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Ask an EMT anything. Pic related

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Only a fool would take anything posted here as fact.

Thread replies: 137
Thread images: 22

Ask an EMT anything.

Pic related
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how
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Where would cardiac leads go on her
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best way to stop arterial bleeding? more specifically bleeding from the femoral artery really high up on the leg? or from the jugular or an artery in a weird place
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>>675584557
bumping because i want my shit answered
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When did you figure out your a total fagt fuck and why haven't you killed yourself yet
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>>675584740
shes definitely getting a 12 lead.
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>>675585908
12 lead?
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Hey I'm an EMT too, currently in medic school. How do you deal with the soul crushing reality of taking inter facility transfers all day?
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>>675585078
high on the femur? get cozy with that crotch and get that TQ on there. if the cut is so high that the artery recedes (as in, a deep cut to the grown), then you need a surgeon. treat with diesel. fuckin drive, advise ER enroute so they're ready for you.
jugular? pressure. pressure pressure pressure. again, treat with diesel. you see dark blood and cant control with pressure, then they're pretty much fucked. true arterial bleeding is hard to stabilize in the field. they need a surgeon.
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>>675584557
How much do you get paid an hour? And if its less than 15 bucks..How pissed are you that fast food workers are trying to get 15 dollars an hour?
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>>675584557
how many suicide hotline pickups do you do

i heard rumors it's like 50% of your runs
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>>675584557
Is being an EMT worth it? I was thinking about it, but not sure i heard the pay is bad.
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>>675586085
good podcasts. and don't be afraid to pull over and sleep. helps to have a partner who's good at conversation.
don't be afraid to sleep on the gurney. soak your gurney in decon for a solid 10 munutes, wipe down like crazy, repeat. i always stock extra linens just in case i need to crash in the back for an hour or two before switching off.
but seriously, good podcasts kill the time. or call your gf. or your mom. just pass the time, ya know?
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>>675586272
what do you mean diesel? like literally the fuel?
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>>675586552
fuck you mean speed, like hurry my ass up

effffff
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>>675586305
i get paid minimum wage, which is $10/hr around here. after 40 hours, we get time and half. theres a few slight bonuses ($35 for taking a long distance transfer, etc), but ultimately it sucks. i average about 120+ hours of work a week.

i'm not against any industry getting paid what they've lobbied for. until EMS stops being a bunch of whiny pussies and organize, we have no room to complain.
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>>675584557

I stuck my fingers into my friends upper thigh wound and clamped his femoral artery by hand for about 20 minutes until paramedics arrived. He survived but I have never known if my actions helped that. Was sticking my hands into his mangled flesh a wise thing to do or did it most likely make a negligible difference?
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>>675586316
i work for a fairly rural company, so they're not as common for us. but they do happen. the majority of our calls, and im sure true for most companies, is old ladies who fall down. old people in general.
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>>675586343
Entry level emt is shit work

Former emt here with mass casualty/catastrophic/terror response training here. Also double dipped into peds trauma. Without extra skillsets, beginning pay is awful.

Currently work as a medical analyst in Tampa fl. Easily make more, but it was the skillset that I had that got me hired.
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>>675584557
What would you estimate this girl's bmi to be?
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>>675586914
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>>675584557
Have you ever gotten hard from watching a patient that's severely injured?
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>>675586967
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See any epic boobs?
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>>675586343
don't do it for the pay. do it because it will help you grow up.
if you're not going to do military, then you should do some form of public service that forces you into places you'd never otherwise see, and serve (or kill) the people there.
it's been worth it to me. if you have a strong stomach and like helping people, go for it. do it for a few years. you'll learn a lot.
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>>675586512
Podcasts had never actually occurred to me. I normally just plug in my phone and turn on spotify or pandora. Thanks OP I will give a podcast a try on the next two hour trip to chicago
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>>675586914
-3?
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>>675586624
yup. move your ass.
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>>675586736
that's what clamps are for. you probably introduced some gnar infection. i mean... if you apply enough pressure, then pressure should suffice. especially if you have help on the way.
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>>675586914
>>675586967
>>675587009
thanks mr skeltal
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>>675586914
this is clearly an 1144. call the coroner.
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>>675587040
epic saggy old lady tits? yup.

when you lift one to apply an electrode and theres an old one already under it from her last transport.
>feelsweirdman
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>>675585952
He wants to touch her more than using a 5 lead heart monitor
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>>675586990
not yet. i'm sure it'll happen someday though.
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>>675587567
I meant good ones, so I'm guessing no
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>>675584557
Do you judge patients penis' when you have to strip them?
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How often do people "fall" on things? Pic and link related.
https://videos.toypics.net/view/4348/xl-trex-hilted-2/
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>>675586343
Eh the school is easy as balls though
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>>675587058
two hour trip? are you seriously complaining about that?
my last long distance transfer was 8 hours each way... that's pretty standard for our company. someone needs to build a fuckin mental health facility closer to us.
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>>675587838
all the time. i always look. who wouldnt?
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>>675588032
Fuck that, MH is rampant, schizophrenia is the norm these days and your facility is 8 hours away? Even your stcfs?
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>>675588032
That's probably because you work for a transport company
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>>675587638
How would that lead to touching
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>>675587732
i've seen a few nice ones. but usually if they're young and hot, it's a car crash, and if it's bad enough to break out the sheers, then i'm too busy to stare. but yeah, despite death rattles, it's hard to ignore nice tits.
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>>675588032
Not so much complaining about it as much as it is just boring as balls. All public aid psyches in the area have to go to Chicago from where were at because they have the only hospital that will take them. Otherwise were pretty lucky I guess, within 3 hours of Chicago, St. Louis and Indianapolis
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>>675588191
Do you guys make fun of the small ones? Are there actually more small than big?
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>>675587851
all the fuckin time. drunks, idiots, old, etc. people love to fall down and go boom.
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>>675588277
yup. like i said, rural company. the closest one is 5 hours, but usually full.
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>>675588391
You have to attach electrodes to the chest ribs and extremities
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>>675588392
I was gonna say that's gotta be an awesome part of the job literally saw an Emt hold my gfs boob for lead placement after a cardiac emergency
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>>675588295
nope, standard ambulance company. the only one in the county. so we handle everything, including transports.
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>>675588477
i've never seen a big one. probably has something to do with tanking blood pressure though.
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>>675584557
If i accidentally sat on a sharpie and can't get it out, is this easy to remove?
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>>675588706
That's pretty gay how big is your county
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>>675588636
not really ribs. it's more like making a triangulation of the chest area. so shoulders, and both sides of their abdomen. you CAN do extremities, but theres usually too much artifact (interference like bumpy ambulance, etc)
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>>675588861
just leave it. it's fine.
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>>675589045
What area would you focus on
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>>675588890
a little bigger than the size of rhode island
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>>675589216
her blood sugar.
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>>675588508
I don't think you understand, by "fall", I mean shove something so far up their asses they can't get it out.
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>>675589045
I think you forgot where ribs are buddy
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>>675589543
Not OP but they do not go on the ribs, they go on the intercostal spaces in between the ribs
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>>675589543
thats a 12 lead. then yes, the placement needs to be more specific. but it wont be directly on ribs anyway. it'll be in the intercostal spaces.
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>>675589921
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Shut the fuck up you basic as bicthes, you all think your so fancy with your dcap btls sample opqrst bullshit, all they should have told you was the KED EVERYONE. ALL THE TIME. Use necessary force when applying a cspine collar and everything will be fine
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Any Emt's that suffer with alcohol abuse?
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>>675590167
i dont do any of that bullshit. most the time i just load and go and keep it simple. ABC's. vitals. focus on what the fuck im going to tell the ER
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>>675590279
all of us. including me. hell, im drunk right now
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>>675590279
I'm sober but a psychopath so I don't need a crutch
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When I became an EMT I quit smoking and now I just drink and dread the day I end up in a county nursing home
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>>675591447
yeah same here. i never want to get to that point. if i'm ever headed there ill eat at 12 gauge like a man. fuck being dependent
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>>675586512
Yeah, call your mom to pass the time. Just don't call between 3 and 5. I don't like her getting personal call during "get down to business" hours
>>
Had a dude here several years back that tried to do that with a micro .380. Didn't penetrate and just turned him into a vegetable and lived in the nursing home for a couple years like that.
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>>675592459
botched GS suicides are pretty common. we call them "jerkers". they put the gun under their chin and pull the trigger but jerk away at the last minute. blow the front of their face off and leave their brain relatively unscathed.
usually we just find whats left of the tongue and stuff at tube down to get an airway then transport. it's brutal.

the proper way to shoot yourself is with a shotgun loaded with 00. duct tape it to your back and make sure it lines up with your brain stem (use a mirror). go to the front yard, lay down a tarp for easier clean up. lean your head back and pull the trigger.
lights out.
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>>675584557
Got any good horror stories?
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>>675584557
I just shot up heroin.
There is an abscess growing at the site of injection. What do I do to stop it?
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>>675594373
go to the hospital. or give me more info and i can say fuck my license and try to give you a home remedy.
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>>675593730
more than i can count. what's your biggest fear? i can probably share a story.
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>>675594829
What's the worst that has happened where the person couldn't afford the bill afterward?
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>>675594829
>more than i can count. what's your biggest fear? i can probably share a story.
Ever see someone try to hide a poisoning and something else?
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>>675594915
i've had patients wake up then proceed to attempt to jump out the back of my ambulance while it's going 70mph, because they didnt want to pay for the ride.
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>>675594737
It's an abscess. A red bump in the crook of my elbow. It's very warm too, and isn't really sore I would say. The skin is def tender though if that makes sense. Of course I am on heroin so I wouldn't expect to feel much pain anyway.
I'm pretty sure I missed a little bit of the shot, and that's why it's having this reaction.
I don't want to go to the hospital if I don't have to.
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>>675595414
never had someone hide a "poisoning". but i've had our local native american population abuse the fuck out of our service.
we got a call for a girl who purportedly throwing up blood. we got there and she was standing out front with a purse, a blanket, uggs, and texting. she hopped in and enroute i figured out that she wasn't sure whether she was pregnant or not.
she wanted a ride from her middle of ass nowhere reservation to the hospital so she could get a pregnancy test. she knew she wouldnt be paying for any of it. she knew if she told 911 that she was vomiting blood we'd go code 3 and get there quicker.
those fuckin people man... no sense of community.
i'm not generally prejudiced. but i can't stand our local native american population. they suck.
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>>675584557
Coke or Pepsi?
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>>675596007
>she knew that she wouldn't be paying for any of it
anything that can be done about that?
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>>675595887
okay... tits appreciated. but can i get a closer picture of the abscess? how big is it? less than a cm?
do you have any other medical conditions? allergies?
do you have a first aid kit handy?
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>>675596159
beer.
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>>675596274
introduce small pox?
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>>675596399
I was hoping to understand why she does not have to pay and I do, but smallpox worked in the past, may as well try it again
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>>675596510
shes on the res. government pays.
it's just shitty of her. our entire county only has 2-3 units at a time. so to take one out of service for a pregnancy test, when she could just take a bus to the dollar store and buy a test, is fuckin selfish.
to lie about her symptoms so we go code 3 is reckless. driving lights and sirens is dangerous, for us and for others on the road.
what a cunt.
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>>675596312
About the size of cm. Maybe a little bigger. It seems to be growing tho.
Yes I do have a first aid kit handy.
Everything on the internet is telling me to put a hot compress on it. Is that really all I can do, and just hope for the best?
Can't take a picture sorry
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>>675596007
>>675596274
>she knew she wouldnt be paying for any of it
probably because she thinks she (and all her people) already paid for it. big times!
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>>675595887
u laid an egg, is what i guess happend
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>>675586731
I dunno man. EMTs spend their time saving lives. If youre the kind of person that does that you're probably not self centered enough to bitch about it.
>>
What are your responsibilities as an EMT over there? I've volunteered for years as an EMT in Europe, and while we were trainer for every emergency, we

A- couldn't do anything "invasive". If the thing was serious, we basically held for dear life and kept the guy alive for the professional crews to treat him. Or just floored it to the nearest hospital
B- we were sent mostly to low-tier calls, so a shitload of drunk people, and stuff like that. Saw my fair share of old men drowning in their own fluids and car crashes, though.
>>
>>675596773
you want to get blood flow to it, so yeah, keep heat on it, and keep moving the limb.
if you start to feel shitty, go to the ER, don't risk it.

and as always, prevention is the best cure. make an effort to make your habit clean.

if it gets over 1 cm, then you'll need to drain it. doing this at home is possible, but i REALLY don't recommend it.
if you must, be extra clean. shower with anti-bacterial soap. clean the fuck out of your hands. wear gloves if possible
sterilize everything with alcohol. wear gloves if you can. make sure they're clean.
soak a razor in iso alcohol for an hour. agitate the fluid as you go.
make a super small laceration at the highest point of the abscess. drain slightly.
apply activated charcoal to the laceration, cover with gauze. change out every hour or so, for a day or two.
keep everything clean. if you feel shitty, go to the ER.

good luck.
>>
>>675587383
10-55 for us Silicon Valley folks
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>>675597652
generally, EMT's do not have a huge scope of practice. usually it is lower tier stuff.

but, i live in a big rural county, with an understaffed company. so i've been in charge of some pretty gnar calls.

i am allowed to go beyond my scope of practice when directed by an ER doctor.

i've done a field amputation of someones hand who was pinned in a huge vehicle pile up. there was 6 vehicles involved, and about 15 patients.
my patient was critical with a pinned hand in the wreckage. i called ER, doc said, "alright bud, you ready? break out your pocket knife and TQ, i'm going to walk you through a field amputation."
i'm sure you can imagine the rest.

im fortunate. in a lot of systems, EMT's only drive. i get to do a lot. shitty ghetto company, but hey, it has it's pluses.
>>
>>675584557
Will this guy be able to pay for his treatment?.. I guess what I'm really asking will he be able to foot the bill?
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>>675596773
You should probably take a pic of your pussy for us to make sure that it is A ok, never can be too careful!
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>>675598275
Hey, I see what you did there, very clever very clever indeed.
>kill yourself
>>
alrighty... im pretty toasted. my gf has a cold, gave her a fuck ton of drugs, shes been passed out upstairs in my bed. im gonna go pretty soon here and touch her butt then fall asleep.
any last minute questions before i leave? i plan to do this again in the future.
>>
>>675598844
What are your opinions on universal healthcare?
>>
>"alright bud, you ready? break out your pocket knife and TQ, i'm going to walk you through a field amputation."

Holy shit.
More stories please
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>>675599034
back in the days, it was in nam, i amputated my best buddys leg with nothing more than a rice straw hat
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>>675599012
i dont trust the government to do it well. but i support a single payer system. watching someone melt down over their impending bill and ramble about how bad their debt is already can be kinda heart wrenching. i'd rather people in debt not have to pay.
honestly, all it would take would be an extra percent or two tax on alcohol and tobacco to fund such a system.
>>
>>675599034
like i said, what's your worst fear? i probably have a story.
>>
have you had sex in the ambulance with a coworker/boss/girlfriend/all of the above?
>>
>>675599462
What happens when there is a melt down, do people bail and refuse treatment or is there some kind of deferred payment plan?
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>>675599826
maybe like throat slit, or multiple stab wounds, drowning in your own blood, pretty much generic horror film shit
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>>675600056
meant for>>675599514
>>
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What happened here and how would you treat it?
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>>675599826
it's called "the code 3 club", banging in the ambo or on top of a fire truck while your partner drives with lights and sirens.
unfortunately, my company has cameras. ive been trying to figure out a way to bypass though. if i succeed, i will absolutely give a details green text. VERY detailed. ;)
>>
ever picked up an OD crackhead?
>>
>>675599923
by law, if someone says "LET ME OUT", you stop and let them out. i've let naked people out on highways, i dont care. usually law enforcement immediately shows up and hog ties them and 5150's them.
for people who are just already welfare, they just never pay our bills. we defer to a collection agency, and they just dodge them until they die. it happens.
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>>675599514
What was the worst thing you've seen happen to a still living homeless person or senior? Any crazy his skull was missing and it was replaced by a carpet of maggots type deals?
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>>675600187
either a stretchy booty, or possibly a prolapsed rectum. happens to old people sometimes. the muscle becomes weak and things just... fall out.
we transport, docs go in and stable it back up.
>>
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https://youtu.be/_8dRZ3atLW8
>>
>>675584557
Why did you pick that job
>>
>>675600525
i had a lady who had maggots in her ankle/foot. she was a mentally ill hoarder, overweight, semi ambulatory.
the maggots had eaten through most of the top of her foot, and almost all of her ankle. the only thing still intact was the Achilles tendon. i peeled down the sock and almost puked. had to walk out of the house for a minute.
called for fire for the lift assist, to get her out of her shit pile of a house. a few of them puked.
as i was transporting her, just for kicks i asked her "can you wiggle your toes?", and i shit you not, she could. ankle was basically bone and tendon with some shreds of black necrotic tissue, and she could still move her toes. boggled my mind.
>>
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>>675600056
throat slit? havent seen on of those yet.
stab wounds? yes. yes yes yes. one of our stations is across from a prison. so yes. lots. it's a gnarly way to die.
drowing in blood? absolutely. upper GI bleeds are insane.

while i've never seen a throat slit, i've seen a crushed throat.
15 yo kid was driving his dirtbike on backroads, and decided to cut across the highway. unfortunately for him, probably the only vehicle on that road, a large SUV, t-boned the fuck out of him at 65 mph. he got sucked under the tires and spit out the back. a tire ran over his neck.
we got there and immediately went to work on an airway. his whole face was fractured. i had to move his face around to even find his eyeballs to see if they were PERL. they werent.
medic was getting ready to do a tracho when the doc on the phone with me said, "nah he's wasted. go ahead and call it."

worst part was the girl in her early 20's who hit him. obv not her fault, but as i walked by she was with a LEO, very upset, and she asked me "is...is he going to be ok?"
i said, "no... he's dead. it's not your fault"
she burst into tears, and i just quickened my pace and loaded my gear.
that call was gnarly.
>>
>>675600904
i was washing dishes for a living, and my friend (a firefighter) was going to take the class, and suggested i did too. i said, sure, why not.
>>
>>675593174
Any other guns that can be used? Maybe anything other than rifles
>>
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>>675601617
nah, 12 gauge, buckshot. dont risk it.
>>
>>675600218
cracks not to common in my area. but lots of other OD's. usually heroin.
>>
>>675597283
>this guy gets it
>>
>>675600922
Dear god.
>>
>>675601511
PERL?
>>
What's the typical shelf life for an EMT? I don't imagine anyone could do this for long without some PTSD issues.
>>
>>675602241
Pupils equal and reactive. his eyes didnt react to light. he was dead as fuck.
>>
>>675602409
the average is about 5 years. but i've seen people quit the first week, and i know an EMT whos been there for 15 years.
>>
alright im done. ill be back another day. later /b/
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