Evening adult EMS thread

Thank you, I assume that it's perfectly normal and no sign that I'm at risk of anything?

How many people can you fuck with and get away with? I wanna see overdosing people and delay the administration of narcan for as long as possible. Like the floridian overdosing man's inhalation. I saved the sprite of his shallow breathing while he's unconscious, and added him to the sandbox house where the narcotics unit 2008 bodycam pitbull wounded animal was screaming and kicking it's legs in circles because it's spine was shot by 5.56 and blood hadn't welled well up and well out of the wound, but it wasn't even going into shock and screaming.

That's a ye 5.56 for you, shreds up the tissue and stops basic functions.,

The ideal house would have 15 overdosing floridian blue collar men merged with pit bulls due to their shot spines allowing themselves to drag their bodies at speeds of 2km and broadcast their beautiful shallow desperate breathing to a 3 meter radius, faster than the unconscious breathing shown.

Video of the man: youtube.com/watch?v=RL4-Umip_Cc

There would also be kittens with eye infections and bursts of ammonia gas because of the infected eyeballs.

And most of all, there would be flutter kicking dogs screaming because they were shot by 5.56 fragmenting rifle rounds, and the wounds are very wide and perforated, yet the blood isn't welling out of the wound, but all the pain and shock's there. WEBM related.

I can say with 100% honesty that the overdosing dying people getting their shit swept off the shelves and fun spoiled along with dogs being shot and having their tissue shredded and performing entertaining maneuvers genuinely gets my penis hard. It's filling with blood, but not all the way.

It's even cooler because of the pitbull nigger's head.

Along with the overdose victim, pitbulls, and sandnigger arab women, they're extremely appealing because you can do whatever you want to them, whatever you want beyond you wildest dreams, and get away with it.

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Good to know. There is a non-trivial number of old people in the region we serve, and at least a few elderly care facilities. One of the more interesting things, though, is a top-secret government facility nearby. You have to be escorted through the building only to the area of the pt. No cell phones or electronic items like smart watches are allowed. Doors close, monitors get turned off, people are yelling "unsecured" down the hallways. You might walk past the 901st Drone Division. Interesting stuff.

You need to seek psychiatric help.

sounds like a vasovaginal response (blood in your pussy) caused by a sensitivity from being a bitch

just your standard case of the gay

It's definitely not normal, but the only thing you're really at risk of is turning a hypothetical bad injury situation into an even more dangerous one when you pass out in the middle of it.

Any means of decreasing sensitivity that doesn't include harming myself or others?

Yeah, I don't get why people talk about the jews stealing from us. Every jew I've met has been an honest, upstanding citizen. Israel is our closest ally.

Witty! Funny! I am upvoting this, fellow reddit user.

>Does it ever get any more interesting? What I mean is actually helping someone, not just picking up some stinky geriatric who shat himself after he tried to get up at 3am and use the toilet.
Depending on demographics, 70% of what you do will be just that. But the times when shit gets crazy is when it gets really crazy and really fun.

degenerate

>psychopathic rambling

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Haha im 14 and harm small animals, also my father never loved me.

>landed my first successful code outcome after five years of semi-rural EMS
Feels pretty good, man.

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Depends where you work. As the other user said demographics are huge. The next step is finding a system that is tiered. Are you planning on going medic? I worked in a system that was tiered. As a medic I only went to high priority calls. Back to back cardiac arrests followed by a multi systems trauma and ending the shift with a penetrating injury was not uncommon. Then I went to a department that did alot of CCT and volunteering to do transfers I was almost always guaranteed just two 5 hour long calls a shift but there were vents and paralytics and blood product, antibiotics, pressors or other cardiac meds on board or needing to be administered. Those shifts were stimulating as they were not stable patients hence why they were leaving a facility that ran out of options to help that person.

The biggest issue with EMS is everyone gets in and puts 2 years in and expects to be high speed low drag. Until you get the experience + the education all you are doing is fall patients. Nothing is going to be given to you. The unfortunate side of EMS is there is alot of laziness. Don't be lazy and take every call as if it has the potential to be big. Fall patients almost always have something more serious going on. Find that septic patient, that cardiac patient, that endocrine problem patient, learn from it and do good work.

>tfw I called an ambulance to my house when I woke up with a nasty cough and couldn't catch my breath
>like half the department shows up to my house, at least 10 guys standing on my porch while they check me out
>yeah user you sound like you're alright, you should probably go to the clinic and get checked out though
>go to clinic
>not even 10 seconds after they put the oxygen thing on my finger the nurses start sperging out about how I need to get into the ER immediately
>drive to hospital and tell triage guy that I can't breathe too good and he just mad dogs me for 10 seconds and says I'm pink and still breathing so I'll be fine
>wait 2 hours in a room full of filthy spics to find out I have a collapsed lung
who was in the wrong here

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>low paid wagecuck thread
lmao, I really do feel for you guys
>shit pay
>no respect
>bad hours
>have to deal with fat people

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EMS was being either being lazy or your spontaneous pneumo was not symptomatic enough to pick up without a chest X-ray. Pneumos can be hard to pick up in the field unless its tension and obvious.

Urgent cares are flipping useless half the time. Find a good one and use it otherwise avoid if possible.

Triage nurse was at the end of their 12 hour shift and dealt with alot of shit.

user I feel for you and that was a shitty experience but the American medical system teeters a breaking point each and every day. You are not the issue but you are shat on because people are tired and overworked and the system is stretched to failure. Unlike other parts of the world where it's an equipment and facility issue the US system is a moral and staffing issue. Moral is low, 90% of anyone in medicines job is to babysit children who cant function as adults and take ownership of their problems. The other issue is staffing. Boomers are living longer and make up a majority.

Unions and moving will fix that. Problem is people are lazy and dont get up and move. There are high paying jobs. I started at $12 an hour, now I'm at $45. Same title, different department. Gotta move up. The privates around me cant put bodies on trucks, as a result wages are going up. When labor chases the top dollar and improves themselves the market has to react.

*morale fucking autocorrect

Also if there was no recent trauma, $20 bucks says you are a healthy, skinny, tall, white male. Am I correct?

Yup, 6'3" and 180lb with no hospitalizations ever until that day. I guess I'm more upset with the triage guy, he literally just looked into my eyes with an awkward silence for a whole 10 seconds and decided I was fine. Didn't even use the stethoscope around his neck. After I wait 2 hours in a waiting room filled with beaners and perfectly able-bodied people abusing the system, when it was finally my turn, three different docs listened to my chest and within 30 seconds of conversing with each other I heard them mumbling "yup collapsed lung" and then it was off to get stabbed with a fuckin tube

It's fairly common with guys like you. Infact it's the first thing I check for. It's almost a freebie you get some cool factor points for. Who really knows, they could have been dealing with alot that day, you may have run into the dud shift.

Thoughts on ratcheting tourniquets compared to windlass tourniquets?

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whats the easiest way to get some morphine or something similar ?
how long is it stable for storage shelf life?

Have a medical license and a DEA number.

>with beaners and perfectly able-bodied people abusing the system
*ting*ting*ting*
Ahem

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Pretty much everyone who took care of me in the hospital told me the same thing
>sucks to be tall and lank- I mean skinny, bro
also somewhat unrelated question, how come morphine isn't nearly as cool as it is in the movies? when they were putting the chest tube in me I was yelling FUUUUUUUUUUUUUCK so loud that they reupped my dose two times and even then it was excruciating
>tfw you see the doc adjust his footing for a proper thrust

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I have a big family. So we’ve had lots of surgeries and stuff. Lots of left over antibiotics and pain killers in the fridge still. Like lots. How long do they last? Probably got over 1000 pills of various antibiotics and painkillers.

Different user here, from what it sounds like it's the sensation of the needle itself causing the vagal response.
You could look into desensitization therapy for it.

Ok not joking. Get a dog. Take him to the vet and say he’s been limping around because he jumped off the couch. Most shit vets will prescribe some painkiller and send you home with a bunch of pills. If on the off chance he’s a good vet he’ll send you on your way with ibuprofen.
>t. Dog owner.

this past month 2 or 3 Times I’ve woken up in the middle of the night swollen, like I felt twice as big and felt like my intestines were gonna burst, couldn’t catch my breath along with my tongue being swollen enough that I couldn’t close my mouth properly what could be the cause?

I agree
All jews I have met always wanted to take muh guns
right before taking my money

great people

You should've listened to Mr. Wonka, Miss Beauregard.

Morphine is shit. I cant remember the last time I used it. I wouldn't be surprised if they used a benzodiazepine on top of it. Versed is a great drug for concious sedation. You complain but usually dont remember all the details as it does have an amnesia effect.

My go to for reducing dislocations, quasi stable chest darts, and moving someone with a hip fracture to name a few of the common ones is a benzo and narcotic. They potentiate.

>ativan and dilaudid
>versed and dilaudid
>versed and fentanyl

I started using ketamine with my narcs for that disasociative effect. Works really well.

Really depends on the docs, some skimp on drugs, others dont care. In the hospital scenario unless an anesthesiologist is on site many places are strict on drug administration for procedures because of airway complications. In the field we have more freedom. You stop breathing and I'll just breath for you. It's not cowboy, but we often have less restrictions if we can justify it as "emergency care".

they loaded me up on benzos during my week long stay kek
>can't sleep? have some xanax
probably not the greatest hospital desu but the guy that stabbed me with the tube and the surgeon who was gonna operate on me potentially were top tier lads
>you did pretty good guy, most people are unconscious for that chest tube part

There is no tiering, or whatever you are referring to, in the county I volunteer for. Every EMS call, anyone who is designated to be on the medic goes out. What that means is that regardless of the call, be it cardiac arrest, lift-assist, or trauma, we all go. Since I am riding third and not a trained EMT, I just carry the statpack, measure blood pressure, help lift, etc.
Within this county, everyone is or will be cross-trained as fire/rescue. Obviously some have more experience/preference to being a firefighter/paramedic.

EMS should have done lung sounds.
The clinic could have done lung sounds to confirm why your O2 sat was so low.
Triage should have done lung sounds.

People wear their littmans everywhere but fail to use them when needed.

I should've told the triage guy that my O2 reading was 85% at the clinic but the level of disdain when I poked my head into the room pissed me off man, he started sperging out over how he was seeing a patient and that I needed to leave and at the end of it all I got was a fucking quick stare off with the guy

Post yfw you see that "suicidal" patient in the hospital again, wolfing down all the pudding.

You know the one.

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Jaded ass ER triage nurse.

Those uppity, self proclaimed uber expert fuckwit bitches kill a hell of a lot of people by not understanding the genuine ABCs of triage.

Airway
Breathing
Circulation.

Anything resembling " I'm having problems breathing" is to evaluated super serial to rule out any and all possibilities of shit like early stage bronchospasm from anaphylaxis or a progressing pulmonary embolism. Early catch in the "I'm feeling fucky" vs already hypoxic or unresponsive is quite literally the difference between life and death.

I fucking hate triage nurses who've lost all perspective thinking that people just fucking LOVE to be at the ER. Cuz patients love being dicked down for someone to actually treat them because they feel like trash... or I don't know have that sense of impending doom which is a fairly significant indicator you might be in a bad way.

Fucking dumb bitch

If you want to play in the blood find a city that uses a private EMS service that sends basics to emergencies. The place will be a ghettoed out hellhole, the pay and bennies will suck, but you'll get good experience.

That could be an allergic reaction. Not sure what would trigger that while you slept. I'd see a doctor if I were you.

can people get allergic reactions from bed sheets/blankets? That could be the problem if he switched them out

Maybe something in the laundry detergent? But that would be a problem with his clothes as well, not just his sheets.

>I fucking hate triage nurses who've lost all perspective thinking that people just fucking LOVE to be at the ER.

They're probably gaining somewhat of an incorrect perspective based on the amount of people coming in for three hot meals and a cot to lay on.
Still. Pretty retarded.

I get that sometimes with some detergents, a rash around the collar to be specific, it's a possibility.

>more upset with the triage guy, he literally just looked into my eyes with an awkward silence for a whole 10 seconds and decided I was fine
And by god, you were fine! If your Sp is 85% and you haven't been COPDing for the past 40 years, you're not driving to the ED.
>the clinic nurse sperged out
Yeah, that's what they're trained to do.

what said. If we have to sedate you, it involves a lot more time and people, which precipitates to your 2hr wait.
This.
And this. "Oh, you can't work triage yet, you haven't worked with us long enough," meanwhile there's a kid with textbook stridor, obviously working to breathe, that gets sent back out to the WR with mom.

>Jaded ass ER triage nurse
Because in the vast majority of the nation at least a third of the ER's customers and worthless niggers, illegal aliens, and homeless looking for free shit.

fuck no I didn't drive lol my roommate chauffeured me around because just walking around had me feeling weak/faint

My point is, you were stable. I'm glad it worked out for you, but if EMS thought you were in a bad way, they would've brought you in. That's why/how they get their funding. Yes, they should've listened to lung sounds, but your vitals and appearance must've lead them to believe you were fine, so you got the "I'm covering my ass so I'm telling you to go to the clinic" speech. Your lungs should've been checked in triage too. I'm sorry you had to go back out to the waiting room, but everyone that can walk, talk, and maintains their color can wait. You'd still be an ESI 2 and a priority, but we get a lot of shit in 2hrs time that may have actually taken priority over you. We watch everyone in the WR. If your mentation changes, if you start acting like a drunk, get pale, we notice.

Yeah I can't bitch too much or knock anyone too hard because I'm still here and breathing, but it was definitely an interesting first experience with being hospitalized. I ended up draining a liter of blood/fluid from my chest over a couple days and nights and they said that my lung was moving into my heart cavity so I'm glad I didn't wait to decide on calling EMS and they did a good job of calming me down and reassuring me that I'm not dying

Harm yourself and others

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I'm a cardiovascular ICU nurse. Basically 95% of healthcare is torturing old people who, for all intents and purposes, should have died a long time ago.

talk to your doctor. they sometimes prescribe propranolol for vasovagal syncope.

no competent clinician can tell you without a complete medical history and assessment.

go to the ER complaining of 10/10 chest pain. They'll give you three doses of nitroglycerin and do an EKG. After each dose of nitro explain that the pain is still 10/10. At that point you get 2mg IV Morphine. Congrats you just spend 8 thousand dollars for an ER visit.

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>8K
What did they give a band aid and an advil?

lmao. Some ice chips and a warm blanket actually

lol you're a retard, but I like you.

>Basically 95% of healthcare is torturing old people who, for all intents and purposes, should have died a long time ago.
when I was in for my pneumo it was pretty sad looking into the rooms around mine once I finally was able to walk around. It was nothing but old people sitting in bed with their mouth gaped open staring at the ceiling looking like a corpse

EMS is the kind of job that can be boring until it suddenly isn't.

>what could be the cause?

Sounds like symptoms of decompression, you were probably abducted by aliens in your sleep. In all seriousness go to a doctor, that sounds scary as shit.

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Fall from a height of 20 feet or greater or get into a car accident that causes 12 inches of intrusion into the cabin.

>you're a retard
i can't deny that
yeah its really fucked up. A lot of times its the families keeping them alive. Or the nursing homes, because they want the money from their social security checks.

Or the family is too stupid to realize their 94 year old grandfather who hasn't walked in 15 years has no business being intubated in the ICU on vasopressors. Families are too ignorant or stubborn to make them DNR and the hospital literally ends up torturing these people. And then they die restrained, on a ventilator. It's super fucked up.

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>Israel is our closest ally
>don't have a mutual defense contract, does absolutely nothing for us, tried to sink the USS Liberty in 67

Buy CIA fentanyl.

work in healthcare but not on the medical side

you are right about the ICU but over the years I have worked with some interesting patients.

had a 19year old straight edge kid have a heart attack while his girl was riding him. She thought he was fucking with her lol
poor kid was in the ICU for a week.

had patient a couple few years back that was attacked by a crazy homeless guy with a machete. It nearly went through his knee.
The really stupid part was the idiots put the homeless guy on the same floor right down the hallway.

lots of gsw
years ago the local gangs were shooting random people for initiation

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>put the homeless guy on the same floor right down the hallway
I get it, beds go fast in hospitals but damn.

I can't remember if I was there that day, but it reminds me of that time we had 3 gunshot victims in the ER. One dude robs the other two and everyone gets holes in them - and since it's not that big of an ER they're all like right around the hall from one another.

I've gotten that too. Husband and wife had a fight and they were just a couple rooms down from one another. They would have had to see one another to go to the patient restroom, too.

or the multiple men coming through the various EDs I have worked at over the years with things stuffed up their ass.

years ago it was popular for guys to shove those nokia phones up there and would set them on vibration but the worst has to be a guy that managed to get a 32oz bottle of Corona up there .............................then it broke

Try the detergents for people with allergies. It occurred to me that when you're sleeping your face could be mashed up against the pillowcase, which if it has traces of a detergent that you have an allergy to could trigger a reaction. Also if you have a washer with an extra rinse setting use it. Another thing is most people use way to much detergent when they wash their clothes. I use about 2 - 3 tablespoons of that Chinese Tide they sell in dollar stores near me and it works as well as the recommended amount. I doesn't bother my allergy to fragrance either.

get a load of this subservient gentile

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Better one, post yfw it's the quadrillionth thread you've read on the internet of EMS workers acting high speed low draw hard af but at the end of the day still only make 1/3rd (or less) of the nurses they constantly make fun of for not knowing anything

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Get into EMS to saves lives and make a difference, be a hero.
>mfw it’s been 6 years and I’ll gotten out of EMS is a bad back, a divorce, and 1 thank you card

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>Get into EMS to saves lives and make a difference, be a hero.
Truly the biggest curse of human existence is having a prime body when you're a fucking retard in your early 20s and then being stuck with a garbage disposal drain circler with actual knowledge and pragmatism

>prescribe propranolol for vasovagal syncope
So drugs are the solution?
Florida is already a pillmill state, I have no intention of taking (((pills)))

I had a patient's mother piss on my front passenger seat the other week.
Our patient was a quad with brain damage and was going back home. Her mother wanted to ride along and she was like 80 and could barely walk so I helped her up front and I noticed how absolutely fucking disgusting she was so I made sure to check before I sat down after we were done and sure enough there was a puddle.
We had to replace the whole fucking seat.

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Clean it up wagie

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Nah the shop did that.
Dispatch was a little upset about it.

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Happy Hanukah

What's the worst house you've been in?

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How did your lung collapse? I wanna avoid that

My dexterity is absolute shit so I take ratcheting ones 100% of the time

stop being addicted to overtime and lift with your legs, dummy

>Is there a medical explanation?
Yes, you're a fucking pussy

my favorite is when the patient makes himself a DNR, then the family gets rid of the order once they have PoA

Did he make it? I think theres a gore video of that happening to a guy and he does not make it.

It can happen spontaneously in tall, skinny men.

pillmill refers to shit like opioids. Propranolol is beta-blocker. It's not a controlled substance.

Shit for real? I'm 5' 11" and 200lbs do i need to bloatmax more so i just worry about stokes and not my lung deciding to quit?