*****The Official Medics/EMTs/Firefighters..Pt II******

[2Rude4MyOwnGood]

Wtf is this lazy sht.

[GetHimABodyBag]

lol picking up hose like a pussy

[2Rude4MyOwnGood]

lol picking up hose like a pussy

I kinda raged when i saw an ad for those hose rollers in FE magazine. I cant imagine any self respecting firefighter using one of those. Just, lol.

[dropkickMc]

i dont know if you guys have ever done hose testing, but that sht gets old after a while. brb testing and washing and rerolling every stick of hose in the dept (5 engines plus hose rack) ya having a hose roller would be nice. obviously u dont bust it out after a fire like "look how lazy we are." we have an ooooooold hose washer machine that is pretty cool too (when it works)

[Hola Bola]

If the dude is bringing donuts EVERY day then he is just a kiss ass to make up for other things IMO.


I'll make desserts and stuff for the boys but thats cause I don't like when people put no effort into cooking.

There is a reserve at my dept that brings in donuts every time... nobody likes him.

Wtf is this lazy sht.

AHAHAHAHAHAHAHHAHAHAHHAHA... my dept has one of the motorized ones, we use the **** out of it for 5".

[2Rude4MyOwnGood]

i dont know if you guys have ever done hose testing, but that sht gets old after a while. brb testing and washing and rerolling every stick of hose in the dept (5 engines plus hose rack) ya having a hose roller would be nice. obviously u dont bust it out after a fire like "look how lazy we are." we have an ooooooold hose washer machine that is pretty cool too (when it works)

We use one of those hose washers that connects to a hydrant and you just feed the hose through with a hook. Really quick and easy.

I like racking hose to be honest. Some of the engines here use different hose loads so its always a good refresher.

[dropkickMc]

http://forum.bodybuilding.com/showth...hp?t=149574213

[2Rude4MyOwnGood]

http://forum.bodybuilding.com/showth...hp?t=149574213

Link doesn't work, what did we miss?

[Hola Bola]

Link doesn't work, what did we miss?

Some idiot bragging about how he was hanging out at the station getting paid to watch football.

[2Rude4MyOwnGood]

Some idiot bragging about how he was hanging out at the station getting paid to watch football.

Oh boy. Been a while since I negged someone, shame that I missed that.

[TheChadster08]

Some idiot bragging about how he was hanging out at the station getting paid to watch football.

I'm actually looking forward to working on thursday.

brb painting app bay lines

brb waxing engine and cleaning inside really well.

brb whats hanging out and watching football?

I like to stay busy because it passes time. I probaby won't even be sitting on my ass 10 years from now.

[2Rude4MyOwnGood]

Sundays are the only day where we even attempt to relax. We get PT and training done in the morning and then hopefully we get to watch some football if we dont get a bunch of calls. Every other day we stay busy for pretty much the entire shift, so its nice to be able to have a day to relax...even if its just for a couple of hours.

[2Rude4MyOwnGood]

Back from yet another code, been catching one almost every shift lately it seems.

[GetHimABodyBag]

In LAFD some houses you need at least 10 years on to sit on the lazy boy. You better be informal drilling, learning about a tool, doing house duties or projects, reading the books/studying, etc. There is even a sign that says you need 10 years to be in this room.

[2Rude4MyOwnGood]

In LAFD some houses you need at least 10 years on to sit on the lazy boy. You better be informal drilling, learning about a tool, doing house duties or projects, reading the books/studying, etc. There is even a sign that says you need 10 years to be in this room.

Damn, 10 years? Typically in my department once you are off probation (usually 1 year) you can sit in the day room/watch tv, but its really up to your officer. I wasnt allowed to go in unless i was cleaning for the first few months of my probation (which im still on) but my officer told me recently that i had earned that priveledge.

Im not trying to sound cocky, but ive been killing it so far during my probation. 100's on most written and practical testing, training my ass off, first one in and last to leave, etc. Im not allowed to just go sit and watch TV and be lazy, but i can go in and watch football on Sundays or when we are eating. Really made me feel good to earn it.

Im still the rookie, but ive earned the respect of my crew by performing well on calls and in training. I really appreciate that they show me a little love and let me do stuff like that. They dont treat me like sht just because its tradition. They will sht on me when i mess up, but are good about giving me positive feedback when i do well. I really lucked out with my crew because not all crews are like that.

[dropkickMc]

^^^ im starting at a new dept in 2 weeks. activate probie mode.

[2Rude4MyOwnGood]

Prepare your mop.

[FMedic08]

Question for the medics. What would you think about a CPR with a ETCO2 in the 90s? Gave him bicarb and it came down into the 60s briefly and then started climbing again. Nursing home, unwitnessed. Less than an hour since staff had seen him(if you believe them.)

Been trying to look online for answers but haven't had much luck.

[FMedic08]

Also, pretty interesting article on one our big fires last summer:

http://www.fireengineering.com/artic...ase-study.html

[dropkickMc]

Question for the medics. What would you think about a CPR with a ETCO2 in the 90s? Gave him bicarb and it came down into the 60s briefly and then started climbing again. Nursing home, unwitnessed. Less than an hour since staff had seen him(if you believe them.)

Been trying to look online for answers but haven't had much luck.

lol fuuu thats high. probably down for a long time? hyperventilate + bicarb + probably more bicarb cuz that foo is acididididic. I always remember "if it's low go slow" so if c02 is like 10-15 ventilate real slow until it builds back up to 35-45. in this case it's the opposite so ventilate fast to hyperoxygenate and try to offset the excess co2 with dat der o2.

im not sure how long it would take to get to 90 tho. probly a while tho i would guess. i used to wrap my wrist super tight when i lift, and sometimes it would turn purple and go numb. i checked the o2 sat and it only went down to 97%. so that took like 20 min. your dude was probly down for like 30 min would be my guess. purely a guess tho

[2Rude4MyOwnGood]

Question for the medics. What would you think about a CPR with a ETCO2 in the 90s? Gave him bicarb and it came down into the 60s briefly and then started climbing again. Nursing home, unwitnessed. Less than an hour since staff had seen him(if you believe them.)

Been trying to look online for answers but haven't had much luck.

Did you happen to get a temp on him? A rapid increase in body temp can cause a large spike in ETCO2 readings.

What was his medical history? If your patient was septic that could have lead to a rapid increase in body temp, and therefore elevated ETCO2 readings. In patients experiencing sepsis, metabolism continues even without pulses, so CO2 could have built up during his down time and what you were seeing was this excess CO2 being blown off during ventilations.

Seizures can also cause an increase in metabolism which would lead to high ETCO2 readings. Any indication that the patient suffered a seizure prior to arrest?

He could have also been acidotic due to poor gas exchange, likely from a PE. Thats probably the most likely cause but its tough to say without being there. If i recall, that is the most common cause of increased ETCO2 readings.

[FMedic08]

Did you happen to get a temp on him? A rapid increase in body temp can cause a large spike in ETCO2 readings.

What was his medical history? If your patient was septic that could have lead to a rapid increase in body temp, and therefore elevated ETCO2 readings. In patients experiencing sepsis, metabolism continues even without pulses, so CO2 could have built up during his down time and what you were seeing was this excess CO2 being blown off during ventilations.

Seizures can also cause an increase in metabolism which would lead to high ETCO2 readings. Any indication that the patient suffered a seizure prior to arrest?

He could have also been acidotic due to poor gas exchange, likely from a PE. Thats probably the most likely cause but its tough to say without being there. If i recall, that is the most common cause of increased ETCO2 readings.

Your thoughts mirror my own pretty much. Thats just far higher than I've ever seen before. I'm not really sure of his hx other than the usual HTN, DM etc etc. Already had lost both lower legs, only 51 years old. I don't know much more cause I was on the engine that day and didn't go along to the hospital. Med control didn't want us to field terminate because of the high CO2.

[2Rude4MyOwnGood]

Sounds like an intersting call for sure, its not every day that you see readings that high.

Were the leg amputations recent? If so, en embolism would be my guess. I know thats a complication of amputations, i have no idea if thats a risk that he would carry throughout his life if the amputations were done a while ago though.

[daiawa]

We had a double OD a few months back, one female DOA on arrival and another agonal resp on the other bed in the hotel room, and after RSI she was high 80's. The other girl was full riggor with visible pooling towards her back. Busy hotel and hadnt been seen for hours, the best guess is she was down well over an hour and still didnt hit 90, thats crazy high.

With stuff like that you also really have to question the credibility of the facility, do you trust them? We have SNF's here I wouldnt send my worst enemy to, where they might check the pts twice a day and bs the charts.

[2Rude4MyOwnGood]

I rarely trust the word of somebody who works in a nursing home. Dont get me wrong ive been in some nice homes where the staff seemed competent, but the idiots far outweigh the educated in most places.

[TheChadster08]

Your thoughts mirror my own pretty much. Thats just far higher than I've ever seen before. I'm not really sure of his hx other than the usual HTN, DM etc etc. Already had lost both lower legs, only 51 years old. I don't know much more cause I was on the engine that day and didn't go along to the hospital. Med control didn't want us to field terminate because of the high CO2.

I loved that day of rapelling. I went twice upside down.

Sup brah, how sht been going?

[Hola Bola]

Back from yet another code, been catching one almost every shift lately it seems.

I had one early this morning. How do you guys run your codes? Is it organized chaos with everyone just doing things as they're needed, or are people assigned jobs? My dept recently transitioned to assigning people jobs, and while it seems like a good idea in theory, it doesn't always run as smooth as your typical free-for-all call.

[daiawa]

Since we are a county service and not fire based, it is our medics scene. Normally the crew member on the ambulance, whether they are basic,intermediate, or medic is in control of the auto-pulse, bls air way, suction, and delegating tasks for fire. The lead medic does the monitor and drugs, but if theres a intermediate or medic crew member they can help start lines, intubate, etc and just delegate the other tasks to fire personnel. One of our fire services we run with is als so as me being a basic when we run a full arrest with them I basically just let them do their thing and make sure cpr doesnt stop, suction etc..

Then of course theres those calls where that all goes out the window and its just a free for all, which like you said can end up going smoother sometimes.

[2Rude4MyOwnGood]

I had one early this morning. How do you guys run your codes? Is it organized chaos with everyone just doing things as they're needed, or are people assigned jobs? My dept recently transitioned to assigning people jobs, and while it seems like a good idea in theory, it doesn't always run as smooth as your typical free-for-all call.

We assign people to fill a specific role during the code. Obviously one person cant do compressions the entire time so they get switched out every few rounds, but typically there will be one person in charge of the airway, one for IV/IO, one for meds, one on the monitor, one who scribes, etc.

Obviously there are times when things dont run as smoothly as they could...not all providers are created equal nah mean? But this generally works well for us. Its all about communication IMO. If everybody verbalizes what they are doing we are less likely to make mistakes, and it makes it much easier for whoever is scribing to time stamp all of the important events.

[Hola Bola]

That seems pretty standard to me, but if you only had 1 medic there it seems like he could easily become overwhelmed, amiright? For a code our medics handle IV access, ET tube, and meds, while basics can deal with the auto-pulse, airway (except for ET tube), monitor, or being the recorder. Yes, we designate someone as the recorder, lol... their job is literally just to record the times for everything that happens. Its boring, but the medics appreciate it when they're doing their report later.

My dept running both fire and ems is a bonus IMO... you know who you're working with and you know what kind of crew you're going to have. We always have at least 2 medics on scene, usually its more like 3-4 out of the 5-6 total crew. Theres one station on my shift where all 5 guys assigned there are medics, lol... the best part is we don't even run an ambulance out of there.