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Old 11-16-2012, 17:55   #1
DGreno
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Thread for things learned in the field

So in light of the recent thread on how this forum has been slow, I figured I would try to start a good discussion thread.

What are some things fire and EMS related you have learned in the field that you didn't (or can't be) prepared for in a classroom?

Ill add a few when I get home.
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Old 11-16-2012, 18:52   #2
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One of the tricks I've learned with our lifepak 12s is doing six leads on patients. For those non-cardiac calls where you get a feeling might be cardiac you can use the regular four leads, press 12 lead, over-ride it. Wait a few seconds and you get the first six leads printed up. Then go from there.

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Old 11-16-2012, 19:30   #3
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I like the 6 lead trick. Good to know.

I found out that a few 14g holes punched in the top of a sterile water or salene make a great irrigation system for "patients" that have been OC sprayed.

I put together a length of stretcher strap with a male buckle on one end and a female on the other designed to extend the main straps for large patients. Works great.

1' tape around the head multiple times will hold a CPAP on effectively. Don't ask.

I learned that a placenta does not fit in the placenta bag from the OB kit. I also learned that there is no easy way to put a placenta in a bag.

More to follow as I think of them.
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Old 11-20-2012, 06:41   #4
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Wait until you pull into the hospital before you give Narcan.
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Old 11-20-2012, 06:48   #5
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Quote:
Originally Posted by DGreno View Post
I like the 6 lead trick. Good to know.

I found out that a few 14g holes punched in the top of a sterile water or salene make a great irrigation system for "patients" that have been OC sprayed.

I put together a length of stretcher strap with a male buckle on one end and a female on the other designed to extend the main straps for large patients. Works great.

1' tape around the head multiple times will hold a CPAP on effectively. Don't ask.

I learned that a placenta does not fit in the placenta bag from the OB kit. I also learned that there is no easy way to put a placenta in a bag.

More to follow as I think of them.
Absolutely agree on the placenta!

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Old 11-20-2012, 06:50   #6
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Also, duct tape is your friend.
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Old 11-20-2012, 12:07   #7
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Make sure the nozzle on the 2 1/2 inch line is in the OFF position before the pumper gives you water....

Last edited by Tvov; 11-20-2012 at 12:07..
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Old 11-20-2012, 16:10   #8
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<--- just a lowly student. here's what I've learned on ride alongs:

If somebody says their pain is 20 out of 10, ask them out of 100. They'll say 40.

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Old 11-21-2012, 07:24   #9
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I love asking newbies how to put a person with double AKAs in the trendelenburg position.
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Old 11-21-2012, 18:53   #10
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Use extra help when you lift a patient.

SEAT BELTS!

Never throw wheel chocks if you respond to burn complaints.

Step off the engine and out of the back of the medic unit. Don't jump.

Back up your co-workers and buddies.

Cops are good friends.

Fatter the patient, the smaller he car/house/room.

For the dog that never bites, there is always a first time.

When you put out a room and contents fire, be sure to go around the corner and put the contents of the closet out. If not, it will make you look silly soon.
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Old 11-21-2012, 18:58   #11
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The sights and sounds might not get to you, but the smells will.

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Old 11-24-2012, 23:21   #12
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Placentae fit nicely in a regular bedpan. From there, a quick "slide" into a biohazard bag.

Use a backboard and a cravat to provide traction on a pediatric femur fracture if you don't have a peds Hare/Sager. Cravat as ankle hitch tied to bottom handle of board. Elevate foot of board slightly, and voila.

SpO2 probe on finger of fractured arm to give reasonably accurate picture of perfusion of injured side.
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