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The American Iron Front Collaboration Discord
CALL TO ACTION / medics
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austinwiltshire 6/29/2022 9:14 PM
I did a street medic series based on questions I was seeing in another protest group on discord during 2020 BLM. The titles roughly correspond to the topics. I have zero medical background - I was mostly familiarizing myself with resources and trying to make sure any notes (or quizzes I made) were shareable and understandable. The point of the below wasn't to make a layperson a street medic, but rather, make them slightly more useful to a trained street medic. https://overloadedprogressive.wordpress.com/2020/06/13/street-medicine-notes-heat-stroke-vs-heat-exhaustion/ https://overloadedprogressive.wordpress.com/2020/06/14/street-medicine-notes-tear-gas/ https://overloadedprogressive.wordpress.com/2020/06/21/street-medicine-notes-equipment-that-might-be-used-on-you/ https://overloadedprogressive.wordpress.com/2020/06/28/street-medicine-notes-paper-revolutions-22-page-guide/ https://overloadedprogressive.wordpress.com/2020/07/05/street-medicine-notes-reference-material/ https://overloadedprogressive.wordpress.com/2020/07/18/street-medicine-notes-riot-medicine-guide/ https://overloadedprogressive.wordpress.com/2020/08/31/bleeding-control-basic-devices/ This one was in the same series but people were asking how to set up their own discords: https://overloadedprogressive.wordpress.com/2020/06/20/street-medicine-notes-how-to-organize-using-discord/ If you check, basically I collate resources I find helpful on topics I don't know much about. Sometimes I make quizzes to help with retention (edited)
These are notes I’ve collected from researching online and the wonderful folks on various DFW Street Medicine discords. They are for GENERAL KNOWLEDGE PURPOSES ONLY and ARE NOT MEDICAL ADVICE…
These are notes I’ve collected from researching online and the wonderful folks on various DFW Street Medicine discords. They are for GENERAL KNOWLEDGE PURPOSES ONLY and ARE NOT MEDICAL ADVICE NOR L…
These are notes I’ve collected from researching online and the wonderful folks on various DFW Street Medicine and Protest discords. They are for GENERAL KNOWLEDGE PURPOSES ONLY and ARE NOT MEDICAL …
These are notes I’ve collected from researching online and the wonderful folks on various DFW Street Medicine discords. They are for GENERAL KNOWLEDGE PURPOSES ONLY and ARE NOT MEDICAL ADVICE NOR L…
A gathering of reference links from the various Dallas/Fort Worth medic and protest groups. This is largely just copied as is, so there may be mistakes in various links. It may be updated periodica…
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Oh, y'all wanna learn medical shit!
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GG @Nomad, you just advanced to level 2!
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Nomad
Oh, y'all wanna learn medical shit!
Nice! Great work man (edited)
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Nomad
Oh, y'all wanna learn medical shit!
IV practice day in EMS school. PepeBlanket
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Exciting!
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That was 13 years ago. No one forgets 18G heaven.
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My medics once made me a bloody mess after overpenetrating both my hands , both my forearms, and both median cubitals. I leaked all over the floor and my pants and wasnt pleased with the results 🙃
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Shock management, bleeding control, and IV training all in the same day!
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Haha, yeah, shock for the medics as i shouted at them 🤣
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YourFriendlyNeighborhoodHacker 7/6/2022 10:52 PM
Natural Liberty: Rediscovering Self-Induced Abortion Methods, by the Sage-Femme Collective. It appears to be shared online by them, legitimately. 25MB so I can't upload the PDF, but: https://we.riseup.net/assets/351138/22321349-Natural-Liberty-Rediscovering-Self-Induced-Abortion-Methods.pdf
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I have a hard time condoning this.
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Nomad
Oh, y'all wanna learn medical shit!
YourFriendlyNeighborhoodHacker 7/6/2022 11:01 PM
Damn, @Nomad that was a haul. I'm preparing encrypted thumb drives filled with secure software and helpful docs, and this will flesh out the first aid folder immensely
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birb
I have a hard time condoning this.
YourFriendlyNeighborhoodHacker 7/6/2022 11:02 PM
If that is not appropriate for this server or channel, let me know and I'll delete it
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It's not my place to say if it is or not.
11:03 PM
As a prior medical professional with experience of EMS responses to miscarriages, it can be very dangerous to the mother.
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YourFriendlyNeighborhoodHacker 7/6/2022 11:03 PM
For sure. I hope no one ever needs information like that, but I figure if someone is desperate and grabbing a knitting needle, this might improve their odds.
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It's hard to make any judgement on it because I will never be in that position. (edited)
11:04 PM
I am sorry the discussion is even needed at this point.
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YourFriendlyNeighborhoodHacker 7/6/2022 11:04 PM
Me too
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It's hard. I can't really say much at this point. I want to be against these at home procedures because of the dangers but if I was in that position, I would probably do it to myself.
11:06 PM
I'm sorry. This is really horrible.
11:06 PM
This country is fucked
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YourFriendlyNeighborhoodHacker 7/6/2022 11:12 PM
Feels that way
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My first contribution will be on something I believe very strongly about: hemorrhage control. Hemorrhage accounts for 30-40% of all deaths in the prehospital environment. One of the best tools to control/stop severe arterial hemorrhage (at least from extremities) is a tourniquet. I recommend everyone have a few and keep them in their home, vehicle, backpack, etc., and be knowledgeable on their use. Stop the Bleed courses are a good place to start and are likely available near you. If you are looking to buy a tourniquet, I’ve included a few great options and some information on each: 1.) CAT’s are probably the most common. They function well, however the Velcro can be an issue. When Velcro gets wet from blood or water it can become less effective at holding the TQ in place. 2.) SOF-T’s are narrower than CAT’s and SOF-T wide TQ’s and use a metal bolt to keep the TQ tight. I personally don’t like the bolt as they require more dexterity and make it more difficult to self-apply to your upper extremities. When in a stressful situation, dexterity can be limited, so although these TQ’s are better than some, I like these the least of the ones I’ve mentioned. 3.) SOF-T Wide TQs are my personal favorites. They use a metal clip to hold the TQ together and tighten with a pull-through. The windless is retained in a metal triangle. Also, two of these can be clipped together to create a simple pelvic binder in the event of a pelvic fracture. (edited)
11:46 PM
Tourniquets, continued: Some basics: 1.) if you are in a hostile environment and must apply the tourniquet quickly, apply it high and tight on the extremity. 2.) Tourniquets HURT. They are not comfortable, but tighten it until the bleeding stops. A little pain is better than being dead. 3.) Do not remove the tourniquet in the field. Unless surgical intervention is available, it must remain on. 4.) Tourniquets can safely remain on for up to 3 hours. Just because a tourniquet is applied, doesn’t automatically mean the individual will lose the limb. However, limb amputation is still a risk if tourniquets remain in place for extended periods of time. Lastly: Do not buy cheap (<$30) Amazon tourniquets. Buy from a reputable distributor or the company that makes them. Cheap tourniquets can snap or may not be able to be tightened enough to stop bleeding. (edited)
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I'm sorta against tourniquets as a first step against hemorrhage.
2:37 AM
It should be... 1. Apply pressure. 2. Elevate. 3. Apply pressure to artery. 4. Apply more pressure and wrap tightly to constrict blood flow. 5. Tourniquet. Why should it be last? Because once you tourniquet a limb, it should be treated like that limb will be lost. Only a physician can remove a tourniquet and even so, can cause massive sepsis in the body.
2:39 AM
From someone who has been in fire/EMS for a very long time and spent 9 month in Iraq as a Medic, DO NOT USE A TOURNIQUET UNLESS LIFE IS IN DANGER AND THE LOSS OF LIMB IS WORTH SAVING A LIFE.
2:42 AM
I also reject your claim that a tourniquet can be applied without worrying about losing a limb. The very moment you apply a tourniquet, you starve that limb of nutrients and oxygen. The limb will go into a different metabolic state that will increase toxicity and necrosis. To say not to worry is incredibly foolish. Applying a tourniquet should absolutely be last resort.
2:43 AM
@dmthomas what is the extent of your medic training? I am assuming CLS?
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I know for damn sure the NREMT does not state to tourniquet as a first step to preventing death.
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@birb the idea that application of a tourniquet automatically results in loss of the limb is outdated. That thinking is what prevented people from applying them in the first place. A study from 94-99 showed that “86% of patients with exsanguinating penetrating limb injury had signs of life on scene but no discernible pulse or blood pressure at the hospital.” 2-3 hours has been established as a safe time range, and there are case studies that have shown limb recovery even out to 16 hours (most of these studies come from a combat environment). This wasn’t meant for formally trained individuals. Sure, in prehospital we learn to apply the TQ 2-3” above the injury or above the joint. We learn to elevate, apply pressure, maybe even use a pressure bandage before using a tourniquet. If Joe Public takes the time to do that and is also hesitant to use a TQ because they heard it can result in amputation, that hemorrhaging person will probably die. The patient isn’t going to be worried about a limb amp if they bleed out. I’m certified in ITLS and PHTLS as far as trauma goes. I also have TECC training. I’ve been in fire/EMS for a while, I was on a SAR team and EMS CRT. I now work at a Level 1 center.
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dmthomas
@birb the idea that application of a tourniquet automatically results in loss of the limb is outdated. That thinking is what prevented people from applying them in the first place. A study from 94-99 showed that “86% of patients with exsanguinating penetrating limb injury had signs of life on scene but no discernible pulse or blood pressure at the hospital.” 2-3 hours has been established as a safe time range, and there are case studies that have shown limb recovery even out to 16 hours (most of these studies come from a combat environment). This wasn’t meant for formally trained individuals. Sure, in prehospital we learn to apply the TQ 2-3” above the injury or above the joint. We learn to elevate, apply pressure, maybe even use a pressure bandage before using a tourniquet. If Joe Public takes the time to do that and is also hesitant to use a TQ because they heard it can result in amputation, that hemorrhaging person will probably die. The patient isn’t going to be worried about a limb amp if they bleed out. I’m certified in ITLS and PHTLS as far as trauma goes. I also have TECC training. I’ve been in fire/EMS for a while, I was on a SAR team and EMS CRT. I now work at a Level 1 center.
"the idea that application of a tourniquet automatically results in loss of the limb is outdated. " Care to share your source?
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Tourniquets are an effective means of arresting life‐threatening external haemorrhage from limb injury. Their use has not previously been accepted practice for pre‐hospital civilian trauma care because of significant concerns regarding ...
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Also, if Joe Public is not aware on basic hemorrhage control such as applying pressure and understanding when to apply a tourniquet, what makes you think he will understand how to apply a tourniquet correctly?
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10:12 AM
"Even in civilian traditional teaching, Advanced Trauma Life Support (ATLS) recommends that in the presence of major arterial haemorrhage “the judicious use of a pneumatic tourniquet may be helpful and lifesaving”
10:13 AM
Key word "Major Arterial Bleeding"
10:13 AM
If you see blood gushing, hell go for it! If you just tell folks to start wrapping limbs because of an injury without at least attempting bleeding control, then you are introducing more problems.
10:15 AM
In the perfect would it is easy to get the wounded to a hospital for eval and to have the tourniquet removed. If there is a major conflict, you might now know how long those hospitals will be available.
10:15 AM
I am not against tourniquets for public use, but teach them proper bleeding control and show them when it's time for a tourniquets.
10:16 AM
Even when I taught CLS I was very specific about the use of them because once it was on, it is not coming off.
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and if we are throwing credentials... I was a BLS, CLS, ATLS, NREMT instructor. Certified Hazmat tech, , EMT-I, Firefighter II, CBRNE, ARFF, EOT, 7 years of FMS, 9 month deployment to Iraq as a medic, 3 years at a LVL 1 Trauma Military hospital. (edited)
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birb
Key word "Major Arterial Bleeding"
Perhaps my wording was misleading, my intent was to inform SPECIFICALLY on arterial hemorrhage. I can see how it may have read as if I were advocating for TQ placement for any and every extremity bleed. That was not my intent. Also, as far as credentials go, you asked what the extent of my training was. I only shared a few certs I have that are relevant to the topic. It sounds like we have very similar backgrounds actually, with the exception of your service. I’ve not served in the military.
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Sorry if I came off too aggressive. I'm passionate about this stuff, especially when it comes to educating the public. I however, respect your initiative.
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birb
Sorry if I came off too aggressive. I'm passionate about this stuff, especially when it comes to educating the public. I however, respect your initiative.
No worries, if I didn’t have tough skin I wouldn’t be working in this field. I absolutely respect your passion on this, it’s something I’m passionate about as well. I can see how my initial post read wrong, I’ve updated it to specify “severe arterial hemorrhage” and I’ll also specify how long a TQ can safely stay in place. Are there any other edits? I want to assure this is collaborative and educational. Also, reading the words “CBRNE” and “Hazmat Tech” brought back some memories.
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dmthomas
No worries, if I didn’t have tough skin I wouldn’t be working in this field. I absolutely respect your passion on this, it’s something I’m passionate about as well. I can see how my initial post read wrong, I’ve updated it to specify “severe arterial hemorrhage” and I’ll also specify how long a TQ can safely stay in place. Are there any other edits? I want to assure this is collaborative and educational. Also, reading the words “CBRNE” and “Hazmat Tech” brought back some memories.
It was perfect. I loved the presentation itself.
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@birb Great, thanks. I appreciate your input. Thanks to @Nomad for your input as well.
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Great discussion guys
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So I have a question, in high school I got my EMT-b certification, did the ride alongs and ER shifts. I’m still familiar with much of the info, I’ve just decided to go into political science rather than medicine and have let my credentials lapse. Would I be any use as a medic?
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Any experience is better than no experience, your knowledge level is gonna be much higher than your average person.
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Rx.Gonzo
So I have a question, in high school I got my EMT-b certification, did the ride alongs and ER shifts. I’m still familiar with much of the info, I’ve just decided to go into political science rather than medicine and have let my credentials lapse. Would I be any use as a medic?
My stuff lapsed years ago but still have used my skills and plan to use them in the future. I just don't announce myself as a medic since my credentials have lapsed. I do however try to keep up on any new advancements in emergency medicine. My best advice is to piece together a kit to keep at home. Trauma dressing, cravats, tape, 4x4s, gloves, masks... Just always keep the basics in mind such as BSI and scene safety. Glad to have you part of our community. We have a lot of medics here and I'm thrilled to see ya reaching out for advice.
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Hey all, was listening to some old EMCrit and came across an episode where Weingart discusses fluid resuscitation in burn patients. They discuss problems with over-resuscitation when using the parkland formula and it’s impact on patient outcomes. Was wondering if anyone had worked in an area that used something other than parkland for fluid resuscitation and if so, what was your protocol for fluid resuscitation in burn patients?
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Thank y’all for the responses, sorry I’ve had a crazy few days figuring out moving and working.
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JohnBrosGhost 7/28/2022 2:53 PM
For those of y'all that are EMT-Bs, nurses, etc. You're likely qualified to teach "Stop the Bleed" courses once you become certified. It'd be great to teach local allies STB with the rising threat of right wing extremist violence and shootings. We know that we are our own first responders. https://cms.bleedingcontrol.org/applicant/create (edited)
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I want to teach "Start the Bleed" of right wing extremists.
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JohnBrosGhost 7/28/2022 3:20 PM
I will not confirm nor deny.
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JohnBrosGhost
For those of y'all that are EMT-Bs, nurses, etc. You're likely qualified to teach "Stop the Bleed" courses once you become certified. It'd be great to teach local allies STB with the rising threat of right wing extremist violence and shootings. We know that we are our own first responders. https://cms.bleedingcontrol.org/applicant/create (edited)
Raps [PDX,OR] 7/28/2022 9:04 PM
I'm attending a WMT course in the near future specifically so I won't get as much gruff from the local radicals that teach STB. One of my partial motivations for getting certified is to do in house STB training for my SRA chapter.
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sra 1
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birb
I want to teach "Start the Bleed" of right wing extremists.
Doctor Eval 7/29/2022 10:19 AM
SRA
sra 2
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Raps [PDX,OR] 7/29/2022 6:35 PM
Depends on the chapter. Some are very touchy about "violence" and others want to kick start the furry revolution. YMMV.
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Raps [PDX,OR]
Depends on the chapter. Some are very touchy about "violence" and others want to kick start the furry revolution. YMMV.
It's unspoken at this point but the urgency to prepare, train, and be ready is out there.
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Raps [PDX,OR] 8/8/2022 2:25 PM
Yes but again, some fully vetted members look at the SRA as a gun loving social club for the marginalized and others are incredibly active with gun comps, drilling and mutual aid.
2:26 PM
Some chapters are more active than others so YMMV.
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Doctor Eval 8/9/2022 7:05 AM
"never interrupt your enemy when he is making a mistake"
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LessthanLoneWolf 9/8/2022 9:36 AM
Hello, nurse here. What can I do to help?
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Well, what kind of nurse?
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LessthanLoneWolf
Hello, nurse here. What can I do to help?
JohnBrosGhost 9/8/2022 10:58 AM
If you’re a registered nurse, you’re qualified to teach Stop The Bleed. It’s a great training, and if you’re able to teach classes to local activists, it would save lives!
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LessthanLoneWolf 9/8/2022 2:09 PM
I’ll take a look at becoming a Stop the bleed instructor; otherwise I’ve got 7+ yrs of ER/ICU experience under my belt
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JohnBrosGhost 9/9/2022 4:39 PM
Nice, glad to have you.
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Raps [PDX,OR] 9/10/2022 12:14 AM
Becoming a stop the bleed instructor is good. Medic 101 is a step up from STB and is a good class to teach as well.
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LessthanLoneWolf 9/12/2022 12:25 AM
May have parts that are a little advanced, but overall some good info to study
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JohnBrosGhost 9/23/2022 10:32 AM
DetailsThe North American Rescue Individual Patrol Officer Kit (IPOK) is designed to provide a compact and durable individual hemorrhage control kit to treat bleeding from penetrating and other traumatic injuries. These kits are packaged to fit into a BDU pocket, vest pouch, or individual bag, allowing you to keep a compact bleeding control kit ...
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Raps [PDX,OR] 10/10/2022 9:17 AM
Hey folks, let's have an IFAK discussion. It seems as though general consensus is changing as to who the IFAK is for, eg the IFAK that you carry is for you to treat yourself or for others to use on you. While this might be good when working in a team or unit with SOPs I feel like it sets a dangerous president for civilians who are far more likely to act as individuals. Ergo, I've been seeing the more common parlance that your IFAK is for you to use on other people since you know what's in it, where the items are and how to access your IFAK. What's the consensus amongst this sub?
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LessthanLoneWolf 10/10/2022 1:09 PM
I’m of the first opinion; it’s for you to use on someone else, or to use on yourself if wounded. That’s why I keep mine simple; just military spec. It’s just for immediate lifesaving (stopping hemorrhage, specifically), nothing more
1:10 PM
I do have a separate first aid bag that’s for more general care, but the IFAK is just meant to make sure a casualty survives until higher care can be provided; in civilian world, until paramedics transport them to the hospital; in military world until the medic can address them
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JohnBrosGhost 10/14/2022 10:29 AM
For me, I have what I'm trained to use in my IFAK. The one in my car is different from the one in my kit, as I would expect to use it for either a MVC or Mass Casualty Event. The one on my belt kit is very specific to me personally to use.
10:30 AM
The one on my 24h assault pack is geared towards myself and a bit of extra for others The one inside my 24h assault pack is to toss to a teammate for them to use.
10:31 AM
But I'm only Stop the Bleed certified, so I'm not using needle decomp or anything, just TQs, celox, chest seals, gauze, ETDs, etc
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Raps [PDX,OR] 10/14/2022 5:15 PM
Right. I'm of a simar train of thought and while I have hands on TCCC experience I'm trying to break bad habits in my local SRA chapter and yet they persist to propogate.
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LessthanLoneWolf 10/14/2022 5:20 PM
TCCC experience is great. I’d love to take a formal class, but it’s a bit pricey. Still looking to get STB certified, but it’s a bit sparse near me
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Raps [PDX,OR] 10/14/2022 5:39 PM
I'm going to take a wilderness medical tech class here soon. I applied for the one in Florida but was denied because they had too many medical professionals apply than seats available.
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LessthanLoneWolf 10/14/2022 5:56 PM
I’m already a medical professional, but want to get more of the frontline stuff reviewed/reinforced. It’s been awhile since my ER days
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Raps [PDX,OR] 10/14/2022 7:31 PM
Word. I'm not a medical professional but I've been interested in it since high school. We had a health careers program our Jr year where I got to intern with paramedics and EMTs at a fire station for three weeks.
7:31 PM
When I joined the army I wanted to be a ranger medic but instead I went 13f because it sounded cooler and had a better bonus.
7:32 PM
But all through my time in the army I always took advanced medical training and cross trained with the medics when I got into the ranger rgt.
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LessthanLoneWolf 10/15/2022 12:53 AM
That’s bad ass
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JohnBrosGhost 10/15/2022 9:40 AM
I found out I can take an EMT B course for free using my wife’s work benefits! Been trying to save up to take it for a few years now.
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LessthanLoneWolf 10/15/2022 3:14 PM
That’s legit!
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rathernot123 10/16/2022 10:23 PM
i passed my basic midterm and got a medic bag !!!
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LessthanLoneWolf 10/16/2022 10:57 PM
Congrats!
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rathernot123 10/23/2022 11:04 PM
How would we be able to share knowlage between us
11:05 PM
Think that could be benifical to everyone
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rathernot123 10/23/2022 11:25 PM
First aid are in a kind of wierd position when it comes to protests and have different things to think about
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LessthanLoneWolf 10/24/2022 1:14 AM
Yeah; it’s quite a bit different from hospital level care
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rathernot123 10/24/2022 10:19 AM
Even ems you have to worry about different things
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The first thing they teach in first aid is to make sure that the area is safe before applying treatment, cuz better 1 victim than 2
4:38 PM
Idk how that changes in the context of a protest
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Incoming infodump ahead
6:59 PM
6:59 PM
Committee on Tactical Combat Casualty Care (CoTCCC) The Committee on Tactical Combat Casualty Care (CoTCCC) is the Prehospital arm of the Joint Trauma System for the Department of Defense. The CoTCCC is composed of 42 voting members specially selected as subject-matter experts in trauma, battlefield medicine, tactical medicine, prehospital medicine and their experience in the deployed combat environment. The CoTCCC and the TCCC Working Group focus all of their efforts on providing the best recommendations for training and equipment for our individual service members, combat medics, corpsman, pararescue, and med techs going into harm's way around the world. CoTCCC Tourniquet and bandage reccomendations (2021) graphic: https://books.allogy.com/web/tenant/8/books/f94aad5b-78f3-42be-b3de-8e8d63343866/chapter6/c1e1c696-c61d-43ae-bb6d-16dcd1cb7ff2-00001.png Link: https://books.allogy.com/web/tenant/8/books/f94aad5b-78f3-42be-b3de-8e8d63343866/ CoTCCC tourniquet application and bandage application videos Tactical Field Care: hemorrhage control https://www.deployedmedicine.com/market/11/content/81 CAT Tourniquet self application: looped https://www.deployedmedicine.com/market/11/content/51 CAT Tourniquet self application: routed https://www.deployedmedicine.com/market/11/content/52 CAT Tourniquet buddy application: looped https://www.deployedmedicine.com/market/11/content/49 CAT Tourniquet buddy application: routed https://www.deployedmedicine.com/market/11/content/77
7:02 PM
Here is a list of some basic medical resources that are available for for free online to community members. The Indigenous Anarchist Federation- Skills for Revolutionary Survival 1. Trauma Medical Gear (2020) This is an excellent basic overview of what gear a beginner should buy, who to buy from to avoid dangerous counterfeit medical gear, how to get training & practice, and the ways we can use this gear/training to keep each other alive. https://iaf-fai.org/2020/08/31/skills-for-revolutionary-survival-1-trauma-medical-gear/ Chicago Action Medical - Street Medic Handbook: containing a large collection of highly esteemed first aid tips and tricks, namely: spreading calm, patient assessment, not dying, buddy roles selected by experienced street medics for the use of publicans and protesters in general (2013) The title really says it all. This is a great concise and targeted resource for on the ground medical treatment at protests and other public gatherings. https://mutualaiddisasterrelief.org/wp-content/uploads/2020/04/kupdf.net_street-medic-handbook.pdf Stop The Bleed - Interactive online course. This is the online only version of the Stop The Bleed presentation that lacks the hands-on segment that is very important, but the knowledge is excellent to have even if you are not able to complete the course by getting hands on with bandaging/wound packing/tourniqueting. It is HIGHLY recommended to take the course in person if you can though https://www.stopthebleed.org/training/online-course/
by Eepa We have seen over the past few months of the Black-led uprising against police violence that we will all be met with extreme violence at the hands of police, national guard, military contra…
The STOP THE BLEED® Interactive Course is a virtual alternative to the in-person lecture
7:03 PM
so yeah. I just wanna say that every single person who shoots guns should 100% take a stop the bleed class and own a trauma kit. Check stopthebleed.org to get trained https://cms.bleedingcontrol.org/class/search Get supplies from reputable places like https://www.narescue.com/ and https://www.rescue-essentials.com/
Rescue Essentials is your single source solution for IFAK, TEMS & EMS supplies and gear. Our products will help you prepare for any type of emergency situation.
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LessthanLoneWolf 10/24/2022 7:09 PM
An awesome info dump! I know what I’m going through tonight!
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Someone pin
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rathernot123 10/27/2022 12:22 AM
Supplies is on its way
WojtektheBear pinned a message to this channel. 11/1/2022 5:59 PM
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OPRacoon
Someone pin
WojtektheBear 11/1/2022 5:59 PM
Done thank you for asking that was a good idea
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Arrhythmix
Incoming infodump ahead
Planning on adding all of this to the website. Thanks!
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rathernot123 11/2/2022 11:08 PM
i got the medical stuff !!!!! (edited)
11:09 PM
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Raps [PDX,OR] 11/3/2022 9:35 AM
Pack a silver sharpie for melanated skin, homie.
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rathernot123 11/3/2022 10:42 AM
Yea will pick one up next time I’m at work
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10:42 AM
@Raps [PDX,OR]
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@Raps [PDX,OR] I always see things like that and I feel so stupid. Like, yes obviously, why did I not think of that?
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Raps [PDX,OR] 11/3/2022 11:42 AM
I felt the same way when I took my WFR class.
11:44 AM
A phrase I heard and repeat often is "if your medicine isn't inclusive then it isn't good medicine.
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LessthanLoneWolf 11/3/2022 1:45 PM
@Raps [PDX,OR] that’s actually a great idea. I’ll need to grab one
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rathernot123 11/5/2022 2:23 PM
i have my nremt coming up soon
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LessthanLoneWolf 11/5/2022 4:45 PM
Got a few new things in the mail today; chest seals and multi-cam medical backpack (to go with my plate carrier). CPR mask, Israeli bandages, few other things coming this weekend. Question about combat gauze; is celox powder and packing gauze as effective? Because the legit stuff is $50 a package. I want to get at least 2, but might just reserve those for my personal ifak
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rathernot123 11/5/2022 5:20 PM
I like getting new things sorry I can’t help with question though
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Raps [PDX,OR] 11/6/2022 2:29 PM
Talking with a nurse friend of mine, the individual celox powder packs are being discouraged for a few reasons. 1, all the celox needs to be removed from the wound before surgery can take place. 2, the powder has been known to get in people's eyes when wind picks up which is very bad. The celox wound pack is now the preferred use of celox since it's easier to remove and clean the wound. Hope that answers your question.
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Raps [PDX,OR] 11/6/2022 2:38 PM
@LessthanLoneWolf
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LessthanLoneWolf 11/6/2022 2:52 PM
@Raps [PDX,OR] it does, thanks. Are there more economical options than the $50 single packages, or it that it?
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Raps [PDX,OR] 11/6/2022 2:54 PM
I'm unaware of any others. Honestly, celox bandages are something that I'd reserve for massive hemorrhaging. If you bring an AFAK with you you can probably get by with extra roll gauze, ace bandage and a frew abdominal pads.
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LessthanLoneWolf 11/6/2022 3:46 PM
Good to know. I’ve got plenty of other supplies; packing gauze, rolled gauze, Israeli bandages. Enough to put a couple AFAKs together, and supplement my medical backpack.
3:46 PM
I’d like to become involved in street medic work (or get into JBGC as a medic), so I’m assembling my kits now
3:49 PM
Worse case scenario, I suppose wound packing doesn’t need to be hemostatic; I’m primarily focused on stabilizing wounds and handing off to paramedics and the ER. If I get stuck doing long term care in the “field,” there will be a whole lot worse going on
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LessthanLoneWolf 11/6/2022 4:09 PM
Think I should bother with a nasopharyngeal airway? I know how to use them, but might not bother with one in the MFAKs. Might keep a kit in the medic bag though
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Raps [PDX,OR] 11/6/2022 5:05 PM
NPAs are good to have but it's important to not just know how to use them but to know when not to use them.
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LessthanLoneWolf 11/6/2022 5:19 PM
@Raps [PDX,OR] I think the only time I ever saw one used in the ER was on a drunk kid. I think I’ve seen them used a few times post op, but that’s it
5:24 PM
I’ll get a few just in case. Better to have than not.
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Raps [PDX,OR] 11/6/2022 6:10 PM
Yeah. Just don't use if someone has a facial or soft tissue damage to the sinus area otherwise you'll possibly tickle their brain.
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LessthanLoneWolf 11/6/2022 7:05 PM
Definitely; just like an NG tube. Any resistance; STOP. Unless you want to see them do a funny, whole body twitch (joking)
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Raps [PDX,OR]
NPAs are good to have but it's important to not just know how to use them but to know when not to use them.
rathernot123 11/6/2022 9:10 PM
This isn’t just for npa it’s for most things in medicine
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Raps [PDX,OR] 11/6/2022 9:12 PM
But we were specifically talking about NPAs.
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is octyl-cyanoacrylate superglue, aka Dermabond still a thing?
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LessthanLoneWolf 11/7/2022 11:34 PM
Yes. I see it a lot for closing cardiac Cath access sites
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That shit is the bomb for anything that bleeds on a sailboat. Can it be had by the public in any form? J&J discontinued their product.
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LessthanLoneWolf 11/7/2022 11:49 PM
@1uc2 yeah; looks like you can buy it still
😎 1
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Generic, or the Dermabond markup?
11:49 PM
What should I look for?
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LessthanLoneWolf 11/7/2022 11:50 PM
Super glue has a history of fixing broken things. But what happens when that broken thing is you? Could you use super glue on yourself?
11:50 PM
You could also use superglue for certain lacerations
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wasn't super glue invented as a quick suture?
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Oh, I'm a pro. Gimme some cotton balls and a coupla tubes of superglue. Makes perfect sense to me.
11:52 PM
.. er at pro level
11:52 PM
Nobody pays me to glue lacerations.
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LessthanLoneWolf 11/7/2022 11:53 PM
You can find it for like $20-40 for single application tubes.
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If you brush a cotton ball over a recently closed clean cut that's still wet with superglue, some of the fibers will be laminated across the wound. Keep doing that until the glue dries, then add another drop right to the top and repeat.
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LessthanLoneWolf 11/7/2022 11:55 PM
Perfect then. Much cheaper, about as useful, though only for superficial stuff. You could also get wound adhesive at Walmart or somewhere as a happy middle. I keep superglue in my chicken first aid kit
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LessthanLoneWolf 11/8/2022 12:48 AM
Those look like boxes of 12
12:49 AM
I saw these
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rathernot123 11/8/2022 1:38 PM
im genuinely curious what everyone lvl of medical training is
1:38 PM
im working on emt b rn
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LessthanLoneWolf 11/8/2022 2:20 PM
I’m an RN/BSN with ER/ICU experience
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rathernot123
im genuinely curious what everyone lvl of medical training is
Raps [PDX,OR] 11/8/2022 10:01 PM
CLS/TCCC certified, along with some advanced medical courses in the army. I'm WFR/WMT certified but I am not a medical professional.
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Lol here I am with my puny red cross first aid. Y'all are legends
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LessthanLoneWolf 11/10/2022 7:00 PM
Did the Stop the Bleed today, now able to teach it
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JohnBrosGhost 11/10/2022 7:35 PM
Stop the Bleed & First Aid- basics for laymen, I reckon
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LessthanLoneWolf
Did the Stop the Bleed today, now able to teach it
Raps [PDX,OR] 11/10/2022 11:16 PM
Did you find a train the trainer course?
11:16 PM
They haven't had one in my area for a while and I'm bummed.
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LessthanLoneWolf 11/10/2022 11:23 PM
It’s more attend the class, and if you are a certain job (RN, MD, etc) you can teach it. Pretty simple course overall
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Raps [PDX,OR] 11/11/2022 12:23 AM
I've taken numerous STB classes
12:24 AM
5 to be exact. I also feel that since the course is so rudimentary that gate keeping the instructor credentials is pretty ridiculous.
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LessthanLoneWolf 11/11/2022 1:38 AM
Yeah, it feels that a lot more people could be instructors
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Heads up, careful where you source CATs from https://www.instagram.com/p/Ck1YYhau8pI/?igshid=YmMyMTA2M2Y=
Don’t waste your money and put lives in jeopardy with NAR Combat Application Tourniquets that don’t work. This post has a comparison between 2 types of real tourniquets and a common fake that can be found on Amazon. This fake actually fooled it’s first owner, who donated it for a mutual aid project. To be safe, just buy your CATs from NAR or NA...
Likes
263
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LessthanLoneWolf 11/11/2022 6:31 PM
I’ve heard of this more frequently. Buy them only from NAR
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Raps [PDX,OR] 11/11/2022 11:21 PM
Nar or My medic, which is basically NAR 2.0
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LessthanLoneWolf 11/16/2022 5:53 PM
Two AFAKs, and my personal IFAK to go on my plate carrier
5:54 PM
Also, is a trauma dressing the same as an ABD pad or 2inch gauze roll? That’s the only things I don’t have (or sharpies yet, and I want to print some TCCC cards)
5:56 PM
There will be an instance in everyone’s life when you might need immediate medical attention. Whether it is a small scratch or gunfire wound, a first aid kit might be that one thing that will save your life. Learn the essential must-know facts about first aid kits, the different kinds of first aid kits, and what to buy.
5:56 PM
This is the link I’m using for packing list
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Hello everyone. Just thought I'd pop in. I know I posted in introductions but it's also good to see the other medical personnel here. Nice to meet you all.
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floppunism [BOI, ID] 12/22/2022 10:48 AM
ey there, i’m an EMT. Were you a B or a medic?
10:48 AM
@ColinKodiak
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AEMT in Nevada, Basic everywhere else.
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floppunism [BOI, ID] 12/22/2022 10:49 AM
ahh, cool.
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It was fun but I'm happy to have switched work industries. Can't survive on the pay, ya know?
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floppunism [BOI, ID] 12/22/2022 10:57 AM
yep, for sure. i’m still in high school but once i’m out i’m planning on applying for the local FDs since they’re career and urgently need new members. The ambulance company i was planning on applying for closed their applications 2 days before I got my national registry lmao, so I’m just stuck doing nothing rn
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FD is the way to go if you're a career-oriented person. There is some wild stuff you can do with a certification. I earned the most money working as a medical Officer for a Las Vegas security team. A lot of security companies want EMTs for their teams, and if you get the ability to carry a firearm the pay is great.
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floppunism [BOI, ID] 12/22/2022 11:08 AM
might check that out if fire doesn’t work! sounds like an extremely boring job but it’s better that nothing’s going on in such a field (edited)
11:12 AM
thinking I might try wild land for a summer or two but idk if I can prepare my body enough for that in just a few months
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It depends on where you work. The Vegas bit was contracted through a specific casino enterprise. So I was on the strip 100% of the time and experienced things you wouldn't believe. Meanwhile I did the same thing here in Colorado and it ended up with me driving in circles by myself all night and listening to podcasts.
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floppunism [BOI, ID] 12/22/2022 11:13 AM
lmao
11:13 AM
yeah I live in Idaho so not much to do here for that, esp since we don’t have casinos
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I will always tell people: if you want wildland go for it. Even if it is just a season. It is hard work but so rewarding.
11:15 AM
You'll learn real quick the kind of person you are and how well you'll hold up in strenuous situations.
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floppunism [BOI, ID] 12/22/2022 11:18 AM
sounds good, that’s something i’ve wanted to figure out for a long time
11:19 AM
I know a lot of what I think I can do, but not a lot of what I can really do when push comes to shove (edited)
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Then I say go for it. A couple months of preparation is better than none. And a lot of it is just going to be in your mind. You're going to be tired and sore and still have to have the mental fortitude to keep pushing. And it's important to learn that skill early in life.
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ColinKodiak
Hello everyone. Just thought I'd pop in. I know I posted in introductions but it's also good to see the other medical personnel here. Nice to meet you all.
LessthanLoneWolf 12/23/2022 1:48 AM
Welcome! More medical personnel is always a good thing
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LessthanLoneWolf 1/9/2023 9:08 PM
Just finished my bridge training. First street medic action is Saturday, and first Stop the Bleed class I’m teaching is Thursday
9:08 PM
Anyone thing virtual stop the bleed courses would be good?
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floppunism [BOI, ID] 1/10/2023 10:44 PM
@ColinKodiak ay, I just got an interview scheduled for an EMT job. Do you have any tips for the interview? I’ve watched every video I can but I don’t wanna screw this up.
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ColinKodiak 1/10/2023 10:47 PM
Big thing is to know your local protocols. These are usually available on your county EMS website. I would also brush up on your scenarios. The few interviews I've ever had really focus on scenarios.
10:49 PM
Know how to run a basic medical call. Know how to calculate burns. And depending on your area they might have something specific they focus on. My last job was heat injuries, and the one before that focused on water rescue and drownings.
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floppunism [BOI, ID] 1/10/2023 10:50 PM
It’s a private 911/IFT combo service
10:50 PM
And yeah I really need to brush up on my environmental emergencies
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floppunism [BOI, ID] 1/15/2023 1:51 PM
@jay welcome, got a few EMTs here
1:51 PM
matter of fact i recently applied for a job and should be hearing back today
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floppunism [BOI, ID]
matter of fact i recently applied for a job and should be hearing back today
AvoidOblivion 1/15/2023 2:11 PM
Good luck!
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floppunism [BOI, ID] 1/15/2023 2:11 PM
thanks!
2:11 PM
well not applied, interviewed (edited)
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Fingers crossed for ya!
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hey all. Looking for any resources for street medic training / bridge training in the Boston area or thereabouts?
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rathernot123 1/17/2023 3:13 PM
There is Boston aria liberation medics
3:13 PM
Or you could make friends with medics on some actions
3:13 PM
@jay
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jay
hey all. Looking for any resources for street medic training / bridge training in the Boston area or thereabouts?
gravybaby420 1/18/2023 4:22 PM
combat medic and emt in pvd, what exactly r u looking for?
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floppunism [BOI, ID] 1/18/2023 10:24 PM
🧑‍🔬 1
10:25 PM
chad beta-blocker vs virgin epinephrine
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gravybaby420 1/18/2023 10:48 PM
me taking the entire bottle of beta blockers every time my chest hurts
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floppunism [BOI, ID] 1/19/2023 12:46 AM
lmao
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floppunism [BOI, ID] 1/23/2023 11:48 PM
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AIF Cuirassier regiment 1/24/2023 12:04 AM
ok now i wanna be a firefighter
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floppunism [BOI, ID]
Click to see attachment 🖼️
rathernot123 1/25/2023 12:20 AM
Some of replies are funny
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floppunism [BOI, ID] 1/25/2023 12:21 AM
i had to go through and tell like 7 people that it’s a copypasta lmao
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rathernot123 1/25/2023 2:14 AM
No don’t ruin it
2:15 AM
I have heard you have to keep a balance of lift assists and letting firefighters destroy stuff to keep them happy
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AIF Cuirassier regiment 1/25/2023 9:35 PM
@floppunism [BOI, ID]
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floppunism [BOI, ID] 1/25/2023 9:36 PM
lmao
9:36 PM
me in a few weeks
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@floppunism [BOI, ID] good luck, you're going to need it
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floppunism [BOI, ID] 1/25/2023 9:43 PM
thanks lol
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rathernot123 1/25/2023 10:56 PM
I’m kind of scared as starting as a new emt b. I kind of got fucked over with class due to Covid still being a thing and have never been in an ambulance
10:56 PM
I still want to do it and think once I get used to it I’ll be good
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floppunism [BOI, ID] 1/25/2023 10:59 PM
You’re only gonna get worse the longer you wait
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rathernot123 1/26/2023 12:15 AM
I’m need one more thing
12:17 AM
But I should get that soon and hopefully be April ish
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hucklebearer 1/31/2023 7:09 PM
Hey everyone! Former medic, paramedic and firefighter in Georgia. If you have any questions about: street medicine, becoming an EMT or a firefighter, or if you decide the military is your only option, feel free to ping me.
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Steve Mike 2/2/2023 7:13 PM
Local gay bar put on a Stop The Bleed class tonight hosted by one of the city's hospitals. Everyone got a free ifak with several items including a TQ. Pretty huge turnout, they even had a swat cop teaching how to deal with an active shooter. And the bar gave us all free tickets to an upcoming drag show 🤘
👍 6
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Steve Mike
Local gay bar put on a Stop The Bleed class tonight hosted by one of the city's hospitals. Everyone got a free ifak with several items including a TQ. Pretty huge turnout, they even had a swat cop teaching how to deal with an active shooter. And the bar gave us all free tickets to an upcoming drag show 🤘
AvoidOblivion 2/2/2023 7:47 PM
That sounds very fun, and very informative.
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floppunism [BOI, ID] 2/2/2023 8:24 PM
Hell yeah!
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Steve Mike
Local gay bar put on a Stop The Bleed class tonight hosted by one of the city's hospitals. Everyone got a free ifak with several items including a TQ. Pretty huge turnout, they even had a swat cop teaching how to deal with an active shooter. And the bar gave us all free tickets to an upcoming drag show 🤘
LessthanLoneWolf 2/3/2023 7:00 AM
That’s legit!
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floppunism [BOI, ID] 2/4/2023 11:54 AM
just got my first call of my EMS career, pediatric head trauma
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floppunism [BOI, ID]
just got my first call of my EMS career, pediatric head trauma
AvoidOblivion 2/4/2023 12:42 PM
Damn. I hope the kid is fine.
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floppunism [BOI, ID] 2/4/2023 2:35 PM
kid could be way better, could be way worse.
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AvoidOblivion
Damn. I hope the kid is fine.
gravybaby420 2/4/2023 4:16 PM
thought you were talking about flopp lmfao
4:16 PM
@floppunism [BOI, ID] get ready for some ptsd lol
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floppunism [BOI, ID] 2/4/2023 4:17 PM
lmao
4:18 PM
in this modern world are you even living if you don’t get at least temporary PTSD?
👆 2
4:18 PM
/s but also /srs but also /s
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gravybaby420
@floppunism [BOI, ID] get ready for some ptsd lol
floppunism [BOI, ID] 2/4/2023 4:21 PM
Hell of a call to start out on though. No deficits except for being atrocious at answering questions, vomiting, and being sleepy af
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gravybaby420 2/4/2023 4:22 PM
last one wont go away lol
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floppunism [BOI, ID] 2/4/2023 4:22 PM
I mean, he’d be asleep literally 20 seconds after last asking him a question
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gravybaby420 2/4/2023 4:23 PM
oooh i thought you were talking about urself
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floppunism [BOI, ID] 2/4/2023 4:23 PM
Oh lmao
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floppunism [BOI, ID]
Hell of a call to start out on though. No deficits except for being atrocious at answering questions, vomiting, and being sleepy af
AIF Cuirassier regiment 2/4/2023 4:23 PM
look at it this way It could have been way worse :D
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floppunism [BOI, ID] 2/4/2023 4:23 PM
true!
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AIF Cuirassier regiment 2/4/2023 4:23 PM
Same goes with a lot of jobs
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gravybaby420 2/4/2023 4:23 PM
he mustve hit himself pretty bad poor kid
4:24 PM
i had an interetesting first call
4:24 PM
i've got pictures somewhere
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floppunism [BOI, ID] 2/4/2023 4:24 PM
Yeah, snowboarding injury. We were about to not transport but he threw up right as mom was signing refusal.
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gravybaby420 2/4/2023 4:24 PM
4:24 PM
suicide, 60 year old male
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floppunism [BOI, ID] 2/4/2023 4:24 PM
Wh
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gravybaby420 2/4/2023 4:24 PM
it was tough
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floppunism [BOI, ID] 2/4/2023 4:24 PM
Whew, yikes
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floppunism [BOI, ID]
Wh
gravybaby420 2/4/2023 4:24 PM
yeah
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floppunism [BOI, ID] 2/4/2023 4:25 PM
Someone in my EMT class had a shotgun suicide as their first call
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gravybaby420 2/4/2023 4:25 PM
oof yikes
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floppunism [BOI, ID] 2/4/2023 4:25 PM
Yyyeah
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gravybaby420 2/4/2023 4:25 PM
thankfully never seen a firearm suicide. those are always the worst type
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floppunism [BOI, ID] 2/4/2023 4:25 PM
Mhm
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floppunism [BOI, ID]
Someone in my EMT class had a shotgun suicide as their first call
AIF Cuirassier regiment 2/4/2023 4:25 PM
godDAMN
4:26 PM
the guys doing cleanup are just built different ngl
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floppunism [BOI, ID] 2/4/2023 4:26 PM
At least it was successful. Saw a video of a guy who wasn’t successful with it
4:26 PM
Everything below his eyes looked like fuckin hamburger meat and he was STILL CONSCIOUS
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floppunism [BOI, ID]
Yeah, snowboarding injury. We were about to not transport but he threw up right as mom was signing refusal.
AIF Cuirassier regiment 2/4/2023 4:26 PM
Well, hope he gets better
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floppunism [BOI, ID] 2/4/2023 4:26 PM
Yep!
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floppunism [BOI, ID]
Everything below his eyes looked like fuckin hamburger meat and he was STILL CONSCIOUS
AIF Cuirassier regiment 2/4/2023 4:26 PM
thank you for the spoiler, it only helped my curiosity :D
4:27 PM
xd
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floppunism [BOI, ID] 2/4/2023 4:27 PM
Lol
4:27 PM
At least you had the choice to read it in the first place
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AIF Cuirassier regiment 2/4/2023 4:27 PM
Yeah i get it
4:27 PM
i just found it funny that I didn't even hesitate
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floppunism [BOI, ID]
Everything below his eyes looked like fuckin hamburger meat and he was STILL CONSCIOUS
AIF Cuirassier regiment 2/4/2023 4:28 PM
bro has Console controller aim
4:28 PM
i hate myself for that
4:28 PM
it was right there and I fucking took it
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floppunism [BOI, ID]
At least it was successful. Saw a video of a guy who wasn’t successful with it
AvoidOblivion 2/4/2023 4:55 PM
That’s my biggest fear when it comes to getting shot. Getting a gunshot to the head, especially one that is brutal like that, and surviving. I’ve heard way too many horror stories from World War 1, and seen too many pictures/videos of mutilated veterans, to not be afraid of it.
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floppunism [BOI, ID] 2/4/2023 5:01 PM
Oh yeah, World War 1 was especially horrific
5:01 PM
That reason alone is probably a contribution to why I like helmets so much lol
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floppunism [BOI, ID]
Oh yeah, World War 1 was especially horrific
floppunism [BOI, ID] 2/4/2023 5:02 PM
I heard of a British soldier who killed more of his countrymen out of mercy than Germans, even
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floppunism [BOI, ID] 2/4/2023 5:17 PM
the vanbulances are SO TINY
5:18 PM
van vs box
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5:19 PM
the box is only used for N/PICU stuff unfortunately, everything else is a van
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AIF Cuirassier regiment 2/4/2023 5:21 PM
At least you guys up there get boxes
5:21 PM
here its literally all Vans or worse
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AvoidOblivion 2/4/2023 5:51 PM
Here in Wilmington, NC, we get these units from the NOVANT healthcare system.
5:52 PM
They are called Vitalink. They claim to be when you need an ICU-on-wheels instead of a regular ambulance. (edited)
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AIF Cuirassier regiment 2/4/2023 5:59 PM
scratch that, we do have boxes, but they aren't the biggest, nor very common
5:59 PM
the rest are well...
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AIF Cuirassier regiment
scratch that, we do have boxes, but they aren't the biggest, nor very common
floppunism [BOI, ID] 2/4/2023 6:16 PM
those proportions are so wrong…
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AvoidOblivion
Here in Wilmington, NC, we get these units from the NOVANT healthcare system.
floppunism [BOI, ID] 2/4/2023 6:17 PM
damn, those are huge
6:17 PM
have you seen those massive trucks UCLA has for mobile stroke units?
6:17 PM
they’re gigantic but mostly because they have a portable CT scanner in the back
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AvoidOblivion 2/4/2023 6:17 PM
No, but I have heard about them.
6:17 PM
The NOVANT one looks even bigger, with the two-row cab.
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gravybaby420 2/4/2023 8:16 PM
i was in a pickup truck for like 4 months LOL
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gravybaby420
i was in a pickup truck for like 4 months LOL
floppunism [BOI, ID] 2/4/2023 8:19 PM
Elaborate lmao
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gravybaby420 2/4/2023 8:20 PM
middle of buttfuck nowhere, we would put them in a pickup with a room on a stretcher
8:20 PM
dirt roads mostly
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floppunism [BOI, ID]
I mean, he’d be asleep literally 20 seconds after last asking him a question
Concussions be like that.
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AvoidOblivion
That’s my biggest fear when it comes to getting shot. Getting a gunshot to the head, especially one that is brutal like that, and surviving. I’ve heard way too many horror stories from World War 1, and seen too many pictures/videos of mutilated veterans, to not be afraid of it.
Any near fatal injury is my fear. I literally don't care if I die... it would just absolve me of a mountain of responsibilities I didn't ask for. But surviving, in extreme pain, unable to fulfill said responsibilities possibly ever... That's far worse than death.
👆 1
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Any near fatal injury is my fear. I literally don't care if I die... it would just absolve me of a mountain of responsibilities I didn't ask for. But surviving, in extreme pain, unable to fulfill said responsibilities possibly ever... That's far worse than death.
AvoidOblivion 2/5/2023 2:30 PM
One of the scariest videos I have seen is a survivor of a car crash, whose face had been mostly peeled off. They were still breathing and looking around.
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AvoidOblivion
One of the scariest videos I have seen is a survivor of a car crash, whose face had been mostly peeled off. They were still breathing and looking around.
Yeah see... just give me a gun at that point and turn around.
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floppunism [BOI, ID]
van vs box
LessthanLoneWolf 2/10/2023 4:01 PM
Fuck N/Picu stuff. You can have it
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floppunism [BOI, ID]
they’re gigantic but mostly because they have a portable CT scanner in the back
LessthanLoneWolf 2/10/2023 4:01 PM
That’s awesome
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LessthanLoneWolf
Fuck N/Picu stuff. You can have it
floppunism [BOI, ID] 2/10/2023 5:07 PM
We only drive them lmao
5:07 PM
We pick up the crew and they do everything else
5:11 PM
unrelated, got my first MI call yesterday
5:12 PM
Truck managed to hit 95mph on the highway because we had a long ass response time
5:12 PM
Got on scene right as the helicopter was landing but god damn I was sweating
👍 1
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LessthanLoneWolf 2/10/2023 8:16 PM
The first ones are always exciting. You know you’re experienced when you start cursing the pager lol
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floppunism [BOI, ID]
unrelated, got my first MI call yesterday
AvoidOblivion 2/10/2023 10:29 PM
What is MI?
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floppunism [BOI, ID] 2/10/2023 10:29 PM
Heart attack
10:29 PM
Myocardial Infarction = MI, a myocardial infarction is the fancy medical word for a heart attack (edited)
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AvoidOblivion 2/10/2023 10:31 PM
Oh, ok. I know what a myocardial infarction is, just didn’t make the connection between the abbreviation and the full thing. Thanks for letting me know.
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floppunism [BOI, ID] 2/10/2023 10:32 PM
ahh, of course
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floppunism [BOI, ID] 2/12/2023 12:33 PM
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And the one actually talking to you is the CNA 😂
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waterfox
And the one actually talking to you is the CNA 😂
LessthanLoneWolf 2/13/2023 4:55 PM
Let’s be serious; half the time they know more than the nurse
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Facts
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floppunism [BOI, ID] 2/14/2023 1:19 PM
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Ahhh vanmbulances
2:00 PM
Never again.
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floppunism [BOI, ID] 2/14/2023 2:04 PM
our vanbulances are sooo fucking tiny
2:05 PM
i literally can’t sit with my legs together on the bench
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Would you believe me if I said a service I worked for demanded I take a PT on a ventilator with six drops going, a balloon pump, and a nurse to a hospital an hour and a half away in one of those things
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waterfox
Would you believe me if I said a service I worked for demanded I take a PT on a ventilator with six drops going, a balloon pump, and a nurse to a hospital an hour and a half away in one of those things
floppunism [BOI, ID] 2/14/2023 2:20 PM
YES BECAUSE WE DO THAT
😩 1
2:20 PM
we’re the only agency in the state licensed for critical care transports (edited)
2:21 PM
we have one box truck we only use for N/PICU
2:22 PM
also uuuugh i already miss the ambulance lmao
2:23 PM
not gonna be able to work for a month and even then no clue how soon until i’m on an ambulance
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floppunism [BOI, ID]
our vanbulances are sooo fucking tiny
AIF Cuirassier regiment 2/14/2023 2:27 PM
It could be worse, sure, these are 'rapid prevension vehicles' but what if you need to take the patient NOW
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floppunism [BOI, ID] 2/14/2023 2:27 PM
WHAT
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AIF Cuirassier regiment 2/14/2023 2:27 PM
rapid prevension
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floppunism [BOI, ID] 2/14/2023 2:27 PM
WHERE DO THEY FIT
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AIF Cuirassier regiment 2/14/2023 2:28 PM
As far as I know, you do your shit where the patient is at
2:28 PM
good luck
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Yeezus
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AIF Cuirassier regiment 2/14/2023 2:29 PM
in all fairness, a lot of ambulance work here (specially if its someone who gets run over) is done by some random cab driver or the guy that ran you over
2:29 PM
my grandpa got taken to the hospital by the same guy that ran him over not so long ago
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I mean good on the shit driver??
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floppunism [BOI, ID]
WHAT
AIF Cuirassier regiment 2/14/2023 2:30 PM
its that or a ford sprinter
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AIF Cuirassier regiment
AvoidOblivion 2/14/2023 5:55 PM
The Three Morons created the greatest ambulance service, in the world.
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Unu51, Syndicalizer of Anarchy 2/14/2023 5:58 PM
At least it's affordable.
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AIF Cuirassier regiment 2/14/2023 6:17 PM
Lol
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Unu51, Syndicalizer of Anarchy 2/14/2023 7:46 PM
Speaking of affordable, my IFAK just arrived.
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Unu51, Syndicalizer of Anarchy 2/14/2023 8:21 PM
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floppunism [BOI, ID] 2/14/2023 8:31 PM
Nice!
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Unu51, Syndicalizer of Anarchy
Speaking of affordable, my IFAK just arrived.
AvoidOblivion 2/14/2023 10:35 PM
I got one of these over Christmas. It has a small foldable shovel/pic, pocket knife, etc in it, right?
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AvoidOblivion
I got one of these over Christmas. It has a small foldable shovel/pic, pocket knife, etc in it, right?
Unu51, Syndicalizer of Anarchy 2/14/2023 10:40 PM
Think this one just has scissors in it.
10:40 PM
Aside from the first aid stuff, that is.
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AvoidOblivion 2/14/2023 10:42 PM
Interesting. The one I got looks the exact same, I guess the contents are different.
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Unu51, Syndicalizer of Anarchy 2/14/2023 10:42 PM
Was yours made by Everlit Survival?
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AvoidOblivion 2/14/2023 10:43 PM
Seems the one I have is more of a survival instead of medical.
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Unu51, Syndicalizer of Anarchy 2/14/2023 10:43 PM
Wait, did the foldable shovel/pocket knife look like a pen?
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Unu51, Syndicalizer of Anarchy
Was yours made by Everlit Survival?
AvoidOblivion 2/14/2023 10:43 PM
Not sure. It is currently in my car.
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Unu51, Syndicalizer of Anarchy
Wait, did the foldable shovel/pocket knife look like a pen?
AvoidOblivion 2/14/2023 10:44 PM
No, they are bigger than pens.
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Unu51, Syndicalizer of Anarchy 2/14/2023 10:44 PM
Ah, because mine came with a small object that looked like a pen or marker.
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AvoidOblivion 2/14/2023 10:44 PM
Actually, I think the shovel may have been from something else. I can’t remember.
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Unu51, Syndicalizer of Anarchy
Was yours made by Everlit Survival?
AvoidOblivion 2/14/2023 10:45 PM
Yes, I believe it is. I am on their website.
10:46 PM
✅【Most Advanced First Aid Survival Kit & IFAK】  ✅【Comprehensive First Aid Kit Exceeds OSHA Guideline, Over 30 Unique Medical Supplies】  ✅【High-Grade Emergency Survival Gears for Camping or Home Needs】  ✅【1000D Mil-Spec Cordura Nylon, Water Repellent,Tactical Molle Pouch Features Quick-Pull Opening Tab and Detachabl
10:46 PM
I remember the paracord bracelet, first aid pack, fire starter, pocket knife, thermal blanket, and multitool.
10:47 PM
Mine is in the black bag, however.
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floppunism [BOI, ID] 2/14/2023 10:47 PM
btw, if you're ever in a situation where you need to use trauma shears to get access to a wound ASAP, throw the blanket on them for good measure
10:47 PM
if it's that much of a trauma emergency they're already at risk of shock
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Unu51, Syndicalizer of Anarchy 2/14/2023 10:48 PM
EVERLIT Emergency Trauma Kit, CAT GEN-7 Tourniquet 36" Splint, Military Combat Tactical IFAK for First Aid Response, Critical Wounds, Severe Bleeding Control (Black)
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floppunism [BOI, ID]
btw, if you're ever in a situation where you need to use trauma shears to get access to a wound ASAP, throw the blanket on them for good measure
AvoidOblivion 2/14/2023 10:48 PM
I never thought of it, although that does make sense.
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Unu51, Syndicalizer of Anarchy 2/14/2023 10:49 PM
We got different kits.
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AvoidOblivion 2/14/2023 10:51 PM
I noticed.
10:57 PM
This is mine. My only complaint is that the clip on the pocket knife bent.
10:58 PM
Even the spork has a whistle.
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I can't tell from the image, do any of those include suture packs?
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Kinda surprised, most kits I see are packed with kichy bullshit. Even got a sam splint in there
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AIF Cuirassier regiment 2/15/2023 11:49 PM
Ok so its BY LAW, that if you run someone over, you gotta 1.tell the emergency services 2.Give first aid if known 3.Transport the injured person to the hospital unless it doesn't pose a risk to the injured individual
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Spinner
I can't tell from the image, do any of those include suture packs?
AvoidOblivion 2/15/2023 11:55 PM
I don’t believe the one I purchased does. I have received very novice training on how to suture and do have a practice kit, so I can always learn.
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AvoidOblivion
I don’t believe the one I purchased does. I have received very novice training on how to suture and do have a practice kit, so I can always learn.
I practiced on myself... on your thigh if you want to practice two handed techniques, or on your non-dominant forearm for one handed. I also had no shortage of willing practice partners within the kink community. Practice makes perfect. Of course I would never recommend anyone practice such things... particularly not with expired suture packs that you can get for free. I'm just saying how I got really good at sewing folks up.
12:19 AM
I will say this... getting used to the pressure and motion required to push various sutures through tissue is probably one of the most valuable skills I've ever developed.
12:21 AM
Lots to learn though besides the practical... which suture needles for what tissue, which threads for what situation and desired result. It's not just about the fun of piercing someone's skin.
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Why not just use an orange? What we used to practice in school
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Spinner
I practiced on myself... on your thigh if you want to practice two handed techniques, or on your non-dominant forearm for one handed. I also had no shortage of willing practice partners within the kink community. Practice makes perfect. Of course I would never recommend anyone practice such things... particularly not with expired suture packs that you can get for free. I'm just saying how I got really good at sewing folks up.
AvoidOblivion 2/16/2023 9:16 AM
The practice kit I have has fake skin. I don't know how realistic it is.
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waterfox
Why not just use an orange? What we used to practice in school
I mean, where is the fun in that?
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The fun is getting to eat the orange after 😄
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floppunism [BOI, ID] 2/16/2023 10:15 AM
The dichotomy of humanity
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AvoidOblivion 2/16/2023 10:28 PM
Unfortunately, the closest Stop The Bleed training this year is about two and a half hours away from me. I could take the online course, but I doubt it would be as valuable.
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floppunism [BOI, ID] 2/17/2023 9:04 PM
😂 1
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Bruh xD
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Don't you love it when your state shoves their agenda down your throat
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floppunism [BOI, ID] 2/17/2023 10:01 PM
holy shit it’s almost like something gets used more when an applicable situation for its use happens more often Frozen_Shock
10:01 PM
like, for example, a vaccine side-effect monitoring system during mass vaccinations
10:01 PM
OF COURSE ITS GOING TO BE USED MORE
10:02 PM
MILLIONS OF PEOPLE ARE BEING VACCINATED IN A SHORT TIME FRANE
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The rest of email listed 3 studies they are saying back their claims and VAERS reports. You don't have to verify VAERS reports and so far I've only read one study that seems to effectively correlate the vaccine with adverse cardiac events.
10:03 PM
But the claim that the vaccine causes 1 in 550 people to have an adverse event? Bullshit
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floppunism [BOI, ID] 2/17/2023 10:03 PM
1 in 550 is very little too
10:04 PM
if everyone in florida got vaccinated, that’d be 39,600 people out of 22 million
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Now that I'm looking at it the fucking flu vaccine has a greater risk of adverse events
10:06 PM
Hell, giving a nurse more than 5 patients has more of a risk of adverse events
10:08 PM
Damn they event misquoted a study
10:09 PM
10:09 PM
10:09 PM
Hold up
10:09 PM
they didn't misquote they straight up lied
10:10 PM
"preliminary evidence" even though the findings say there was no consistent association
10:10 PM
the fuck
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Not suprised anymore
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AvoidOblivion
Unfortunately, the closest Stop The Bleed training this year is about two and a half hours away from me. I could take the online course, but I doubt it would be as valuable.
NotAGoodUltrarunner 2/20/2023 9:49 AM
Where are you located? I am a STB trainer
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AvoidOblivion 2/20/2023 10:33 AM
Eastern North Carolina, closest city is two hours away.
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NotAGoodUltrarunner 2/20/2023 8:08 PM
Dang it. I’m Ohio/West Virginia
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floppunism [BOI, ID] 2/24/2023 5:25 PM
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rathernot123 2/26/2023 3:45 PM
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floppunism [BOI, ID] 2/26/2023 6:10 PM
true
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AIF Cuirassier regiment 2/27/2023 12:11 PM
The neighbor got fucked up while chasing his cat, he seems to have slipped and fall over, he can't get up, paramedics arrived thankfully, I hope he's ok
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Was he talking to them?
12:17 PM
And we're they over the age of 50
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AIF Cuirassier regiment 2/27/2023 12:19 PM
Yeah, he's fine from the waist up, he's probably bellow 45
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AvoidOblivion 2/27/2023 12:28 PM
I hope he is ok.
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AIF Cuirassier regiment 2/27/2023 12:40 PM
They're preparing the stretcher
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Probably slipped a disc
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floppunism [BOI, ID]
true
More like blatantly false, they also be staring with an endotracheal tube. (edited)
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floppunism [BOI, ID] 2/27/2023 3:45 PM
ahh yeah
3:46 PM
GCS <16 you can’t be totally sure they can protect their airway you gotta intubate
😂 1
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What day of the week is it? Sunday, no Mon- sound of gagging
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rathernot123 2/27/2023 5:20 PM
I got an interview for a company
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AIF Cuirassier regiment 2/27/2023 5:21 PM
hope it goes well
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AvoidOblivion 2/27/2023 5:22 PM
Congratulations.
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rathernot123 2/27/2023 5:27 PM
Hopefully
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AIF Cuirassier regiment 2/28/2023 6:09 PM
I swear to fucking god
6:11 PM
some assholes broke into a small health clinic in the more rural parts of the country and stole a bunch of expensive equipment and the keys to the ONLY vanbulance around
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Jfc
7:21 PM
Did they even take the van
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AIF Cuirassier regiment 2/28/2023 7:36 PM
no
7:36 PM
they didn't even take the fucking vanbulance
7:36 PM
for fuck sake the healthcare sector is one of the most fucked over sectors in the country
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floppunism [BOI, ID] 2/28/2023 7:45 PM
wh
7:45 PM
that’s almost worse
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AIF Cuirassier regiment 2/28/2023 7:45 PM
ikr!?
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floppunism [BOI, ID] 2/28/2023 7:54 PM
like at least take the ambulance it probably has a $20,000 defibrillator in the back
7:55 PM
american ambulances probably have a good $150,000 worth of stuff in the back (edited)
7:55 PM
the power stretcher setup alone being like $90,000
7:56 PM
i’ve seen manual defibrillators / monitors go up to $40,000
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AIF Cuirassier regiment 2/28/2023 7:57 PM
bitch don't fucking steal it in the first place
7:57 PM
its the only clinic in MILES
7:57 PM
it'll be months before that equipment is back
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floppunism [BOI, ID] 2/28/2023 7:59 PM
ah yeah fair lmao
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rathernot123 2/28/2023 10:29 PM
Best emt interview tips go
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rathernot123
Best emt interview tips go
floppunism [BOI, ID] 2/28/2023 11:07 PM
be confident. look up common interview questions and find an exact answer for them
11:08 PM
and also recognize what things you don’t know too well and search it up; the worst thing possible is that you seem clueless in a scenario they give you
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rathernot123 2/28/2023 11:09 PM
i have been going over medical emergancy stuff that im noit as confidant with
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Advice I recall been given for not knowing how to deal with an exact scenario is to return to the basics be able to elaborate on how to treat the symptoms given if nothing else. (edited)
11:37 PM
There are some differences I know between how private EMS and public/fire EMS conduct interviews. For example, typically fire interviews put value on interviewees not sitting until asked to do so. Because reasons I guess?
11:39 PM
Another thing I remember is how the end of the interview if they ask you for any questions it’s typically best to keep it short and don’t forget to thank them for the opportunity and their time.
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rathernot123 2/28/2023 11:39 PM
It’s private ems
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Neon
There are some differences I know between how private EMS and public/fire EMS conduct interviews. For example, typically fire interviews put value on interviewees not sitting until asked to do so. Because reasons I guess?
floppunism [BOI, ID] 2/28/2023 11:39 PM
Fire is a popularity and bootlicking contest tbh. It’s unfortunate but it’s what you gotta do to get in
11:40 PM
Also have a question or two
👆 2
11:40 PM
It makes it look like you seriously are interested and care about the company
11:40 PM
Even something as mundane as call volume
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rathernot123 2/28/2023 11:40 PM
I have a few
11:40 PM
Call volume, turn over, ways of advancing (cause if I like it I’m going to get medic)
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Medics is a good aspiration! It opens up a lot of opportunities as well.
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rathernot123 2/28/2023 11:44 PM
Maybe variety of work with in company ?
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rathernot123
It’s private ems
Do not let them underpay you. In the interview and afterwards. I don't care how trustworthy they seem go over their overtime policies, holiday pay policies, and your paycheck with a fine tooth comb
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floppunism [BOI, ID] 3/1/2023 9:43 AM
yeah listen to that
9:43 AM
i’m a dumbass and honestly would do it for free so i don’t care that i’m getting paid so little rn
9:43 AM
but at least they did a pay raise across the board right after i got hired
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If they can jip you they will, if they can make you do something stupid like work back to back shifts or a patient that won't be safe to take then they will not care if you lose your license
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floppunism [BOI, ID] 3/1/2023 9:54 AM
Reminds me that I still need to file my complaint about unpaid orientation and FTO shifts
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Yes, do
10:04 AM
Get your evidence in order and don't be afraid to talk to a lawyer
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floppunism [BOI, ID] 3/1/2023 3:51 PM
One of my volunteer firefighter friends just had an LODD in a nearby department
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Not surprising
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rathernot123 3/2/2023 6:39 PM
Ahhhhhhhhhhhhhhh only one sleep till interview
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floppunism [BOI, ID] 3/3/2023 9:38 AM
Is it normal to have not even bad calls just stuck in your head?
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It happens
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floppunism [BOI, ID]
Is it normal to have not even bad calls just stuck in your head?
Perfectly normal, I’ve been on ones that I’ll talk about afterwards for different reasons, happens to everyone.
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floppunism [BOI, ID]
Is it normal to have not even bad calls just stuck in your head?
Deleted User 3/3/2023 11:08 AM
I was an EMT for 7 years. Yeah, some of them stick with you. Sometimes you're aware of it, sometimes memories you've forgotten about will bubble up randomly. Things you didn't realize were even trauma will knock you on your ass.
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floppunism [BOI, ID] 3/3/2023 11:11 AM
The weirdest thing is that what’s stuck with me is the most mundane call I’ve ever had
11:12 AM
It was just a 5-minute transfer for an alcoholic who relapsed.
11:12 AM
Use two |s on both sides for a spoiler
11:12 AM
| | Like this without the spaces | |
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Deleted User 3/3/2023 11:13 AM
If you ever need someone to talk to, DM me
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floppunism [BOI, ID] 3/3/2023 11:13 AM
👍
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Deleted User 3/3/2023 11:14 AM
I still vividly remember an inter facility transfer for someone with late stage body dementia, full constrictures of hands.
11:15 AM
From a hospital to a nursing home, and I remember talking to the person, even though I knew "no one was home"
11:17 AM
You're in an antifascist server, chances are you're empathetic. A call doesn't have to be a "two large bore IVs wide open" call to be traumatic or lasting.
❤️ 1
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floppunism [BOI, ID] 3/3/2023 11:20 AM
Makes sense why that call gets to me then. Harder to see someone who’s in more mental anguish than physical. You could tell he was fucked up emotionally; never took his eyes off the floor, similar things.
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Deleted User 3/3/2023 11:21 AM
Mhmm
11:22 AM
We're trained to take care of vital signs, but we're given no tools to deal with emotions
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floppunism [BOI, ID] 3/3/2023 11:22 AM
Honestly it’s just confusing now. It’s such a weird call for my brain to choose; Why that one over the AOx1 7 year old who had a significant head injury I had to be with for 50 minutes?
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Deleted User
We're trained to take care of vital signs, but we're given no tools to deal with emotions
floppunism [BOI, ID] 3/3/2023 11:23 AM
…and that answers the question in my above post, lol.
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Deleted User 3/3/2023 11:25 AM
You're what Mr Rogers called a helper. You want to help people. You have the tools to fix a pulse, even if they die you can say you did what you could. A crying spouse who just watched a squad work their spouse? We've got nothing for that, we don't know how to help them. Those are the people I still see when I dream.
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floppunism [BOI, ID] 3/3/2023 11:28 AM
Thanks, man. Even this little bit of talking helps a lot.
♥️ 1
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Deleted User 3/3/2023 11:55 AM
Any time. Just the act of getting off your chest can be a huge relief. Talk Therapy is a thing for a reason
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rathernot123 3/3/2023 12:54 PM
I got an offer
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What did they offer?
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rathernot123 3/3/2023 1:22 PM
22 hour and they seam like a really good company
doge_cool 1
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Damn
1:23 PM
You're an emt-b???
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rathernot123 3/3/2023 1:31 PM
Yea
1:31 PM
First job too
1:31 PM
In that field
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God damn
1:38 PM
I fucked up 😂
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rathernot123 3/3/2023 1:41 PM
Idk union company
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Oh thatll do it
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rathernot123
22 hour and they seam like a really good company
floppunism [BOI, ID] 3/3/2023 1:43 PM
Holy shit
1:43 PM
That pays more than medics here
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Deleted User 3/3/2023 2:30 PM
Woof I was pulling $8.75 in 2015
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floppunism [BOI, ID] 3/9/2023 1:37 PM
Looking at getting AEMT
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rathernot123 3/9/2023 3:59 PM
In my area it’s not really worth it only a few more things you can do. what’s it like in yours ?
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floppunism [BOI, ID] 3/9/2023 4:31 PM
IVs, airways, isotonic crystalloids and stuff
4:32 PM
it’s not much more in quantity but companies really like it if you can do IVs and stuff
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rathernot123 3/9/2023 5:09 PM
In my area more or less just Ivs been told just got for medic
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If AEMT is accepted in your area then it's definitely not bad
8:36 PM
Basically a paramedic without... being a paramedic
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floppunism [BOI, ID] 3/9/2023 9:35 PM
medic without the drugs and crike lmao
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floppunism [BOI, ID] 3/11/2023 4:46 PM
🤣 3
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Oh no
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floppunism [BOI, ID]
Click to see attachment 🖼️
AIF Cuirassier regiment 3/12/2023 4:07 PM
it goes to show that we can put "DANGER THIS WILL FUCKING KILL YOU YOU ABSOLUTE DUMBASS" and people would still pass it around like an XBOX controller in a party
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floppunism [BOI, ID] 3/14/2023 5:35 PM
taking a competency test to start my AEMT course and uhhhh…
5:35 PM
thunk
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shoe leather?!
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Yeah you didnt that's what it is made out of?
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And so ended Buffalo Bill’s brief stint as an EMT test writer.
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Aces high
shoe leather?!
Unu51, Syndicalizer of Anarchy 3/15/2023 2:33 PM
That's what happens when you're a bootlicker.
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AIF Cuirassier regiment 3/16/2023 7:06 AM
Bad news, a bunch of Fentanyl doses got stolen from the Social Security fund
7:13 AM
Its important to note that Fentanyl is not an issue here, this is the first time it flows into the drug market here
7:13 AM
the illegal one that is
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AIF Cuirassier regiment 3/16/2023 9:37 AM
I got a clear number on how many doses got stolen
9:37 AM
TEN THOUSAND DOSES
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AIF Cuirassier regiment
Bad news, a bunch of Fentanyl doses got stolen from the Social Security fund
floppunism [BOI, ID] 3/16/2023 9:44 AM
…huh?
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floppunism [BOI, ID]
…huh?
AIF Cuirassier regiment 3/16/2023 9:44 AM
The social security's fund is a big medical institution ran by the state
9:45 AM
imagine a public hospital with some services for insurance
9:45 AM
and they bought 10k dozes of fentanyl
9:46 AM
and it all got fucking stolen
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AIF Cuirassier regiment 3/16/2023 10:23 AM
Oh and only now do they admit it, they stole the doses 5 MONTHS AGO
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LessthanLoneWolf 3/16/2023 3:20 PM
Somebody had a party, damn
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AIF Cuirassier regiment 3/16/2023 5:38 PM
Guess we're gonna get some fentanyl overdoses on the news
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floppunism [BOI, ID] 3/16/2023 5:47 PM
Its really interesting how heroin disappeared from American streets in a snap after we pulled out of occupying one of the biggest opium-producing countries in the world
5:47 PM
Not two years ago, it was heroin and not fentanyl as the panic drug (edited)
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I always thought fentanyl was like heroin x100
12:45 AM
I thought it was an opioid tbh
12:45 AM
Nvm it is:
Fentanyl is a potent synthetic opioid drug approved by the Food and Drug Administration for use as an analgesic (pain relief) and anesthetic. It is approximately 100 times more potent than morphine and 50 times more potent than heroin as an analgesic.
12:46 AM
but it's synthetic so maybe you don't need poppy or opium to make it?
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AIF Cuirassier regiment 3/21/2023 9:02 PM
yeah
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knuckles
but it's synthetic so maybe you don't need poppy or opium to make it?
AIF Cuirassier regiment 3/21/2023 9:02 PM
fentanyl is synthetic
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floppunism [BOI, ID] 3/24/2023 12:10 AM
maybe i shouldn’t’ve signed up for the class where I learn IVs before I got over being icked by veins
12:11 AM
it’s weird that i don’t hate needles but i hate veins
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Eazy8 Antifa Viking 3/24/2023 10:49 AM
So this might be a very stupid question, and I apologize if it is, but I’m looking to put together a medical pack to take to protests and other events, and I do have first age training, but I don’t know what the right starting place would be to put together such a kit for protest
10:49 AM
Anyone able to point me in the right direction
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It’s all gonna be dependent on your level of training, but bare bones? Gauze pads + rolls, some Band-Aids, cold packs, and water will cover you 95% of the time.
10:04 PM
If you’ve received more formal training, the kit can expand to some more specialized equipment.
10:06 PM
Although generally, it won’t go beyond tourniquets, hemostatic agent, chest seals, pressure bandages, triangle bandages, SAMM splints, and NPAs in the more standard field trauma kits.
10:07 PM
@Eazy8 Antifa Viking Does that answer your question for the most part or would you like more information?
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fromdefilade 3/24/2023 10:43 PM
A good personal IFAK to run on a belt or something similar would be the contents of this here
10:43 PM
The Supplemental IFAK Resupply Kit (SIRK™) Ten 1, by North American Rescue® is a compact, durable and easy-to-open vacuum sealed kit that contains the essential items to treat leading causes of preventable combat death. Designed to fit into a BDU pocket or IFAK pouch, the SIRK™ is packaged in a clear bag to allow easy visualization of the kit co...
10:44 PM
The Nasopharyngeal Airway is probably past the expertise at the moment, so I would forgo that until you get better training.
10:48 PM
eh, a newbie can learn to use a naso airway fairly quickly. Don’t worry about a needle D if you see that somewhere though. That’s very complicated and potentially dangerous. I wasn’t a corpsman or a field medic so if there are any that can give better info on a needle D please. But I myself don’t have that know-how as far as I know
💯 2
10:49 PM
2 or 3 genuine CAT 7 tourniquets. Make sure you look up how to spot fakes! They are prevalent throughout our beloved free market economy. Especially on Amazon. I’d suggest buying from NAR to be safe but things like Guerrilla tactical will have genuine tq’s too.
10:50 PM
Or look up the benefits of a SOF-T tq if that floats boats too
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Neon
If you’ve received more formal training, the kit can expand to some more specialized equipment.
fromdefilade 3/24/2023 10:50 PM
This
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fromdefilade
eh, a newbie can learn to use a naso airway fairly quickly. Don’t worry about a needle D if you see that somewhere though. That’s very complicated and potentially dangerous. I wasn’t a corpsman or a field medic so if there are any that can give better info on a needle D please. But I myself don’t have that know-how as far as I know
100%, do not use a decompression needle If you are not formally trained, you are quite literally stabbing into their chest with a needle to let air out. If you do that in the wrong spot, you run the very real risk of severely injuring or killing the patient.
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Small tactical note, it has been documented that purchasing brightly colored equipment also tends to work out better in the field since there’s less chance of people misplacing items on the ground like tourniquets in a panic. Hi-visibility colors avert that risk. (edited)
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fromdefilade
2 or 3 genuine CAT 7 tourniquets. Make sure you look up how to spot fakes! They are prevalent throughout our beloved free market economy. Especially on Amazon. I’d suggest buying from NAR to be safe but things like Guerrilla tactical will have genuine tq’s too.
Another note on tactics, Tourniquets need to be on the outside of any kit you have, they are meant to be applied as quickly as possible as as soon as the need for them becomes apparent. Stopping massive uncontrolled bleeding ASAP is first priority to ensure a patient’s survival (edited)
11:20 PM
I’ll just leave you with those two notes, if you want to learn more definitely take a Stop-the-Bleed class. It’s going to be the most accessible level of training. (edited)
11:21 PM
If you want something still accessible but a bit more in depth, you could always look into taking a Red Cross First Aid course, they’re offered almost everywhere and are fairly affordable. (edited)
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11:24 PM
Beyond that, the highest level of training that’s still somewhat accessible, would be a Nationally Registered-Emergency Medical Responder. (Just below an EMT-Basic)
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To give an idea for about how difficult/accessible the classes are; Stop-the-Bleed: 1 day (free in many places) Red Cross First Aid: 3-5 days ($35-$100) NR-EMR: 1 month ($300-$400) (edited)
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Neon
@Eazy8 Antifa Viking Does that answer your question for the most part or would you like more information?
Eazy8 Antifa Viking 3/25/2023 12:22 AM
Yep, thank you
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Neon
Another note on tactics, Tourniquets need to be on the outside of any kit you have, they are meant to be applied as quickly as possible as as soon as the need for them becomes apparent. Stopping massive uncontrolled bleeding ASAP is first priority to ensure a patient’s survival (edited)
floppunism [BOI, ID] 3/25/2023 12:31 AM
CABs in trauma, cause you can put air back in someone but you can’t scoop blood off the ground and funnel it back into their arteries
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Absolutely, it’s just important to distinguish between massive hemorrhaging and less severe bleeding.
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floppunism [BOI, ID] 3/25/2023 12:35 AM
Oh, yeah
12:02 PM
What’s going on everyone! This week we went to the range, worked some skills and learned some new things! One of which being the effects of gel pepper spray and what it takes to decontaminate an individual who has been sprayed by gel pepper spray. We had a contingent from local street medics there who participated on the firing line as well as the gel pepper spray portion. Two of our members went off with the street medic toward the end of the day and volunteered to be sprayed. It was a learning experience all around and our street medic made an after action report write-up for the pepper spray portion! Take a look at what they concluded and let me know if anyone has any more insight! Get out there yall!
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🆒 1
12:02 PM
Also tell me if that link isnt accessible!
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I think the takeaways are pretty on point. It’s fairly consistent with what I’ve read and heard from other Street Medic’s experience in the field.
12:28 PM
Did anybody have any ideas for how they can improve the decontamination process to avoid or minimize cross-contamination? I know it’s something I’ve thought about, although I’m not really sure there’s a easy way to integrate that. Might be able to Jerry rig something with plastic bags, shame that chemical protective clothing is so impractical.
12:31 PM
It’s cool how y’all tested different bottles, mass decontamination is something I’ve wondered about how to accomplish more effectively in the field, I haven’t been able to think of anything new or unique that isn’t limited in its implementation in someway.
12:36 PM
Some solutions I’ve considered are utilizing the wildland firefighting packs that can be pressurized, only problem is, that equipment not really viable pricewise and it’s heavy as well. Might be possible to put together some kind of water bottle that can be pressurized, but I’ve never really seen such a product with the exception of a couple pressurized saline wound wash brands. Those are a bit more viable, price and transportation wise, but there’s no way of adjusting the pattern or pressure. (edited)
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fromdefilade 3/26/2023 12:41 PM
Basically getting sprayed is hell and treating it can be too. The affected person will be spitting up, coughing, yelling, all of which is gonna be mixed the gel spray as it coats and seeps into everything. Clothing removal helped a lot but that may not be viable in every scenario. They found that starting toward the top of the head and working down was ideal. It all just runs south and the sweat from the forehead will too be mixed with the gel and will run into the eyes so start there.
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Perhaps using some disposable rain jackets and taping them to the medic gloves? Should be cheap and space efficient.
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fromdefilade 3/26/2023 12:44 PM
Gel pepper spray is more for the individual. It’s streamlined and has to be aimed. Where as regular spray is more crowd control and will affect more people. Our street medic has experience at protests and explained to us that cops will have gel pepper spray and will use it when singling out an individual per se where as the regular spray and canisters are for mass groups. Gel pepper spray is way more effective, potent, and lasts on the target. If multiple people are sprayed with gel then they need to be taken from the front line of thing and separated from those not in a medic capacity as the stray bodily fluids will hit others.
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Well, it’s good that it’s not a mass use item at least.
12:51 PM
Although the cross contamination is an issue I hear across all accounts when dealing with canisters or gel.
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fromdefilade 3/26/2023 12:54 PM
Oh def for sure
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rathernot123 3/26/2023 11:14 PM
Guess who got to drive the wee woo truck
🚑 4
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floppunism [BOI, ID] 3/26/2023 11:14 PM
nice!
11:16 PM
i still have yet to do that
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any bvms on amazon that are good?
3:50 PM
nvm, just realized they sell the cyclone pocket one
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AIF Cuirassier regiment 3/29/2023 6:13 PM
Bruh, on the wsy home I saw an ambulance based on one of these, how the fuck do you do anything
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Unu51, Syndicalizer of Anarchy 3/29/2023 6:13 PM
With difficulty.
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floppunism [BOI, ID] 3/29/2023 6:21 PM
it was probably a BLS ambulance
6:21 PM
but yeah i already struggle for room in our vanbulances
6:21 PM
can't imagine a minivanbulance
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floppunism [BOI, ID] 4/5/2023 11:28 PM
watching nightwatch clips and playing project hospital makes me miss being on the wee woo van sooooooo much
11:28 PM
i bet by august i'm gonna have so much damn overtime i'm a burned out husk of a person lmao
🫂 3
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rathernot123 4/6/2023 1:24 AM
So yesterday I was on a 911 truck anyway tomorrow is third day of third riding
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floppunism [BOI, ID] 4/6/2023 1:26 AM
nice!
1:27 AM
have fun?
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rathernot123 4/6/2023 1:27 AM
Fuck yea didn’t really do much though
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1:27 AM
Had Als chance car most calls
1:28 AM
Did get to walk on side of highway though (minor Mva no one hurt )
1:28 AM
Also did a lot of paperwork
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LessthanLoneWolf 4/6/2023 4:55 AM
Enjoy the nights when there’s not much to do; that won’t last
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rathernot123
Also did a lot of paperwork
The worst part of calls. 🥲 (edited)
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rathernot123 4/6/2023 10:19 PM
As long as it doesn’t build up
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I think the longest I’ve seen a run go uncompleted was two months because everyone kept arguing about whose report it was to write. 🙃 (edited)
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rathernot123 4/6/2023 10:46 PM
Lol
10:46 PM
Me as the third rider documented everything lol
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Neon
I think the longest I’ve seen a run go uncompleted was two months because everyone kept arguing about whose report it was to write. 🙃 (edited)
floppunism [BOI, ID] 4/6/2023 10:49 PM
it'd be the person who doesn't drive, no?
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Little different where I work, the senior member tends to do it.
10:52 PM
The biggest reason for the argument was because it started on one shift and ended on the other.
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floppunism [BOI, ID] 4/6/2023 10:53 PM
ah
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floppunism [BOI, ID] 4/13/2023 12:07 AM
I’m planning on applying for my FD when they open applications in June, and I’ve been told that ride alongs are a great way to get to know people beforehand and get my name out there. Should I do it with one of the stations with a battalion chief, or does it not really matter?
12:09 AM
@NotAGoodUltrarunner @hucklebearer sorry for the ping, just thought y’all would have insight
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floppunism [BOI, ID]
I’m planning on applying for my FD when they open applications in June, and I’ve been told that ride alongs are a great way to get to know people beforehand and get my name out there. Should I do it with one of the stations with a battalion chief, or does it not really matter?
hucklebearer 4/13/2023 8:38 AM
It wouldn't hurt. Being around and having a bit of rapport with the department can go a long way in a competitive application process. You'll definitely get more info out of a Batt. Chief. If they have a volunteer program that's the best way to get your foot in.
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Raps [PDX,OR] 4/13/2023 9:53 AM
Free online STB classes for stop the bleed month. https://stopthebleedmonth.com/
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Just use duct tape
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AIF Cuirassier regiment 4/13/2023 4:18 PM
Just use ice
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That won't stop the bleeding
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AIF Cuirassier regiment 4/13/2023 7:27 PM
school nurse joke
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I understood it
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knuckles
Just use duct tape
Raps [PDX,OR] 4/13/2023 11:10 PM
You're not entirely wrong there.
11:11 PM
I teach IFAK primers for my local SRA chapter and one of the first things I tell folks is to ditch the medical tape and replace it with 1" duct tape.
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Raps [PDX,OR]
I teach IFAK primers for my local SRA chapter and one of the first things I tell folks is to ditch the medical tape and replace it with 1" duct tape.
Ha! I heard this too many moons ago but I get lol'd at for having rolls in everything.
3:01 PM
Sweet duct tapey justice
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beheadedbats 4/14/2023 6:09 PM
For you medics or EMTs out there, what's it like working in the field? I'm new and I was told this is the place to go.
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rathernot123 4/14/2023 6:17 PM
I enjoy it I’m still in third ride phase so. The first 911 I did was an adrenaline dump but it’s calmed down and is very in the groove feeling. IFT are just a lot of paperwork and lifting.
6:17 PM
@beheadedbats
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beheadedbats 4/14/2023 6:20 PM
Damn, that sounds pretty crazy (except for the paperwork)
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beheadedbats
For you medics or EMTs out there, what's it like working in the field? I'm new and I was told this is the place to go.
floppunism [BOI, ID] 4/14/2023 6:31 PM
fun and fulfilling for me, at least. It seriously depends on where you work. There are some places that give you 15 year-old ambulances with broken flashers and bullet holes in the side with equally old equipment, then there’s companies like mine that pamper you and give you brand new stuff that makes the job way easier.
6:31 PM
The only downside is that the cost for all that new stuff is certainly reflected in your paycheck
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beheadedbats 4/14/2023 6:32 PM
ah makes sense
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Raps [PDX,OR]
I teach IFAK primers for my local SRA chapter and one of the first things I tell folks is to ditch the medical tape and replace it with 1" duct tape.
What IFACs have medical tape in it? That’s never been a standard item I’ve seen in a kit, unless you’re using it as a cheeper alternative to occlusive dressings?
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floppunism [BOI, ID]
I’m planning on applying for my FD when they open applications in June, and I’ve been told that ride alongs are a great way to get to know people beforehand and get my name out there. Should I do it with one of the stations with a battalion chief, or does it not really matter?
Really depends on the hiring process of that department, battalion chiefs usually know the hiring guy fairly well though.
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Neon
What IFACs have medical tape in it? That’s never been a standard item I’ve seen in a kit, unless you’re using it as a cheeper alternative to occlusive dressings?
Raps [PDX,OR] 4/14/2023 7:26 PM
It's relatively new for IFAKs to come with flat fold tape. If you do a quick Google for IFAK Contents you'll still see kits sold with medical tape.
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I see, it would be pretty useful, but I keep items like that more in my secondary treatment kit. I usually make my IFAKs myself, but I tend to mirror TCCC kits which tend to be focused on MARCH.
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Raps [PDX,OR] 4/14/2023 7:54 PM
Army issued IFAKs still come with medical tape, my dude.
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Not in the new JFAKs, at least not in the primary trauma module. Although I’ll go double check that real quick, might be misremembering it.
8:00 PM
I guess it does, my bad!
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floppunism [BOI, ID] 4/14/2023 8:01 PM
liberals destroyed by ronalda mcdonald
😆 1
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Though, the name they labeled it with was a little silly, Combat Medic Reinforcement Tape
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OK, I was wondering why I don’t remember med tape being included in the kits, and it’s because I was thinking of the CLS (Combat Life-Saver) bag, which is the more focused one.
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Neon
Though, the name they labeled it with was a little silly, Combat Medic Reinforcement Tape
Raps [PDX,OR] 4/14/2023 8:26 PM
That's because DODmil contracts require the smallest of innovation. (edited)
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While, I don’t doubt that the military industrial complex benefits from any changes, I’m not sure that this specific one is due to that. This is also consistent with the broader trends for mass casualty events that you can see reflected in other documents, such as NFPA 3000 and newer EMS concepts such as Rescue Task Forces.
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joe hill’s revenge 4/15/2023 4:52 PM
Can any of our organizations fantastic medical team attend tomorrows general meeting? Date: Sunday 4/16 When: 9 AM PST/12 PM EST (noon) Where: Meeting Room voice chat channel Topics: mutual aid (I got a list of people who seem to have connections, and we can probably put together a network), marketing, networking (National Lawyers Guild?) (edited) Message #graphic-designers
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@joe hill’s revenge Are you thinking of a specific group or are you are just looking for anybody with medical training in this channel?
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joe hill’s revenge 4/15/2023 9:12 PM
Anyone in the channel with training
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rathernot123 4/16/2023 5:18 PM
Did you get someone @joe hill’s revenge
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joe hill’s revenge 4/16/2023 5:52 PM
No but we meet twice a week
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@joe hill’s revenge I joined in for a bit but I got disconnected early on due to a power/internet outage. 🙃
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joe hill’s revenge
No but we meet twice a week
rathernot123 4/17/2023 6:25 PM
I can see if I can help over text now if not try to attend next ones
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Tidweezy#88 4/22/2023 3:46 PM
I am a certified combat life saver and a safety engineer. How can I help?
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floppunism [BOI, ID] 4/22/2023 4:07 PM
welcome! a lot of us are EMTs and paramedics too
👍 1
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floppunism [BOI, ID] 4/23/2023 4:57 PM
can you take an automatic blood pressure over a sleeve? i keep looking it up and every article contradicts the last one i read
4:58 PM
NIH studies say zero difference, AHA says huge difference, etc (edited)
5:00 PM
also, what do y'all do to memorize your protocols?
5:00 PM
i'm not gonna be properly working for another month so i can't really learn from other guys
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rathernot123 4/23/2023 9:55 PM
So kind of from what I have seen it’s just been what you have been doing lol
9:56 PM
I’m fairly new though
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Practice everywhere I’ve been has always been just to move sleeves, because why not?
12:41 AM
As for memorizing your protocols? Well, that really depends on what your preferred study method is.
12:42 AM
I find practice exams help, making them specifically. When I’m done, I almost always submit them to one of my old training officers so that he can use them to improve our training program for others.
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floppunism [BOI, ID] 4/24/2023 8:42 AM
Last night a psych patient stole one of our ambulances
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JohnMcCainsTumor 4/24/2023 9:09 AM
Man I don’t miss psych calls at all. If they aren’t combative or trying to flee, they’re covered in urine and trying to wrassle ya
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rathernot123 4/26/2023 1:21 PM
👍 1
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floppunism [BOI, ID] 4/26/2023 10:08 PM
anarchist fire department:
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AIF Cuirassier regiment 4/26/2023 11:24 PM
why the hell do you need a gun
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AIF Cuirassier regiment
why the hell do you need a gun
LessthanLoneWolf 4/27/2023 3:14 AM
They are fire FIGHTERS after all
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Unu51, Syndicalizer of Anarchy 4/27/2023 3:20 AM
Some you gotta put down some fire while putting it out.
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rathernot123 4/27/2023 11:03 AM
Fire demons
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Out in the sticks you might run into bears or other nasty critters, I could see the use.
11:35 AM
I trust a firefighter with lethal force more than a cop or national military forces.
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joe hill’s revenge 4/27/2023 12:18 PM
Public Meeting Date: Sunday 4/30 When: 9 AM PST/12 PM EST (noon) Where: Meeting Room voice chat channel Topics: TBA
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floppunism [BOI, ID]
anarchist fire department:
How to give the Assistant Chiefs, Health & Safety Officer, and Public Information Officer all strokes.
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Emily
I trust a firefighter with lethal force more than a cop or national military forces.
Ahhhh… I don’t know about that one personally. I love firefighters, but some of them are real tools.
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Also, why not just call animal control at that point?
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I'm thinking like up North, animal control might be 30 minutes or more away, and that bear is screwing with you right now.
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Fair point! Although I think that it’s just a firefighter playing around, I’m positive that sledge is actually supposed to be in that slot.
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Fair enough.
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floppunism [BOI, ID] 4/28/2023 7:15 PM
ahhh i love watching live rescue just for fun and for practice of what i’d do and then get hit with the fucking sucker punch of “pt was shot because her mugger realized she was trans”
😥 3
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floppunism [BOI, ID]
ahhh i love watching live rescue just for fun and for practice of what i’d do and then get hit with the fucking sucker punch of “pt was shot because her mugger realized she was trans”
This is why I carry.
👆 2
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Hey all. Just wanted to introduce myself. I was a firefighter/paramedic in DC for 14 years. During the pandemic I got to experience a lot of fucked up talk from coworkers during the unrest and I can attest @Neon , there are plenty of bootlicking firefighters. Legit though, an AR on a wagon would be better served than in an cop cruiser. There was a joint training for the RTF stuff and not only did MPD shoot one another on accident, but the same cop dropped their mag because they couldn't find their safety twice.
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6NEXUS6
Hey all. Just wanted to introduce myself. I was a firefighter/paramedic in DC for 14 years. During the pandemic I got to experience a lot of fucked up talk from coworkers during the unrest and I can attest @Neon , there are plenty of bootlicking firefighters. Legit though, an AR on a wagon would be better served than in an cop cruiser. There was a joint training for the RTF stuff and not only did MPD shoot one another on accident, but the same cop dropped their mag because they couldn't find their safety twice.
floppunism [BOI, ID] 5/1/2023 11:13 PM
fucking incredible. Glad to meet you! EMT here and prospective FF currently.
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rathernot123 5/2/2023 11:58 AM
There are a lot of EMTs
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Just curious, is anyone here able to give advice on what might be a good career path if I wanted to get into nursing/EMT work? I've been starting to feel really disheartened with IT work again recently.
2:28 PM
My only concern at the moment is that this is a good career for me to have consistent hours and a fairly good pay rate, and it's not too tough of work.
2:28 PM
I know the work would be harder, but I would want to be able to support myself decently enough.
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rathernot123 5/2/2023 2:39 PM
Would depend wildly on where you are. But first step would be to look up emt courses and get your basic. From there you can go on to get paramedic or nursing. Emt generally don’t get paid the best but it varies. Another rout you could try is fire fighting they get decent pay. I only know about Oregon and Massachusetts systems though and only then the good pay and contracts comes with a union. (edited)
2:39 PM
@Emily
2:42 PM
If any questions I can try to help you out
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Emily
My only concern at the moment is that this is a good career for me to have consistent hours and a fairly good pay rate, and it's not too tough of work.
floppunism [BOI, ID] 5/2/2023 2:44 PM
You’ll almost certainly be taking a pay cut. There are countless paramedic to nurse bridge programs since they’re somewhat similar in scope and paramedics get paid a good bit better than EMTs, but EMT school is also so short that if you’re seriously interested I’d recommend doing it just to try it out.
2:44 PM
Maybe see if your local fire department offers ride-alongs
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rathernot123 5/10/2023 10:19 AM
I’m getting a permanent shift today !!!!!!!!
🔥 3
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Hey friends. I took a stop the bleed class a lil while ago, what things should I do next? Already got a few supplies to carry around and whatnot. Tornqiuet and gauze and such.
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rathernot123 5/10/2023 7:49 PM
my suggestion stop the bleed, cpr, and maybe a narcan class. as for what i carry i have a premade pack that i like and use
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7:49 PM
@Zannheim
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Roger that. Thanks for the input. Been meanin' to get CPR done.
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rathernot123 5/10/2023 8:59 PM
want the kit that i use for stop the bleed things ?
8:59 PM
@Zannheim
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Oh please! Always wanna see what people are doin'. 🙂
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rathernot123 5/10/2023 9:08 PM
im not able to find it
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floppunism [BOI, ID]
can you take an automatic blood pressure over a sleeve? i keep looking it up and every article contradicts the last one i read
I don't trust the auto BP machines at all regardless. I routinely see that either A: I'm not alive, or B: I'm in the middle of a stroke from the Auto machines, whereas every nurse/PA/Doctor who has done it manually has read my BP as basically normal.
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floppunism [BOI, ID] 5/10/2023 10:25 PM
Fair, if the reading matches with the patient's general presentation I won't second-guess it usually but in critical patients I'd check occasionally with a manual anyways
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rathernot123 5/11/2023 3:09 PM
Would anyone be interested in a medic meeting ?
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rathernot123 5/11/2023 4:51 PM
It would kind of depend on who shows up if me and a few others throw together a medic 101 or just skill exchange
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A medic 101 handout would be pretty useful to people
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So I had a thought. I took a "stop the bleed" class. Was wondering if there was anything extra I should be aware of in case of gunshot wounds in particular. Besides like "be mindful of entry and potentially exit" would be the thing I thought of off the top of my head.
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Zannheim
So I had a thought. I took a "stop the bleed" class. Was wondering if there was anything extra I should be aware of in case of gunshot wounds in particular. Besides like "be mindful of entry and potentially exit" would be the thing I thought of off the top of my head.
floppunism [BOI, ID] 5/14/2023 1:14 AM
is there anything specific you're curious about? I honestly can't think of general advice off the top of my head.
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Zannheim
So I had a thought. I took a "stop the bleed" class. Was wondering if there was anything extra I should be aware of in case of gunshot wounds in particular. Besides like "be mindful of entry and potentially exit" would be the thing I thought of off the top of my head.
rathernot123 5/14/2023 2:18 AM
Probably just where the bullet is cause it can make a big difference in what you do
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This is a extremely underrated piece of advice, most people don’t know this, but you really shouldn’t put hemostatic agent into a wound in the abdominal cavity. The ideal location for it is severe bleeding on the junctions of a patient’s extremities where normal tourniquets can’t reach. Junctional tourniquets could be used, but that’s really more of a paramedic thing in my experience.
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Zannheim
So I had a thought. I took a "stop the bleed" class. Was wondering if there was anything extra I should be aware of in case of gunshot wounds in particular. Besides like "be mindful of entry and potentially exit" would be the thing I thought of off the top of my head.
Although I think the best way to answer your question is to start with this, what do you recall? While most stop-the-bleed courses cover general practice, it’s hard to give specific advice without knowing what your take aways were on account of variances between instructor experience and proficiency. To be more specific, veteran instructors tend to go more in depth, while newer instructors tend to just stick to the base curriculum.
9:56 PM
Although for general advice, I would say this, always keep in mind what the mechanism of injury (or problem) is and treat the symptoms in accordance with your level of training.
9:58 PM
And additionally, train at least once or twice a year. It’s been repeatedly shown that proficiency in medical training can degrade in as little as six months.
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Neon
Although I think the best way to answer your question is to start with this, what do you recall? While most stop-the-bleed courses cover general practice, it’s hard to give specific advice without knowing what your take aways were on account of variances between instructor experience and proficiency. To be more specific, veteran instructors tend to go more in depth, while newer instructors tend to just stick to the base curriculum.
Let's see...A life-threatening wound (For my purposes of just some person with minimal knowledge/training) would be one that is pooling blood, large amounts, or heavy flow. These are life-threatening. If you see it follow the ABC (alert 911/bleed/control but my instructor had said you should control first before calling if it's just you). Make sure you and then thee person injured are in a safe place (Re: Out of the road, away from a gunman etc) first before trying to help, your safety is first priority. As far as actual bleeding control: there's pressure, packing, and tq. Apply as much pressure as possible and wrap in gauze. If the bleeding doesn't stop you can pack the wound and then apply bandage. For extremities you can use a tourniquet, if you don't have one you can improvize but it has to be at least an inch and a half in with? 2? leave it on, you can leave it on for I think 4 hours and it's fine? Place it a couple inches above the wound, don't place it on joints. If bleeding doesn't stop then you can use 2, but stack them with as little space as you can. I kinda forget the overview of the specific kinds of tourniquets.
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Solid foundation! All of that is good. I’m glad I asked because there are a couple things you add to your skill set that can improve your ability to help the patient. (edited)
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Please! I always want to improve.
11:02 PM
Appreciate it btw
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Firstly, know when to skip the earlier bleeding control methods and go straight to a tourniquet. When a patient has massive, uncontrollable, bleeding do not play around. Apply a tourniquet immediately (edited)
11:03 PM
A clear example would be a missing limb.
11:03 PM
Or a partial amputation.
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That was something I was gonna ask my instructor but didn't think about it like. If it's an applicable place to place a tourniquet why bother with the other stuff was my thought (edited)
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Your intuition was absolutely right!
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11:06 PM
Second tip, if you’re in a situation where you’re in significant danger and don’t have time to check where the wound stops on a patient limb but you know there is severe bleeding, put it as high on the extremity as possible.
11:06 PM
This is called a “care under fire” situation. (edited)
11:07 PM
It’s another one of those tips were you accelerate the care to improve the patient outcome.
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Got it. I'll keep it in mind
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Incidentally, instead of placing a second tourniquet (if needed) 2 to 4 inches above the first you’ll now place at 2 to 4 inches below using this method.
11:09 PM
An additional thing they made not have told you, your patient will absolutely be screaming in pain if you’re doing this correctly. You are trying to completely stop all flow of blood, it will hurt like hell. (edited)
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Yeah they told me, I forgot to mention it. "It'll hurt more than the wound itself"
11:10 PM
so reassure them and shit. (edited)
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Yep! It’s something that a lot of the folks I train overlook. (edited)
11:11 PM
When they talk to you though about improving a tourniquet, what was the technique they taught you?
11:13 PM
You mentioned, ensuring that the item is at least inch and a half? That’s good, thin items (like paracord or rope) will cut into the patient and not get the results you need.
11:14 PM
But another thing that’s important is the way you tie the on the strip onto the patient.
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Neon
When they talk to you though about improving a tourniquet, what was the technique they taught you?
I remember about staging it beforehand to minimize time and fine motor skills going out the window. But improving itself? Nothing unless I'm misunderstanding.
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Okay, let me see if I can find a video real quick, it requires some different technique from commercial tourniquets. (edited)
11:22 PM
A key thing is to remember that half knot! I’ve practiced it on bleeding mannikins before and you get worse results without that step.
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I'll give it a watch. Thanks.
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I notice you also mentioned as little space as possible, should be placed between tourniquets if needed. Did your instructor give a rationale for that one? It runs contradictory to the training I’ve given and received over the years. (edited)
11:25 PM
By comparison, I’ve been trained about 2 inches between tourniquets. (If needed) (edited)
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Neon
I notice you also mentioned as little space as possible, should be placed between tourniquets if needed. Did your instructor give a rationale for that one? It runs contradictory to the training I’ve given and received over the years. (edited)
I had it backwards yeah. It was a couple inches between too.
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Ah, no worries then 👍
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If there's a little bit of space it causes...I don't remember what but nothin good. A pinch essentially?
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I’m not as familiar with the why, but I can double check some literature I was looking at the other day to see if I can find an answer for you. But if somebody else knows, I’m sure they’ll let you know too!
11:34 PM
Last general advice I can think of for the moment is to ensure that your tourniquets are quickly accessible on a kit and consider buying tourniquets with Hi-Vis colors, as it will minimize the risk you misplace it if you put it down somewhere while rendering care. (This is something that has been documented occurring to first responders during mass shootings) (edited)
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Hadn't even thought of that. Alight.
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If you have any other questions, feel free to ask anyone here! Everyone, no matter how experienced, can overlook something and multiple perspectives reduces that chance and you just might learn some new techniques!
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🙂 Thank you so much for taking the time to help.
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Zannheim
Yeah they told me, I forgot to mention it. "It'll hurt more than the wound itself"
floppunism [BOI, ID] 5/16/2023 12:56 AM
My instructor actually applied a TQ on me at effective tightness and it fucking HURT
12:56 AM
That was a huge test of pain tolerance for me
12:56 AM
He only kept it on there for like 5 seconds but holy shit I won’t forget that pain
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Neon
I notice you also mentioned as little space as possible, should be placed between tourniquets if needed. Did your instructor give a rationale for that one? It runs contradictory to the training I’ve given and received over the years. (edited)
floppunism [BOI, ID] 5/16/2023 12:57 AM
I was told that because it could cause compartment syndrome.
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Yes that! I was struggling to remember
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floppunism [BOI, ID]
My instructor actually applied a TQ on me at effective tightness and it fucking HURT
Damn dude, did you ask for that? I hesitate to even let my guys use NPAs on each other, kudos to you though for being willing to experience that! (edited)
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floppunism [BOI, ID]
I was told that because it could cause compartment syndrome.
I knew that using tourniquets effectively caused that, but I didn’t know that spacing also exacerbated it, good to know.
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Neon
OK this video explains it pretty well. https://youtu.be/de5g1OqLlJo
MairinGoBragh 5/16/2023 2:44 AM
Yup. But a purpose built item that is CoTCCC recommended is always better, and relatively cheap.
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2:45 AM
Hi, I'm a Stop the Bleed instructor.
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Neon
Damn dude, did you ask for that? I hesitate to even let my guys use NPAs on each other, kudos to you though for being willing to experience that! (edited)
MairinGoBragh 5/16/2023 2:46 AM
shudder NPAs feel weird, man, and that's when they don't hurt because the one size everyone has is too big. (edited)
2:49 AM
I think I'd rather be used for IV catheter practice. And I have weird vasovagal reactions to needles.
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Main reason I don’t like letting my guys do it is because they always forget about the “pig snout” and straight back step I tell them. And I’d rather them do that on the dummy then on someone’s poor sinus cavity.
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floppunism [BOI, ID]
He only kept it on there for like 5 seconds but holy shit I won’t forget that pain
MairinGoBragh 5/16/2023 2:50 AM
Yeah, but it's probably not as bad as the pain that causes its need.
2:52 AM
I carry two CATs in a pouch on my duty belt, one in my vehicle, and one in my backpack.
2:52 AM
Each is a fully stocked blowout kit.
2:52 AM
The one on my belt just has two TQs
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rathernot123 5/18/2023 3:01 PM
Idk if I mentioned this but my company has storm trucks now 6 hours or 3 or 8 hours or 4 calls but you get payed entire time
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I’m not familiar with that term, is that just when they call a crew in for severe weather standby?
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rathernot123 5/21/2023 2:19 PM
No generally when it’s a lot of transport calls
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Unu51, Syndicalizer of Anarchy 5/31/2023 5:37 PM
https://barotraumagame.com/wiki/Syringe_Gun Dumb question, how useful would this be if it existed irl?
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I wondered that too. I'd come to the conclusion of "not really" 😦 IF it worked like it did in games (IE: A dose of somehing was just..fine for everyone, and you jus had to stick it somewhere) that'd be amazing (I think?) but alas.
9:43 PM
I had a thought-question too actually. Could shields and litters serve dual purposes? Say you have a shield wall and 3 people peace out to help get an injured person to safety or something. If you designed the shields a particular way? etc
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Probably yes. If you put handles on the side of a shield and weight test it, maybe it could work.
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Generally speaking, dual-purpose items tend to do neither one of their purposes well. At least that’s been my experience. Specialization usually wins out with medical gear. Also, there’s no reason why you can’t just carry a shield and a quick litter if you really need something to carry a person on. (edited)
12:41 AM
12:42 AM
Of course, there’s nothing saying you couldn’t use a shield as an improvised litter. But personally I’d rather have a shield that works really well as a shield, and just have a soft litter in my pocket. (edited)
12:45 AM
But also, if you’re working as a dedicated Street Medic, you really shouldn’t be part of a shield wall (or participate in confrontational action). That’s general best practice for street medicine as I’ve heard it from other Street Medics. (edited)
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Unu51, Syndicalizer of Anarchy
https://barotraumagame.com/wiki/Syringe_Gun Dumb question, how useful would this be if it existed irl?
I’m shuttering at the thought of anybody attempting to deliver any type of intravenous anything at range.
12:57 AM
So if you don’t know, medicine is delivered to the body via syringe through two common methods. The first one is through intercrural muscle, you’re probably familiar with this method as it’s how most vaccines are administered. It’s also how you would deliver an EpiPen or nerve agent antidote. The second common method is Intravenous, you’ll have seen this method if you’ve ever donated blood. It’s also commonly used to deliver rehydration fluid, blood, and pain medicine. It requires very precise movement, and you’re definitely not gonna be able to effectively shoot someone’s vein at a distance. (edited)
12:59 AM
So that only leaves intercrural muscle, and even then, there’s really only three spots with thick enough muscle that I’m aware of that you can deliver via that method. Upper arm, buttocks, and outer thigh. (edited)
1:00 AM
Typically the buttocks and outer thigh are used, I’ve really only ever seen the arm used for vaccines.
1:01 AM
But another issue (probably the biggest one in my opinion) is that you shouldn’t really just start shooting medicine into people before you had a chance to assess what the heck’s wrong with them. (edited)
1:01 AM
And for that you’ll need to put hands on the patient. (edited)
1:08 AM
Oh, I just realized I didn’t actually answer your question. In short, I don’t think it would be very useful.
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Neon
But also, if you’re working as a dedicated Street Medic, you really shouldn’t be part of a shield wall (or participate in confrontational action). That’s general best practice for street medicine as I’ve heard it from other Street Medics. (edited)
Totally fair points really! Thanks for all the input.
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floppunism [BOI, ID] 6/5/2023 1:07 AM
Relatives heard I’m an EMT, so they got me a whole volly go-bag for my graduation party 💀
1:07 AM
i’ll probably only ever use the mosquito stuff lmao
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floppunism [BOI, ID]
Relatives heard I’m an EMT, so they got me a whole volly go-bag for my graduation party 💀
That’s a pretty thoughtful gift! But yeah, even in my nice kit, the only thing that ever really got used were cold packs and oral rehydration salts. Lol
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floppunism [BOI, ID] 6/5/2023 6:36 PM
Yeah! It’s nice to have at least
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Does anyone know of any resources to learn advanced first aid? I know red cross has basic first aid+cpr cert but I'm looking for something a little more advanced.
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birdman
Does anyone know of any resources to learn advanced first aid? I know red cross has basic first aid+cpr cert but I'm looking for something a little more advanced.
Braakinthesaddle 6/23/2023 10:14 PM
When I was in the AZ National Guard, we spent a week of annual training completing a WAFA cert course from Wilderness Medical Training Center. Might be a place to start looking.
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Braakinthesaddle
When I was in the AZ National Guard, we spent a week of annual training completing a WAFA cert course from Wilderness Medical Training Center. Might be a place to start looking.
Thanks, friend.
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Stolas_of_the_Stars 6/24/2023 10:11 PM
Look into stop the bleed training if you haven't. You learn how to use some of the new first aid tech and it specificaly works with ballistic and puncture wounds.
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birdman
Does anyone know of any resources to learn advanced first aid? I know red cross has basic first aid+cpr cert but I'm looking for something a little more advanced.
While the price may be a bit of a barrier. You can also look into formal training as an Emergency Medical Responder. (edited)
10:23 PM
It requires much less of a time commitment and cost barrier than an Emergency Medical Technician, but you can still earn national registry at the end if you want. (NR-EMR) (edited)
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10:24 PM
It will also have a large overlap with the skills you’ve already developed through Red Cross First Aid & CPR/AED.
10:24 PM
If you’ve gotten that already.
10:28 PM
In terms of accessibility, Stop the Bleed will probably be the easiest.
10:28 PM
Many places will teach it for free. You can use this resource to find a local class. https://cms.bleedingcontrol.org/class/search
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Neon
Many places will teach it for free. You can use this resource to find a local class. https://cms.bleedingcontrol.org/class/search
Thanks, Neon.
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Stolas_of_the_Stars
Look into stop the bleed training if you haven't. You learn how to use some of the new first aid tech and it specificaly works with ballistic and puncture wounds.
Thank you
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Neon
While the price may be a bit of a barrier. You can also look into formal training as an Emergency Medical Responder. (edited)
I might actually be into that.
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Emily
I might actually be into that.
Stolas_of_the_Stars 6/27/2023 5:17 PM
Been thinking about upping my first aid game, myself too. I do stop the bleed every year as a requirement for teaching but it is good to always take it to next level if possible.
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Medic question: My wife just had wrist surgery and accidentally got her dressing wet. It was a firm support, which looks like it was plaster or something, and it's fine. I have additional outer wrap, but I cannot figure out what kind of soft, cotton wrap was between her skin and the outer wrap. (edited)
9:53 PM
If anyone has any suggestions on what I should use, I would appreciate it.
9:54 PM
She was in the bath and her hand got splashed, and she said she felt it absorb into all the cottony dressing immediately. We removed everything but the actual covering for the incision itself, which looks like a kind of water resistant, clear, adhesive tape of some kind.
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Eightman
She was in the bath and her hand got splashed, and she said she felt it absorb into all the cottony dressing immediately. We removed everything but the actual covering for the incision itself, which looks like a kind of water resistant, clear, adhesive tape of some kind.
Braakinthesaddle 6/28/2023 12:37 PM
How recent was the surgery? Sorry if you already got an answer, I just saw this.
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We took care of it. She wanted cast packing, but it's not really available. We made it with with gause pads and wraps.
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str8 up demon 7/18/2023 4:56 PM
ill be taking EMT certs next year for mutual aid benefits based out of minnesota (edited)
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4:00 PM
4:00 PM
the 2nd one is more preffered
4:00 PM
as its more in depth
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Time for something a little more lighthearted. https://youtu.be/wVS-CSDjHTc
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Lucy Cordelia 8/18/2023 2:07 PM
Putting together a Stop the Bleed kit - Celox or QuikClot?
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Both meet TCCC recommendations, you can pick either one safely. Personally, I’ve always gone with Quickclot but that’s because it’s what I’m used to.
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Lucy Cordelia 8/19/2023 2:32 AM
Tyty, that's what I was leaning toward. I can get more yards for cheaper, but I didn't want "cheaper" to mean "more dead."
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Lucy Cordelia 8/19/2023 11:25 PM
In the Stop The Bleed class I went to, they said if your kit has a vented chest seal don't even try just toss it. Any ideas why?
11:25 PM
Like, I'm sure you could fuck it up and make it worse, but worse than dead from the initial injury?
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I’ll double check my notes, but to the best of my recollection, I believe it may have do with the fact that certain items of equipment require formal medic training to be used properly and will do patient harm when improperly used. Or alternatively, new information may show that patient outcomes are improved without vented chest seals. (edited)
1:45 AM
It is important to vent out a tension pneumothorax, but that’s primarily accomplished through a decompression needle.
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Lucy Cordelia
In the Stop The Bleed class I went to, they said if your kit has a vented chest seal don't even try just toss it. Any ideas why?
Also, just to clarify, what did they have in mind when they said vented chest seal?
1:55 AM
Were they talking about one’s like this?
1:56 AM
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Lucy Cordelia 8/20/2023 1:56 AM
Ye, I think that's it.
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Well, if that’s the one they were talking about, I have no idea where they’re coming from on that.
1:58 AM
That’s absolutely a must have in a kit, and I have no idea why they would say that.
1:59 AM
I’ve taught this curriculum for a very long time now, and I have no idea why an instructor would say that unless they misunderstood something. I’m still double checking my literature though, so give me a bit to actually verify for sure.
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Lucy Cordelia 8/20/2023 2:00 AM
For sure, I really appreciate it. I've asked like 3 other places and crickets.
2:00 AM
They didn't show us so I haven't thought to get one yet.
2:00 AM
And maybe it was just that instructor, idk?
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Okay, so I’ve gone through my literature and they are just wrong. I have no idea why they would say that. In the event a patient is suffering from a penetrating chest wound, application of a vented chest seal will alleviate, delay, or prevent onset of tension pneumothorax. It’s an absolutely critical life-saving item. (edited)
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2:07 AM
The one important caveat is to ensure that you have the proper medical equipment and that it isn’t a counterfeit.
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Lucy Cordelia
And maybe it was just that instructor, idk?
Where did you go to for your training incidentally?
2:20 AM
Just to clarify how taken aback by that I am, if I were their evaluator, I would consider decertifying them and have them re-accomplish their trainer certification. (edited)
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Lucy Cordelia 8/20/2023 2:20 AM
DM
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IFAKFUND (@IFAKFUND on twitter) ($IFAKFUND on cashapp) gives out, and requests for aid for, IFAKS for people. They given out hundreds, for both an individual use and an organization use. Tweets are people saying they got some, and it was shared by people I trust too so it seems legit. https://twitter.com/IFAKFUND/status/1495918374043496457
We are providing this kit from North American Rescue. It is not perfect but it is a good amount of things for a good price! You can always add to it! And we know it’s not “aesthetic” use black spray paint! And yes, we also know we could pack these ourself but we don’t have time!
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Alright medics: What do you use to wash out eyes at a protest? Water, shelf stable milk, soap? I've always been told enthusiastically that water is the best, but want to know if there's other answers out there.
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Frequently been told by people: milk bad, to use a saline solution instead. (Or y'know prevention better)
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Honestly? It really is water, copious amounts of water. There’s a reason why it’s the main go to for both gross and technical HazMat Decon.
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