Ask a paramedic fag that works at a busy level 1 trauma center shit if you want
>>769113321
ever fuck a fresh one?
>>769113377
Fraid not. It's like a 45 minute walk to the morgue that is not worth it
You work in an ambulance or fire department?
>>769113530
Ambulance service and then as an ED technician.
>>769113555
Trips for truth. Ever got a call and showed up to find it's someone you know?
>>769113321
Do you worry that you will contract a disease from someone you treat? If so, how paranoid do you get?
Thanks for all you do, I hear your job is way fucking underpaid.
>>769113622
Yes. The worst call of my career so far is that of a coworkers infant daughter that did not make it.
Do you enjoy your job? What made you pursue being a paramedic? What's will you do after this job should you decide to leave it?
what keeps you up at night
>>769113643
Sometimes. I have had blood with a tooth in it spat in my face but i had full face mask and eye gear and its not a huge worry overall. HIV patients have the fucking worst veins to start IV's on though.
>>769113321
what happened to cause this
Which country do you work in?
>>769113725
How much money is wasted on drunk hobos that abuse the healthcare system around me.
EMT fag here. I mostly do IFT’s, hardly ever 911 or BLS. Working on my 1k hours for medic school.
How much of a bitch is medic school compared to EMT? Do we have to stick ourselves or our classmates for needle training?
>>769113321
>Ask a paramedic fag that works at a busy level 1 trauma center shit if you want
Whats the most annoying shit you've had to deal with on the job?
What's your philosophy of life
>>769113748
Motorcycle accident. No helmet very lucky that was his only injury.
>>769113321
Would you?
>>769113774
We had a limit of 4 sticks per person per class when I went through medic school. If you arent retarded and have some experience in the field medic school is not hard.
>>769113773
seriously. the fucking ER waiting room is fukcing pathetic
>>769113782
Drunk hobos that come to us because Detox is full
>>769113811
Fuck off shit eating retard cunt fuck off 4chan stupid whore (not OP btw)
>>769113321
why wasn't a lead blanket used for his junk?
was the break too urgent to take a second to put it, or was the injury too close to the pelvis, or a third reason?
>>769113321
What method of suicide do you recommend?
>>769113788
Mind your own business and try not to judge when you are likely not much better than those you judge
>>769113915
It's a Pelvic X-Ray in the context of trauma. Shielding the penis obscures the pubic rami and the radiation dose associated is so low as to make it unnecessary anyway.
Not OP
>>769113917
Most are highly unsuccessful if a gun is not involved. Even then if you are stupid you can fuck it up
>>769113974
A lot of people need to be like that
>>769113875
So...
Is that a yes or a no?
>>769113915
Other anon spelled it correctly. We blast trauma patients with radiation in the form of multiple X-rays and full body CT scans. There is some bandage visible from the medics in the field dressing the wound because it was an open fracture,
>>769113917
this
thankfully i finally got medicated so i don't feel the urge to blow my brains out but i always wanted to know how you could an hero without mutilating your body and in a way/place where it would be easy to clean your shit up and get your fat ass out to the meat wagon
>>769113321
>Wtf? what do u, say about of that, guys??!
Do you use hard cervical collars?
>>769114099
There is almost no way for this other than a heroine/PK overdose, this is the most peaceful/painless suicide you will find.
>>769114020
see my post
>>769114099
i never wanted to use a gun because A. it's more fucked up for the person who finds you and B. they have to clean up the spray all over the wall
>>769114153
right, that was what i thought other than using a gun
>>769114132
>what do u, say about of that
I'd say that your watches are shit, you fucking nog
>>769114140
In my county hard field collars are the norm. My facility is turbo autistic about C collars and the trauma docs will insist upon one of any kind even if the patient has an open jaw fracture making one essentially impossible to use correctly. In order to be a level 1 trauma center we have to enforce retarded rules.
what's the most ratchet/nigger thing you've ever brought anybody in for
>>769114236
Jesus what shit hole country do you work in where they're still insisting on hard field collars. Get with the fuckin times.
>>769114208
If you are not smart I don't recommend trying any form of suicide. We get probably 5 overdoses on bullshit stuff every night. If you are stupid you and uncommitted you will fuck it up, even with a gun.
What's the funniest pt you've had?
>>769114298
One of the most highhly respected level one trauma centers in the country funny enough. All of the nursing staff despises them but we have no choice because our medical directors are retarded overall.
How do you manage the agitated / aggressive patients?
>>769113700
I enjoy it. I make decent enough money and no shift is ever the same. I dont know what I'll do. Possibly kill myself on a drunken bender.
>>769114547
Benadryl, Haldol, And Lorazepam
>>769113321
I once had to be restrained to a bed because of raging alcohol. I was 21. I apologise to all paramedics for that one
ICU tech here OP, no questions, just respect
keep doing what you do broski
What is the coolest procedure you get to do at work?
>>769113321
i do phlebotomy and i freak the fuck out when people pass out on me. how do i stop this
>>769114594
Thanks for taking the shit show patients off the ED floor to make our lives less of a hellscape.
>>769114647
Not OP.
Just stop caring. As long as they're lying down it doesn't matter if they pass out. It's not going to harm them.
>>769114647
My IV routine is so solid that I start the IV regardless of patient condition. Puking, bleeding out, pulseless, in excited delirium. Start more IV's is my only suggestion.
>>769114706
This nigga knows. It doesnt matter just start the fucker. Learn to not care how the patient feels during sticks.
BLS fag for two years and transitioned to a super busy level 2 hospital cuz ALS seemed like the biggest fucking trap of a job, as enjoyable as the work seemed
Do you still work on a rig? If so, would you consider the experiences you've had made it worthwhile?
>>769114645
I am limited from my full scope at my tech position. I get to bag and do airway stuff fairly often though.
>>769113773
These are the ones (drunk hobos) I wish would just end themselves with one hollow point .9mm along a river bank. Not even kidding.
>>769113321
when does the leg/ankle swelling stop after a mildly cracked fibula and crushed calf muscle? recovery time was 3 weeks, walking now fine. still getting swellings during the day to the extent that jeans become uncomfortable to wear. thanks doc.
>>769114814
He's not a doc so I wouldn't bother asking him prognoses like that.
>>769114806
You learn valuable skills of every form on the ambulance. Most critical being the ability to know how sick someone is from just a quick look. Patient assessment is always the most important skill to carry on IMO. Worthwhile? Idk its all been a huge headache overall
>>769114814
If it feels hot and hard to the touch go to the ER. Otherwise follow up with your actual doctor you jackass
>>769114735
on another note, i was skiing and happened to run across a code in the field - MI? maybe intracranial bleed from head injury? shit gave me nightmares but the experience itself was insane. im either a perfect fit for emergency medicine or not built for it at all and i cant tell which drives me crazy
t. emt certified btu no real experience on the rig
Why do you guys constantly fuck up trochanteric binder placement?
>>769114851
See enough thousands of patients and what docs do for them everytime believe it or not you can easily diagnose and recommend treatment for most things.
>>769114938
If one simple code gave you nightmares you may not be made for it. I have done CPR on over 30 people and have yet to have a nightmare.
>>769114666
Nice trips, Iron Maiden
Why don't you work on an ambulance? The real shit is on the streets
>>769114945
Not many calls have open book pelvis fractures which is our indication to use any pelvic binders.
>>769115056
I do. I just work in the ED more often because it pays noice
>>769114982
>believe it or not
Am Emergency Physician. Believe it not.
>>769115092
Stop ordering repeat CT scan orders you dumb motherfucker
>>769115091
dude no way you can get that OT in an ED. Get on that Kelly schedule my dude. 144 hour checks are where it's at
>>769115124
I'm not an American. We actually apply reason to our imaging requests here rather than freaking out about litigation and billing.
>>769115156
My ED is particularly short staffed at the moment. Unlimited overtime for anyone who wants it at the moment.
>>769115021
it was the pulseless, eyes rolled back, agonal breathing that did it. A really bizarre thing to see for the first time
>>769115180
You described exactly what our residents do all day. Welcome to American healthcare
>>769114872
>>769114872
I feel that, being able to do quick assessments on people has always been super helpful. I definitely miss my times out in the field some days
>>769115188
that just means you don't get paid to sleep.
source, am at the fire house right now...
... Getting paid
>>769115197
My first PNB patient was a motorcycle crash no helmet brains on the pavement. I guess I learned quick and hard if gore messed with me. PNB patients agonal breathe and their eyes are rolled back it wont get any easier.
>>769115218
Your residents don't over order imaging? Congratulations, you have good docs.
>>769114912
no such thing as a followup with a doctor in this country you inconsiderate shit. also ERs would kick me out just after billing me for wasting their time, because this does not qualify as an emergency.
and here I was, seeing this thread and thinking I could get help fro, someone who actually understand how swellings work.
gee thanks for all the help.
>>769115281
Oh no they do. I fucked up my meaning there. Level 1 trauma center that is run by learning residents overall. They waste thousands of dollars per day on all kinds of shit.
>>769115305
Figured you didn't live in a third world country, my apologies. But my advice stands, if your leg feels hot to the touch and begins turning very hard seek medical attention.
>>769115344
Make them explain their requests if they're suspicious and decline them if the explanation isn't good enough. It's simple.
>>769115386
Not how my hospital works. If they order it we do it. We can make out protests but we complete the orders the ordering doc makes.
>>769115431
That's a shitty system. Radiologists should be gatekeeping for those requests. It's their duty.
have you started an IO line?
been a part of a cardioversion?
helped with chest tube?
blood draws from the hand?
intubation skills?
can you place stitches?
cricothyroidotomy?
Hypothetical for you OP.
You get a call from the friend of the patient. Turn up and find the patient says he was stabbed in the abdomen with a 4 inch blade. You have a look at the wound and you can probe to the base of it and it's only like 1 inch deep and not penetrating through the muscle. He says he doesn't want to go to hospital. Is he gonna die?
>>769115702
I have done all but a Cric procedure. Unsure of how much I ever want to depending on the patient.
>>769115702
Not OP and I suspect I work as a paramedic in a completely different country to him given what he's said but for me it's yes to all.
>>769115719
You didn't mention where in the abdomen or if you see bleeding once pressure is released. Lots of thugs get shot or stabbed and never see a doc.
>>769115802
Epigastrium and no bleeding on pressure release.
>>769115754
really, i didnt know medics could sew people up
>>769113321
is healthcare free where you work?
are you happy with how much money you make?
ever seen some major genital trauma? if yes, story please
>>769115821
Probably fine other than a serious need for antibiotics. Proper dressings and keeping the wound clean would be needed to avoid dying of an infection.
>>769114938
Not OP, just another guy who worked both prehospital and ER. Working or assisting with those first codes can be scary, if you feel like its something you're interested in pursuing then work on a BLS rig and move forward from there. The anxiety goes away with more confidence.
>>769115894
What's your rationale for saying that?
>>769115851
Not officially, but I have unofficially. In the US it depends on your protocols. We cant around here but i have learned how on my own outside of school/work.
>>769113321
is it true that med students/possibly medics themselves can hook themselves up to an IV to get rid of hangovers? i've even heard that dialysis works best, is this something that's done?
>>769115926
Any deep wound to the abdomen is a bad place to get an infection. All the stuff inside you is meant to be protected by tissue and fat that seems fairly obvious.
>>769113321
Your mother will die in your ER if you don't reply to this post
>>769115958
yes it just rehydrates you, not that complicated. drinking gatorade is probably easier and equallly as efficient tho
>>769115958
Lots of people do it all the time. Doesnt cure the hangover but re hydrating works wonders.
>>769116005
Seems dodgy as fuck to not press the guy to go to an ER for EFAST and CT Chest / Abdo if he has been stabbed in the epigastrium. Probing a wound is a bullshit way to assess depth of penetration.
do you ever get a boner doing ekg's on female pt's
>>769116092
Hey I’m not here to tell him the full work up that wound should have. Just that letting it go untreated will probably kill him in a slow awful fashion.
>>769116103
No. They are usually gross and old.
>>769113321
The femur is probably the hardest bone in the body to break. How did it happen?
>>769116198
I'm more concerned that it'll kill him in a quick fashion if he has penetrated into the heart and has a developing tamponade. You'll end up returning to him shortly after and dropping off a patient at the ER just begging for a thoracotomy that way. The ER will love the excitement but I imagine the lawyers would rightfully go to town on you if you didn't explain that very plausible risk.
>>769113321
delivered any babies? OB emergencies might be achiles heel
>>769113321
Is it true you all shoot up on opioids before your shifts?
>>769116092
Not OP, but this whole scenario is kind of bullshit if you're going to fall back on assessing the wound in the field and suggesting basic forms of treatment to not be enough. If you're stabbed in the gut with a knife, you should seek medical attention. If the pt wants to take their chances and not go, that is on them.
>>769116103
kinda hard to find someone sexy when they're 80 years old, screeching in pain, praying for forgiveness for their sins, and shitting themselves.
Unless you're into that.
>>769116285
Motorcycle spill at highway speed into the guard rail
>>769116338
>opioids
lol no, cocaine works wonders tho
>>769116323
All a lame hypothetical. I have yet to meet any paramedic or ED nurse that has seen cardiac temponadd in a patient that isnt long dead.
>>769116401
And it's the duty of care held by medical professionals to advocate for their patient and explain the risks of declining medical care.
If you turn up to a stabbing and the interaction is just you saying "Hi i'm the paramedic" and he says "Sorry don't want your help" do you just say "Cool, see ya" at that point and walk away?
>>769116431
Ouch, do you enjoy what you do?
>>769116477
Fuck me you must be green then. I see a few each year. The last ended up having a clamshell in the ER when they arrested after transfer from ambulance bed to ER bed.
>>769116327
I have had many odd as fuck calls but fortunately no OB calls that needed delivery. My ED doesnt do OB shit either. Trauma is our game a pregnant lady comes in we ship her to a nearby hospital more suited for it.
>>769113321
My legs hurt just by looking at this. If I broke my fucking femur I'd probably ask for pentobarbital as I can't even imagine the pain.
>>769116541
Really, I have seen a few gunshots and stabs to the heart and either they were long dead or not far along enough for cardiac tampondade to do much harm before they hit the OR.
What good painkillers do you guys carry?
>>769116632
The latter I imagine because you immediately transferred them to the ER when called out to them.
>>769116633
A hammer to smash your junkie head in if you start asking for opioids.
>>769116494
Exactly, if you explain the dangers of not seeking medical attention and what can happen if they don't want to go to the hospital then from there its their decision. Have them sign the AMA and go help someone that wants/needs the help.
>>769116633
Fentanyl is becoming the only thing many rigs around me carry for whatever reason. But fentanyl, dilaudid, and morphine.
>>769116712
Yeah the key being accurately explaining the risks so they make an informed choice.
>>769116699
A buddy of mine broke his femur and the guys that turned up gave him fentanyl and an injection to the nerve in his groin. No hammer required.
why havent you used your medical experience to go to PA school and make twice as much money
>>769116829
I like doing more than typing shit into a computer and actually providing care.
>>769116792
>fentanyl
holy shit you guys have upped your game. what is it, all the junkies are so tolerant of morphine/heroin that you have to fucking carry fentanyl around?
>>769116886
i said PA not doctor, and dont lie to yourself, 90% of your time is spent watching tv at the station
>>769116927
I'm not a paramedic. I'm just a guy with a friend with a fucked up leg.
>>769116928
>90% of your time is spent watching tv at the station
And so? Thanks for the monies anyway.
What are doctors and nurses like?
>>769116927
You don't have any idea how painkillers work do you?
>>769117009
I like to think we're pretty okay.
>>769116997
"doing more than typing," PA's in the ER administer plenty of pt care while mking much better use of their downtime is what i was getting at
>>769116928
When im on call for the ambo yes, at our giant ED the PA's do not leave their desks
>>769117077
I wish our PA's could do more than they get to at my shit hole
>>769117093
You're Australian? Which state?
>>769116763
I agree, the issue there being how educated your pt is and how your scene is panning out. Odds are there is freaked out bystanders and acquaintances to your pt are escalating emotions in the moment. Explain the risk of infection and immediate concerns from their injury in laymans terms that they can understand and let them decide. From there its no longer on you.
>>769113917
Nitrogen exit bag
>>769117137
What do you guys do if the patients don't understand or aren't capable of understanding because of mental illness / drugs
>>769117123
I'm in burgerland. Fuckin wish I was in Austrailia. Get a kick ass kangaroo as a partner driving the rig with its big ass legs and shit
>>769117173
Police put them in protective custody and we haul them to an ER
>>769117181
Ah just saw ambo and assumed.
Lol the emergency room emts are usually tasked with cleaning all the shit and body fluids people leave on the ambulance
>>769117232
I have heard many horror stories on some ED techs lives. I can tell you that is untrue though. Why the fuck would I clean someones random ambulance when I'm working at the ED. Grab some cleaning shit and clean it if you want or drive off with blood dripping out of your doors, we dont give a fuck.
>>769117173
At that point, A/O states they can't make an informed decision for themselves and you need to intervene. Use your BLS skills, take care of the pt, control the bleed and take them to people who can fix the issue at hand.
>>769113321
How much downtime do you generally have during a shift on average?
How long is a typical shift?
>>769117445
12-24 hour ambulance shifts. 12 hour ED shifts. ED shifts usually not much time to rest. Long ambulance shifts it varies widely.
Ever use helicopters to pick people up?
>>769117679
My facility has several.
>Tfw the flight crew couldnt get an IV and you sink a 14 gauge
>>769117776
14G? Just stick in a RIC at that point.
>>769117831
Our trauma docs quite literally shoot jizz into their pants when we give them large bore IV's. Almost never needed but fun to place anyways.
>>769117831
Never go to a learning hospital for your ER needs is the real moral of all of this.
>>769117900
I'm starting to question their abilities since you've said in this thread they demand hard collars and they also expect 14G instead of just converting from smaller to RICs for better flow rates. You could dump units at light speed with a RIC and a Belmont.
>>769117968
How do you mean?
>>769117975
I have learned to stop questioning their abilities or their choices as it's all pretty fucking stupid. Again anyone reading this, avoid a large university learning hospital if youre crushed into a small cube in a car accident.
>>769117968
Learning hospitals will do and perform more procedures than are needed for educational reasons. We also prolong codes for medical students and new residents to learn far past when it should be called.
>>769117968
So fucking true. I had to be in one. My arms looked like a junkie's after that.
>>769117900
Fucking sadists who need a kick in the crotch.
>>769118082
Are patients informed of that for consent purposes?
>>769117975
Demand an attending performs all procedures and care for you lest you like leaving your fate in the hands of very untrained residents.
>>769118126
Depends. If the patient is poor enough to not be able to sue, why the fuck bother?
>>769118126
For any major procedure, yes. Otherwise it's assumed you know that when you came to a gigantic fucking university teaching hospital your docs deciding your care are still learning.
>>769113321
>hey nons, look here, a nice glitch!!!
Faint when I see blood irl sometimes. Blood draws too will do it. Trying to stop that shit, want to expose myself gradually until its no big thing.
Recommendations on stuff to watch / look at to help me break that? Do they show you meat wagon guys anything in training like that?
>>769118140
Remind me never to get fucked up in the US if you leave the care of Level 1 trauma patients to residents. I knew your healthcare was a mess but fuck me that's bad.
>>769118162
Ethics
>>769113321
You civilian guys get to give each other the nose hose, How much cleaner did you feel afterwards? Also do you use IVs for hangovers or is it more strict there?
>>769118259
Our residents run the ED and there is usually 1-4 attending docs lurking about depending on time of day to keep them from killing people for no reason.
>>769118256
In where I live one of the first things they do is find out who can't stand blood/organs/dead bodies and stuff like that in general. They usually drop out unless they can get over it in like a week. First time in the morgue, someone WILL puke. Usually the next dropout.
>>769118313
Come on America get your shit together.
>>769118313
Jesus Christ and you charge money from people?
>>769118256
We used to look up the most fucked up videos we could find in class during the trauma units. I dont know many that faint at the sight of blood that make it as medics. Personally only the sound of secretions and airway noises bother me. Pictures of gore on the internet are far away from seeing liters of blood all over the floor of a call you go to, I can promise you that, the smell of blood is usually quite strong as well.
>>769118423
Yeah but in actual first world countries a Level 1 trauma patient would have the attending running the show either as the primary team leader or by standing directly behind the residents and correcting every stupid decision they make as they make it.
>>769118467
the smell of puss/cyst material is fucking awful
>>769118467
Exactly, it's the smell that gets you.
>>769118438
It's America so obviously most people that come to our ED have government insurance, so really the staff ourselves are paying for it.
>>769113321
best trauma kit?
>>769118532
necrotising fasciitis on a 500 pound dudes taint was a scent that I thought took off my eyebrows.
What skill don't you have that you wish you did?
>>769118531
In order to be a level 1 trauma center there is many retarded criteria that must be met. Our attendings dont run the trauma rooms until the patient codes then the Trauma residents run and hide their shame as they often fuck up everything and then the patient dies.
>>769118636
What the fuck. What was the reason for calling the ambulance anyway?
>>769118724
>dies
what the fuck and the residents get off scot free?
>>769118724
So the requirement to be a Level 1 centre there is that lower skilled doctors treat your sickest patients without direct supervision?
Why?
>>769118658
I'm happy with most of my skills. I wish medics could take a turn dropping a tube in my ED but alas there's too many hungry learning docs to fight to do it.
Do you think you would do a better job than the trauma residents?
>>769118801
Money
>>769118798
Scot free indeed. Part of the learning process to make them not shitty doctors.
Would you ever fuck someone in your (hopefully dry cleaned) uniform?
>>769118829
It's cheaper to staff that way?
>>769118801
>>769118829
Money is at the heart of it all. Our top docs bring in insane amounts of research money.
>>769118820
Infinitely better than new residents. I have usually completed my full assessment in my head before they finish their ABC initial assessment.
why didnt you be a good boy and go to medical school to be #1 trauma surgeon
>>769118836
I have fucked in my work scrubs after a shift which is pretty fucking disgusting thinking back on it
>>769118946
I like getting drunk on my days off too much
>>769118914
Why not become a doctor?
>>769118963
Sex in uniform is hot though, so I wouldn't feel too bad about it.
>>769118858
What's medical research like? For reasons I wouldn't make a good doc but I might go to research.
>>769118769
Leg weakness or some bullshit I dont remember. He died during surgery the next day though
>>769119127
I have no idea. I assume lots of the right connections in the right places.
>>769118978
Literally same reason for not becoming a full doctor. Surgeons are in short supply around here and one would need to be sober and ready to work literally 24/7. Off days are practically days where you don't need to formally go to your wokplace pretty much.
>>769113321
When someone presents with obvious signs of serious brain trauma, like Donald Trump, why don't you just take them in for an urgent brain transplant?
I meant you guys take people with failing hearts, and let them get bits of pig heart put into them instead; maybe a pig's brain would be a good enough replacement for the Tramp.
>>769119459
Other than the well deserved (you) my facility does lots of brain surgery on trauma patients.
>Just had an 88 yo woman with a SAH with a 14mm midline shift that was awake and talking and we tubed her, the last time she would ever be conscious
>>769119006
Why doesn't your hospital just make paramedics take over Level 1 trauma cases? You're better than the doctors.
>>769114813
We have more than one frequent flyer we all hope dies every single night before the shift starts
>>769113321
Whats the highest bp youve ever seen?
I work at a family practice and saw a pt who had literally no medical record whatsoever. 55yo lady who walked in for anxiety, bp was 290/165 with no symptoms, amazingly no renal or aortic stenosis
How much naloxone do you give to the heroin overdoses as a standard starting point?
what is a Pneumohamathorax and how to avoid it?
>>769120054
I get the judgment of my angst, but particularly with brand new residents they literally cant do anything at all well or even correctly usually
>>769120087
285/205
Severe headache hadnt been taking his blood pressure or diabetes meds
>>769120137
>I get the judgment of my angst
I don't get what that means.
>>769120164
On that note, highest BGL? Ive only seen around 300 but ive heard of upwards of 800
>>769120070
Holy shit I hate those hobos with my guts. Every night I hope a resident fucks up some doses and gives one a little bit too much benzos (though accidentally giving someone a benzo overdose is fucking impossible)
>>769120122
I recommend taking hydrochlorothorozine
>>769120121
Just enough to get them off the high and make them feel the pain of withdrawal.
>>769120267
Saw 1200 earlier this week. 300 is pretty average for our diabetes pts that dont take care of themselves
>>769120121
This>>769120309
Just enough. You usually know when
>>769120343
That must cause severe brain damage or paralysis, no?
>>769120175
Thought you meant "You know better than doctors" With ill intent, my apologies
>>769120490
Youre better than the doctors rather. Im all kinds of tired no bully pls
How are you incorporating rotational thromboelastometry into your trauma management? Have you ever done retrograde urethrograms in your CT or do you palm that off to the trauma surg team? Is REBOA there yet?
>>769120343
Havent heard of DKA making someone paralyzed. All of your organs will be taking a good beating until the BS stabilizes but unless its been going for days it's usually not something that'll ruin you forever, just leading you further down the road of miserable health.
>>769120536
No but we have incorporated putting two fingers up the ass of every trauma patient. Some have said we are the world leaders in such advancements
>>769120628
You do PR on every trauma patient?!
>>769120645
Every trauma patient gets a rectal exam every time
>>769120687
Hospital address please
>>769120687
Well that's definitely concerning. Your hospital needs to stop being so stuck on dogma.
Ever seen a new doc perform cpr for too long to ‘save’ the pt only to bring back a brain dead vegetable like they do on TV
>>769120760
>His hospital doesnt let the patient code for the sake of finishing the trauma assessment.
Gotta break a few eggs to make an omelette my over the seas fellows
>>769120781
Happened once. Poor cunt was on life support for 5 months. Didn't make it in the end of course. Did cost a fuckload for the hospital though.
>>769120781
New docs do not know how to do compressions and may never figure it out. But we bring back lots of patients all the time that all end up braindead. About all you can ask for if you didnt lose your pulse right in front of us. Though we do good things if you do
>>769120859
That's not what i'm getting at. There's no valid reason to perform PRs on every trauma patient as a departmental policy.
>>769120950
Preaching to the choir my friend. We all dont agree with it, but we do what the top money makers tell us.
>>769121082
What happens if you decline to perform unnecessary examinations?
Whats the worst penis injury youve seen
>>769121082
It's the trauma attending that does the rectal exam. Im just there to throw in an IV cut off clothes and send blood to the lab.
>>769121140
Not OP but saw a guy put a hollow glass tube down his dick as a sounding tool. It broke half way down his penis.
>>769121140
Watching a priapism get drained. shit's wild yo
>>769121125
You're fired, idiot. Money is king here in medicine.
>>769121162
>glass tube
fucking idiots
>>769121125
Also this>>769121209
>>769121209
"Fuck ethics. I was just doing as I was told"
The US is the reason doctors are increasingly getting a bad reputation with the public worldwide
>>769121276
That's how the world works. Also, only the poor lowlifes are fucked. If you have the money, US medical care is literally the best in the world.
>>769121276
Doctors at my facility at least are pretty immune to retaliation from patients. If shit goes wrong it usually falls on the peasant worker that performed what they ordered.
>>769121276
Also my hospital has a massive retainer of lawyers on call 24/7 that we can phone anytime
>>769121344
Trust me, that's not how the world works. It's how shit hole healthcare systems in some parts of the world work.
>>769121360
>>769121389
Truth and only the truth. Unless you're filthy rich, don't even try a malpractice suit, unless it was something so blatantly obvious. And if you're rich, you won't need to as they will get the best to work on you.
>>769121360
Good to hear the peasant workers in this thread go along with the orders no matter what then.
>>769121389
what's that got to do with anything?
>>769121462
If it keeps the paychecks flowing you bet your sweet ass. We vocalize our disagreement and document it and do our due diligence.
>>769121439
It kind of does. In those other parts, the doing as you're told part is do the bare fucking minimum as the state pays them as much as they pay bus drivers anyway. Want quality health care? Pay. Pay a lot. This is true literally worldwide.
>>769121514
good luck getting fired
>>769121476
>what is medical malpractice
>>769121544
Hasnt happened yet why would it now? Been an ED tech there for 2 years now
>>769121476
A big enough rich enough hospital can do much of anything it likes, we have more lawyers ready to crush a case than even the most wealthy would be willing to fight with
>>769121522
Do you know many bus drivers earning $260,000 for a 38 hour week?
I've worked in a purely nationalised healthcare system and a mixed public / private system although public constitutes the vast majority of support. In both the level of care is significantly higher than that found in EM in the US. Even in this thread we have the allied health professionals here describing how they do unnecessary and harmful tests just because someone told them they had to and they're scared they won't get paid if they don't.
>>769121632
I see you've gone with the "Might makes right" approach to ethics. Outstanding.
>>769121770
Scared I won't get paid if I dont start an IV on someone? Starting IV's is fun. We are so short staffed that I can't be fired. What job do you work at where you can tell your boss "ehhhh nah I don't agree with what you are ordering me to do so I won't even though its my job" with no recourse from your employer?
>>769121799
I dont agree with almost every one of the hospital outlines ive shared so far. All of them in fact I think. Idk why you guys think one ED tech out of the 30 that work there a day is some ethically bankrupt soul
>>769121953
Do you perform treatments or examinations you believe are unneccessary or harmful to patients? Examples would be applying cervical collars, performing PRs on every trauma patient, inserting 14G cannulas instead of a RIC, or anything else you can think of.
>>769121799
Forgot about the Biology pre-med college students that lurk here I suppose
>>769121900
I'm an Emergency Physician in a Level 1 Trauma centre in a non-US country.
>>769122019
I dont put my fingers up anyones ass, we tell the trauma attendings we disagree with rectal exams, and I put 14's in patients that have penetrating wounds to the torso/tourniquet in place. 18 gauge is our standard for IVs in traumas. And is it unethical to perform the tasks a doctor orders under their own license? IDK im just a fucking paramedic you dorks. Fuck me for making one thread on b that isnt traps or porn
>>769122047
Pshhh non US. I bet you dont even worry about getting shot while youre at work.
>>769122143
> And is it unethical to perform the tasks a doctor orders under their own license?
If you believe the test to be unnecessary and harmful to patients, yes.
>>769122198
I have a competent police force and hospital security to help prevent that along with the beauty of droperidol and midazolam for dickheads.
>>769122203
By all means come work at the facility and see if you can change the policies. Id sure be grateful if you did.
>>769122230
Oh we have all that. But you dont have 85 upset family members of the young black gentleman with a 9mm lodged in his dome bum rushing your department if I had to guess
>>769121770
>public healthcare
>better than in the us
where do you work?
>>769122314
No. Instead we have biker gangs pulling guns in the waiting room and trying to rush the resus rooms to finish off their first attempt.
>>769121799
Money makes right and it's the correct way to handle things.
Strip a lot of hot chicks? Has to be unbelievably nut busting to expose total strangers hidden goods
>>769122375
And here we have the example of the ethically bankrupt healthcare worker.
>>769122373
>biker gangs that actually would kill people in public
>not US
Where the fuck are you from?
>>769122407
What ethics you commie? Your own fault you can't make enough money to get people to properly take care of your body.
>>769122373
>implying sedans with 7 black dudes crammed into them don’t regularly circle in our parking garage then take off once police make a move towards them after 90% of our shootings
That is the case with all of our shootings. Hopefully I get shot in the leg or something for some sweet workers comp soon
>>769122497
Jesus christ how little do you make that workers comp is in question, especially if it means you need to get shot
>>769122497
Out of curiosity, what does this have to do with any of the previous conversations?
>>769122530
Great benefits here. Half of my job is wrestling insane people so they cover us pretty well if/when we are injured on the job
>>769122494
I'm making plenty but fortunately I don't need to make anything to have people properly take care of me if I have a traumatic injury. I won't even have to have a mandatory finger up the ass in the process.
>>769122546
Just messing with the dude that knows everything about how emergency healthcare should run
>>769122546
Wanted to answer fun questions but I forgot I posted to a board that has every single other thread as porn. I don’t think any successful doctor would post here yet we seem to have several
>>769122644
By talking about topics that aren't emergency healthcare? Great plan.
>>769122710
I think we only have one. The others are varieties of emergency department support staff and paramedics.
>>769122717
Do I seem like a guy with a plan? Just here to stir up conversation
>>769122595
How does it feel getting healthcare even though you deserve none as you are not paying?
>>769122845
Gloriously un-American
>>769113321
Did you become a paramedic cos you liked the doctor's games as a child but were to dumb to actually become a MD?
>>769119585
>SAH with a 14mm midline shift
A 50% survival rate is reached when the midline shift is 20 mm. The survival rate drops to zero at 28 mm. The difference between the hematoma thickness and the midline shift is a significant prognostic indicator.
>>769120859
Would my tattoo of a small heart and the letters DNR cause you to stoop life saving procedures if you did not come across my Living Will and Medic Alert ID?
I just don't want any attempts made to save me.
Let me out of this shit hole please.
(God I wish I had never signed that Donor form.)
