Grey's Anatomy of the Human Body? The famed textbook that is now in its 30th edition?
Cuz that would be great. Good EMT student.
Lol. "Don't train until you get it right. Train until you can't get it wrong." -https://player.fm/series/podcasts-greater-sydney-area-hems/cognition-and-decision-making-under-stress
I heard that from a Sydney HEMS podcast about critical decision making (everyone in healthcare should prob hear this). I learned in that podcast that these elite operators/EMS/fire are the absolute best at doing the "simple" things that are critical for saving lives.
Also, Med school just takes persistence, I bet I'm not smarter than you. You just have to be passionate enough and crazy enough to sacrifice all these years and gov't student loans doing science classs, labs, tests, applications, and so much general bullshit you have to get through.
Raptor trauma shears. He can get a pretty large discount on them on their website if he puts in his EMT credentials.
A littmann stethoscope is also great. Both are gold standard in the field
I carry spray deodorant on the truck for the diaphoretic patients who need a 12 lead. I find it works much better than alcohol or benzoin for those STEMI patients who sweat like hogs.
How about this: read the first few chapters of literally ANY EMS textbook. Ours was called "Emergency Care and Transportation of the Sick and Injured." It's also nicknamed "The Orange Book." It describes in detail the importance of scene safety above anything else and also provides sources. Scene safety is literally the first part of any patient assessment. Check out pt assessment sheets for the psychomotor exam on the National Registry of Emergy Medical Technicians website.
Here is the textbook on amazon, but I'm sure there's a pdf of it floating around somewhere so you wouldn't have to buy a $200 book. You might check scribd. https://www.amazon.com/Emergency-Care-Transportation-Injured-Orange/dp/128410690X/ref=dp_ob_title_bk
Whoa there buddy, even I"M not that nerdy. Besides, calipers do not fit conveniently in my pocket next to my 350 page laminated large text, spiral bound field guide. Which is why I carry one of these
A documentary titled "Tell Me and I will Forget" about government and private sector Paramedic's in South Africa is the best one I've seen, I highly recommend it. http://www.snagfilms.com/films/title/tell_me_and_i_will_forget
Don't take melatonin, it'll hurt you even worse.
If your body is not used to this cycle, it'll throw off your circadian rhythm. Honestly, there's not much you can do except keep at it, your body will slowly adjust. I suggest buying a loud alarm such as the screaming meanie. (https://www.amazon.com/Screaming-Meanie-Extremely-Sleepers-Multi-Purpose/dp/B000JGDLLU) it will wake the dead, I used to use it when I worked as a deckhand and not getting up in time meant life or death literally lol.
​
Hope you adjust soon, I know how it feels.
Apple Watch Series 5 with a $10 Amazon screen protector.
I’ve broken one protector so far but the watch is in great condition, I’ve had it for a bit over a year. 911 service averaging ~6-7 calls over 24 hours, plus daily wear off shift.
I put a voice memos link on the watch face, so I can just hit record and say whatever intervention or medication I did and it’ll time stamp it for my reports later.
Edit: link below
https://www.amazon.com/Smiling-Protector-Protective-Definition-Ultra-Thin/dp/B081CV51JG
I grew up on a farm, we would wear rubber overshoes to keep our shoes/boots dry and relatively clean.
They’re probably not difficult to find in a store, I don’t know where you live though.
Depending on your size they’re about 20-25 bucks but they work. Basically a condom you stretch over the shoes you already wear to be blunt. I do have flat feet so I know what you mean about finding a good pair of shoes and sticking with them.
I stand slightly corrected, all SGA's are horrible for arterial brain perfusion, the combitube maybe the worse offender but that isnt a glowing recommendation for any other the others.
Let me introduce you to Alibaba - think Amazon, but with bulk Chinese+ manufacturers. They won't sell you 1 of something, but you'll get a great price on a thousand of them.
Still expensive, but possibly less expensive than you think.
DVT is a great starting point for a differential, but I would like to add another diagnosis. As other commentators have pointed out, the arm being cold points towards an arterial obstruction as well as a venous obstruction. Given the history, I personally would actually lean more towards a thoracic outlet syndrome, with possible arterial and venous involvement.
The important thing to recognize with this is that it is a vascular emergency, and the patient will likely need Doppler ultrasound, CT angiography, and possibly vascular surgery intervention in order to save the extremity.
Just buy some of these
They emit at a pretty decent quality and last for months. I bought 10 of them 2 years ago. Still have 5 of them left, with 2 of them in good condition. At $2.50 a piece (including shipping) They're essentially disposable.
There are a few good podcast and ressources available on stress management in ems. This one is a good place to start!
You can search for michael lauria, he did some great work on the subject. There are a few podcasts and articles on emcrit by him.
The boxed breathing technique is one of the techniques he talks about in there as well.
It honestly is not hard, I took it recently and only missed one. Just study these links im about to post. Dont stress over it either, it is really easy. The 30questions i had were on these flashcards. http://quizlet.com/38776493/ambulance-driver-test-ca-flash-cards/ http://www.cram.com/flashcards/ambulance-drivers-test-ca-1556674
Thank you to everyone who participated, I got over 100 responses in just a few hours!
Here are the results for those interested.
Thanks again /r/EMS!
Go read Report from Engine Co. 82, by Dennis Smith. Old thread.
A nice pocket flashlight is really good too. I love this one and use it all the time. Great for so many uses. It is more useful that a multitool. I use it almost every shift. And as of right now it is on sale as a lightning deal on amazon. https://www.amazon.com/gp/product/B00JE329YO/ref=oh_aui_search_detailpage?ie=UTF8&psc=1
Book Outdated? It's the newest edition. I was taught off 10th last year.
For android users, Event Logger is a similar app that works offline.
And if you want one that lets you add notes to events, there's another app also called Event Logger, it just takes a bit of time to setup in the first place.
Wait. But article says differently?
"Injuries range from minor to life-threatening, officials said. Thirty-five people were taken to a hospital, the State Police said."
https://weather.com/news/news/2019-12-22-virginia-interstate-64-pileup-shutdown
I think it gets complicated in that "K2" is/was one brand of synthetic cannabis. FDASIA banned many of the products then on the market, but novel synthetic compounds- whipped up god-knows-where by who only knows- will pop up, same as bubbles in wallpaper. Squish one, get two more.
This article was one of the more interesting ones on the subject.
Look for places that are hiring. If you know anyone working as a basic in a hospital or on the privates, ask if they can refer you.
http://www.indeed.com/jobs?q=emt+basic&l=new+york+city
It's the same as any other job. Good luck.
EDIT: Not sure how it is in NYC, but in Illinois ER tech jobs in hospitals present more opportunities to perform your skills, have better hours, usually better pay, and you get to wear pajamas (scrubs). Aim for hospitals before privates, in my opinion.
Srsly. That mustache=these panties are staying on forever.
Edit to add: It's also a borderline "I'd like to speak with a manager" haircut that I had heretofore never seen on a dude.
Second edit: Fucking hell. I'm a shitty, judgemental bitch.
Cold pasta salads and when you get tired of cold foods look into getting a hot logic) that you can plug into the back on the ambulance and have hot food.
We also have greyhounds. The best solution is probably a crate that can be tied down, but that's not the solution for most people.
We use a hammock, but really need to get a harness restraint system. They rarely travel in the car, so it hasn't been a priority.
Get something like this from Amazon
Add in some ibuprofen, and some tylenol packets you can find at a gas station and you should be set.
throw in a spare blanket, and some water for good measure.
I've always been a fan of the Tru-spec ones on Amazon. Cheaper than 5.11s, but I have personally found them to be a better fit and more forgiving to move in.
It's a bezocaine anesthetic spray, used in most EMS cases to numb an airway for intubation....or if you come into work with a wicked sore throat.
https://www.amazon.com/Hurricaine-Topical-Anesthetic-Spray-Cherry/dp/B00I0X9AHS
I often find myself leafing through a copy of Tintinalli's Emergency Medicine Manual.
Granted, a lot of what you'll read in there is either above and beyond our scope, or directed to practitioners later down the line of care. Otherwise it's a great tool for differential diagnosis, and better understanding of a lot of patho.
When I started, I had a really hard time auscultating (listening to/for) lung and heart sounds. Depending on your current budget, you might want to invest in a nice stethoscope. I currently have a littmann cardiology IV and couldn't be more satisfied.
Make sure to get a good night's sleep before class, retention of information is key.
Develop good study habits. Quizlet is your friend (for med math at least). I find that learning the material and then helping others study/learn it is the best way for me personally to really understand the material, but YRMV.
Eat breakfast each morning, it really does help imo (doesn't have to be fancy, get a box of breakfast bars and keep them in your car).
Getting something like this helped me immensely, but YRMV.
Black or blue pens for everything that gets turned in.
Nobody likes a ricky rescue, don't be the guy that carries a full backboard, jump bag, cardiac monitor, and o2 tank in their car.
Good luck! Feel free to drop me a pm if you have any questions at all or just want to talk about ems!
>Do cops volunteer? No.
Yes. They do. Auxiliary police officers are a thing.
Volunteer EMS remains popular because you can pick up an EMT-B cert in four months or less for under a thousand bucks.
It's an enjoyable and inexpensive hobby. Shit, you can spend more time and money getting started in model rockets or drone racing or fishing or anything really. I mean, this glorious speedy bastard costs four or five times what an EMT course costs.
Even if you don't want music, put them in. I wear Wireless Motorola ones and if no music, either white noise our nothing at all.
I've also got molded ear plugs for really annoying partners that won't let me chart.
Radians Custom Molded Earplugs, Blue https://www.amazon.com/dp/B003A28OW6/ref=cm_sw_r_awd_xqSAub1EMYPJ2
Here ya go; get that with a nice stethoscope. I recommend the Classic II or III.
Rosen's Emergency Medicine is what I started using after critical care school. It's intended for ER docs, but it's basically the same stuff you learned in school only better (ie more in-depth). You can probably find a used set on Amazon for a decent price (doesn't have to be the newest) and every ER I've ever been in has a set somewhere.
.
AAOS Critical Care Transport was the book for CCEMT-P. Decent in some areas, but woefully lacking in others. Marginally better than the textbooks for EMT-P school.
Barron's EMT Exam prep book. I used this for my initial 6 years ago and then re-used it a couple years later to re-certify nationally by taking NREMT over again to avoid the extra CE's required. Questions are set up exactly the same and in my opinion are pretty much the same questions the exam will ask you.
http://www.barnesandnoble.com/w/barrons-emt-exam-will-chapleau-emt-p-rn/1112214518?ean=9780764139376
Yeah, these in particular were always horrendous. Probably close to 4,500 apartments in that strip.
What area you in? I'll try to rattle off some, though my info may be a little dated due to not looking at the privates in two and a half years.
From north to south:
Murphy's in Waukegan(?)
Rescue 8 is in Algonquin, I think
Elgin Medi and A-Tec in Elgin
Advantage in Schaumburg
Medex in Skokie
Superior in Elmhurst
Advance in Jefferson Park in Chicago (may be out of business)
Elite around the same place
ATI near the Cell/Bridgeport
First Response and Lifeline, both on south Wabash in Chicago
ER Ambulance is on the south side somewhere
Vandenberg and Trace are both in Tinley Park
Bud's is in Dolton
Some of them hire new Basics, some don't. You gotta call them. Throw your resume at everything and see what sticks.
Also, check indeed.com It's a good place to start looking.
EDIT: Found http://jobview.monster.com/Paramedic-EMT-Job-Chicago-IL-130698357.aspx?WT.mc_n=Indeed_US&from=indeed and http://www.indeed.com/viewjob?cmp=MedEx-Ambulance-Service&t=EMT+B&jk=c8c9098c5c71219c&sjdu=QwrRXKrqZ3CNX5W-O9jEva6ZqQjdLVrePSe0oRzp6mXHcWLgDOUcICLM2SyQKRoEHZoe9XfLOHQG1QOTaqPXag there just now.
Virginia has been making a hard transition from volunteer to paid EMS.
It was taught in my EMT class last year. There are a few reasons why it's not really useful (and can be harmful to patients in certain situations). Here's a quote from an article about it:
> Sibbald et al15 examined the hemodynamic responses of 61 normotensive and 15 hypotensive critically ill patients placed in the 15° to 20° Trendelenburg position. Each measurement was done in triplicate, and the invasive equipment was rezeroed at each position. The mean (SD) arterial pressure increased from 87.1 (17.7) mm Hg to 88.3 (18.7) mm Hg, with no significant change in the pulmonary artery opening pressure. On the basis of their results, the authors15 concluded that the Trendelenburg position does not induce consistent hemodynamically beneficial effects in critically ill patients (level III).
Study here, similar study here
I also remember reading that it can cause increased intracranial pressure, which would be extremely dangerous in head trauma patients. I'll keep looking for that study.
In short, the effects are negligible and possible harmful in some cases. If your protocols give you a choice, I would avoid it.
I would suggest using a computer based flashcard system. Anki and Brainscape are great resources. Anki (and likely brainscape?) also has a free android (and IOS IIRC) application that syncs your progress to a cloud based server so you can study while on the go.
What I can't stress enough is "spaced repitition." This is by far the best way to learn anything. Instead of going through all your flashcards repeatedly, it's much more efficient to use one of these programs. Basically, you get prompted with the front of the card and you treat it like any normal flashcard, but the great part is that you press a button after you try to repeat the information on the back of the card that corresponds to how well you know the information. Did you totally fuck that drug up? Hit the button that says "again" and you will see the card in less than a minute. Did you kind of know the drug? Hit that button and you will see it in ~10 minutes. Did you know the drug inside and out? Hit that button and you won't see the card again until 1 or more days after. I would suggest making your own cards, but there are actually premade decks made by medic students saved online that you can download if you prefer as well. You can even input images or audio files if necessary as well.
You can even collaborate with your classmates in making the cards so that the workload for actually making the cards (which can be a lot) is reduced. Just share them online. Anki has graphs so you can actually analyze your progress over the coming months to see your progress. This is a favorite of medical students due to how efficient it can be and how well spaced repetition works for long term memorization.
Can confirm. Used this for my license.
http://www.cram.com/flashcards/ambulance-drivers-test-ca-1556674
I only ran across one question I didn't see in this set.
Keep your eyes on Coursera.
Right now they have a course on Drugs and the Brain. while it is not a generalized course, it is an interesting one.
A few things that I have made/studied from.
List of common medications used I made
There are plenty of studies out there for free as well, just do some googling and you'll find some gold. Try Trauma Reports, ACEP studies, Wikipedia articles can also be a great resource as well. And emergency/critical care nursing forums.
.NET is a Microsoft framework that, for a long time, was pretty much restricted to machines running some flavor of windows. Now, you can use it on any machine using .NET Core (https://www.microsoft.com/net/core#windowscmd) and Visual Studio Code (https://code.visualstudio.com/).
But you could use whatever you want. If only want to learn one new language, consider using Node.js so that you can use javascript both client and server-side.
Depending on what direction you want to go with the app, you may want some sort of server storage and develop it so that you can make simple additions without modifying the actual application. Store a list of menu items, load it up, and dynamically build out your menus instead of having them all hard-coded. Same thing for informational pages that don't have any formulas - use one template page and load all the strings from your storage (database).
I use these patches that really help. You can either stick one behind your ear or you can stick one next to your belly button.
This is the kind that I use
I have the X shears as well, 3 years old and still the best shears ever. Better than my raptors.
X shear has a plastic holster: https://www.amazon.com/dp/B07MZ8RKFB/ref=cm_sw_em_r_mt_dp_aADUFbRM2PDDC
I was given a leather one, I soaked it in water to stretch fit it. It was similar to this: https://www.amazon.com/dp/B078MDS31N/ref=cm_sw_em_r_mt_dp_hCDUFbKY73XW8 Didn’t like it on my hip.
In the end I just stick it in my radio strap, secure enough and handy.
There's actually these mini crockpot things that you can buy on Amazon to plug in and keep your food warm
Crock-Pot SCCPLC200-R 20-Ounce Lunch Crock Food Warmer, Red https://www.amazon.com/dp/B006H5V8US/ref=cm_sw_r_cp_api_biKoybJW9VDNQ
I like the Glamorise (sp?) Found on Amazon. Keeps the ladies secure and I can honestly wear em all day.
https://www.amazon.ca/dp/B0194Z7PJ0/ref=cm_sw_r_cp_apa_X-SHyb4JSZF57
There's a link to the Canadian one but you can definitely find a comfy sports bra out there.
Don't ask me why I know about this.
This is the only review:
>Verified Purchase I read the book and it is a nice story; however, I would have liked more explicit sex scenes in the book. Nitpicking. Still a good "go to bed" novelette.
I would second a good multi tool.
It's the only thing I have used every shift no matter how the day goes. Change oxygen tanks. Fix this and that. I got them as a graduation gift from high school and they are still going strong over ten years later.
A flash light is another good one. You can get one on Amazon for like 20. I got one that has a CREE LED bulb so it is plenty bright for day to day use. It also has a rechargeable 18650 battery and charger which will last for a long time and easily pay for the light in batteries saved.
PeakPlus Super Bright LED Tactical Flashlight Zoomable Adjustable Focus 5 Modes Water Resistant Torch with Rechargeable 18650 Lithium Ion Battery & Charger https://www.amazon.com/dp/B01ECVB6P0/ref=cm_sw_r_cp_api_k3TgAbA53YHKP
My wife got me a blue tooth headset so I could listen to my podcast and audio books. Ems does a lot of transferring sick people from one facility to another. We drive for hours and hours a week. I probably listen to a book a week just from driving.
I get all kinds of audio books from the library. There are tons of great podcasts on different aspects of medicine that will keep him interested.
Hmm, I found a relatively inexpensive compact laptop a few years ago about the same size as an iPad, same price too. No doubt more convenient and probably a better long haul option, give me a few minutes and I’ll see if I can find it!
here is the laptop a buddy uses, I wasn’t able to find mine sorry. A bit pricy but a good investment
As per Amazon:
Frequently bought together
I got this on amazon that is very cheap, works well and is very mobile. It’s a pull-up bar that hangs on your door frame and seems to do the job well. I even use it for stretching my back by doing dead-hangs off it.
Iron Gym Total Upper Body Workout Bar https://www.amazon.com/dp/B001EJMS6K/ref=cm_sw_r_cp_api_qnbIBbA7S16BE
ADC has good stuff and not overly expensive. Littman Lite Weight is what I use and I'm happy with it. http://www.amazon.com/3M-Littmann-Lightweight-Stethoscope-2450/dp/B00AZAMQ2U/ref=sr_1_1?ie=UTF8&qid=1448588544&sr=8-1&keywords=littman+lite+weight+stethoscope
Tim's class is very good. It will not be a waste of time. There is a VERY good text I recommend. It has been around forever. "Rapid Interpretation of EKG's" by Dubin. It is a short self paced study guide that starts out with "this is a P wave" and builds very quickly to advanced interpretation. I promise it will help you.
http://www.amazon.com/Rapid-Interpretation-EKGs-Sixth-Edition/dp/0912912065
Eagle Scout turned scout leader here, I usually carry one of these: http://www.amazon.com/Adventure-Medical-Kits-Trauma-QuikClot/dp/B003BS2PW4
Plus a few extra 4x4s and some roll gauze, several additional pair of gloves, shears, an ace bandage and SAM splint, CPR face shield, a bunch of band-aids (used the most), and some Benadryl for minor allergic reactions. I figure that covers 99% of what could happen without going beyond what a civilian should be using, plus anything more than that adds weight to my pack.
I'm curious under what circumstances you would be using this information? I'm assuming you live somewhere in the middle of nowhere...
This is the book book used to teach the whole class for getting your EMT cert. Everything we are required to know and more, as EMT's, is in here. That being said, you should really get some actual hands on practice if you ever plan to USE these skills in real life. Learning from a book only takes you so far and you will not be reacting calmly in an emergency situation if you have no practice. Take a CPR class, find some volunteer work at a medical facility, see if you can do a ride along on an ambulance somehow.
http://www.amazon.com/Emergency-Transportation-Injured-Orange-Series/dp/1284032841
Also, know that this information will not cover longer term care and all of it is centered around being able to get the person to a facility which has advanced life support capabilities within a certain amount of time. The basics, which would be performed within the first 10-20 minutes of an injury are very important, but if you are going to be taking care of someone for hours/days, rather than minutes, then you need to learn a great deal more about wound care, medications, and airway maintenance.
Not leather, but I've had this nylon webbing belt for about 2 years now. Holds up great, super adjustable, and looks good on and off duty.
The best book I think that has a good general overview of the common emergency pathophysiologies but is excellent and in-depth is Emergency Pathophysiology: Clinical Applications For Emergency Care. It's a little out of date, so some of the statistics have changed, but the science is solid, it is well cited, and has handy review questions along with the chapters. It was written by a Paramedic turned Doctor and is pretty rigorous.
The second is In Defense of Self: How the Immune System Really Works. This book should be mandatory for all mid level providers. I know it seems off topic from your question but the fact of the mater is 75% of what mid level providers consider part of "disease process" are actually functions of the immune system interacting with the pathogens. There is no such thing as an emergency patient without an immune response going on so it's so important to understand it fully. This book is generally divided up into sections about different diseases and how they interact with the immune system and hits on autoimmune and trauma.
Dude sounds like the rest here are right. Vacant and sick days are for mental health days too. We have to be focused and our job is demanding. I'm sure u know what it means to run your balls off. I view all those people you listed above as just sick people and like other skills of our craft I enjoy Jedi-ing people to much. Some cops are good at this but we can be better. If you get Time and want to know your a real BA with getting physical with a pt check this book out Itry to read it one a year. http://www.amazon.com/Verbal-Judo-Persuasion-Updated-Edition/dp/0062107704 I'll be happy to listen and chat with u just PM me.
This book is what got me through my basic arrhythmia's section of Cardiology. Has some good introduction to 12-Lead stuff also.
They can also get an IFAK pouch to keep on their hip. It'll fit the drug case and a TQ for when they roll up on traumas. Iirc they make double zipper IFAKs too.
https://www.amazon.com/GHFY-Tactical-Camping-Medical-Utility/dp/B08N57WYRZ/ref=mp_s_a_1_1
Yeah, that is unfortunately a truth. And that is entirely understandable. I'd hate that too.
And I have found two, both are easily removable when you are back at quarters, or want to take it off between calls, a vertical and hoizontal one:
https://www.amazon.com/Custom-Leathercraft-1104-Construction-Multi-Purpose/dp/B000CP0SSC/
My light right now is a Nitecore MH12S. It's USB rechargeable which is nice as I was going through a lot of specialty batteries which are hard to come by in my location. The only thing I don't like is that I can't change the lumens without having to press the side switch, my old light let me set default to the lowest lumen and double press the tail cap to go max lumen immediately. The holster is decent, I had to use a ziptie to keep it secure to my duty belt.
Since a freakin' Freedom Splint meets the definition of a restraint, and all it does is hold the arm straight to protect fragile IV sites, then i can easily see CFTs meeting that definitely, as well.
You've posted the same question to both the EMS and Fire subs; with your question specifying Christmas gift, I'm assuming you're seeking help with gift for a friend or loved one that is a FF/EMT or FF/Medic.
Myself, I work for two different agencies, volunteer FF and part-time EMT. There isn't one answer for both jobs.
As an EMT, I carry a Streamlight pen light. Good enough for general use in a dark environment, not so bright you'll completely blind someone checking pupils.
On the fire side, I *do* carry a second one of the above in my bunker gear, but only as an "in case I end up jumping in the boo boo bus on an accident call". I have a light *similar* to this on my helmet, can't remember the brand - but in addition to the forward facing beam, it also has a dimmer light that angles down about 45 degrees in front of you - not as blindingly bright as the main beam, good for close work in front of you. I also carry a handheld light with a pivoting head (pretty sure it's a streamlight, but can't find the exact model on Amazon right now); can either be handheld, or pivot and clip to my bunker coat as a 90° light.
I'm with everyone on this thread: get a stethoscope first. Highly recommend Littmann, don't have to go out with the electronic ones or anything. I use the Littmann Classic III which is perfect for both EMS and the inpatient setting, spending any more on a stethoscope is just a flex and doesn't make a difference. Also, speaking from experience, you'll probably catch flak for walking in on the job with Raptors right off the bat lol, regular trauma shears are perfectly fine and are only a fraction of the price
You could definitely use a handgun tether. Something like this:
https://www.amazon.com/BLACKHAWK-Style-Tactical-Pistol-Lanyard/dp/B0013XXKO6
I've used the Nursing2022 books. New, updated books are issued annually, so next one will be titled, Nursing 2023. They have EVERYTHING in them.
For anyone not familiar, Verbal Judo (written by Thompson, updated by one of the authors of the "Left Behind" series, oddly enough) should be a must-read for anyone who interacts with the public.
Like I said to you in an earlier comment…I wipe the straps after every patient. I still cover my patients in a sheet so they don’t touch them. And as I said in the comment you replied too I have to get them from spare ambulances because we don’t buy extra or can’t keep enough in stock because we swap them out so much and our supply guys wash them after they get heavily soiled.
It gets hot up here in Boston too(weeks if 100*+ this summer) but we somehow still place light sheets on patients on the stretcher and before we stair chair them so they aren’t directly touching disgusting stretcher and chair straps.
This is a bath blanket
Sorry it took a while to get back to you been super crazy at work, but my cc and flight certified medic partner gave this this book http://www.barnesandnoble.com/mobile/p/critical-care-transport-american-academy-of-orthopaedic-surgeons-aaos/1100115186/2675561808808?st=PLA&sid=BNB_DRS_Marketplace+Shopping+Textbooks_00000000&2sid=Google_&sourceId=PLGoP20452&k_cli... He said if you read and understand this it will give you a good base to start from.
You joke about it being good in your vape but they literally sell OTC epi inhalers so I mean if you want a nice pick-me-up to go with your Bang and cigarette...
Jesus Christ. I hope you're kidding.
If cost is an issue discuss one of the alternative products with him and ask for a prescription from the doctor.
http://www.consumerreports.org/drug-prices/epipen-alternative-that-costs-just-10-dollars/
https://lifehacker.com/relieve-mild-burns-with-yellow-mustard-5850718
The burn center people came to teach our burn class in medic school. No joke, they said it was super common for people to show up with 2nd and 3rd degree burns wrapped in saran and mustard by POV or applied prior to EMS arrival.
A growing number of countries require defibrillators in public spaces. But they don't keep track of them! And the few who do, use slow and ugly websites. Ew!
Life Saver is both easy and powerful. When seconds matter the most the closest location is just a tap away. When details are more important you can check reviews and directions, or add new locations to help others in need. More than 80,000 defibrillators have already been added, mainly in Europe and New Zealand. Join the community and help grow the database to cover the whole world!
Life Saver is freely available on both the App Store and the Play Store. Any advice or criticism is welcomed!
Research, and reaching out to local SAR dog teams.
You can check out this book about it, and it's fairly straightforward.
My god, my personal first aid kit for camping in the middle of nowhere consists of two of these MOLLE bags (https://www.amazon.com/dp/B00AEM35U6?ref=nb_sb_ss_w_as-reorder-t1_ypp_rep_k0_1_10&amp&crid=37599DP2P480G&amp&sprefix=red+molle+) attached to a wild-land fire harness/hydration thing which is overkill but sometimes I'm walking around all day with it, so I wanted something comfortable.
One as BLS airway, other as BLS hemorrhage control. One additional pouch for random shit (tactical snacks).
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I guess I need like 15 carabiners to complete the ensemble.
I had a pair of these for a year. They were comfortable but I needed something heftier and taller
https://www.amazon.com/Mens-Cloud-Hi-Waterproof-Sneakers/dp/B09LK4RXPW
They’re also ludicrously overpriced
this is what i use for my phone/GPS. easily removeable and stays solid even on bumpy dirt roads. i usually put it on the truck's dash but you could probably put it on the windshield as well.
LefRight Tactical Molle Pouch EDC... https://www.amazon.com/dp/B00OML5CWY?ref=ppx_pop_mob_ap_share
I have this attached to my radio strap
Holds my pens, shears and notepad. I don't carry anything in my pants anymore and I don't lose 20 pens a week anymore
Uploaded study here for anyone interested in reading. N=174 and no random assignment, the 2-hour cutoff was somewhat arbitrary. Follow-up study in the works.
Same thing happened to me. After two pregnancies with hyperemesis gravidarum, I can't handle most smells. Organic Stink Balm Odor Blocker... https://www.amazon.com/dp/B07YK8LWCY?ref=ppx_pop_mob_ap_share <-- this is the best fix that I've found. It lasts about 15 min with a surgical mask, 5-10 min without a mask.
We use the shoe storage things they sell at target.. cheap and works great for syringes, iv start supplies, glucometer, trauma stuff and so on
Amazon Basics 24-Pocket Over-the-Door Hanging Medium-Size Shoe Organizer https://www.amazon.com/dp/B07227PWVP/ref=cm_sw_r_cp_api_i_M5N31THN2GFSKAR9AC26?_encoding=UTF8&psc=1
Here’s an example
It's probably overkill for paramedic, but Clinically Oriented Anatomy. I personally read 6th edition. It is currently 9th edition so I don't know if they continued to have excellent quality. Really good.
I'm the same way with certain smells (my big one is DKA w/ necrosis). Organic Stink Balm Odor Blocker... https://www.amazon.com/dp/B07YK8LWCY?ref=ppx_pop_mob_ap_share This is so much better than Vicks! It smells better and it lasts for about 20 minutes under a surgical mask, about 5 minutes w/out a mask.
Curious, what are your thoughts on Raptor shears? I have a blue pair myself and like them, but haven't really used it beyond simply cutting(and not on traumas and such):