As I've said before I'm a Firefighter/EMT and work as a campus security officer. I just had to work a full code on a guy at our gym and nneded a place to vent about it. Normally I'd do this in my fire station after a call but I'm on duty at work for another hour and half so you guys get to hear my story.
They expect us to work these type of calls but provide us with no equipment, the damn people in charge of the gym didn't even call us :mad3: instead I intercepted the call from our scanner where we monitor the local fire/EMS/ and police, and then had to work out of my own equipment/jump bag in my truck. Once on scene with the fire and EMS I couldn't get any help out of the guys who work the gym to get rid of the crowd or the referees working the game, and finally after the PD got there got them to get the people the hell out of there. :mad3: I don't like people dying on my calls as a firefighter but when they do it on campus it brings it to a whole new level. Well I'm done ranting and venting so I'm gonna go smoke again, thanks for puttin up with it guys.

John

not sure I understand what exactly happened...........

did someone die and what were they doing??

the guy was playing basketball and got light headed, he sat down on the bench and then went into convulsions and things turned really shitty from there. In the end they might as well have taken him to the morgue as the hospital.

John

Codes in general suck, and there are always gonna be the ones that hit close to home. The ones that hit close to home are the ones where every little thing pisses you off. I've had a few codes with similar circumstances. It starts out with a guy light headed, and bam v-fib. You see a full code, the general public sees a light headed guy, they dont want to piss people off by telling them to get out, so you end up with a fawking audience. One time I told the teacher that taught me CPR the first time, to get the fawk away you're just creating a cluster. There are codes I ran 7 years ago that I remember every second of. Staring at the monitor trying to figure out if its asystole, with artifact or fine v-fib, and people are yelling "you should shock him, like they do on rescue 911" Or even better, and my partner epi' and atropine and there is someone standing over your shoulder asking "Whats that?"

I feel your pain, keep on ranting it will make you feel better:D

-Steve

no one has ever died in my ambulance
ever
they were eather dead when i got there or the DR made them dead when we got to the Hosp.
never count on any gear being there unless it is your own gear, and then never count on it working.

Why didnt you just tell people to get the fawk out of your way?? i have had to do that many times and sometimes with those exact words.
Just remember never to count your loses only the wins, i have had many wins so i am ahead of the game

As long as we're kinda on the subject, what do you guys think of the nearly automatic de-fib machines they're starting to require in a lot of areas?
Just about every large store around here has them as well as malls and schools. I've seen a demo of them and even though any place that has one has to also have the trained staff to use them they almost seem like anyone could use one if your had to since the machine itself pretty much walks you through the entire procedure.

Originally posted by ForestCam
As long as we're kinda on the subject, what do you guys think of the nearly automatic de-fib machines they're starting to require in a lot of areas?
Just about every large store around here has them as well as malls and schools. I've seen a demo of them and even though any place that has one has to also have the trained staff to use them they almost seem like anyone could use one if your had to since the machine itself pretty much walks you through the entire procedure.

I think it's be easy enough to use one to commit a felony...

the first ones were scary as fawk as i could cause them to shock with no one on them :eek: the small nice ones they are using in malls are great. a decent trained monkey could use it :flipoff2: if they could tie it in with a small single use o2 tank/bagvalve mask with easy instructions we could make my life less hell and save a lot of lives

Originally posted by Mo


I think it's be easy enough to use one to commit a felony...


From what I've seen the machine will only administer the shock if it's required and then it actually tells you it's needed and you have to push the button for the machine to continue.

Originally posted by usmcdoc14
if they could tie it in with a small single use o2 tank/bagvalve mask with easy instructions we could make my life less hell and save a lot of lives

Every time I've noticed one of the machines there's been a small O2 tank right in the same cabinet.

ok side humor to lighten the mood: take the leads of a 3 lead EKG the next time you are plugged in one at the hosp. (or a good buds) slide your hand up them so ya have around 3 feet of cord between your hand and the sticky pads, in one smooth motion unplug all of them from the sticky things and twirl them at a nice speed.
the "static" caused by the twirl will almost exactly simulate venticular fibulation.
watch the nurse station freak out.

Originally posted by ForestCam


Every time I've noticed one of the machines there's been a small O2 tank right in the same cabinet.
yes but only with a simple face mask :rolleyes: fawking worthless for anything

Yea and the next sponge bath you get is going to be done by Gerta using a SOS pad.:laughing:

Originally posted by usmcdoc14
ok side humor to lighten the mood: take the leads of a 3 lead EKG the next time you are plugged in one at the hosp. (or a good buds) slide your hand up them so ya have around 3 feet of cord between your hand and the sticky pads, in one smooth motion unplug all of them from the sticky things and twirl them at a nice speed.
the "static" caused by the twirl will almost exactly simulate venticular fibulation.
watch the nurse station freak out.

I couldn't do that... my wife would kill me. She is, or rather was, an anesthesia resident, and often had to carry the code-pager. All sorts of stories about having to run 3 blocks through the maze of buildings to a code.

thanks for the replies guys. I like your view Doc. I have three rules about my ambulance, You don't die in it, you don't puke in it, and you damn sure don't have babies in it. So far 1 &3 are holding up. Like you said they are dead when you get there or the Dr. makes them dead at the hospital. Either way codes suck!!! But I guess as a wise old medic told me once "You can't save them all, God has a bigger bag of tricks than we do". As for the crowd, lets just say my boss wouldn't have been happy about my professionalism and the way I told them to leave on more than one occasion.

AED's are great for the general public/industrial scene although a full blown lifepack or similar is much nicer as you can actually see whats going on with the rhythm.

Nite all its finally time to get out of here and I'm only an hour and a half late.

John

Originally posted by usmcdoc14
ok side humor to lighten the mood: take the leads of a 3 lead EKG the next time you are plugged in one at the hosp. (or a good buds) slide your hand up them so ya have around 3 feet of cord between your hand and the sticky pads, in one smooth motion unplug all of them from the sticky things and twirl them at a nice speed.
the "static" caused by the twirl will almost exactly simulate venticular fibulation.
watch the nurse station freak out.

Oh hell yeah.. BTW.. what is this? >venticular fibulation in laymans terms?

I used to work Transportation at University Med Ctr.in Lubbock.. SWEET job. More than once I got bumrushed by the staff and their crash carts as I was moving a patient to a gurney or whatever because the leads came unplugged

ok laymans breakdown :the heart is beating soo fast it is not even completeing an actual pulse. just quivering. the shock from a defibulator basicly is a forced purge of the electrical "traffic" that is causing the "quivering" with the hopes that it "re-boots" correctly

the best lamens explination of v-fib I ever heard was......

The heart is a group of muscles that move together in sequence, like those Indian snake charmer snakes.... v-fib is like like a can full of worms moveing all over the place in different directions.

does that make sense.

-Steve

My schools Gym has mulitiple AED's and O2 tanks. All of are tanks are breathable masks, so you dont have to remove the mask to admin CPR.

the AED's are pretty simple. More or less you can hook it up if there is even a thought of heart complications and it willjust sit there and check, if it is needed it will tell you.

Never had to use them but i know how to.

Originally posted by ForestCam
Yea and the next sponge bath you get is going to be done by Gerta using a SOS pad.:laughing:


:laughing:

One of my brothers is a "type A" personality... went out jogging in 105F degree heat.... came back in v-fib. Pulse of 200+ :eek:

Funny part... he is the CFO for the hospital, all the staff knows him as his name is on their checks. Well after they tried everything else... PADDLES! His comment "you never want to shock someone who is conscious!". Man that must have stung!

Oh... to make it through school, he was an EMT... so he can relate to frustrated staff.

Tom :usa:

Originally posted by jds4x43
I'm gonna go smoke

Glad to see you're taking good care of your health.
Do you wear seatbelts?

:shaking:

Originally posted by Bobzooki


Glad to see you're taking good care of your health.
Do you wear seatbelts?

:shaking:

Huh?? :confused: :confused:

Gee, I knew LOTS of people that smoked their entire lives and died of natural causes or are still alive!

Not EVERYONE that smokes, dies from it. In fact, LOTS don't. :rolleyes:

Originally posted by Schly
Gee, I knew LOTS of people that smoked their entire lives and died of natural causes or are still alive!
Not EVERYONE that smokes, dies from it. In fact, LOTS don't. :rolleyes:

Relax. It's humor.

Originally posted by Bobzooki


Relax. It's humor.

OK, It's just that I read it 3 times and those damn icons were sitting there shaking their heads at me and MOCKING me and I couldn't take the pressure so I had to respond then when I did I felt bad cause some people DO die from smoking and then the guilt started because I used the rolleyes on YOU then I felt even worse about that then you tell me to relax itsjusthumorandthenIfeelevenworseandnowIhavetogota kemymedicinesoIllberightbackpleasedonthateme:eek:

Man, you meat wagon jockeys have my undieing respect. I rode a meat wagon one summer in college on a co-op. First bad ass car wreck I went had me pukin for hours. the saddest thing I saw was a 6 year old girl killed in a wreck by a Cop on a call, silent, in Charlotte in '82, cried like a baby once I got her out of the car.


Amazes me people can do that job and still be human and sane.


:beer:



Joe

When I did my clincles (s/p) for EMT I had a guy die on me but I felt no pitty for him. It was a drug deal went bad got shot three times. I could not find his pulse in his arm or leg. It took two Paramedics to get a IV in him. The place we were at had no idea how old he was or even his name (only this gang name). The only sad part about this run was that there were 3 small childern on the couch crying and no one to hold them or to protect them.


But I hated it when we went on a call and the responce was my tummy hurts. We took her to the MED cause thats where she wanted to go and later on she found out she was pregant. I rode in the projects and saw a side on Memphis that I never seen before.


I still thinking about Paramedic school but I have to find a diffrent school than here.

Originally posted by Schly
those damn icons were sitting there shaking their heads at me and MOCKING me and I couldn't take the pressure

the guilt started because I used the rolleyes on YOU then I felt even worse about that then you tell me to relax

itsjusthumorandthenIfeelevenworseandnowIhavetogota kemymedicinesoIllberightbackpleasedonthateme:eek:

:rolleyes: :shaking: :eek: I don't hate. I even used to smoke.

:D