BushyFromOz

I feel so inferior with my 3 leads

With the exception of a few BLS guys grandfathered in when ALS became the standard here, your almost certainly going to get an ALS paramedic anyway. In fact, this patient is time critical for us based solely on the injury.

Cant help but think there is much more to that story.

Who cares, as long as she puts out

Wow, what and egotistical asshole, i havn't seen this kind of dickheadry for some time in here.

I am too...... HOLD ME DUST!!!!

No, the asshole who was assaulting the firefighter on the other side of the truck caused that scene to escalate, some little prick was trying to pinch gear of the truck on the other side, when approached by a smokie and told to leave, the smokie was set upon by some other assholes which brought the attention of a fire hose. What this doesn't show is that the vast majority of that crowd was not there when the smokies arrived.

Oooohhh, important question!!! :twisted:

Yeah, i know who you are Nice to see you around matey :wink:

Priceless kat, just priceless

I am deffinately that third pig:D

yep. Happy i not living there :shock:

Awwww! who'd have though that under that firemonky as whooping hard ass exterior there is a soft cuddly little dustdevil on the inside

dude, are you serious?? :shock:

i'd have decompressed him during initial assessment on the side of the road.

no kidding, as timbo would know, workplace safety authorities are not shy about fining you or your employer for not wearing them.

FDNY is short of cash? :shock:

Ummm yes, yes the do end up with different outcomes. With the exception of Fire doing rescue, there is very little that any of these have in common.

Hmmmmmm..... one of the more ridiculous statements ive seen for some time :roll:

Thanks az, i could not for the life of me remember the name of the formula

Sweet!!!!! So this was not exactly last week then

What do you blokes aim for when fluid resuscing burns?? We work of Percentage of burns x weight over 2 hours from the time of injury. Id be looking for some backup quick because this chick could probably use a tube

Dont confuse ego with self confidence, but being to confident can manifest as a big ego

Well, might as well give the rest of the story... About this point, you, being a n00b, finally exercise a bit of lateral thinking (half an our too late) and take the pts b/p on both arms and find it to be 110/90 non the right and 90/70 on the left. A bit more lateral thinking and you finally remember that cannula's are not for arms only and quite easily slot an 18g in her right ankle and give her 2 doses of 2.5mg of morph and she settles down quite well. This is, as some of you have mentioned, a AAA. The theory is that the abdo pain for 2 weeks is from the AAA, with the paracetmol being used for her "tummy ache" and also causing the jaundice such as itku2er suggested. Interesting note that after arrival at A&E, she passed a bowel movement, her abdoman went soft again revealing a nice pulsing mass. And just to cap it off she had ST elevation in V3 and V4 and troponins of .16 :? Im glad some of you guys have suggested that there is not much you can do with this in the field, i have beating myself up a bit over this - especially with the pain control, anything else you guys would have done assessment wise??

No DNR No 12 lead available No movements since you have had her, and because i am a n00b i chose to head for the recieving hospital rather than try number 3 cannulation About 10 minutes form the recieving hospital, the patient becomes very agitated, moaning and crying, abdo guarding returns with a pretty intense facial grimace. Vitals are HR 130, Sinus tach on the monitor with both single and coupled VEB's GCS 12 (E3, V3, M6) B/P 110/P RR28 Temp 37.1 Lungs still clear Abdo has gone from being soft to rock hard on the R upper and lower quadrants over 3-5 minutes with increased pain on palpation judging by facial grimace. You start swearing like Gordon Ramsay (on the inside) and ou wish you had have had another crack at a line, and ske for that IC car who are ironically at the station watching Hells Kitchen