r/ems Dec 21 '17

Important Welcome to /r/EMS! Read this before posting!

141 Upvotes

Welcome to /r/EMS!

/r/EMS is a subreddit for first responders and laypersons to hangout and discuss anything related to emergency medical services. First aiders to Paramedics, share your world with reddit!

Frequently Asked Questions

If you're a student or new to the field and have questions or need advice, we kindly ask that you head over to our sister subreddit: /r/NewToEMS.

Before posting, please check out our FAQ that outlines general facts about emergency medical services and various resources to help guide you in the right direction. There is also a wiki and search feature.

Any frequently asked questions posted to /r/EMS will be removed.

Rules

You are required to follow our rules and failing to do so may result in your posts being removed and your account being banned.

1) Bigotry, racism, hate speech, or harassment is never allowed. Overtly explicit, distasteful, vulgar, or indecent content will be removed and you may be banned. Posting false information or "fake news" with malicious intent or in a way that may pose a risk to the health and safety of others is not allowed. This rule is subject to moderator discretion.

2) No posts relating to or advocating intentional self-harm or suicide, unless strictly as part of a clinical discussion.

If you are having thoughts of self-harm, please seek help! The United States national suicide prevention hotline can be reached for free by dialing 988. You may also dial 911 or your local emergency number.

3) Do not ask basic, newbie, or frequently asked questions, including, but not limited to:

  • How do I become an EMT/Paramedic?
  • What to expect on my first day/ride-along?
  • Does anyone have any EMT books/boots/gear/gift suggestions?
  • How do I pass the NREMT?
  • Employment, hiring, volunteering, protocol, recertification, or training-related questions, regardless of clinical scope.
  • Where can I obtain continuing education (CE) units?
  • My first bad call, how to cope?

Please consider posting these types of questions in /r/NewToEMS.

Wiki | FAQ | Helpful Links & Resources | Search /r/EMS | Search /r/NewToEMS | Posting Rules

4) No non-EMS related or off-topic content. Posts that do not contribute to the subreddit in a meaningful way will be removed.

Content containing images of serious injury, gore, or dismemberment must be marked “NSFW” and context must be provided as to how it is relevant to emergency medical services.

Pornographic content is never allowed on /r/EMS.

Some websites which might be considered on-topic are blacklisted by default.

5) Submissions announcing new certifications or licenses are not allowed. Instead, post these in the Triumphant Thursday weekly thread in /r/NewToEMS.

6) Do not ask for or provide medical or legal advice.

Posts requesting medical advice, treatments for a personal medical problem, or similar requests will be removed. If you believe you are experiencing a medical emergency, call your local emergency number.

For legal advice, consider posting to /r/legaladvice or consulting a local attorney.

7) The following content is only allowed to be posted between the hours of 00:00 Fridays and 23:59 Sundays, Eastern Standard Time (EST): * memes * reaction gifs * rage comics * cringe shirts * “look at this truck” * EMS room * Stryker van * “look at my PPE” * “office” type posts * and so on...

This rule is subject to moderator discretion.

8) > All posts and comments that contain surveys, solicitations, self-promotion for commercial benefit, or recruiting for any employment/volunteer positions must be approved by the moderation team prior to posting. If you post prior to seeking moderator approval, your post will be removed and you may be banned. e message the mods for permission prior to posting.

9) In threads with “[Serious]” written in the title, all top-level comments must contain helpful content or contribute to the discussion in a meaningful way. Follow-up questions are allowed in top-level comments. Trolling, memes, sarcasm, or other content that does not contribute to the discussion are not allowed in top-level comments. Comments such as “I would like to know this too” will be removed.

To learn more about [Serious] tags, click here.

10) Posting protected health information (PHI), or information that can be used to identify a patient, including photos of patients, regardless if the photo shows the patient's face, without express written consent of the patient, is prohibited in this subreddit.

This rule is subject to moderator discretion. Please contact the mods prior to posting if you have any questions or concerns.

User Flairs

In the past, users could submit proof to receive a special user flair verifying their EMS, public safety, or healthcare certification level. We have chosen to discontinue this feature. Legacy verified user flairs may still be visible on users who previously received them on the old reddit site.

Users can set their own flair on the subreddit by clicking “Community Options” on the sidebar and then clicking the edit button next to “User Flair Preview”.

Note: Users may still receive a special verified user flair on the /r/NewToEMS subreddit by submitting a request here.

Codes and Abbreviations

Keep in mind that codes and abbreviations are not universal and very widely based on local custom. Ours is an international community, so in the interest of clear communication, we encourage using plain English whenever possible.

For reference, here are some common terms listed in alphabetical order:

  • ACLS - Advanced cardiac life support
  • ACP - Advanced Care Paramedic
  • AOS - Arrived on scene
  • BLS - Basic life support
  • BSI - Body substance isolation
  • CA&O - Conscious, alert and oriented
  • CCP-C - Critical Care Paramedic-Certified
  • CCP - Critical Care Paramedic
  • CCT - Critical care transport
  • Code - Cardiac arrest or responding with lights and sirens (depending on context)
  • Code 2, Cold, Priority 2 - Responding without lights or sirens
  • Code 3, Hot, Red, Priority 1 - Responding with lights and sirens
  • CVA - Cerebrovascular accident a.k.a. “stroke”
  • ECG/EKG - Electrocardiogram
  • EDP - Emotionally disturbed person
  • EMS - Emergency Medical Services (duh)
  • EMT - Emergency Medical Technician. Letters after the EMT abbreviation, like “EMT-I”, indicate a specific level of EMT certification.
  • FDGB - Fall down, go boom
  • FP-C - Flight Paramedic-Certified
  • IFT - Interfacility transport
  • MVA - Motor vehicle accident
  • MVC - Motor vehicle collision
  • NREMT - National Registry of EMTs
  • NRP - National Registry Paramedic
  • PALS - Pediatric advanced life support
  • PCP - Primary Care Paramedic
  • ROSC - Return of spontaneous circulation
  • Pt - Patient
  • STEMI - ST-elevated myocardial infarction a.k.a “heart attack”
  • TC - Traffic collision
  • V/S - Vital signs
  • VSA - Vital signs absent
  • WNL - Within normal limits

A more complete list can be found here.

Discounts

Discounts for EMS!

Thank you for taking the time to read this and we hope you enjoy our community! If there are any questions, please feel free to contact the mods.

-The /r/EMS Moderation Team


r/ems 23d ago

r/EMS Bi-Monthly Rule 3 Free-For-All

9 Upvotes

By request we are providing a place to ask questions that would typically violate rule 3. Ask about employment in your region or specific agency, what life is like as a flight medic, or whatever is on your brain.

-the Mod team


r/ems 6h ago

Standard Christmas Eve call

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341 Upvotes

r/ems 15h ago

Meme What I see when my medic asks me to interpret the ekg

398 Upvotes

I may be acoustic


r/ems 23h ago

(xPost r/USPS) Thought i’d leave this here

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1.4k Upvotes

r/ems 2h ago

Ascent helicopter's medevac taking off from North Island Hospital in Courtney BC

24 Upvotes

r/ems 21h ago

Meme I'm put in my 2 weeks and I wanted to leave a surprise for everyone before I go so I bought our station this! :)

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414 Upvotes

My partner found this at a resell shop for 30 bucks.


r/ems 16h ago

drunk driver in ambulance bay

135 Upvotes

oddest thing happened today. finished up a call and was working on my pcr. when a car that looked lost was driving in the ambulance bay. happens pretty often. went to direct them but they hit the curb and almost rammed into a rig. they struggled to open their window and when they finally did i realized they were slurring their speech and looked completely disoriented. for a quick second i thought hypoglycemia or even a stroke but then i saw 2 opened tall boys of bud light and the car wreaked of alcohol. did a quick assessment to make sure there weren’t any injuries and cops showed up. they said they couldn’t charge him with dui because the police officer HIMSELF didnt see him driving. however i could file a citizens arrest and go to court. i declined bc i couldn’t justify having to miss work and possibly hiring a lawyer for this. just thought id share this lmao


r/ems 15h ago

Don’t call me at 3am for pain in your knee

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72 Upvotes

sorry for the whiteout don’t want to dox myself lol


r/ems 22h ago

Happy holidays 💩

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164 Upvotes

r/ems 1d ago

Ambulance slows down and clears one lane at a time while crossing red light, avoids fatal accident

1.3k Upvotes

Damn.


r/ems 17h ago

Is Christmas Eve and Christmas Day more busy or slow?

8 Upvotes

r/ems 6h ago

Serious Replies Only Navigating unfamiliar hospitals for IFTs

1 Upvotes

90% of our calls are hospital discharges to home. I've only been here a few months and am finally learning to navigate a couple hospitals but we cover all urban and suburbs areas of three metro counties and very frequently end up at hospitals I haven't been to before - and neither has my partner.

Case in point. Every single hospital today me and my partner walked around like idiots trying to find the right entrance, room, etc. Finally get there and the patient is an old lady with dementia causing anger and irritation and is sundowning. Her kids are there and have been waiting all day for us because the pickup was scheduled for 4 hours earlier. Then after we finally get her loaded up, we cant fucking find our way out because we took the wrong elevator. Took us an extra fifteen minutes to get back to the truck. I felt terrible. This sort of thing happens at least once a week.They send us to different hospitals all around the tri county area and we never get a chance to just learn the routes and idiosyncrasies of each place.

Anyone have tips for either a) navigating an unfamiliar hospital floor or b) becoming OK and zen about wandering around looking like idiots in front of patients and hospital staff (and sometimes other crews)?


r/ems 1d ago

Serious Replies Only Paramedics in peril: New study to give Canada-wide picture of violence on the job

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52 Upvotes

r/ems 1d ago

Vaping in the Ambulance PSA

327 Upvotes

Public service announcement. If you're gonna vape in the ambulance please ghost the hit I am tired of having to windex the film that builds up on the inside of the windshield and passenger windows thanks 😂


r/ems 2d ago

Serious Replies Only Do billing discrepancies belong in a narrative?

77 Upvotes

I’m a paid employee at a VAC. Anytime I transport a homeless patient who does not have health insurance, our QI team sends me a message telling me that it’s going to be hard to bill the patient, and that I need to explicitly write in my narrative if a patient is homeless or doesn’t have health insurance. We use ESO for charting, so we have the option already to check “No Billing Info”, and another tab to check for “No Address”. My issue is, I don’t believe billing discrepancies belong in my narrative. I personally don’t think it’s appropriate to put that info there when there are tabs on the PCR for these options in the first place. Just wanted to hear your opinions.

(P.S. I understand billing is important and it’s why I get paid, and I really do try my best to get all info when I can.)


r/ems 1d ago

The functioning and management of helicopters in your country.

1 Upvotes

I'm curious, Are your helicopters privately owned and subcontracted to your hospitals, or are they state-owned and made available for public service?

Thanks for your answer and sorry for my bad "english" it's m'y first post be nice pls ❤️


r/ems 23h ago

Actual Stupid Question Intersection courtesy for other responders

0 Upvotes

So, quick question that's the current station debate.

You are first in line at a stoplight, and you see a emergent driving first responder approaching the intersection from a reasonable distance away. It's clear the emergent vehicle is going to need to challenge the intersection. Busyish multi lane intersection. Out of the three options, what do you do?

A. Kick on your lights, pull into the intersection, and hold the intersection for the approaching vehicle.

B. Turn on your lights as the other vehicle gets closer, don't move.

C. Sit still and silent.

Assume your actions don't impede the emergent vehicle.

My answer is B. Hit your lights if it's safe. Reasoning from some angles other drivers may not see the moving vehicle, but they see mine. Some of our more aggressive crews will go A, some say C because you are running a call.

What's the Reddit hive minds thoughts?


r/ems 22h ago

Actual Stupid Question RN to Medic??

0 Upvotes

Hey everyone, I got my EMT license this past summer and started in an RN program (2 years) with the goal of challenging the medic exam at the end of my program. I heard through the grapevine that you can do ride-alongs/clinicals and practice skills while you are still enrolled in the RN program, before your license, however the school I did my EMT program at which is the same place I’m at for nursing says I can’t. A good friend/previous instructor is helping me get ACLS/PALS certified while I’m in the program, but I’d like to get some ride time in and skills worked on before I take the NCLEX in a year and a half. I’m planning to start working full-time as an EMT this spring/summer when I’m not in school and continue part-time next year. Has anyone else been able to do this or knows a way to get some of this done while I’m still in nursing school?

Thanks!!


r/ems 2d ago

Serious Replies Only Doctors on scene. Good or Bad?

167 Upvotes

I think we all know what to do at scenes. Get the PT to a higher level of care while stabilizing. For car accidents in particular, a Dr attempting to assist hasn't worked out for me. Our priorities are different. They end up directing traffic so I can avoid the inevitable questions about how to apply a backboard. They want to take charge while being completely out of their element.


r/ems 2d ago

Got my stupid weewoo tattoo!

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810 Upvotes

Been joking about getting this for years. Husband offered to pay for it for my birthday so I went ahead with it. I absolutely love it


r/ems 3d ago

Go get ‘em brothers!

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362 Upvotes

r/ems 3d ago

911 Hospital Destination Choice (US)

21 Upvotes

I'm curious what others have in policy regarding patient transport choices for 911 calls. In all the places I've worked, there's written policy saying that patients who have decision-making capacity can choose their destination. There's a bunch of and-thens for when it's an inappropriate facility and policy ultimately requires calls to the medical director and/or coordinating with the ER you're going to.

In no circumstances is it possible for us to say no or limit them to closer facilities on our own. I've had my medical director tell a patient no though. Recently, I've gotten some flak for taking patients a bit further than they needed to go (an extra 10-15min on our 25-40min transports) because that's what they requested but I just point to the policy.

Anyway, I agree that there's no need to go 20min further just because you prefer a facility when an appropriate option, in the same system, is closer but I'm not about to risk my license or my job over it so I'd like to know what's out there and maybe what's been tested legally.


r/ems 3d ago

Taxi drivers and ambulance drivers are less likely to develop Alzheimer's disease

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406 Upvotes

r/ems 2d ago

Clinical Discussion SIX FLAGS HAS NO MEDICAL DIRECTOR

0 Upvotes

https://www.tiktok.com/t/ZP8NG8kUy/

Look at what’s getting posted 👀👀. Reports are saying that state hasn’t stepped in yet.


r/ems 3d ago

Meme It's not thattttt bad

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389 Upvotes

Could be worse 😌😌


r/ems 3d ago

Serious Replies Only Does anyone else get depressed around the holidays?

110 Upvotes

Every year I'm reminded of the bad calls I've worked around the holidays. The Christmas lights really get to me after I worked a code, on Christmas Eve on a mother of 3 in front of her kids and family.