Sunday, September 16, 2018

A Discussion on When to GTFO

I swear like a sailor in public. It's bad. But I try to keep this website mostly PG-13, so I'll continue this story under the assumption that you either know what it means to GTFO, or you will quickly look up the definition and then continue reading.

Several years back I responded as a medic in a chase car, along with the fire department in an ambulance, to an adult woman having seizures. The fire department ambulance arrived first on scene. Upon my arrival a few minutes following, I found every crewmember of the fire department ambulance inside the home attending to the patients. Patients, plural, because the patients husband was also on the ground having seizures by that point.

I can't remember who - if anyone - taught me this, but when I see two people down with the same signs/symptoms, the cause is environmental until proven otherwise. I left the front door open and immediately walked across the room to the back doors and opened them in order to ventilate the scene. Since the fire fighters weren't dead yet, I figured I had a moment to investigate.

The fire fighters attending the patients told me they found both patients seizing when they arrived. They did not know any other details. The male patient had awoken by that time and told me that they had just returned back from vacation. He denied drug use.

Just then the rookie fire fighter walked up from downstairs looking like death warmed over, stating that the whole basement smelled like gas.

With this information, I ordered everyone to evacuate the house. It was time to GTFO. We grabbed the patients and carried them out as fast as we could. I placed them on high flow oxygen and we screamed them in to the closest hospital, about 30 minutes away. My Lifepak 15 with would not capture pulse oximetry except for one brief reading showing a SpCO in the 40s on one of the patients.  They had been poisoned with carbon monoxide.

After dropping off the patients, one of the fire fighters complained to me of having a headache. "Shit," I said. "I have a slight headache too, but I can't tell if it's just my imagination." We tested ourselves on the Lifepak; in fact we had been poisoned too.

I grabbed some spare O2 tanks from my station and met the fire fighters back at their station. We sat on high flow oxygen and played Xbox for hour or two until our readings returned to normal. My chief at the time later chastised me for treating myself and the fire fighters for our CO poisoning, rather than take a significant portion of emergency services resources out of service to become ER patients for the same treatment. Bless his heart.

A week later the fire department made a PR visit to the patients' home to install CO monitors. In their press release they conveniently left off the part about me saving the lives of like 4 fire fighters who didn't clue in to the presence of a deadly environment hazard. They didn't even include the name of my agency. Bless their hearts.

I use this story to teach new EMS providers several things:

1) Keep your head on a swivel and know when to GTFO. 

2) Read the environment, not just the behavior of other providers on scene. It is possible that everyone else is wrong. Don't allow yourself to be caught up in the groupthink. 

3) Although it might feel personally satisfying to scientifically test how many inconsiderate ass fire fighters have to drop dead before they figure out that the room is full of deadly, invisible, odorless poison gas, you should probably still do the right thing and let them know to GTFO too.

Friday, September 14, 2018

Clinically Proven Accurate

I just purchased these for some ambulances:

I guess perhaps I'm misunderstanding the meaning of clinically accurate.

Thursday, August 23, 2018

The Standard

Do the very best you can with what you have.

No one can expect any more of you than that. 

Saturday, August 18, 2018

Wednesday, August 1, 2018

Code is free speech

http://codeisfreespeech.com

Among so many liberal soldiers wringing their hands and wetting their beds in fabricated rage, assigning hyperbolic, magical carnage dealing properties to Cody Wilson's single shot 3D printed Liberator pistol, another organization has bravely decided to flout the unconstituonal orders of a few anti-freedom extremist judges, and begin posting plans for 3D printed firearms. 

With all of the talk lately of fascism in the United States, I am hard pressed to think of a more clear example of fascism than the futile attempts of judges to abridge our free speech and free exchange of ideas, in a violation of our natural rights, granted to us by God, and enumerated within our Constitution. 

If you value liberty, even if you have no interest in ever buying a 3D printer or building a firearm at home, make a stand for freedom by visiting http://codeisfreespeech.com, and downloading their freely available 3D printer gun blueprints. 

Wednesday, July 25, 2018

ICEy Cold Irony

PORTLAND, ORE. - In a customarily ironic display of liberal progressive cognitive dissonance, protestors against Immigration & Customs Enforcement (ICE) have erected a makeshift border wall around their homeless reenactment camp in response to eviction notices from the Portland Police.

 

Photos by Andy Ngo

Yes, that's right. The very same militant leftists, who have viciously and violently opposed President Donald Trump's proposal to secure our borders with an adequately constructed wall, have now attempted to protect their Dignity Village mirror with.... A wall.

The Daily Caller

Cognitive dissonance (the pathological ability to hold two or more conflicting beliefs) is a pillar of liberal progressivism. Exempli gratia: a border wall is hostile and inhumane, except when expediently erected around an illegal urban encampment, and except when constructed to protect former president Barack Obama's new home; guns and police are evil, therefore only the police should have guns; carbon emissions should be regulated and restricted, except for Al Gore's private jet; executing the most evil criminals following conviction by due process is wrong, but aborting innocent and defenseless babies in the womb is good; communism and socialism are ideal economic policies, except when actual homeless people (who were not participating in working toward the communal effort) tried to eat communal meals at the Occupy Wall Street protest; etc. etc. etc....... 

Tuesday, July 24, 2018

Spyderco Byrd EMS Rescue Knife (Coupon Edition)

Spyderco Byrd EMS Rescue Knife

I'm sitting out on my porch this evening enjoying the summer night, watching a swarm of insects attempting victory over my bug zapper through attrition, and reflecting on the fact that I lost my Spyderco Byrd knife in the woods last week while cutting firewood. 

Thankfully, the Spyderco Byrd "Cara" Rescue knife is an amazing pocket knife at a very low price, so I can afford to be an idiot and clip it onto the wrong pocket while humping logs across the landscape. Amazon is now running a 47 cent coupon on top of an already incredible deal, and I ordered the orange one today. Orange, being the most fantastic color given to man by God. 

I previously wrote about this model of Spyderco knife here. Buy this knife!


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