#emt care

[er-cryptid]

Types of Open Injuries

Abrasion -- damage to the superficial layer of skin -- caused by a body part rubbing or scraping across a rough or hard surface

Laceration -- a deep cut in the skin -- has jagged edges

Incision -- a cut in the skin -- has smooth edges

Avulsion -- soft tissue is torn loose or hanging as a flap

Penetrating Wound -- injury resulting from a sharp, piercing object

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[milimeters-morales]

FINALLY… MORE SPIDEY (SPECIFICALLY MILES) + MEDICAL PROFESSIONALS INTERACTIONS

TAKE CARE OF HIM !!! YESSSS!!!!!

#miles morales #spiderman #spider man #i loooove love love reading about miles also being taken care of by emts and stuff on the scene…. it’s like crack to me #hold on let me say it in spanish i wanna try #me encanta cuando spidey es atendido por los paramédicos #<- is that right?? #m&m posts

[audhd-nightwing]

steve: yeah i’m a government employee

eddie: i fucking hate cops

steve: good thing i’m an EMT then

eddie: …

eddie: *starts twirling his hair* so… are you free tonight?

#steddie #steve harrington #eddie munson #stranger things #nothing hotter than a man who takes care of people #while i enjoy law enforcement steve au’s #i prefer this #aka EMT steve #or like #paramedic steve #idk what the difference is

[luinhealthcare]

Does Hyrule mind teaching how to assess a patient??👉👈

"You... want to learn how to assess patients?" Hyrule asked hesitantly.

Wild shrugged. "What if I want to be an EMT?"

"You also said you wanted to be a chef in the hospital."

"I can do both, you know."

Hyrule laughed. "I suppose so. Well... we'll need a patient for this to work."

Wild immediately snatched Sky, who yelped as his friend snaked a hand around his wrist. "Sky's the patient, heaven knows he needs to be looked over anyway."

"Look who's talking, Mr. I-Have-Seizures-and-Don't-Tell-Anybody," Sky grumbled as he was manhandled to sit between the other two.

"Well, everyone knows now."

Hyrule and Sky gave Wild a scalding look. Adequately apologetic, Wild shrugged sheepishly.

"Anyway," Hyrule sighed, shifting his focus to Sky. "Assessments come in different forms. You've got a primary and a secondary assessment. Primary is kind of a general overview and checking for life threatening stuff, secondary is in-depth on what the issue actually is. Make sense?"

Wild nodded.

"Great!" Hyrule continued with a smile. "Okay. Sky's our patient. Sky, you got shot once, right?"

Sky nodded, and Wild balked. "He what?!"

"It was a long time ago," Sky waved a dismissive hand.

"Okay, so that's our scenario," Hyrule said, standing. "We're dispatched for a 21-year-old male with a GSW--"

"That means gunshot wound, right?"

"Yeah. GSW, conscious patient. That's all we've got. So, you get on scene, and the very first thing you do is check for scene safety. If the scene isn't safe, we're not going in. First thing you're taught in EMS - your own safety comes first, because if you're shot you can't help the patient. It's you, your partner, then the patient."

"How often do you actually listen to that rule?" Sky asked, raising an eyebrow.

"That's not what we're learning today," Hyrule waved off easily. It was pretty common knowledge that while he would never put his partner's life at risk, he'd gotten himself into dicey situations before. But he knew how to get himself out of those situations too. "So, we determine the scene is safe. Next, is our primary assessment. The purpose of this assessment is to check for life threatening things, and an overview of major body systems. Neuro status, bleeding, and your ABCs: Airway, Breathing, Circulation.

"The situation is pretty dynamic, like sometimes you walk up and somebody's got an arterial bleed and spurting blood everywhere, your assessment stops right there and you go fix that bleed. But generally you'll have time to do the entire primary assessment."

"Okay, so neuro and ABCs?"

"Yeah. And the good thing is that most of it happens all at once, you know? You walk up to Sky and he looks at you, then boom, you've got a good neuro - he's awake, he's alert. He may not be oriented, but you can figure that out by just talking to him. And by this point you can tell if there's life threatening bleeding. Then it's ABCs - is his airway patent, or open? Is he breathing, and is he doing so normally? Is his skin warm, dry, and normal tone for him? You can literally do al these things by just walking into the room and looking at him for five seconds. The primary assessment is done really fast and, the more times you do it, basically automatically."

"What would be an example of something being wrong?" Wild askd.

Hyrule glanced at him. "When I got on scene for your crash, you were unconscious and unresponsive--in other words, you were not only unconscious, but nothing would wake you up--and your breathing was gurgling sounding because you had blood in your airway."

Glancing at Sky, Hyrule said, "Sky can give us an example of a not great primary assessment, I'm sure."

Helpfully, Sky immediately flopped off the chair he was sitting on, collapsing to the ground with a crash. Wild laughed, and footsteps rushed from upstairs into the living room.

Twilight immediately froze in the entranceway, eyes wide and fixed on Sky. "Sky, what the--guys what the hell is hap--"

Sky perked up immediately. "Oh, sorry! I'm just helping Hyrule teach Wild!"

Twilight froze a moment and then sighed heavily, pinching the bridge of his nose and grumbling under his breath.

Hyrule smiled, pointing at Twilight. "He just perfectly showed a good primary assessment looks like! He walked in and saw the patient down on the ground, tried to figure out a neuro by calling out to him, and when Sky woke up he immediately could tell he was fine. Neuro intact, not bleeding, had a patent airway because he's talking, breathing normally, and skin looks normal."

"I hate all of you," Twilight groaned, walking out of the room.

"Okay, but by skin looking normal... what does it mean when it doesn't?" Wild asked.

"Your skin can tell a story," Hyrule explained. "If you're diaphoretic, which means sweating, something is likely wrong. Though it depends on context - if your patient's sweaty but they were just exercising, it makes sense. If Sky's sweaty on the ground after being shot, he's in shock. If the skin is cool, the body isn't circulating well - that can sap the color right out of your skin - the lighter your skin tone the more notable it is, but darker skin tones can become paler too. A lot of times with darker skin tones you'll want to look at their palms or their lips, that'll help you determine it. Another color is grey - that usually means cardiac and it's bad. So skin can tell you a lot!"

"How did my skin look?" Wild questioned, curious.

"Pale," Hyrule immediately answered. "Anyway. Sky's your patient. Look him over."

"Okay," Wild blew out a breath, approaching Sky and kneeling beside him. "So he's unconscious, that's my neuro so far."

"Can you arouse him at all?"

Wild poked Sky in the neck. Sky flinched. Wild poked again and Sky giggled. Wild's eyes widened in realization, and a mischievous smile crossed his face.

"Wild, wait--"

Sky started laughing hysterically as his friend tickled him, wiggling and trying to shove him away.

"Get--off of m--Wild you jerk--"

Hyrule chuckled. "Well, we're not taught to tickle our patients, but that works."

#sorry this took so long! #needed to manifest some energy to write healthcare au stuff lol #lu in healthcare #asks #writing #lu hyrule #lu wild #my gosh guys it's been SO LONG since I've looked at an EMT textbook I actually had to look up primary v secondary assessment definitions #just to make sure I was explaining it right #because I just automatically do it and haven't used the terms 'primary and secondary assessment' since EMT class #and that was more years ago than I care to admit LOL #in fact it's been so long I'm pretty sure they teach the primary as ABCDE #*puts on grey wig* back in my day #we just had ABC for the primary assessment #airway and breathing and circulation #but now it's airway/breathing/circulation/disability/expose?? I think?? #disability makes no sense to me #but all expose is saying is expose areas so you can see what you're dealing with #like for a trauma patient you gotta cut the clothes off to make sure you aren't missing an injury #I think disability is neuro related but they were stretching it ok #medical world and it's dumb acronyms #honestly I say just stick to ABCs #lu sky #lu twilight #poor twi lol #he's so done with their shenanigans #he's been on edge ever since Wild's hospitalization #anybody having issues makes him have a meltdown

[skyloftian-nutcase]

If anybody wants to know what studying medical stuff looks like, it’s a thousand words, acronyms, insanely over saturated flowcharts, lots of notes, and caffeine 👍🏻

#I have been staring at this for four hours #I want to scream #but also keep studying #Because another thing to know about medical stuff: this page 41 of 400 #The books are always so so big #My EMT book was 1600 pages #I use it now to squish bugs because it weighs 80lbs #random rambles #Four and I are studying critical care stuff #I am never leaving this library

[trash-and-trash-accessories]

What the Fuck is an IFAK?

And why you need one

IFAK stands for Individual First Aid Kit. It’s a kit that’s small enough to be carried easily on a chest rig or other easily-accessible location, at all times. Its purpose is mainly to treat traumatic gunshot wounds or other hemorrhagic injuries that will result in death very quickly. The point is to be able to keep the patient alive until help arrives. EMS wait times can be super long and they’re only getting worse as the United States Healthcare System is collapsing in real time around us.

What you NEED:

COMBAT APPLICATION TOURNIQUET (C-A-T)  (DO NOT BUY FROM AMAZON)  At least 1, ideally 2.  The more the better.  combattourniquet.com -  Do not practice with the one you keep in your kit, get an extra if you need to practice using one.  They are meant for one time use.

Hemostatic Gauze (QuikClot or CELOX - NOT POWDER)

Regular Gauze.  More than you think.  Z-fold in a sealed plastic package is ideal.  North American Rescue sells packets of this that are perfect.

Rolled gauze, cloth medical tape, or vet wrap. OR Israeli bandages

Sharpie

Mylar Space Blanket(s)

Chest Seals, several

Nitrile gloves - Blue is ideal, Black looks cooler but is NOT GOOD for doing blood sweeps on trauma patients

Narcan spray (Find a local source at Next Distro)

Helpful to have but not necessary:

EMT Shears

Additional PPE - N95 masks, cpr masks, face shields, trauma gowns

No one is coming to save us. Not in any timely manner at least.  We need IFAKs to save ourselves until EMS can get to us. If they come at all.

Shootings like Pulse and Club Q are escalating. Your favorite gay bar, your pride parade, even your grocery store could become a target for far-right terrorists at any time. With an IFAK you at least have a chance to not watch your friends die in front of you when it happens.

Pre-Made IFAKS:

A good option for most people is to purchase a pre-made IFAK. Here are a few good options:

Rescue Essentials IFAK 2 ($91)

Rescue Essential Compact IFAK ($79)

North American Rescue Solo IFAK ($200)

“But Trash, I can’t afford that!”

Do you want to fucking die?  No?  Buy one.  Carry it.  Get training.

“But Trash, I really can’t drop that much money on an IFAK!”

Okay sorry.  I should know better, I was homeless and semi-homeless for more time than I care to admit when I was young and sure as hell didn’t have money for medical shit.  In that case, contact IFAK Fund and ask them to send you a FREE IFAK.  However, they are donation-based and can only send people IFAKs if people donate money, so it may take months to get one.

If you can afford your IFAK and can afford to throw IFAK Fund ANY money, please please please do.  They are doing some of the most important work in leftist organizing right now.

Remember, no one is coming to save us.  We have to save ourselves.  Only we can take care of each other.

#queer #queer liberation #gay #gay liberation #lgbtq #leftist #leftist organizing #anarchy #anarchist #praxis #punk #punks take care of each other #mutual aid #first aid #ifak #source I am an EMT #and gay

[digital-medic]

Via mindful.brains [Instagram]

#medicine #emt #nurse #public health #mental health #depression #mistakes #its ok #life #postive #positivity #inspiration #self-care #anxiety #perfect #perfection #growth #maturity #eq

[galwaygremlin]

GOT THROUGH 1/2 OF my multiple-patient-no-actual-injury car crash calls. everyone clap and cheer and lose your minds.

#the last part is sarcasm i am Doing The Bare Minimum #god's easiest battles/most pathetic soldier etc etc #you would think that as an autistic emt the harder part of my job would be actual patient care and i would enjoy the paperwork #You Would Think. #(i do like narratives. and the assessment tab.) #okay i DO like the paperwork i just don't want to #put in THE SAME CALL INFORMATION for FOUR PEOPLE bc all of them wanted to get assessed and none of them wanted transport #houston we have a problem

[theprissythumbelina]

Meds take away the pain but do nothing for the other migraine issues like nausea, dizziness, eye strain

#i finally got meds this last week for panic attack #which i have probably needed for about 10 years now #turns out people pay attention if the emts get called #also going to pursue an adhd or whatever I have diagnosis #because this is getting out of control #not writing #rl posting #medical care #migraine

[er-cryptid]

AVPU

Awake and Alert -- patient's eyes open as you approach -- patient is aware of you -- patient is responsive to environment -- follows commands -- eyes track people and objects

Responsive to Verbal Stimuli -- not alert and awake -- eyes do not open spontaneously -- eyes open when you speak to them -- may respond if spoken to -- may only respond if you speak loudly

Responsive to Pain -- does not respond to questions -- moves or cries out in response to pain -- may not be accurate if there is a spinal cord injury

Unresponsive -- does not respond spontaneously to verbal or painful stimuli -- usually no gag reflex -- lack ability to protect airway -- if in doubt, assume the worst

.

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#studyblr #notes #my notes #medblr #medical notes #ems #ems notes #emergency medical technician #emergency medical technician notes #prehospital care #pre-hospital care #emergency medical services #emergency medicine #emergency medicine notes #paramedic notes #paramedic #paramedic care #emt care #biology #bio #health science #life science #first responders #first responder training #emt training #paramedic training #note cards #flashcards #flash cards

[tam--lin]

Little wild that I keep thinking "hm maybe I should switch to some entry-level medical job for the hours and pay!"

Very indicative of what childcare workers make, perhaps.

#I would genuinely rather work three twelve hour shifts a week than a 6:20am-9 and a 2:45-6 every day. for 16.50??! #and that's the HIGHER end of pay for the area #tam.txt #I was (and still am I guess) thinking EMT #but patient care techs in this state require no training. zip. nada.

[yuriinadress]

*tim is critically injured* heres how emt bernard can still win

YES

Bernard totally becomes an EMT after learning that Tim got injured. He can't risk Tim dying on him on a date.

Bernard, remembering the last time he lost a friend to a gunshot wound: Oh god Tim almost died and if his dad wasn't there to take him to the ER he wouldn't have made it what the fuck am I gonna do if he gets shot again I can't carry him with my noodle arms. I need to learn first aid

And then he goes overboard with the classes and gains enough experience to become an EMT

#that boy will NOT go through the trauma of losing another person he cares about bc they couldn't get to a hospital in time #dc this is literally gold pls you have such an interesting concept to use #you give bernard more character depth and i buy more of your comics win win :D #thanks for the ask! #timbern #timber #bernard dowd #tim drake #misti-step #emt!bernard

[publicuniversalenemy]

i wanna provide life updates to my public journal (tumbr) but things have been going so fucking good for me lately that i cant do it without coming across like a bragging cunt so im putting all the good news in the tags <3

#as of yesterday i am a nationally-certified EMT #today was my last day at work (this is good) (i was fucking SICK of my job) #and i have an interview on monday for the position of patient care tech in the trauma ward of a world-class hospital #so basically. things is going Very Good for me. #whatever the fuck

[ravynfyre]

Duty Of Care

to those of you out there who follow me who are in, who are entering, or who are thinking about entering, the fields of emergency services, please never, ever, EVER lose sight of this one truth:

It doesn't matter how often your "frequent flyer" calls 911. It doesn't matter how many times you pick their ass up off the ground or couch or whatever. It doesn't matter how annoying they are. None of that matters in the face of this one, inescapable truth:

They. Are. Human.

If you find yourself forgetting this fact, forgetting to treat even the biggest pain in the ass with dignity and respect? You need to get out. You need to leave the business and get away from the work. It's time.

Because at the end of the day, YOU are what stands between them and the Reaper, and it is NOT YOUR JOB to determine who is WORTHY of that. Your job is to just do the job, regardless. Period. Full stop. End of discussion.

Be annoyed if you want. It *is* annoying a lot of the time. But you be annoyed INSIDE and you DO YOUR FUCKING JOB and never ever forget, THEY. ARE. HUMAN. No "conscientious objecting". No "deeply held religious belief". No "whadaboutism". No "Shit, AGAIN!?". No moral judgment. NONE. You do your job. You face down the Reaper as BEST YOU CAN. You leave the bullshit on the Trouble Tree, and you never ever dump that crap on your patient.

That's your DUTY. That's your OBLIGATION. It's EVERYTHING.

And if that's beyond your ability, for whatever reason? You have no business being there. Get out. Get out before you kill someone.

#because THOSE are the stakes you face #stupid emt tricks #stupid firefighter tricks #stupid paramedic tricks #duty of care #stupid cop tricks #stupid search and rescue tricks

[diaryofanemt]

One of the hardest things I experienced today was having to work a full cardiac arrest code on someone I knew personally.

#emt #EMS #emergency medical technician #emergency medical care

[astaraels]

okay but what if in the epilogue I have soulmates mickey getting his GED so he can go to nursing school (he'd be good at that shit he's good with numbers and thus the science wouldn't be too difficult for him; plus he cuts through the bullshit and tells people the truth and he'd be good with kids)

#shameless soulmates au #Ian is ofc gonna be going for EMT/paramedic because we all love that for him but Mickey has eluded me on what I want him to do or be... #but I like the idea that taking care of Ian made someone realize that he's a good caretaker in general and he's got an eye for detail #and he'd be the nurse who won't take shit from an asshole doctor when it comes to patient care #anyway it's just a thought I still haven't decided but I guess we'll see!