shannon710

I have really been liking "Shift Work" By Kenny Chesney.... Take out the F in shift and it makes sooooo much sense!! lol

besides being tachy@ 160 now, EKG 12 lead unremarkable. head to toe reveals nothing, abd is soft non tender. **BTW BS is 464 mg/dl- tested by 2 different glucometers

lung sounds are clear, and i was leaning the same way, but there is something missing still. pt had been able to ambulate on his own, not bed ridden, and only in the wheel chair bc of surgery

no fever, skin is warm and dry. he complained to staff about feeling generally weak in the morning, but had still been able to ambulate to and from his wheel chair fine. nurse also states his fluid intake was alot more than normal. no longer on antibiotics and no new meds.

nurse suctioned about 45 minutes before this sudden onset. When you arrive on scene, initial vitals are BP 110/70 HR 130 Resp. 20 labored skin is pink from the chest line up, mottled from the waist down Patient's only known HX is diabetes. He is temporarily in the ALF for rehab of foot surgery 3 weeks ago. he had a reaction to anesthesia and had to be trached.

You are dispatched for difficulty breathing. 65 yo male trach pt at an ALF presents with SOB, decreased LOC and low o2 sats. Nurse states she found him supine in bed, semi fowlers position with sats in the 70's...what do ya wanna know?

we generally have about 35 trucks on the road during peak hours(with planty in reserve and some down for maintenance at any given time), less at night, we average around 400 calls per day and around 370 transports, and our shifts are 12 hours, not 24, imagine 10-12 calls in a 12 hour shift.

well, as far as busy counties, we have one sole ambulance company in our county with 64 trucks in the fleet, we average anywhere from 10-12,000, yes THOUSAND calls a MONTH and 9-11,000 transports monthly, and thats our "slow season" before the snow birds come!! We have some down time on a 12 hour shift, but generally just enough to eat a few bites and regroup for the next call.

very interesting..good one emt322632!!

our system is dual response, fire responds to EVERY EMS call, wheteher its a possible cardiac arrest or grandma that isn't feeling well. EMS responds to all fire calls. Anything could hapen at a fire call as anything could happen at an EMS call, multiple pts could become evident. Being a dual response, we are an all ALS system, so with fire there as well, there is potential to be 4-5 medics on scene. You can't swing a dead cat without hitting a medic here. Plenty of helping hands for what may come up.

attempt to awake the pt. assess her ABC's and loc at that point. get a hx of the present problem. get a set of vitals, SAMPLE and have the husband get meds together

Thats a BIOTCH to maneuver...for an ambulance...

wow that is great :!:

I post at work..in our system we have no station, only HQ where we start and end. We just went to the new E-PCR's (electronic patient care reports) so we have WIFI on the trucks to be abe to sync up with HQ's computers...or e-mail :wink: ....its nice...

We run an al ALS system here, our medics administer EPI 1:1000 for anaphylaxis. As far as BlS, we can assist the pt with administration of their own prescription.

hahaha took me a sec too, get it hearing problem...symptoms could sound like simpsons....lol

lol...thats funny...i guess you are only as good as your trauma shears?!?!

haha i thought that was funny!

hahaha my boyfriend tries to pull that on me...he just isnt sly enough..lol

You are 42% Rational, 71% Extroverted, 0% Brutal, and 42% Arrogant. You are the Hippie! Characterized by a strong sense of extroversion, irrationality, gentleness, humility, and a faint scent of marijuana, you no doubt frolic through fields preaching peace and free love! Immediately following that, you then frolic to the hospital with herpes! You are probably either very spiritual or needlessly paranoid about "the man", like most hippies, as a result of your focus on intuition and feelings over cold, brutal logic. You probably enjoy poetry, especially beatnik ultra-liberal crap about how horrible fascism is, even though your suburbanized, sheltered idea of "fascism" is having to pay two dollars per gallon at the gas pump. You are also very, very social. And like any hippie who would have no qualms about hitchiking across the country just to meet some interesting people, you also love to interact with others, even complete strangers. Though I highly doubt they love to interact with you! Because we know most any hippie is peace-loving and humble, it stands to reason that you, as well, are terribly gentle and humble, almost to the point of revulsion. Your carefree attitude of peace and harmony is probably very, very sickening to realists or cynics or anyone who isn't a hippie, to tell the truth. In short, your personality is defective because you are overly emotional, extroverted, gentle, and humble--thus making you an annoying hippie. Now go do your drugs and have sex with filthy bearded men in tye dye shirts. To put it less negatively: 1. You are more INTUITIVE than rational. 2. You are more EXTROVERTED than introverted. 3. You are more GENTLE than brutal. 4. You are more HUMBLE than arrogant. Compatibility: Your exact opposite is the Sociopath. Other personalities you would probably get along with are the Hand-Raiser, the Televangelist, and the Robot.

Its so true!! lol...if we were to save our receipt, as all women do :wink: could we make a return?

hahahahahahaha!!! I think I would have stopped at floor 5 tho!!

GERMS

that is...wow... i dont know what to say really, the first one is humerous, the second on the other hand is highly offensive and dis-tasteful

lol...those are good!