•January 14, 2015 • Leave a Comment
The following scenarios describe different vehicle accidents. Please identify which patient(s) require emergent EMS transport, and which pt should have known better that there are key words that earn you a backboard and c-collar. (Drugs are not a contributing factor, and no LOC in any of the following cases.)
#1: Post-2000 4-door sedan stopped at intersection rear-ended by similar-sized at 10 mph. Minor damage to fender, car is still drivable. Belted adult-sized occupant years of age A&Ox4 with zero health history. No airbag deployment Complaints: neck pain.
#2: Post-2000 sports car going 60-70mph on highway. Unknown vehicle malfunction causes driver to lose control of car, car makes big-ass dent in guardrail before driver manages to steer car to shoulder. No air bag deployment. Front end is buggered up, but no passenger compartment damage. Middle-aged belted occupant has history of hypertension, torn and repaired ACL surgery, and currently complains of tenderness in chest area, but breathing not compromised.
#3: Post 2010 sedan-ish car traveling at 60 mph. Driver hits object that fell off another vehicle. One of the front wheel is damaged beyond a drivable state and curtain airbag deployment on same side. Belted adult yuppie occupant has sole complaint of face pain, but healthy adult yuppie w/no significant health history is pretty sure their pain is related to the curtian airbag inflating into their face.
#4: Belted occupant driving a 19-year old car loses control of said car at 60mph. Car does a lovely sideswipe of the concrete barrier, occupants bites her tongue REALLY EFFING HARD, but driver gets car to shoulder without killing herself or anyone else in the process. Car is all sorts of damage, but no passenger compartment damage. Driver complains of neck tenderness and EMS notes a fabulous tongue bruise.
Pencils out, kids!
•November 30, 2014 • Leave a Comment
“Any other health history?”
*looks through pile of papers*
*sees “lithium carbonate” listed under medications*
Erm, rusty field medic might be rusty, but I’m pretty sure this patient’s hiding something here…
•November 1, 2014 • Leave a Comment
SWEET HOLY HELL NURSING SCHOOL IS FUCKING HARD.
Mix in the fact that this is an accelerated course and my ever-present paranoia that I’m one step away from killing someone as a student, and outside social and family issues…
…and it’s no wonder that I had “the talk” with my primary care doctor about going back on seratraline aka Zoloft. After about a month, I’m soooo much calmer and clear-headed, and most of the nastier side effects have subsided.
So yeah, still around. Just trying to keep my ducks all in a row.
However, my return to squad-based EMS is going well. Still haven’t thought of a clever name for the organization…meh, I’m sure it’ll come back to me.
Weekly updates, self. Weekly updates.
•August 14, 2014 • 2 Comments
…not that I had doubts about passing two known fail-out, hard science courses with the needed grades…
Also managed to convince another EMS organization that working in a hospital for a few years will make me a better field paramedic. (I’ll figure out a witty name for them later.) I think a little card with the words “National Registry” also played a role, buuuut that’s just me.
Now, back to completing umpteen million hours of training for said new organization, as I’ve a good name and reputation to keep up…
•June 18, 2014 • 2 Comments
Anybody still here?
(I’ve really let this blog sit dormant for over a year?)
So if you’re an e-mail subscriber and you get this, surprise, I’m back.
Let’s see, June of 2013…what happened? Ah, yes, now I remember: workplace politics and injured egos may or may not have threatened my job status and made my life unpredictable for a year, and I may or may not have had unexpected allies, and maybe and I DIDN’T start playing the Mass Effect video game trilogy, and then I had to uproot because, reasons, and where was I going with this? I’m not sure. Let’s start over again.
Short version: El Capitan Chia Pet and have returned to our roots, he’s got himself an adorable little civy job when he’s not playing Reservist, and I’m working on getting back into the medical field via…NURSING SCHOOL! (And another avenue, but once again, I apparently didn’t burn as many bridges as I thought I did, much to my pleasant surprise.)
Once a week, I promise. With Pudgy Pup pictures at the very least as I attempt to bop into other blogs and get in touch with my writing side again.
(I blame Snigs for my return to this blog. That is all.)
•July 17, 2013 • 4 Comments
*Blonde Tech glancing at order* “What’s a triple A?”
Me: Did I really just hear that question asked by a cardiology coworker? Yes. “Abdominal aortic aneurysm…it’s when part the descending aorta weakens. If it ruptures, it’s a life threat.”
“So, what does the abdomen have to do with it?”
What. The. Actual. Fuck? What part of BLOODY FUCKING DESCENDING AORTA DID YOU NOT FUCKING COMPREHEND?
Apparently, not all of my coworkers have taken the same amount of Anatomy & Physiology that I had to take. (Let’s face it, the amount of A&P for EMT-level classes is a joke.) Every time I deal with her, her level of ignorance sets new lows. (Why yes, she’s also a CNA at a long-term care facility…so glad you asked!) Paramedics, do you have your shocked face on? Good.
Perhaps I’m being an elitist college-educated bitch here, but how the hell is someone this unfamiliar with cardiac anatomy? My 8th grade Health class covered cardiac blood flow, and that was in a public school over a decade ago!
•July 2, 2013 • 2 Comments
Note to self: questioning an order in the name of ensuring good patient care. earns the ire of the ordering doctor.
If my first concern wasn’t overall patient safety, I’d let some of them suffer the full consequences of their actions. However, no matter how pissed off I might be with either party, I will do my best to protect the patient.
Now, if you’ll excuse me, I have massive egos to tiptoe around…