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The most useless thing I carry with me is an expired credit card I've never taken out of my wallet.
Carrying a stethoscope is useless? Let me know how you get a manual blood pressure or assess your respiratory patients without it.
Get back to me on that one.
I never used a tall cervical collar.
They're all fine, well, and good... until you deflate them. I'm a fan of vacuum splints, actually. Those don't cause pain when you remove them and they don't put circumferential pressure on a limb. I might choose an air splint if I need to maintain pressure on a larger wound though...We carry ceftriaxone for meningococcal meningitis. If you ever needed it, you really do need it. But they tend to gather dust otherwise.
The second indication is for misc severe sepsis and thanks to (until recently) a lack of emphasis on early sepsis management, this rarely happened. Its getting pushed a bit more now.
What gets used even less is lidocaine. We carry it as a local in the event that you cant get IV access and need to give ceftriaxone IM. Imagine how much that gets used...
Air splints. Used relatively frequently but I hate them. Never seen them do anything but causes more pain and obscure you neurovascular obs.
The anchor points for the ePCR computers...no one ever uses them, which is a shame.
They're all fine, well, and good... until you deflate them. I'm a fan of vacuum splints, actually. Those don't cause pain when you remove them and they don't put circumferential pressure on a limb. I might choose an air splint if I need to maintain pressure on a larger wound though...
And there's that ceftriaxone thing again...
Lidocaine for local pain management? Who would have thunk? :wacko:
Vacuum splints are great. Too expensive though. At some rural branches where they have community social clubs or auxiliaries that raise money, they have much better toys. Like vacuum mattresses for spinal immobilisation.
Even the state's volly first aid organization has those moldable sam splints which are nice.
I smirk whenever I see someone carrying hemostats. Because it's usually an EMT-B, and they are usually carrying several.
I have one hemostat (Kelly clamp).
I originally got it for two reasons: 1. I thought my EMS pants looked stupid with those slots left empty. I'm talking about the slots on one cargo pocket that are clearly designed to hold things like that. 2. I'd seen lots of other EMS providers with them, so I figured they must be useful for something, so I got them, figuring maybe I'd find a use for them some day. (The other slot I occupied with trauma shears.)
When I started working for a critical care transport company, I got those smirks you were talking about. I got them pretty much everyday, in fact, but nobody ever said anything. Then one day, we had a lot of IV bags to hang, a couple of the hang tabs on the IV pump had broken off, and nobody had any carabiners. My hemostat came in quite handy that day. I never noticed any more smirks after that day.