patients needed me to do so. It just isn't as quickly as some of the more seasoned medics would move if they were the one running the scene.

I am happy to say I finally got a break yesterday. Since originally posting this thread though, I added a peds seizure patient I gave versed to, and a patient with a head injury (he fell from the step on his salt truck, landing on the back of his head and neck) that went from A&Ox3 on the scene to responsive to pain only about 3 minutes out from the ER.

All I could think was, "Crap! What do I do!?!?!" That last 3 minutes seemed to drag and fly by all at the same time. I went back to the beginning and checked airway (got a patent one), breathing (yep, still doing that), and circulation (yes, life is good). Checked for seizure activity (none detected), called the hospital and dropped the patient off. It scared the crap out of me. At least, before he had a decreased LOC I was able to get a good assessment in, including a good history, and all of the usual treatments - c-collar & backboarded by the squad before we got onscene, O2, IV, monitor, VS every 5 minutes, and we were headed to the trauma center. I need to ask around and find out what ended up being wrong with him. I just haven't run into anyone in the last few days that would know.
 
I need to ask around and find out what ended up being wrong with him. I just haven't run into anyone in the last few days that would know.

Depending on how good you're "in" with the staff, I'd check with the ICU folks; from up here in the cheap seats, it sounds like he might have had a brain bleed goin' on. In addition, your actions are a great primer for inexperienced folks to learn by; if the patients starts heading south, start from the beginning to make sure your interventions are still effective and you didn't miss something the first time through.
 
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Get used to never finding out, or just getting "bad news"

Some folks will be sure to drop a bee in your ear about the "terrible" job you did, and few will try hard to let you know how well things went later. Worst of all is finding out when you are called in for a deposition. Make sure your ego and realtionships are immune from this sort of "bad news travels" deal.

Some nice folks work in hospitals, get to know them and let them know you really like some feedback.

 
disregard duplicate post

.............
 
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