*****The Official Medics/EMTs/Firefighters******

[2Rude4MyOwnGood]

Anytime there is severe edema and especially with an obese patient the hook can be handy to secure the trachea while you spread the incision to get the tube started. Ive personally never had to use the hook, just make about a 1-2 cm incision through the skin and the cricothyroid membrane, then use the hemostat to spread the incision, and drop the tube. Sometimes the hemostat isnt necessary, you can use the end of the scalpel and rotate 90* to spread the incision.

Im sure you could do some damage with the tracheal hook or the procedure in general (accidental perforation of the eso****us, damage to the vocal chords, fractured larynx, etc) . But if someone needs an emergency cric then I think that is the least of their worries.

Thanks Rhino!

Are severe burns to the neck a contraindication for a cric. Or at that point is it just a "fkuc it, we've gotta get him some air" situation?

[-rhino-]

Thanks Rhino!

Are severe burns to the neck a contraindication for a cric. Or at that point is it just a "fkuc it, we've gotta get him some air" situation?

There are no real world contraindications for a cric. Obviously less intrusive airways are always preferred and text books will list tracheal transections, laryngeal fractures, etc.. as absolute contraindications. But if you can’t get an airway by traditional methods you will be forced to do a surgical airway at some point regardless of the situation.

Its one of those things where real world treatment is superior to text book treatment. You try to find me a doctor that will sit there and let his patient die because of a laryngeal fracture instead of taking the risk and going through with the cricothyrotomy.

[2Rude4MyOwnGood]

There are no real world contraindications for a cric. Obviously less intrusive airways are always preferred and text books will list tracheal transections, laryngeal fractures, etc.. as absolute contraindications. But if you can’t get an airway by traditional methods you will be forced to do a surgical airway at some point regardless of the situation.

Its one of those things where real world treatment is superior to text book treatment. You try to find me a doctor that will sit there and let his patient die because of a laryngeal fracture instead of taking the risk and going through with the cricothyrotomy.

Got it. I had been wondering if there was ever a reason NOT to do a cric, but since its the last resort it makes sense that there wouldnt be any reason not to do it.

Just trying to get ahead of the curve here before we start our cric labs/lectures. As always you have been a great help.

[-rhino-]

Got it. I had been wondering if there was ever a reason NOT to do a cric, but since its the last resort it makes sense that there wouldnt be any reason not to do it.

Just trying to get ahead of the curve here before we start our cric labs/lectures. As always you have been a great help.

No problem bro, and youre right it is one of those last resort type procedures. It doesnt get used very often, but its definitely a good tool to have at your disposal.

Hows school going otherwise man? Any chicks at your clinicals?

[2Rude4MyOwnGood]

No problem bro, and youre right it is one of those last resort type procedures. It doesnt get used very often, but its definitely a good tool to have at your disposal.

Hows school going otherwise man? Any chicks at your clinicals?

Actually, for the first time, yes. All the other levels at the hospital are full of old saggy nurses, but we were in the ED tonight and there were like 5 techs/nurses that i would crush. Looking forward to going back there to stalk them in a couple weeks.

Otherwise school is great, and im not just saying that. For the first time in my life im interested in the subject matter. Pretty important to me. It moves quickly but i think thats a good thing. Every day im learning something new. My grades are all A's so far, have midterms this week and i feel very well equipped to destroy them. I mentioned before that we start our ECG class this week so im a little anxious, but im sure ill be fine.

The only thing i havent liked so far is the goddamn med math. Its not difficult but boy do i hate numbers. All those conversions are a pain in the ass.

[-rhino-]

Actually, for the first time, yes. All the other levels at the hospital are full of old saggy nurses, but we were in the ED tonight and there were like 5 techs/nurses that i would crush. Looking forward to going back there to stalk them in a couple weeks.

Otherwise school is great, and im not just saying that. For the first time in my life im interested in the subject matter. Pretty important to me. It moves quickly but i think thats a good thing. Every day im learning something new. My grades are all A's so far, have midterms this week and i feel very well equipped to destroy them. I mentioned before that we start our ECG class this week so im a little anxious, but im sure ill be fine.

The only thing i havent liked so far is the goddamn med math. Its not difficult but boy do i hate numbers. All those conversions are a pain in the ass.

Youre speaking my language man, I hate math and love hot nurses/techs! haha

All the drug calcs are a pain in the ass. Luckily, the more you actually use them you can memorize most of your dosages and conversions. Glad to hear that everything is going good man. Good luck with your mid-terms.

[KRN-GOOKX891]

Congrats maing, i shall rep.

Thank you!

congrats bro.

where did you take your emt at?

Thank you!

i took EMT at Rio Hondo College. I'll also be applying to the Rio Hondo fire academy that starts in Jan.

you mentioned that u were going to go to the El Camino Fire academy right?

Grats! I'll be there in December buddy

Thank you! and good luck!

[GetHimABodyBag]

Thank you!

Thank you!

i took EMT at Rio Hondo College. I'll also be applying to the Rio Hondo fire academy that starts in Jan.

you mentioned that u were going to go to the El Camino Fire academy right?

Thank you! and good luck!

Didn't get in the Feb. class, so looks like August for me, that is alright with me because I am getting some construction experience, working on speaking different languages, and I am going to try improve my swimming so I can get a lifeguard cert, take a welding class, etc.

January is right around the corner if you get in, there are some things you can control right now..start reading your Essentials and making note cards, work on your rope and knots with gloves, and your conditioning, of course your EMT, these were most people get dropped from the academy

[Hardnutcheck]

Dispatched for: Cold and Flu symptoms

Actual call: Spinal injury

[vwbusmike73]

Dispatched for: Cold and Flu symptoms

Actual call: Spinal injury

looooooooooooove that crap

EDIT: did they sneeze so hard they slipped a disk? ha

[MikeHoncho636]

damn rhino, how do you know all this? From experience? Emt class? Are you still applying to become a FF?

[2Rude4MyOwnGood]

Had my first ECG class tonight, it was suprisingly interesting. I really thought this one was gonna be boring as hell.

[-rhino-]

damn rhino, how do you know all this? From experience? Emt class? Are you still applying to become a FF?

Just from experience man, ive been a Paramedic for the last few years and started working as an EMT at 18. I applied to quite a few departments when I was an EMT and got put on waiting lists, but im not sure if I want to go that route as a Medic and get stuck on an ambulance or squad for the rest of my career.

Im kicking around a few different ideas right now for possible career choices or even going back to school.

Had my first ECG class tonight, it was suprisingly interesting. I really thought this one was gonna be boring as hell.

Nice bro, I liked my ECG classes a lot. Wait until you get into the more complex stuff, it starts getting even more interesting.

[2Rude4MyOwnGood]

Nice bro, I liked my ECG classes a lot. Wait until you get into the more complex stuff, it starts getting even more interesting.

Right on maing. The way our program works is that we take this course as Intermediate's, which teaches us 3-leads, and during our final Paramedic semester we do 12-leads. This semester i think we are only required to learn 32 rythms.

Reviewed some basic heart A&P and learned about the different waves, intervals, and segments tonight. It kinda seems like putting together a puzzle, which im into.

[GetHimABodyBag]

Just from experience man, ive been a Paramedic for the last few years and started working as an EMT at 18. I applied to quite a few departments when I was an EMT and got put on waiting lists, but im not sure if I want to go that route as a Medic and get stuck on an ambulance or squad for the rest of my career.

Im kicking around a few different ideas right now for possible career choices or even going back to school.



Nice bro, I liked my ECG classes a lot. Wait until you get into the more complex stuff, it starts getting even more interesting.

rhino is a salty dog

[-rhino-]

rhino is a salty dog

You dont see any medics on the truck.

Although I definitely wouldn't mind receiving the paychecks those LACoFD medics get..

[GetHimABodyBag]

You dont see any medics on the truck.

Although I definitely wouldn't mind receiving the paychecks those LACoFD medics get..

Yeah man, and those guys work alot of OT on the squad.

I can't say if this is true or not, but I hear some LACo guys purposely fail out of medic school...LOL

[-rhino-]

Yeah man, and those guys work alot of OT on the squad.

I can't say if this is true or not, but I hear some LACo guys purposely fail out of medic school...LOL

Im sure some guys do fail on purpose, lol. I guess thats the only downside to becoming a Paramedic with aspirations to become a firefighter. It definitely increases your chances of getting hired, but youre stuck on a rescue or squad in most cases. Ive thought about applying to some depts that run medics on their engines, but those are few and far between.

[Tipys]

Im sure some guys do fail on purpose, lol. I guess thats the only downside to becoming a Paramedic with aspirations to become a firefighter. It definitely increases your chances of getting hired, but youre stuck on a rescue or squad in most cases. Ive thought about applying to some depts that run medics on their engines, but those are few and far between.

They maybe few and far between where your at. But here in Colorado Pretty much ever dept I know of runs medics on the engines. Or just find an all medic dept. Like Aurora fire (require medic in 4 years of hire) Or Denver fire who does not staff medics. (Be a medic working as a Basic)

[vwbusmike73]

got to do Rescue Systems 1 today, rapelling off a 5 story building was a lot more fun than I thought it would be

[GetHimABodyBag]

Im sure some guys do fail on purpose, lol. I guess thats the only downside to becoming a Paramedic with aspirations to become a firefighter. It definitely increases your chances of getting hired, but youre stuck on a rescue or squad in most cases. Ive thought about applying to some depts that run medics on their engines, but those are few and far between.

Not that bad in LACo Fire, the medics rotate every 3rd shift on the squad, correct?

On rare occasions, the guys on the squad make a grab at a first due fire

I hear you though, depending on what part of LACo, being on the squad would suck

Do you know if they are strict on the height-weight policy? Because I am like 50 pounds overweight according to that scale

[2Rude4MyOwnGood]

We got to play around with the IO's before our midterm today. Used chicken legs as well as pediatric dummies for practice. We didnt get to use any of the "EZ-IO" type devices since the National Registry exam requires that we do it the ol' fashioned way.

I gotta say, those little dummies are a bit creepy.

[JiuJitsuFighter]

How've you guys been! its been a while.

[JesseC]

Had the flashover chamber tonight, it was awesome brahs. Like nothing I've ever experienced before. Flashed about 7 times while we were in there. It was seriously the coolest thing I've ever done.

[-rhino-]

Not that bad in LACo Fire, the medics rotate every 3rd shift on the squad, correct?

On rare occasions, the guys on the squad make a grab at a first due fire

I hear you though, depending on what part of LACo, being on the squad would suck

Do you know if they are strict on the height-weight policy? Because I am like 50 pounds overweight according to that scale

Yea LACo runs the kelly schedule.

I've heard that they are also pretty strict on their selection process, they get so many applicants that they can afford to be. That chart is somewhat skewed though, say you are 5'10 - 220 and in great shape the chart wont be as heavily weighted. Applicants are required to have a current CPAT so that weeds out a lot of the out of shape candidates.

They maybe few and far between where your at. But here in Colorado Pretty much ever dept I know of runs medics on the engines. Or just find an all medic dept. Like Aurora fire (require medic in 4 years of hire) Or Denver fire who does not staff medics. (Be a medic working as a Basic)

They are definitely few and far between out here. Most departments out here run all EMT's or run their Medics on squads and rescues.

How've you guys been! its been a while.

Whats up man?? Hows everything going?

[Danger_Close]

this is such bull****, at first they said we need a 70% to pass the class. then they said we needed an 80%. and now we just took our midterm and all the sudden its required we need a 85% to pass the midterm. WHAT THE ****, can he even do that? and what makes it worse is i got a goddamn 84% and he said everyone that didn't get a 85% or better has got to take the retest and get a 80% or better. but everyone knows retest are harder because he doesn't throw any questions out. fml fml fml fml

/rant

[ETHSFootBall]

Just got home from my over time. This paycheck should be good got a total of 28 hours of over time so far.

[GetHimABodyBag]

Just got home from my over time. This paycheck should be good got a total of 28 hours of over time so far.

thanks for the reply bro.

How are they treating you in the firehouse?

[GetHimABodyBag]

Never get sick of this clip

Probably one of the balliest grabs ever(filmed)



Some of them died on 9-11

[2Rude4MyOwnGood]

^^^WOW.

I teared up a little bit watching that. Incredible stuff.