Is this the place to talk about firefighters? I can't seem

File: 1374556995823.gif (2MB, 600x338px) Image search: [Google]

2MB, 600x338px

Nah, more /out/

Although i do respect the shit out of firefighters/EMTS. They're the real heroes.

Fuck pigs.

>>32320005
EMS threads are hit and miss here, it's been traditionally on here but new mods a shit
>tfw mods still haven't taken down a porn thread for over an hour

Anyway, I'm an EMT instructor and not a fan of FD because they always get more funding

Montana EMT here
always happy to talk about the job

how does one weaponize a firefighter /k/?

>>32320731
Well, they have axes... And, fire extinguishers are pressurized? And... And.... Fire was, fire was our first weapon against the dark and large predators that lived in the dark.

Fuck, I don't know.

>>32320005
>9 man stokes basket carry
I mean, he's a fat man in that basket. But not having full SMR isn't an excuse.

>>32320731
>>32320755
Ok, so we have axes, fire hoses, and haligut tools (or so I'd been told), so we already have a good start.

Having combustible materials on their person isn't a great idea, so that's out. More blades, then?

>>32320005
EMTs have the best stories and almost always make for interesting threads please if you have a story do share

>>32320791
Well the cleaners from The Division come to mind except for the garbage men suits they wear

>>32320796
I'm a student of the EMT persuasion, and as such, you're required to ride out with paramedics to get your feet wet.

I have very, very shitty stories.

>>32320005
Firefighter/Paramedic, over a decade on the job. Ask me anything.
>>32320288
Bias, fire based EMS systems are better. Better for the community (cost effective), better on scene (one agency working seamlessly in all hazards), better for labor (we get paid adequately for dual role and have access to almost unlimited training and education opportunities for both fire and ems thanks to grants and programs on both sides).

>>32320960
Let me out anon. Let us know what you have seen.

>>32321272
Not the anon you replied to but I got off duty this morning and we had a call at 5 am for a stoppage of breathing. We arrive on scene and go inside, immediately declare a DOA. Dude is as stiff as could be. His grand daughter called it in and the story is the girl's parents are out of town and the grandfather fell ill Friday. The granddaughter didn't bother to check on him in the five days in between, despite living in the same house. How do you have an ill grandparent in the house and not bother to check on them for anything whatsoever in five days?

>>32320288
I'm an EMT in Huntington wv and our department is pretty stacked. Our director split our fleet so we have 911 and transport with our transport being private making most of the departments money and our 911 being county driven to which I guess gives them funding.

Instead of being a part of the FD like a lot of other departments apparently we started as a paramilitary section of the sheriff's department. Then again I go to other areas transporting patients like Cleveland or Columbus and they have those heavy duty hardcore hino ambulances that take a CDL to operate while we still have box trucks and vans. But at least they are low miles and really nice.

File: Hellhound.png (692KB, 1051x578px) Image search: [Google]

692KB, 1051x578px

>>32320731
Replace water with napalm. Add ignition system.

>>32321091

Paramedic with a stand alone EMS agency you. Fire EMS is not proven better you're just repeating IAFF talking points.

I have yet to see a single study that shows the effectiveness of Fire vs Stand Alone vs Hospital vs telling people to call an Uber.

>>32321272
I had to sleep. Sorry.

Best and worst story, also my first call:

>get called to 59 year old male with chest pain
>I_was_told_about_this.jpg
>show up, FD arrives right behind us
>wife is hysterical, but they always are
>make patient contact
>giving Levine sign, in tripod position
>hand clutched over heart, leaning forward and resting his considerable weight on his other hand
>dude is pale, diaphoretic, short of breath
>can't bring stretcher to him because no room in hall to turn
>ask him if he can make it the literal 5 feet to the stretcher
>says yes, but will need his cane
>stands with assistance, is assisted the 2 steps to the stretcher, and sits
>dude's eyeballs are bugging out with strain
>ask if he could scoot back a bit
>no words, only a nod
>gets his ass in place, and then falls straight back
>this_just_happened.omg
>no idea what his name is
>SIR! SIR! CAN YOU HEAR ME?!?
>attempt to palpate pulse
>nope
>patient also went apneic (not breathing, because medical words are like that)
>medic explodes into action getting endotrach tube ready, intermediate prepping needles and shit, some firefighter snags the ventilation bag and hooks up the 02 tank, and I'm whaling away on his chest with compressions
>we somehow get his 400 pounds up and into the truck
>cardiac monitor doubles as defibrillator, patient gets cleared at least 3 times
>3 shocks
>IV gets pulled out of his arm somehow
>no femoral pulse
>no carotid pulse
>keep compressions up
>switch to bagging
>back to compressions
>ambulance is hauling ass and blood is on me somehow
>loose arm flopping around the cabin might have something to do with that
>get to hospital and debark
>still managing compressions somehow
>get squished in between the stretcher and hospital bed because lol_whoops_my_bad_student
>transfer patient to ER bed
>I now have...nothing to do...
>except watch 8 nurses and doctors completely surround the patient
>and then watch as one slowly walks out and somberly talks to the wife

>>32323297
fatty did it to himself
sad
but he only had him to blame

>>32323383
That's why it's a shitty story. I warned you in the beginning.

>>32323297
I remember my first cardiac arrest call during my ride time. It was a man down call and we arrive to the scene and dude is outside on the ground getting compression from a cop. We just went straight from ground to stretcher and into the squad. I did compression till we got to the ER. I'm pretty sure that dude is dead, the station was so busy that day that after we got our signatures we cleared and were off to the next call. Never did find out what happened to him.

hopefully it gets better, I only do transport. I've done one 911 shift since I started back in Feb and spilled my spaghetti the whole day. But in my defense it was my second week there and it was with a power truck. Couldn't even do my med com report without stuttering like a little faggot.

>>32320005
Seeing dead bodies, especially kids, is fucked up.

as EMS how important is it to not be King Autismo when dealing with people, even if you're the sort of person who stays calm and rational in emergency situations?

>>32323720
You know how important it is to not be autistic when you're a waiter or gun counter employee? Where they give you vague ideas and then say "what would YOU recommend?"

You're there because they need you. They downplay or overplay symptoms, may or may not let you take vital signs, and it may or may not even be a life or death emergency. Or maybe not an emergency at all.

It's a thinking man's game. A lot of the time you have to listen to what they don't tell you.

>>32323091
I actually want to have a legit discussion about this when I get back if this thread is still up. Profit versus not profit, how much money does a system have and how valued is the service to the community. There are variables but theoretically there is no way you can deny a public anything, but especially fire based system or integrated third service is better than a non integrated often private service.

>>32323569
Until something good makes it all worth it. Was airway on a 2 year old drowning/cardiac arrest 6 months ago. No pulse. After intubation and 3 rounds CPR we got something back. Kid walked out of the ICU a few months later. Stops by every few weeks to visit and family has coffee with us.

>>32323797
That's cool. I'm not a first responder. The kids I saw overseas weren't as fortunate.

FD/EMS probie here, will be official come this January, working on getting my EMT.

>>32320005
Somebody summon OHGODTHEBEES

File: tmp_2396-20161008_222150-523646815.jpg (470KB, 2048x1152px) Image search: [Google]

470KB, 2048x1152px

Im an EMS Captain with a rural agency.

I worked as a Firefighter for a year, was a station resident for 3 years, and presently work part time as a Firefighter/EMT with a department at a ski resort nearby. But full time Im a shift Captain with a county agency.

I can answer questions. It has its ups and downs and the pay sucks for a while but I have to say you can make a pretty cool career out of EMS if you play your cards right. Ive abandoned the search for a full time fire position because I like it so much.

>>32320731

http://badassoftheweek.com/index.cgi?id=652736728443

File: tmp_2396-1479839706620988033130.jpg (82KB, 816x1024px) Image search: [Google]

82KB, 816x1024px

>>32323091
Im inclined to agree.

Aside from the fire service kind of becoming antiquated (and therefor increasingly overpaid for service provided), I feel its more important to view EMS as an arm of healthcare with an emergency response capability instead of a function of a fire department to try and remain relevant.

Ive met precious few firefighters who actually value or care about EMS, and their departments in my experience train very little on it in comparison to fire stuff which is only 10% of their job. It seems like just a ticket for them to ride the fire truck and extort the public.

A good EMS system, right now, should be focussing on TSE programs and protocols (time sensitive emergency...ie, stroke, MI, trauma), Community Paramedicine, and on shaping Paramedics to be more independent and progressive with treatments. We should be clinicians first and foremost. Community Paramedicine is going to be key in shaping this in to an actual profession and providing better service...and reducing BS calls.

Fire would better serve taxpayers with a paid-on-call and station residency staffing model with a very small career crew, in MOST jurisdictions. Anything else is IAFF propaganda. And I say this as a former union member. They are selfish crooks.

>>32325185
our 911 trucks have lifepak 15s and damn they are finicky as fuck. and chew through battery charges. Half the time the wi-fi doesn't even hook up properly. Love the 12s.

anyway, I've been working for a year doing transport. Do you get nervous as fuck all the time? I'm always anxious about everything. I wanna move on to 911 and eventually medic but I am a little bitch. I loved the training but then I started working and all this responsibility smacked me in the face.

>>32325400
Were trying to get this data cable to work so we can upload EKG and vitals directly to reports and its a motherfucker. Im about to scrap the whole idea.

Im not real partial to either. We have 15s on Paramedic chase cars and the 12s on our ILS ambulances to serve as backup and take vitals, capno etc.

I was nervous my first year of 911 but it gets easier. Are you talking about being on a NET truck? That should get better too, NETs are chill.

A good field training program is essential but a ton of departments skimp on the process. We had an outside consultant help build ours and it rocks now. Guys love it.

>>32325400
Also, I will say that eventually I came to terms with the fact that eventually people just have a time to die and except for a few types of emergency we have very little control over that. Arrest survival rates, at best, are low. Stroke is survivable but often with deficits, but is dependent on being close to a stroke center more than our efforts.

And some people dying is merciful because of the state they were in. I have way more conversations with my partner along the lines of "well that doesnt seem like such a bad way to go" than I do about 'cool saves', frankly.

Aside from intervening in those time sensitive emergencies with an opportunity to not just prevent death but preserve quality of life, a lot of the work is either minor problem solving (lift assist, home o2 trouble, diabetic stuff) or just making people comfortable and talking through things.

>>32325400
More of a zoll guy myself, they take a fucking beating and the battery can last all shift.

Anyone else use the zoll see through cpr puck? We just started using it and it does not work as well as I hoped.

>>32320005
>Is this the place to talk about firefighters?
No. Now if you were to ask about firearms...

>>32325477
>>32325543
Not NET, just inter facility and dialysis or discharge with the occasional 911 when all our other trucks are taken up. But our training felt like they just kind of passed us. I went for the state cert and haven't gotten the NREMT yet. It's funny, my entire class passed so I had a theory that the state was desperate for EMTs and just passed everyone but then the last class almost 40% of them failed the test.

Its gotten better on the transport side. Now I do it second nature almost. 911 just makes me nervous. I guess most of it is just me not having the experience in 911 and embarrassing myself or not knowing what to do in a critical situation. Like, I know WHAT to do and all the pieces to the puzzle but not really how to put them together.

>>32325635
>not fighting fire with your firearms
pleb.

>>32325710
Fuck you. I'm fighting firefighters with my firearms. Fucking leeches mooching on local gummint money. I'll start breeding kittens with claymores so I can set traps for the faggots.

story time
>little brother is out splitting wood with dad
>dad says he feels tired, takes a break
>dad says he doesn't feel good
>passes out
>brother drags him away from log splitter
>calls 911
>starts cpr
>2 minutes
>bystander walks by, calls her for help
>be me, taking a nice nap innahouse
>bystander shreks the front door
>ANON ANON ANON YOUR DAD COLLAPSED IN THE BACK YARD COME QUICK HURRY
>Eyes are bigger than 12 gauge
>run faster than a thousand TV's being stolen, sister following
>3 minutes
>dad is lying on ground, eyes staring off into space, vomit and blood
>take over cpr from brother
>4 minutes
>face turning purple
>car dips into driveway
>EMT comes running with SHTF bag
>takes over cpr, bagging him
>5 minutes
>rips shirt open, attaches pads
>5 minutes 30 seconds
>hear the sound of angels - the best sound I've ever heard in my life, an ambulance wailing
>sprint to driveway, flag ambulance
>rips straight into backyard, roughly 200 yards between dad and street
>6 minutes
>stops 15ft from dad and EMT
>i went to high school with the girl driving the ambulance
>hops out, immediately starts CPR
>ambulance bro hops out with the box of mjolnir
>6 minutes 30 seconds
>PLEASE WAIT, ANALYZING RHYTHM
>STAND CLEAR
>DELIVERING SHOCKS
>entire body shudders
>No pulse, resumes CPR
>Sister is crying
>7 minutes
>second EMT arrives
>neighbor runs over, takes over compressions, DYEL brah I bet you dont even have joocy biceps
>go in house looking for medical history, call family friend nearby
>8 minutes
>no previous history of heart problems, not on medications
>they've done a second shock
>cop SUV arrives
>remember that dad is allergic to wasp stings
>cant find epipen, never seen one in the house before
>someone says it's not anaphylactic shock
>medic shoots him up with one anyway
>9 minutes
>neighbors wife comes over
>family friend comes over
>does compressions for EMT
>10 minutes
>another cop comes, gets stretcher out
>they're giving him adrenaline
>STAND CLEAR
cont.

Read Fahrenheit 451

>>32325278
Depends on the region. I am working for a transport fire service in a valley. We cannot justify a fire only service and we cannot justify an EMS only service and still provide the same sized labor force and response without it being cost prohibitive.

All those things you mentioned can and are part of a fire based EMS system. We do our own CCT and every unit carries a vent and we are contracted and borrow bi-pap and pumps from our community hospital for transport. We also have a community paramedic program. I went through Dr. Wilcox's program at Hennepin County/Tech.

The two are not exclusive and when it works it works better than two separate services.

>>32325931
>cont.
Firefighter brings back a vegetable. Anon learns to change it's diapers. FIN.

>>32320005

I'm currently looking to get involved in K9SAR and want to do EMT stuff too since it'll be helpful and is just good general knowledge. Just looking to get the money for my NEET self so I can take the classes.

>>32323797

I think there's lots to consider. I will agree in general I think for profits company running 911 doesn't work. I worked for Rural Metro and saw how well that worked out. So I definitely think the lions share of the 911 game should a public agency, either fire or a straight EMS agency. I'm not dissing you for being a fire medic. I just think because of fire fighter unions pushing the mythology of the fire fighter, it's hard to even have the conversation of which type of service is the best for an area. At least that's how it is in Florida where I work.

>>32325278

To a point I agree with you. I sadly see a lot of firefighter/emts who don't care and don't put the effort into EMS that they should. I think they really want to be fire fighters, but I think that job is becoming less needed overall. Most I just wish people could talk about it with it getting bogged down in 'you just hate fire fighters'. I think there is room in the world for fire, stand alone, and yes even private companies in EMS. But I would like to see it become more of a numbers game than just history and bravado.

File: 1479008962162.jpg (158KB, 817x1222px) Image search: [Google]

158KB, 817x1222px

>>32325931
>DELIVERING SHOCK
>no pulse
>Standard procedure is to give up at this point
>They keep going
>15 minutes
>lift him onto stretcher
>16 minutes, ambulance pulls away, sirens off, cold exit
>25 minutes
>Shock #5 gets his pulse restored
>still unresponsive and not breathing
>50 minutes
>they arrive at hospital
>2 hours
>dad is moved from ER to ICU
>on sedation and paralysis
>intubated, on ventilator
>day 1
>no clots or obstructed arteries found
>5 vertical tachycardia events overnight
>Day 6
>MRI shows no brain damage
>day 7
>remove sedation, dad is able to move a little
>day 8
>remove breathing tube, dad is able to talk but has no idea what's going on, where he is, or who anyone is, and is delirious
>day 9
>dad recognizes people
>day 12
>confusion and no access to past 20 years of memory
>able to walk but just barely
>day 13
>pacemaker implant
>day 14
>moved to rehab for therapy
>day 15
>doing better, still confused
>day 18 is today

>>32325972
You would think so after 20 minutes.

Anyway TL;DR: thank you for your cervix EMT bros and don't give up hope.

>>32326086
>You would think so after 20 minutes.
After reading your fanfic I realized it can happen even if your lizardbrain allows you to breathe.

PS, you got spittle on your chin.

>>32326141
brah I wish as hard as you do that it didn't happen, but it did

>>32326186
I totally believe you.

>>32320005
WV EMT here, everyone ive met in this field is /k/ as fuck.

File: IMG_20161214_170104_01.jpg (90KB, 1080x645px) Image search: [Google]

90KB, 1080x645px

>>32326211
I'll try to get ahold of his medical papers later, otherwise I don't really have a way to prove it was 20 minutes and that he's okay now
the doctors were in disbelief too
here he is with an eeg hooked up

>>32326252
Wolksvagen EMT?

>>32326252
what part?

>>32326289
What do you expect him to drive, a Merc?
EMTs get paid shit

>>32326084
Depends. Just as I cannot justify or prove Fire is better than any other model, I can say your example is not representative of all Fire Based EMS systems.

I have worked private, hospital based and Fire.

Last year I flew to two conferences, took two classes out of state and did all my regular merit badge type programs. In total I rang up a nearly $10,000 dollar training bill not including wages which were paid. I am not aware of any EMS system that is non-fire that can afford to send a line medic to all of that. Fact is Fire based systems are generally better funded and if the guys up top recognize a need for EMS, you are going to be a part of a world class system the privates and third services can't provide.

The all-hazard approach in my mind is better, but if it's not in your immediate region and if you've never seen it work I can understand why you'd be bias, just as I am.

File: 14925644_1477691225592114_3826568999631905431_n.jpg (103KB, 720x960px) Image search: [Google]

103KB, 720x960px

Any ems guys in Alberta? I did EMR at SAIT but 80% of the things I've studied was not on the ACP exam. Should I redo school at another place or would a ACP refresher class be better?

>>32326908
Personal favorite cocktail is Ketamine in one cheek, versed in the other.

If all goes to shit there is always succinylcholine.

>>32320731
Go full Fahrenheit 451

>>32326084
>Rural Metro
>Florida

Side note, how big are they? I used to live in Orlando and I know they did the ambulance stuff off where I lived. I delivered a fair amount of Jimmy Johns to them. Seemed like alright folks, but I also had to get driven to the hospital once because fuck paying that bill.

>>32322844
Commiefornia EMT-B here. Had a call once for elderly male that fell down a flight of stairs in 2-story house. Arrived on scene and the old guy was face down but conscious.

His grandson(?) just kept complaining about wanting to go to the mall and get video games or some shit. All while gramps is being strapped to backboard and wheeled out.

I hate people.

>>32328084
I just finished my final final exam for Basic. Overall course average was 92. I'm waiting for registry to give me the all clear to take the exam because I have two DWI on record from 4 and 7 years ago.

Do you think I should be able to get the go ahead to take the NREMT?

>>32326967

Came here to say this. I loved that book.

>>32326296
i just got my card but around huntington and or charleston

>>32326289
that county doesnt hire under 21

>>32326301
i drive a beemer and there are mercedes sprinter van ambulances for transport.

File: tfw.jpg (941KB, 1200x1600px) Image search: [Google]

941KB, 1200x1600px

>old man is FF for 25 yrs
>have dreams of following in his footsteps
>tfw socially retarded 5' 7" manlet w/ anxiety disorder, depression, and weird fetish for medical shit
>tfw no stomach for blood, gore, entrails, dead bodies, etc.
>get nauseous whenever I have blood taken

pic related is me in his gear
>tfw at least I can pretend for a day

Vol FF here, only been in just over a year and live in a rural area that very rarely has emergencies, but I love it.

Also just got a call for an interview for dispatching for county sheriff/fire/EMT, how /k/ of a job is that?
Any dispatchers here want to share opinions or stories?

>>32329782
Fuck's sake, at least go volunteer at your local deptartment.
You might end up loving it.
And if you don't, no commitment, quit if you want to.

File: 20160603_193406.jpg (1004KB, 2560x1536px) Image search: [Google]

1004KB, 2560x1536px

>>32329894
I was actually thinking about volunteering a few years down the road, once I have my main gig sorted out. Funny thing is, my dad once passed out when a nurse stuck a needle in him, but seeing someone's intestines spilling out doesn't bother him.

He's an engine driver/pump operator, pic related.

>>32320796
Im terrible at green text, heres a try.

>Become EMT
>Fresh out of training
>Only ever took granny with COPD to the hospital with watchful paramedics around
>Driving home from work, fresh out of training
>See a minivan cross the freeway and strike a car head on.
>Van catches on fire right before my eyes
>EVERYONE is dead. No pulses
>Watch as the van burns to the ground with 2 dead people still inside
>Keep job in loss prevention

>>32323297
Would this happen to be in Northern New York state?

>>32330188
Sorry, Hitler. South Texas.

>>32329970
You would be surprised to know what does and does not affect people. It's strange. Detachment can to weird shit.

>>32329851
I'm not a dispatcher, but I went through class with one. She always said her greatest regret was not being able to be there and do shit to help.

>>32330410
Ah okay, well I'm friends with a nurse who basically had a story exactly like that, blood on the emt and all, who's up in NYS.

>>32329851
Dispatching at most centers can be pretty fucking rigorous with high turnover during your probation/training time. Is it a MACC? Multi-Agency communication center? Will you have to do fire/police/ems? Or will you be dedicated? That's a shit ton of training from getting familiar with spillman I am assuming to EMD to fire-ops. Dispatch on a multi company fire ground is fucking nuts. As a firefighter and Paramedic I wouldn't want that job...

>>32330165
......dude

Literally nothing you could have done.

Firefighter I know, his first CALL, was to a mobile home. I'll try greentext
>be 17 (pass courses, volunteer FD says it's ok, but I can't drive)
>first call comes in
>OHBOYOHBOYOHBOY
>get on scene to see the front half of the trailer completely engulfed
>hear screams from a side window covered in bars
>be physically fucking restrained from tearing a hole in what's left of the building because of existing fire hazards, fire physics, whatever
>it was explained later
>still restrained as the screams stop
>fire eventually put out when deemed safe to start being put out
>bitter the rest of the night

He told me part 2, his second call, and what started him drinking heavily, another day. If interested, just ask.

>>32330537
I know it's going to be dispatching county sheriff and all the county fire depts, I think they also dispatch for at least one ambulance service.
Probably rotate out, one person dispatches fire, another sheriff, and another ambulance. Or so I hope at least.

It's not like I really need the job, I love where I'm at right now, I've just wanted to be a dispatcher since I've been a kid.

>>32330576
Sure, why not

>>32329433
Medic here. You'll be able to take the test, but good luck ever finding a job with two of those on your record.

I'm full time paramedic on a fire department. I have all my FF certs, since I'm technically a firefighter, too, but I don't do any of it. Only medical. Strictly 911, so no bullshit granny shuffle transfers from the hospital back to the home.

Also work part time as a flight paramedic. It never ceases to amaze me what some of these rural medics will call an aircraft for.

>2 am, watching Netflix with smoking hot flight nurse while pilot is asleep.
> Get a call from rural southern Illinois county. (Southern IL notoriously has some of the worst paramedics around)
>65 y/o F, fall from standing position
> Thinking maybe head injury or something, but that's all the information we get initially.
> In the air, 10 minutes out, make radio contact with ground crew. They have LZ set up and everything, blah blah blah...
> Patient report begins: "65 F, fell getting out of bed to go to the bathroom. Alert and oriented x4, vitals normal. Deformity and rotation to the right ankle"
> Ask for further injuries, they say that's it.

Fucking kidding me? Called a helicopter for a broken ankle. Cost this old lady probably $25k. For an ankle fracture.

And to top it off, they hadn't done anything for this woman. No splinting, no IV, no pain meds.

>>32320212
>Fuck pigs
Edgy.

We're the first on scene, by a lot. Fire takes their sweet ass time and shows up in a bitchy mood that they had to put their video games on pause. They park their truck in such a way as to funnel traffic directly into the scene a d proceed to stroll out like they're walking around at a state fair chili cook-off, meanwhile I'm giving someone compressions who's skin has already gone blue or in their smashed up back seat holding their head up so their neck doesn't snap in half.

They're a joke and unprofessional as hell. Wait until you actually have a medical issue and see how rude they are that you bothered them.

Despite how much downtime they have, I wouldn't do their job. A structure fire is fucking hot, as in my polyester uniform melted from 3 blocks away fucking hot. They have to go into that shit (no amount of suit can protect you from that heat), run in it which is even shittier, and navigate it in pitch darkness. To me that sounds like literal hell, and though I bash on the attitude of some of them, I respect the hell out of them. It's definitely not as glamorous as it seems. They also get a lot of exposure to pretty much any hazardous material there is, burning plastic, asbestos, all kinds of shit. Your cancer risk goes through the roof, as does your disease risk considering most the people you treat are HIV pos junkies and sick elderly people.

File: 1343330396668.gif (485KB, 500x281px) Image search: [Google]

485KB, 500x281px

>>32330837
Pic related
>I don't know what I was thinking

>>32330699
>fire marshal explains that the cause of the fire was a failed propane space heater
>it's fuckin cold, the family was poor, it made sense....and, as I was told, it happens more often than you would think, unfortunately
>doesn't make me feel better
>building collapsed under water spray
>had I gone in there, I would have been trapped and nothing could have saved me either
>still didn't make me feel better
>fuck it, next call I can do something useful, right?
>next call comes in, time to roll out
>vehicle collision, tanker truck versus pickup truck
>high combustion rating on placards
>gettin on scene, no flames or smoke seen yet
>no chances taken, full bunker gear
>find that there is no leak, so remove gear enough to render aid
>tanker driver still knocked out, direct medics arriving to him
>getting status on pickup truck driver is a little easier
>because one half is still in her truck
>the other half is down the hill
>no, it's ok, I really didn't like my lunch that much anyway
>still needed the jaws of life to remove her lower half
I quote this next bit from him
>"And THAT was the night I first drank with intent to forget. No, it didn't work, but I didn't know that at the time."

I'm sorry I don't have anything good.

File: 1476152221624.jpg (37KB, 251x251px) Image search: [Google]

37KB, 251x251px

>>32325931
>ambulance bro hops out with the box of mjolnir

>>32330961 again here.

I've told the next story a few times on different boards, but it's always a crowd pleaser. Not going to green text because pain in my asshole.

Went out to this trailer for complaint of difficulty breathing and chest pain. 50's female. Get there, trailer is sitting alone in the middle of a field. Get out of the truck and as we're walking up, that rancid ammonia smell of old piss hits us in the faces.
> This gon' be bad
Engine pulls up right behind us and 4 man crew comes up to assist. We all get to the front door, and there are flies everywhere.

Go inside, and in a ratty old recliner sits my patient. 400 lbs, tripod position, audible rales. Lips and nail beds cyanotic, room air sat around 60%. And she reeks of piss and shit.

Come to find out, she'd had knee replacement like 2 weeks before. Husband refused to let her go to rehab, said he could take care of her at home. She got home, sat in the recliner, and had physically been unable to get up to do her rehab stuff.
> She just lived in this chair for weeks. It was her bedroom, dining room, and toilet. It had soaked into the wood and fabric. Floor around her was rotting through. Husband just stuffed newspapers and paper towels to try to keep her cleaned up.

We had to lift this woman onto the stretcher. When we got her up, the chair just fell apart. Her weight was the only thing holding it together.

Put her on CPAP. Get her outside in the ambulance, vents blowing harder than they ever have. I start my IV, give some lasix, and go to do an EKG. (For the informed, it consists of a series of electrodes on the chest, a number of which have to essentially go under the left breast. It's done to get a big picture of the heart's electrical activity, and to find out if something cardiac has caused her lungs to fill up with fluid.)

Anyway, I'm putting the electrodes on, and I lift up her substantial left breast, and, underneath.
> Fucking
> Maggots

Nope not today, Satan. Saved the EKG for ER

>>32325635
This is a Saharan rock tasting commission who gives a shit

>>32320309
Can you explain some job prospects there pertaining to EMS, Firefighting, or police. I was a volunteer firefighter in upstate New York and did firefighter one. About to EAS from the Marine Corps and move to Missoula for college.

>>32331205
Are you telling me she was necrotic, or that she was just holding maggots, under her boobs?

>>32331346
Lol. Necrotic, sorry. I ran out of space. Now I've got an image of a fat woman just stuffing maggots under her fleshy, pendulous tits. For weeks on end.

>>32329433
Your course provider should send you a letter to take the NREMT sometime soon, depending on how lazy they are.

As for your DWI record, that won't impact your ability to take the NREMT exam, but can negatively impact your ability to get employed. It might also be difficult to obtain the Ambulance Driver credential for your DL.

>>32329782
Volunteer. Take EMT or other med courses. Just try to get your feet wet in it.

If it's not your cup of tea, you can always jump ship for something else.

>>32331320
I thought this was the Burmese ferret trading forum...

>>32330961
EMT-B here. I cringed as I read that. Medevac in CA can run you up to $50k.

Can medical control cancel you guys? Does pt still get billed?

>>32331205
Jesus Christ dude that is terrible, thank you for sharing that story

>>32331513
When we got there, I tried to explain to her that she didn't have to go with us. That her injury could be handled at a local hospital, but Medic McDipshit had convinced her that her injury could result in her losing the foot if she didn't get somewhere with ortho AND vascular surgery. I kept trying to talk her out of it, telling her about the bill, but she insisted she "had good insurance".

With her insistence on going via us, we were kind of stuck having to take her.

>>32331552
Correct me where I'm wrong, but if a patient decides to not take a ride with you and instead heads to the ER in their car after you get there...they don't pay for shit? Or something?

>>32331855
Depends if you're talking flight or ground. On the helicopter, at least the one I work for, the patient can refuse, and we don't bill anything. I know there are some other services out there that will bill the agency that called them out in the first place, but that's very rare.

On the ground side, the patient can refuse, but if we've actually done any treatment (IV and dextrose for a diabetic, for example), some insurance companies won't pay unless they go to the ER.

If it's a car wreck and we go out, but they don't want to go, there's no bill. However, some of the private ambulance services do charge for those kind of refusals. I know that the AMR near me will charge I think about $200 for a refusal. If they come out to your car wreck, and it goes something like
> Are you hurt? Do you need to go to the hospital?
> No, I'm fine, just shaken up. I'll be okay.
> For liability purposes, we need your information and signature that you refused transport.
> Sure, here ya go.

Couple weeks later, they'll get a bill for that. It's ridiculous.

>>32320212
E D G Y
D
G
Y

>>32331513
>$25K-$50K for helicopter
>$500+ for ambulance ride
>ER+Hospital+etc bill
>can only afford most basic of crap basic insurance

Is there a form of ID or placard asking to not be saved? Saving everyone time and money?

>>32332271
Maybe make DNR something you have to opt-out of? Lol

File: 1481137161994.jpg (270KB, 720x537px) Image search: [Google]

270KB, 720x537px

>>32329782
>No stomach for medicine
>Fetish for medicine
Holy shit that must suck.

File: image.jpg (94KB, 736x578px) Image search: [Google]

94KB, 736x578px

>>32320731
Pic related as is, but can be modified with napalm

>>32329608
were you in Marsha's recent class? I Cabell just recently finished class.