Confessions of an EMS Newbie

37 Soft Tissues


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(46:32) You get a story from after the show last week about German paramedic Niels first Louisiana field delivery to start the show. Then we talk about Ron’s test and how he didn’t do as bad as he thought.

Soft tissue injuries was the subject of the week. Kelly tells how to deal with crush injuries and a discussion of rhabdomyolysis or rambo or radbo to how ever it is pronounced. Ron had never heard of injection injuries before this week, and he now has two new drugs to memorize.

Ron did his first 24 hour shift and he talks about how it was and how he’s thinking about preceptors differently.

Listener Questions
Simon:
3. Finding veins. Do you prefer to find a vein visually, or by palpation?

4. After a recent trauma call on a very busy highway, we were left with a grossly disfigured body, a lot of distressed people standing around, and a huge procession of traffic all rubber-necking at the pool of blood spreading from the white sheet. How do you deal with those who are emotionally distressed in these situations? Apart from a brief few gentle words and a phone number for a counselling line to the bystanders, and letting the police divert traffic, I was all out of ideas.

Elias:
New EMT-B here, had my patch since the beginning of january, and am working for a paid volunteer rural service (very rural, frontier even) in a town of around 1000 people, with another 5k within the county lines. A part-time firefighters job has opened up in a town about 30 miles away and they run their ambulance through their fire service, so there’s a very good chance of getting a paid, part time ems position with this fire department. My question is: would it be considered “bad form” to work for two different services? I don’t really want to be a firefighter, but if it’d get me some consistent time in an ambulance rig before paramedic school starts in September, it’d be a good thing, right?

What book would you recommend for a person with no AandP experience to begin study for medic school, so as not to be totally lost?

Shawn in KS:
In regards to proper documentation of your scene reports, would using a digital voice recorder while on scene w/ a lapel mic for hands free operation be professional and reasonable? The idea would be to speak your notes out as you progress such as pt assessment, VS, and so on. You are intending to record yourself for your own use, so I don’t see a legal issue. Recordings would be deleted after their use. And shy of your partner, no one would likely notice you are even mic’d up.
Mentions:

A&P for Emergency Care

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Confessions of an EMS NewbieBy Ron Davis and Kelly Grayson