Category Archives: P-School

76 Calling In Reports

(32:01) Starting a new semester with testing. And doing medic things everyone does, but that he hasn’t learned yet.

What I Did This Week

Assessment Based Management

Tested all our paramedic skills.
The one that got the most people was Static Cardiology.
I got all the rhythms, but mess-up 2 drug doses
Also you have to treat the patient, meaning if they have a bee sting and no cardiac issue treat an allergic reaction

Clinicals

First time to call in reports to hospitals.
On the phone.
Wrote it down first

Mentions:

6 Second ECG
No Guts No Glory Blog Post

Listener Questions

peter
Hello guys. I am a teenager who is taking the EMT course in just a week. For the past 2 years I have been listening to podcasts, reading books, talking to EMTs, and other stuff to prepare me with a thirst to help others. However I watched a video in drivers ed today about a student from my high school who during his Junior year got severely injured in a car accident. In this video they interviewed the EMTs from my local EMS service, who I personally know. In that moment it hit me, I might have to see someone my age get severely inured and I became sick to my stomach, almost fainting. and doubting in the first time in over 2 years that I want to be an EMT. Do either of you ever have the same idea as me? If so what do you do about it? Thanks,
EMT Soxfan
Hey there, I have an odd question maybe. I’m a super-green EMT at a fire dept. I was on one of my first shifts (24hr) and being at the station ate dinner with everyone. Shortly after the meal, when going to bed I started to get really nausiated and woke up several times to throw up. We had a call come in at 3AM-ish and I had not idea what to do. I didn’t want to be a wimp so I shut up and just went to the call, figuring it was just food poisoning anyway and wouldn’t endanger the patient. Fought back the up-slushie through the transport and threw up the second we got back. What should I have done? Was this bad EMS etiquette? Bad for the px? Didn’t know where to ask- I’m too embarrassed to bring it up at the station…
Jason
Catching up on the podcast and listened to 73 where you asked about ALTE and studying for peds par of the registry. We require PEPP for our medic students when we do PHTLS and ACLS at the end of the programas refreshers going into the exam. PEPP is an all ob/peds emergency class that covers ALTE and also counts for all registry recert hours. Give it a shot its a good class.
ken wrote:
great show guys. Question for you Kelly. Have you seen before any type of sticker for your car windshield that states the driver is diabetic & to call 911 if you suspect the driver is having a diabetic emergency?? I was walking into a local store and noticed a car parked in the handicapped spot having one of these stickers on the corner of the windshield on the drivers side.
Ron and Kelly,
Will you two continue the show after Ron has graduated from Paramedic school? Is there a chance of a future “EMS Newbie” coming aboard? I’m starting Paramedic school myself in January, and this show has been a great resource. Thanks for all that you guys do, and keep up the good work!
Happy Holidays!,
Nate
Mike
I’m another 40 something photographer that is getting into EMS. In fact I know two other photographers that are paramedics. I got my basic a year ago and just finished my intermediate. Now I want to decide between medic school or nursing school. What are some of your greatest challenges as an older student starting in a new field. Do you still plan on doing photography work once you get out of school?
shannon
Dear Kelly and Ron, I noticed that you have not done Mother and Speed reference yet, which is odd considering the intro to the show. Love the show, I am an EMT in LA and have been listening for almost a year. Question for Kelly, any tips on getting published?

75 Real Medic Stuff Now

(45:44) We’re back from a long break and the Newbie has been busy. Ron started his clinical internship and have now done 4 24 hour shifts with one crew at the Harris County Emergency Corps.

He’s learning a lot, here’s some of the thing Ron and Kelly talk about:
How to use the IV cath right
How to do CHART. I now understand it and even take notes in it.
Running calls. Lasted about 30 seconds in my first call.
Turns out it was likely a AAA( Or was it? Listen to Kelly’s comment), but it was seizures with a fall to start and I just didn’t know what to do.
Vs ran my first MVC yesterday and did pretty good. A little too much scene time. Not enough delegation.
My preceptor is really good. She reviews calls after I run them, gives good feedback. Let’s me beat myself up only so much.
Also gives me homework. Quizzing me on my ALS.

Calls:
1/6 = 6
1/12= 3
12/29 = 6
1/4 = 6

Started my new job.
Service is really different.
Big difference between a 2 paramedic truck and a Paramedic/Basic truck.
Kelly do you do truck chores? Or is that all on the other guy?
New experiences there:
System status management.
Working 12 instead of 24.
Going to prison.
Not having 2 level 1 trauma hospitals at your beck and call.

Sorry for not keeping up with the show, but as you see Ron and been doing something every day. Now we’re both on weird EMS schedules, so expect Newbie will be on a weird schedule too. Not more releasing on a particular day, because we may not be able to record on a regular one.

74 The Final Final

(21:58) Ron goes through his final final and some skills testing. No more lectures, no more teacher’s dirty looks.

What I Did This Week

Clinicals

Paper work. What a pain.

Mentions:

Bob Page on Stethoscopes

Listener Questions

I had originally planned to contact Kelly directly, but then realized his answer would probably be useful for EMS Newbie fans as well.

Hey Kelly, I know that you’ve blogged on this topic many times and I’ve got a quick question for you. Since you’re apt to transport some rather sick (yet not entirely time sensitive) patients without lights, sirens, and guns a blazin’, do you sometimes still describe your transport as “emergent” when giving radio report to ensure the receiving staff understands that the patient is sick? It would sure be nice to trust that painting a clinical picture would be enough to alert the nurses that they should plan on placing the patient a corner or hallway, but having spent a lot of time working in the department, I fear the staff would sometimes be too busy and distracted to pick up on less overt signals. Even with a fairly obvious description, our nurses are often multi-tasking while taking radio report, and it would be very easy to assume: “The patient can’t be that sick, I didn’t hear any sirens and they’re non-emergent.” As always, thanks for the podcast,
– Vince

Hi Ron, hope you are well. I was just wondering if either you or kelly had heard of the ‘lethal triad’ with regards to trauma and whether this was something that you guys were being taught about on your course or whether you thought it should be?

Warm regards from a cold england
Jamie

On the GI symptoms relating to anaphalaxis, I had heard that people with a new food allergy will often go through a progression of allergy symptoms to a certain stimulus before reaching full-blown anaphalaxis, often starting with GI symptoms. My understanding was that they would consume the food and have nausea, vomiting and/or diarrhea but not necessarily an airway issue, so it might be written off as “bad food” or stomach bug or something similar. Next time they ate that food, maybe they had worse GI symptoms but still did not connect the issue. Eventually it progresses up to true anaphalaxis with airway issues. Have y’all heard anything similar?
Andaew – Hey, In regards to stethoscope is there really a difference from a low end stethoscope and a high end stethoscope? If there is a difference how much of a difference is it and would it be worthwhile purchasing a higher quality stethoscope?