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so nurses must make 6 figures for all of that, right?
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Apr 1, 2016 20:20
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Nckdictator posted:Found it chilling.
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Apr 1, 2016 20:24
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Nckdictator posted:Found it Jesus loving Christ
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Apr 1, 2016 20:38
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Weird, I suddenly don't want cats anymore.
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Apr 1, 2016 20:41
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Mozi posted:so nurses must make 6 figures for all of that, right? RNs make fuckin' bank. Varies on the facility/department they've chosen, but in the hospital setting it's not uncommon to just be balling out of control oh and the unions. oh man the unions. so stronk AF fucked around with this message at 20:47 on Apr 1, 2016 |
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Apr 1, 2016 20:44
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Mariana Horchata posted:Thanks for the insight with this one, my dad was an union organizer decades ago and has continually asked me why most private EMS companies seem to eschew unions when from the outside they seem like they would be welcome and necessary...and ive never had an answer as to why that is. Because you'd get shitcanned for 'unrelated reasons' so fast your head would spin.
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Apr 1, 2016 20:45
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How about a story on the lighter side of the funny-gross spectrum? Morbidly obese female (high 300s if I remember), non emergent transport to an MRI facility that could facilitate her. If you don't know how an MRI works, just think of it as a giant magnet. No issues until the MRI is turned on and she starts howling in pain. Turn the MRI off, pain is gone. Give her a quick check and she says she's okay so back in the machine! Flip the switch and more horrible screaming. Now we check her very thoroughly, and find a metal fork that she had lost inside her own fat rolls. It was crusty.
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Apr 1, 2016 21:10
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Working a cardiac arrest one time, we couldn't figure out why the patient was absolutely, climbed-out-of-the-bathtub wet. She was found in her bed. Turns out her family thought the best way to wake up a dead person was splashing her with a huge bucket of water like in the movies. 
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Apr 1, 2016 21:13
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free roboshit just for this thread anyone got the russian ems story? i want to believe
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Apr 1, 2016 21:27
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LeeMajors posted:Working a cardiac arrest one time, we couldn't figure out why the patient was absolutely, climbed-out-of-the-bathtub wet. She was found in her bed. This, except apple juice on a diabetic.
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Apr 1, 2016 21:29
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LeeMajors posted:Turns out her family thought the best way to wake up a dead person was splashing her with a huge bucket of water like in the movies. everyone knows it's actually to disturb their tomb in search of treasure
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Apr 1, 2016 21:29
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Savings Coupon posted:This, except apple juice on a diabetic. I had one frequent diabetic/seizure/SCA lady, early 30s and tiny, whose mother would dump clover honey all over her when she had a seizure because she had 'sugar problems.' When I say 'all over' I literally mean everywhere--a Costco-size honey jar in the mouth, ears, all over her torso, pelvis, legs, arms....everywhere. How she didn't aspirate I have no idea. Made things difficult when we were trying to treat her seizure and hyperglycemia while she's stickier than a movie theater floor. Mom would also stand over us speaking in tongues and begging god to 'free her from the demon of diabeeetus.'
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Apr 1, 2016 21:39
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Savings Coupon posted:This, except apple juice on a diabetic. And a spoon in the mouth of seizure patients. "No! But it works! I saw it in a movie!"
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Apr 1, 2016 21:39
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Zipperelli. posted:And a spoon in the mouth of seizure patients. One family I went to didn't have a spoon...so they shoved the end of a tree branch in the guy's mouth.  It was like 3" wide and filled his mouth with bark. Not sure how he didn't aspirate either.
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Apr 1, 2016 21:42
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The Light Eternal posted:Dick rot One of my classmates went on a call for genital problems. The guy was diabetic with a Foley catheter, and his tip had rotted off and slid down the tube.
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Apr 1, 2016 21:58
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Zipperelli. posted:And a spoon in the mouth of seizure patients. Just curious, what is the normal procedure for this kind of situation? Do seizure patients ever end up, like, biting off their tongues? ( I assume that was the logic behind placing the spoon in mouth) Kudos to everyone in this thread, I remember lurking to read the old one years ago out of sense of morbid curiosity and this one delivers as well.
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Apr 1, 2016 21:59
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Colonel Cancer posted:Just curious, what is the normal procedure for this kind of situation? Do seizure patients ever end up, like, biting off their tongues? ( I assume that was the logic behind placing the spoon in mouth) I'm not an EMT, but from what I remember of a First Aid training course, you mostly just clear the area of people and objects and wait the seizure out. I'm probably completely wrong, though.
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Apr 1, 2016 22:20
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Paramedics can give versed intramuscularly, but I've never seen it done. If anyone was seizing for long enough for someone to call 911, have 911 dispatch us, and still be having a dance party when we get there, that'd be... Really bad.
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Apr 1, 2016 22:45
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Ugly In The Morning posted:Paramedics can give versed intramuscularly, but I've never seen it done. If anyone was seizing for long enough for someone to call 911, have 911 dispatch us, and still be having a dance party when we get there, that'd be... Really bad. I've got several epileptic friends. I've always been told to remove objects on which they could harm themselves and check airway when they finish seizing (most people don't instantly become alert when the seizure ends and they can be disoriented when they first come to). I've also been told that a seizure lasting more than 5 minutes is a medical emergency and to call 000 and not "wait it out". People can die from seizures although I'm not sure of the exact mechanism.
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Apr 1, 2016 23:40
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Lolie posted:I've also been told that a seizure lasting more than 5 minutes is a medical emergency and to call 000 and not "wait it out". People can die from seizures although I'm not sure of the exact mechanism. Status Epilepticus. It can absolutely be fatal. Usually people that seize that severely will need to have some sort of medical intervention to stop it. As for why it's fatal: Imagine having an electrical storm in your head. Now imagine that it just won't stop. At worst up to a third of patients that develop the condition will die within 30 days afterwards. Usually due to the underlying condition that was causing seizure activity in the first place, like a brain tumor.
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Apr 2, 2016 00:09
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AbysmalPeptoBismol posted:Status Epilepticus. Or airway loss during the status sz.
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Apr 2, 2016 00:19
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Wellness check, male mid thirties. Hadn't been heard from in 3 days. Died huffing canned air in his hot tub. Looked like a half melted stay puft man. The cops were bumbling around and hadn't released the body yet when shift change rolled around. Next crew had to bag him.
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Apr 2, 2016 00:42
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LeeMajors posted:Or airway loss during the status sz. So how would a paramedic secure an airway in someone still seizing? Or do you just have to wait until lack of oxygen turns off the brain storm to intubate? Unfortunately, both assaults on paramedics and paramedic suicides are on the rise here and the state governments keep refusing to bring ambulance service staff welfare provisions in line with those which apply to police services (I nearly said "which police services enjoy" but it was a huge battle for police services to get those provisions, too). Lolie fucked around with this message at 02:11 on Apr 2, 2016 |
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Apr 2, 2016 01:57
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I have never ridden in an ambulance before but I did go a whole weekend in college with a pneumothorax once.
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Apr 2, 2016 04:08
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AF posted:RNs make fuckin' bank. Varies on the facility/department they've chosen, but in the hospital setting it's not uncommon to just be balling out of control Completely based on where you live. California/PNW I believe is all unionized and they pull dank stacks there. I don't think it's necessarily 6 figures but you'll have nurses with 4-5 years of experience pulling $30 an hour, working 36 hours a week. And then there's kansas, where the starting wage is $21 making $35-40k. I think managers of hospital dept's pull 60-70k around there, which I assume is probably similar to the wages in some other area's only in relation to cost of living. There's no union so a Kansas City nurse can start off at 21-23 an hour and your Hays Kansas 2 bed "hospital" may only make 20 an hour. I've heard stories about nurses in Kentucky or some place where the starting wage was $18 an hour for a full fledged BSN.
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Apr 2, 2016 04:32
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MurderBot posted:Completely based on where you live. California/PNW I believe is all unionized and they pull dank stacks there. I don't think it's necessarily 6 figures but you'll have nurses with 4-5 years of experience pulling $30 an hour, working 36 hours a week. I assume they get no penalty rates. Here, around $30 per hour is the base rate for a new RN but then there are loadings for shift work, night work, weekend work and public holidays. As very few nurses work hours which don't attract loadings, their earnings are considerably higher than the base rate might suggest. quote:Penalty Rates http://www.nurseinaustralia.com/nurses-wages-in-australia/
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Apr 2, 2016 04:54
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Oh yeah, they're called shift differentials and they do help out a lot. I have no clue what it is for the good paying nursing jobs, Kansas was pretty steadfast with $2 extra an hour for night shift after 6 P.M, weekends were $1.50 I think and holiday pay of course is time and a half. I'd go loving nuts for those rates, holy poo poo.... You guys down there hiring?
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Apr 2, 2016 05:29
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MurderBot posted:Oh yeah, they're called shift differentials and they do help out a lot. I have no clue what it is for the good paying nursing jobs, Kansas was pretty steadfast with $2 extra an hour for night shift after 6 P.M, weekends were $1.50 I think and holiday pay of course is time and a half. If you've got experience in a specialised area, then yes. We have an over-supply of new graduates but a shortage of experienced nurses in some sub-disciplines. We're expected to have a shortage of over 100,000 nurses by 2025 as our population ages and older nurses retire. I believe it's a very different style of nursing than the US, though. Lolie fucked around with this message at 05:49 on Apr 2, 2016 |
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Apr 2, 2016 05:46
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these story's are cross posted from my thread in AI, they are Towing\Car accident related, hopefully they will fit in here. These are all stories that were told to me by the old timers. Dave goes to a call for an illegally parked car called in by the police. Cop is on seen and says he is unable to contact the registered owner of said car. Dave then motions for the cop to turn around and as he does Dave says "is that him". The owner was hanging from a tree 15 feet in the air. Box truck that had been Jerry rigged into a workshop\camper was towed into the yard. Has an odd smell but when the back was opened to inspect only tools could be seen. Weeks later the smell is to much to ignore, then the camper area was discovered in the middle of the truck separated by a door. Old guy died and sat in there for who knows how long. Big accident about 10 years ago, 4 teens in a yellow honda crx (2 seater) 3 in the front 1 in the hatch, 180km down the highway and they loose control and hit the median sending them into a ditch. the guy in the hatch was thrown so far into the bushes it took hours and a search dog to find him. they suspect he was the one who initially called 911. they all ended up dieing and one of the girls was an organ donor and all they could save was her eyes. Cops search a car and then release it to us to impound. while looking through the car to catalog its contents a gun is found under the seat. cops didn't check that well. Guy gets clipped by a pup trailer of a dumptruck and squished. tow truck driver shows up and finds the guys un eaten mcdonalds on the ground picks it up and starts to eat it. i think he said it made one of the cops ralf. Girl gets pushed infront of bus and head is pancaked. teeth stuck in the treads of the bus tire. And lots of dead bodies found in trunks after the smell gets bad, dont know if its mostly suicide or murder or what. I will write out some more when i can sitdown and do it and will see if i can find newspaper articals on some of this poo poo. Here is a video of that cement truck recovery if anyone is interested. https://www.youtube.com/watch?v=Sb3ZOt2Gmic More Tow Stories: These stories are from an old timer who has seen just about everything. Black ice: Call comes in on the Malahat (very dangerous and winding mountain highway on vancouver island), black ice has coated the road and caused a fatal crash. car rear ended a semi and another semi rear ended the car squishing it in between. 2 passengers in the rear survived but the driver was decapitated with her hands still gripping the wheel and her head sitting in the back seat. The car was tarped and towed with the body still trapped inside. Out of gas: Motorcycle pulls infront of a cement truck at a red light, truck doesn't see the biker pull infront. light goes green biker gets crushed. Turns out the bike ran out of gas sitting at the light. there were finger marks on the front bumper of the truck were the biker had tried to pull himself out. His head exploded like a watermelon inside his helmet. Armour-All: Motorcycle Armour-all's his tires tread and all, takes a tight corner and ping pongs off 3 cars, lost his foot and some fingers but he lived. Street Racers: 2 dumbass teens street racing downtown lose control going in excess of 120kmph and slid into a crowded bus stop killing 1 and injuring 3. The underside of the car was caked in blood entrails and small body parts. The car was taken to a secluded racetrack for testing, measuring yaw and tilt and all that poo poo to find out exactly what happened. stupid loving street racers. stories: Years and years ago at the local ferry terminal some crew members were moving tractor trailers around. Im not sure what the trucks they use to move them are but they look like this: anyways one guy starts driving and runs something over, turns out it was someones head. About 10 years ago 3 young guys high and drunk in there done up old impala or cutlass or similar, ill try and find the news articulal, anyways, they floor it into a corner no seat belts, 2 get ejected and one basically disintegrates inside the car. Now funny thing is a friend of a friend of mine bought the car from an auto wrecker months later and pulled the worked v8 out and swapped it into his truck. there was still blood and needles form the paramedics in the car. heard this story and drive by the memorial daily from a friend who knows the guy who was in the crash and survived. There was a party ontop of a local mountain and a group of people were ready to leave. everyone had been drinking and doing mushrooms but one girl insisted she was sober and could drive everyone down the mountain. she was driving an old 80's toyota van. she made it to the bottom and onto the main road and on the first corner and drove straight into a telephone pole. guy was sitting in the middle rear bench seat and flew forward having his face literally explode on the gear shift, after coming to he noticed a warm sensation on his lap, it was the girl who was sitting beside hims brains. out of the 5 or 6 of them in the van i believe only he and the girl driving survived. the story continues and gets very strange form there but that might give away peoples identity's. I know there are more stories im forgetting so i will keep adding them as i am told\remember them. here's the link to my thread if anyone is interested there are lots of good crash pictures and stories. http://forums.somethingawful.com/showthread.php?threadid=3735554
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Apr 2, 2016 05:59
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Once transferred a 13-year old girl who was a complete vegetable after a car accident. Her mother, who was in the same accident, was completely fine with some rehab and a back brace. Guess what they did differently before the accident. Wear your loving seat belts, kids.
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Apr 2, 2016 06:01
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Ugly In The Morning posted:Paramedics can give versed intramuscularly, but I've never seen it done. If anyone was seizing for long enough for someone to call 911, have 911 dispatch us, and still be having a dance party when we get there, that'd be... Really bad. Our service does versed intranasally for this.
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Apr 2, 2016 06:14
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Lolie posted:So how would a paramedic secure an airway in someone still seizing? Or do you just have to wait until lack of oxygen turns off the brain storm to intubate? I have had 5 grand mal seizures. Twice I've stopped breathing but people around me knew what to do. You tilt the head up to open up the airway and breathing starts again, at least in my situation. EDIT: This keeps you alive long enough to wake up in an ambulance and generate an amazing amount of hospital bills. Seizures are not fun. Vanadium Dame fucked around with this message at 07:25 on Apr 2, 2016 |
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Apr 2, 2016 07:15
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My niece has Dravets, a form of epilepsy and she's had two grand mals and countless other seizures. She's 5. Seizures on teens and adults is one thing, but on children it's heart breaking. Her first major seizure was when she barely past one years old in the backseat of my sister's car. She's on the phone with 911 while her huge husband is squeezing into the back seat of her tiny car to assist my niece. They've gone to the hospital God knows how many times - and severely in debt with bills. The hospital staff they've had has always been excellent and I've always made it a point to thank them. There's so much medically to understand that it boggles the human mind. Now me personally, I don't have any stories, but my brother was a tow trucker for the state. He would get called out a lot for any highway crashes, both non-fatal and fatal. One of the worst stories I heard was a teen speeding on a highway, lost control and went off the road and crashed the poo poo out of his car. It wasn't a safe car, kid's head was decapped and went into a tree. Everyone stood around and shined flashlights at the head while I'm assuming the lowest guy on the paramedic totem pole had to climb up a ladder to retrieve it. He's got more stories of fatal crashes, I'd have to ask him but I know this isn't a tow trucking thread.
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Apr 2, 2016 07:45
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sillyloquy posted:How about a story on the lighter side of the funny-gross spectrum? would this be the one mri in the world that you only turn on once the patient lies there? (they are always on)
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Apr 2, 2016 07:47
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If you ever want to share dark EMS humour, funny stories are always welcome here. https://www.facebook.com/NotInMyAmbulance/?fref=ts
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Apr 2, 2016 08:26
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Markoff Chaney posted:I have had 5 grand mal seizures. Twice I've stopped breathing but people around me knew what to do. You tilt the head up to open up the airway and breathing starts again, at least in my situation. I too have woken up in a hospital, paramedic in front of me asking if I knew where I was. The answer was no, and then onto the date (no), etc. etc. Also once in a pool. When they say your chance of dying increases drastically, it's not just the seizures that'll kill you insomuch as the environment then becomes your enemy. The pool I was in was not deep, and I only weigh ~130 lbs, but it took 2 of them to pin me to the side and all 3 to use the handi-lift and get me out of the deathtrap that is waist-deep water. Scald fucked around with this message at 11:07 on Apr 2, 2016 |
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Apr 2, 2016 08:38
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Scald posted:I too have woken up in a hospital, paramedic in front of me asking if I knew where I was. The answer was no, and then onto the date (no), etc. etc. Also once in a pool. When the say your chance of dying increases drastically, it's not just the seizures that'll kill you insomuch as the environment then becomes your enemy. The pool I was in was not deep, and I only weigh ~130 lbs, but it took 2 of them to pin me to the side and all 3 to use the handi-lift and get me out of the deathtrap that is waist-deep water. I know that feel, I'm 130 soaking wet and when asked by the EMT the last time thought it was 2012 but got president Obama right. This was this year. Vanadium Dame fucked around with this message at 09:30 on Apr 2, 2016 |
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Apr 2, 2016 09:27
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Lolie posted:So how would a paramedic secure an airway in someone still seizing? Or do you just have to wait until lack of oxygen turns off the brain storm to intubate? Generally stopping the seizure will fix it. IM Lorazepam or Midazolam generally do that job. As mentioned above the environment is not your friend, and the muscle contractions can make breathing shallow and difficult resulting in hypoxia if it continues for an extended period of time. The dangerous ones are the status epilepticus patients whose seizures are refractory to benzos. At that point, its probably necessary to either place airway adjuncts and try to oxygenate your patient, continue to hammer them with benzos and oxygen, or proceed to RSI (sedate/paralyze your patient and intubate them). RSI doesn't guarantee an end to the neurological seizure, but it will allow you to take control of their breathing at least.  Thankfully this is really really rare. Having said that, my last status sz patient took 2x 2mg Ativan and 2x 2.5mg Versed and it still took 10min or so (she was seizing for ten before our arrival) to stop it....she had perioral cyanosis (blue lips) and we were just slamming her with oxygen and sedating like hell. Ringo Star Get posted:My niece has Dravets, a form of epilepsy and she's had two grand mals and countless other seizures. She's 5. Seizures on teens and adults is one thing, but on children it's heart breaking. Her first major seizure was when she barely past one years old in the backseat of my sister's car. She's on the phone with 911 while her huge husband is squeezing into the back seat of her tiny car to assist my niece. I only recently learned about Dravets from a pedi sz patient we had, and she's been helped a lot by the CBD oil (which was finally downgraded in SC so they could use it in clinical trials...puritan fucks that run this state....). I'm not sure if they have anything like that, but it reduced her seizures from 60-80/day to single digits.
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Apr 2, 2016 13:11
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Lolie posted:If you've got experience in a specialised area, then yes. My Nursing experience is only focused on emergency nursing and flight nursing/HEMS, do you guys do helicopter air ambulance down there?
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Apr 2, 2016 15:32
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MurderBot posted:My Nursing experience is only focused on emergency nursing and flight nursing/HEMS, do you guys do helicopter air ambulance down there?
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Apr 2, 2016 18:42
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