Niftymedi911

I'm a former Manatee County Medic. What would you like to know? Sorry, but I'm just getting back to this site.

Mine is a hybrid of Chart and Soap. Med-5 responded via 9-1-1 dispatch to a female with chest pain. Upon arrival found 62 y/o female seated upright in a kitchen chair. Patient is noted to be aware of surroundings and presents with levine's sign. Patient reports that earlier in the day, while she was weeding the lawn, she developed sudden onset chest pain / Indigestion that caused her to break out into diaphoresis. She reports that she came inside and layed down thinking it was just the tacos she had for lunch. When she woke up, she reports the pain is worse and she vomited. Patient reports that she took some Tums and ASA just in case because she's had a prior MI in the past. Patient reports the pain is a 10/10, radiates to her left arm and jaw. She reports its a constant heaviness that makes her nauseous. Patient reports that she took the meds at 1400 and time of onset was 1330. She reports her cardiologist is Dr. XYZ at Madeup hospital which is a PCI hospital. Patient reports no further. Patient is placed on 4 lpm NC, baseline vitals, and given 324mg of ASA. Patient is assisted to EMS stretcher and moved to awaiting ambulance. Patient received rapid 12 and 15 lead ECG with revealed ST segment changes inferior lateral. No RVI is noted. Transport is started to Madeup hospital. While enroute patient received: SPO2, Serial 12 leads and ECG monitoring, IV NS Lock x 2 18G in bi-lat A/Cs, MS04 total of 10mg in mg increments and x 3 0.4mg NTG sublingually. Patient is noted to respond well to treatment with an overall pain decrease to 3/10 with ST segment elevation receeding but still present. No further changes were noted. Code STEMI is called and 12/15 lead ECGs are relayed to PCI. Upon arrival to ED, EMS bypassed the ED and brought the patient to cath lab where report to RN and staff is completed. No further incident. FCJ Original Document Treatment times are approximate.

Is chat free again or does it require subscription?

I'm available most of the time. Just post a date and time and ill try my best to be there.

What is "Action Jackson"? What is "SOA"? Please don't say shortness of air. There is no shortness of air. As for your question, I agree with CHBARE. I'm wondering, too, what evidence you took with you to present when raising these questions. Action Jackson is my term of endearment everyone calls me by. It was derived after a shift I had where I was first due to a plane crash and MCI bus crash @ 55 mph all in the same shift. SOA is an accepted term here in lieu of SOB. I'm used to using the term dyspnea myself, however after working 3 years in Kentucky I was sick of getting called an arrogant A hole because I used big words. So, thus why SOA. As far as evidence, 2010 AHA ACLS guidelines is a start for some of the stuff. However, I didn't even get that far. I was cut off in mid sentence and told no. Which is why I took to the masses to see what kind of atmosphere there was about it. I mean well with my posts and I do have the capability of putting all the studies that pertain to it as evidence. However, I am tad bit under the weather today and don't feel like it. Dammit tapatalk is merging all of them together. Sorry for the jumbled mess.

Am I the only one who immediately though that old guy from Liberty Medical is out of a job?!? LOL. Action Jackson

C-Collar/LSB removal, Induced Hypothermia, removal of Atropine, Removal of Morphine, adding Ketamine, adding chemical restraint. Yes, we still use atropine. :/ It really is sad when the state EMS Board is too lazy to make they're own protocols/Guidelines they just copy and paste the one state that has the most restrictive. This all started after I was QA'd for not putting a C/P on 15 lpm NRB with no evidence of SOA. When I heard them say the ole mantra of "Everyone gets high flow oxygen". I could do nothing but *facepalm* Action Jackson

With the paradigm shift of EMS moving from a protocol/standardized assessment approach to pure evidence based medicine, have you encountered a lot of resistance from administrators to accepting these changes vs. what currently works? I work for a small rural service that prides itself on its good reputation to provide excellent medical care. But, with this in mind, would they not want to follow the paradigm shift to provide the best? I started this conversation with my current employers and they couldn't answer me. I'm looking to see what the attitude of the general population of EMS thinks. Action Jackson

I love tapatalk. I'm actually posting using it right now. Action Jackson

Oh dear Lord, it's been what 9 years?!? This will be epic!

You know, we always used to butt heads about how much of a Lee County fan boy at one time I was. Hell, when we chatted we even got in arguments about who was getting home (heaven) first. Well, Rob, looks like you just had to beat me down just one more time! I'll never forget you, you were an amazing person and about the smartest person I knew when it came to anything about public safety. God Speed Rob! God called an AMAZING angel home.

Welcome to the city! I started here 6 yrs ago when I was brand new. Been some of the best help and knowledge to date. Just please don't take this the wrong way, use the search function before posting on a topic, can't tell you how many redunant posts there are.

First off, Good Luck!!!! Second its 10 push-ups, 10 sit-ups, 10 jumping jacks, carry a 250 lb backboard patient 250 ft, stop do two minutes of CPR then bring him back to a awaiting stretcher, then place him in the back of an awaiting rig. Carry a 50lb med bag a certain distance, and few other things that I can't remember. But its been like 6 years since I've had to take it.

LOL, my nickname at work is "Action Jackson" bc of the same thing....... if it's gonna go down on my shift, its my call. It's not actually all that bad though. It keeps me on my toes. I say bring it!