When I started working as a precepting medic in 1995, I was making (I believe) $12 an hour, which may have gone up to $14 when I was cut loose six weeks later. I worked three 12’s and was often held after crew change, but never to the point of going over 40 hours for…
Category: ems-topics
Day-to-Day EMS
You punch in. You check your equipment. You get your calls. You respond. 83-year-old female fell, head lac. 6-year-old boy, history of seizures, had a seizure. 63-year-old man with abdominal pain. 74-year old with fever. 59-year old man with syncope. 23-year-old driver with neck pain from rear-end MVA. You do your assessments, get your histories,…
When Are You a Competent Medic?
I recently received the following question in the comment section: At 10:31 PM, DavisEmt said… This is going to sound stupid:But I don’t really have anyone I trust to ask. How do you know when you are a competent medic, because I know every call isn’t going to run perfect, but I’ve been a medic…
Advice to a New Preceptee
A year ago I wrote a post called Letter to a New Preceptee, offering reassurance to a new paramedic. Today I am supplementing that with “Advice to a New Preceptee.” Note: This letter is not directed to anyone in particular, but rather meant for preceptees in general. *** Dear Preceptee, I have been precepting new paramedics…
Trauma Room: The Sequel
When recently (seven weeks ago) we saw certain of our heroes, the trauma team, in the Trauma Room, I had just unveiled an item of interest for them: “I give my report in the trauma room. I feel bad to say so but I feel almost like a celebrity chef unveiling a master dish when…
You know You’re a Paramedic When…
At the movies you find yourself noticing the veins in movie stars arms as much as their looks. At youth sporting events you are the only person who does not rise from his seat when a youngster bangs his knee and falls to the ground crying. Yet you still applaud heartily when the youth finally…
Democracy in Action
We’ve been having a big union battle where I work that has pretty evenly divided the company. In the first election, the current union, Local 1199, garnered 81 votes, the challenging union, NEMSA, garnered 71, and 16 people voted no union. Since there was no clear majority, there is a run-off election held today between…
Countless Many
“Why Can’t We All Get Along?” *** There’s a new guy on the sports radio channel I listen to who drives me crazy. He is so annoying. The local radio station decided to preempt the national syndication with a young local guy who could discuss local sports and maybe comes a lot cheaper than the…
Minimum Security Prison
It’s punchout time so I can post this: Quiet day. Nothing going on for 12 hours, except a lot of rain. I worked some on the computer, surfed the net for awhile. I spent an hour or so cleaning up the supply closet. I had a bowl of soup for lunch. I watched some TV…
www.chiquita.com
We’re called for a woman unconscious. I recognize the address. We have been there many times before. Two sisters. Extremely co-dependent on each other. The younger sister has chronic pain and is a known drug seeker. The older sister is just plain crazy. On the way we are updated. The woman is conscious and breathing….
Ghost
We’re called to the cemetery for a woman passed out. I have been here so many times before. It is almost always the same story. Beautiful, clear day, green grass, a procession of cars parked along the road, memoriams white-washed on their back windows. “Remember Julio. R.I.P.” And then the gathering of mourners, all dressed…
Moment of Truth
“Do you find fat people repulsive?” “Have you ever inappropriately touched a patient?” “Have you ever falsified a report?” *** These are questions that will be asked an EMT on the Fox show Moment of Truth on Tuesday night. A contestant can win $500,000 by answering twenty-one progressively more difficult questions honestly based on the…
What Happened?
There are many things a paramedic(or EMT) has to do on the scene of a trauma (or sometimes even the scene of a bad medical). Among them is to answer the question “What happened?” Sometimes the patient can tell you. “I went over the handlebars on my bike and hit my head. It hurts, but…
The Accident
After I finally punch out, I drive slowly home through the darkened streets of the town and then out onto a country road. No radio on. After awhile I look at the road and wonder where I am. For a moment I think I am lost, but then I realize it is just misty out….
The Gear (Oops)
I wrote recently about screwups with the gear. Equipment(Brain) Malfunction This just proves there is always a new chapter. I checked out my monitor the other day, doing a quick eyeball, BP cuff, monitor leads before checking the battery, doing the user test, and then opening up the back and top compartments for check for…
Parade
I want to compliment myself because I took a vow quite awhile back that I would stop whining about all the bad things in this job, and I think I have done a pretty good job of it lately. When you start letting things like lengthy triage waits and pompous health care providers (whether hospital,…
Just a Paramedic
Baby Medic asks in his most recent post Routine about the frustrations of the mundane in EMS: I would like to know how those who have been doing this job for a long time are able to withstand the mundane. Do they no longer live for the exciting calls? Are they content to relax in…
The Asshole
I‘ve been called an “Asshole” by a patient two days running now. I guess I have to reluctantly plead guilty in the first instance. The second, I’m not ready to admit it yet. Here’s how the calls went down. *** The first was for a diabetic, altered level of consciousness. 40-year-old man lying in bed…
Trauma Room
I’ve been bringing quite a number of patients to the trauma room lately. You get hurt in a routine motor vehicle accident, you end up in a regular room in the ED or probably even more likely, a bed in the hallway until they can clear your c-spine, get you off the backboard and send…
The Future of Intubation
I recently taught the bougie station at an airway class for ED physicians. While there I got to sit in on an excellent airway lecture and play with some of the other airway devices in the hospital’s difficult airway cart. There was a vendor there from King Systems helping demonstrate a new product of theirs…