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Maggie’s Motivational Pic Thread v2.0 - - New Rules - See Post #1

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"You are about like a fish being cleaned with a spoon, it's very hard to get an answer out of you"
- Hank Johnson...an elected official

Do you think he meant to say "like pulling hens teeth" but forgot that one so he made it up as he went along?

HJ: You felt kinda squeamish, like uh, like that fish that you're trying to be right now, being scaled, you felt a little squeamish about delivering that message. Correct?
CL: No sir
HJ: ........

What in the fuck are you talking about man?
 
I wonder how many retail locations got shot in the face so they could have enough scratch to get a new logo that.....shocker.....looks like a staple. I still order my office supplies off of Amazon...eat a dick Staples.
 
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Back to the neck wound... Marcus tells in his book of packing his gunshots with dirt, rocks and pine needles...

If you can't stop the bleeding, you die
stuffing junk in the would might keep you alive to die from infection later- or you could live



lots of fake CATS on Amazon- buy direct



Direct

(free shipping for medical gear outfitters)
 
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We had these in the bag at one of my EMS agency's. I started using them at the Fire Dept. too. They became my go to dressing for anything not needing a tourniquet. I found the plastic sheeting very useful as an occlusive,especially neck injuries. Most commercial chest seals don't fit anything but a flat surface and then some don't stick. The plastic in these with some duct or breachers tape will fit just about anything you get. You don't have to be spot perfect with the pressure to get a good seal. We used TMS when we outfitted our Active Shooter bags. They are a good source of supplies and training. I used their videos to teach my con ed classes.
 
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I forgot about that. Reference treatment options, you could also pack a shit ton of hemostatic gauze into that wound and just hold pressure. That's about your last ditch because with that location next to some of the high and low pressure hydraulic lines and airway structures.... you gotta do whatever it takes to stop the bleeder(s).

FUBAR situation.


Had a really good C.E. a few months ago, and a Truma Surgeon properly addressed a bunch of Firefighter/Paramedics.

"If it's big hole, pack it. If an artery is pumping out blood, put on a tourniquet, two if you need it. If their airway is crushed, cut em a new one and stick an E.T. tube in it and breath for them. Don't worry about your incision, we will sew it back up, make em breathe. They won't be any more fucked up than when you started treating them. Do what you can and haul ass."

He really said that shit, and we loved him for it!
 
I remember this gal I was treating. Left hand turn in front of semi truck going downhill - no bueno. Extra points for no seatbelt.

She had ripped off both visors and the rear view mirror with her head and face.

I’m trying to ascertain if her skull is shattered, and she’s bleeding massively and she keeps asking “Am I going to die?”

When the guy who has crawled into your car with a paramedics kit doesn’t answer you it’s a hint.

Amazingly, she lived.

I quit living down that road after just 16 more incidents like that. What can I say? I loved the view.

At least the worst snow and ice day we had in years, all the assholes behind me in Subaru’s who would honk at me for not going 15 over the limit got to eat a Forest Service water truck that missed its turn...after I pulled off to let them by.

The "am I going to die" question.

Answer I give, "yes, but we are doing everything we can, so that it is not today".
 
Had a really good C.E. a few months ago, and a Truma Surgeon properly addressed a bunch of Firefighter/Paramedics.

"If it's big hole, pack it. If an artery is pumping out blood, put on a tourniquet, two if you need it. If their airway is crushed, cut em a new one and stick an E.T. tube in it and breath for them. Don't worry about your incision, we will sew it back up, make em breathe. They won't be any more fucked up than when you started treating them. Do what you can and haul ass."

He really said that shit, and we loved him for it!


The role and duty of an EMT is really no different from that of an elite tactical soldier. You have to be on the bounce and ready to solve a crisis right then and there. Not next minute or hour, but right there... Awesome read.
 
Had a really good C.E. a few months ago, and a Truma Surgeon properly addressed a bunch of Firefighter/Paramedics.

"If it's big hole, pack it. If an artery is pumping out blood, put on a tourniquet, two if you need it. If their airway is crushed, cut em a new one and stick an E.T. tube in it and breath for them. Don't worry about your incision, we will sew it back up, make em breathe. They won't be any more fucked up than when you started treating them. Do what you can and haul ass."

He really said that shit, and we loved him for it!
Thats excellent. With my military medical background and experiences, being really aggressive when it came to hemorrhage and airway control is second nature to me. When I became a civilian paramedic, others looked at me like I was insane when I would go straight to a tourniquet on a massive bleed instead of progressing step by step through the accepted "algorithm" of bleeding control. I'm very glad all the lessons we have learned the last 15 years overseas are finally being applied in non-wartime incidents.