scubanurse

hi!

I mean the firefighters running around without shirts is pretty hot but the story line is just awful...and the chief? wow.

I dunno Congrats on retirement though! Exciting time... are you going to start golfing? EEK! I just realized I started the page

68? Doh...one of these days I'll start a new page

I remember doczilla talking about clotting aids at the CAP lab back in December, maybe he can add something to this thread??

Maybe? Doh!

Such a tragedy and avoidable

Congrats!

Doh! Face palm!

Hahaha wow... And now my whole class is wondering why my face is red so I have to share that one!

. See the Surprise thread

Beautiful! Except for the creepy cat picture...that one scared me a little.

That's so cool!

Our Occ health tested hearing every year and the 5 years I was active in the department, I had a noticeable decrease in my hearing acuity. I was an idiot and hardly ever wore hearing protection so I blame myself 100% for it. We had a policy in place that hearing protection be used but it was frequently ignored. It made it clear though that if we went deaf it was because of our own fault.

Welcome to the city!

I have had a variety of FTO and preceptors over the years in nursing and EMS. One of the best things I have seen done was at the end of the rotation/shift, they would ask if they could have done anything different. It shows a real willingness to learn on the preceptors part and provides good feedback on how they are doing as a teacher. I also like speedy's recommendation and that of others who have posted. Best of luck to you and let us know how things go and if you used any of the suggestions here

Sounds like a rough situation, I'm really sorry you're in it. My only suggestion would be to talk to their FTO who cleared them for the field. They aren't ready to be out there on their own it sounds like and I would want to know if this is new anxiety/fears or if the FTO didn't make them do night driving/mapping. Was their FTO shifts dayside? I would maybe start there. Good luck, I really hope you get it figured out.

Ok that's awesome. Thanks Mike for posting that... I tried google and it was a blocked search at work.

Is there a link to youtube for this? I'm really confused.

Interesting. I was under the impression EMS would recognize a STEMI and activate the cath lab at the receiving hospital to improve door to cath times, I was unaware of all the protocols in place to initiate treatment in the field. Looks like I'm so far out of the loop now!

Glad you're enjoying the training! Post questions if you have any, I'm sure there are a lot of people willing to jump in and help you out if needed!

You can lay them flat, or in trandelenburg if safe to do so and have them turn their head to the side, again if safe to do so. Sometimes you can have them puff out their cheeks like blowing up a balloon and that can help create a backflow in the EJ and make it more visible. Again, all of these techniques are only used if allowed and won't harm the patient. You can also place firm pressure against the clavicle and sometimes that will help as a "tourniquet", EJ's take a lot of practice as a lot of times you won't get a regular flash like you do on other peripheral IV's, it'll be small and you just have to know what you're feeling. Also something to keep in mind, a lot of ER's don't even allow their RN's to do EJ's and you have to have special training to perform them since there is increased risks associated with the procedure.

I'm not sure providing treatment for stroke in the pre-hospital environment will be a reality, just as STEMI's aren't treated in the field. Early recognition does improve treatment outcomes but there are many variables that make pre-hospital TPA dangerous I would think? This device seems intriguing and may help with early recognition of ischemic strokes, in conjunction with provider judgement. When STEMI treatments are currently being used in the field other than early identification and activation of a cath lab? Not snarky, just a genuine question.

If you think it's suspicious, call it in to PD and have them investigate. If the patient is stable enough, wait on scene until PD is there and then leave the bag with them while you haul butt away from there and take the patient to the appropriate facility.