Sjy

@Sjy@lemm.ee
0 Post – 15 Comments
Joined 11 months ago

This is very good advice, especially if someone has taken drugs. Please tell us. The medicine I give for chest pain can kill someone if they’re having that pain from doing a ton of cocaine and not a possible heart attack.

After the first time someone went into cardiac arrest after I started treating them after telling me they didn’t use any drugs or alcohol today - I followed up found out he survived but had in fact taken a ton of cocaine today, I’ve changed my wording to “Have you taken any drugs or alcohol recently? It’s okay if you have I’m not a cop but if you have it changes which medicine I can safely give you.”

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Please do not say CPR does not save lives, it 100% does. And in the United States our Good Samaritan laws protect anyone from liability if they are acting in good faith trying to help someone.

I’m a paramedic in the United States, hold a certification as a flight medic, nothing I can bring, in a helicopter or an ambulance will do anything for anyone if high quality CPR isn’t performed.

To break things down, yes in adults early defibrillation does make a huge difference but in kids it is literally high quality CPR that saves them. If you’d like I’d be happy to break down the details of resuscitation, but without CPR until I can get there and attempt resuscitation, then no matter how much I throw at someone to try to get their heart beating again, they’ll still be brain dead.

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This is beautiful and just a perfect description. Even though this sucks day to day I will say very rarely but sometimes, this can spin to our benefit. I recently had an electrical contractor fuck up some work I needed done..well, that’s an understatement my entire home needed to be rewired, and I wanted wiring so I didn’t have to keep charging my doorbell camera.

Now my mind goes thought everything as it normally would, I pay large amounts of money and I’m told everything is done. Well my doorbell camera isn’t charging. Out of the entire house that’s all I can focus on. I have an endless list of stuff that needs to get done but I want my doorbell camera to have power. The guy adds the wire for the doorbell and I’m happy. Until I see it isn’t charging. Trace the wire and it isn’t connected to anything, talk to the guy and he gives me some excuse, it’ll be done soon. Wait when I followed the wire for the doorbell I didn’t see anything connected to my roof above my bathroom. Okay they also didn’t install the exhaust fan correctly.

Now my house still needs 80% of a total renovation but he didn’t fix the doorbell and I just don’t want to keep charging it. So I’m scared of messing with any electricity, which is why I paid someone to do my electrical work. But maybe I can just hook up a doorbell. Well a weekend of researching and I still am not sure how to do it, but I found a copy of the national electric code because I think the exhaust fan is supposed to be going up through my roof.

Long story short the guy didn’t do half the work I paid for. I now have a log of every wire that was run, every junction box that was placed, every switch, every outlet, everything, including if it is up the code of the exact code that it is violating. Along with a note about the expected electrical load, that should be on each circuit, how much is can candle and how much more I can add to still be within code for continuous load. I also have the manufacture date of every wire that was placed and found a bit of damage to an exterior and a door wall that wasn’t there and found it caused by the contractor that are both is areas I said do not touch.

So now, I have all this information and if I am successful in suing him I will have gotten a great deal on having the house rewired considering I now know how to rewire an entire house and have improved a few circuits in my house, but I’m not an electrician so I can’t actually do anything with this information. But here I am on lemmy writing about this instead of doing what I planned on doing today with no idea how to actually sue someone and an existential dread of trying to figure out how to or if I should hire an attorney.

It’s great. I mean awful.. well actually both, but also neither.

Yes. I’ve been in a lot of operating rooms for a lot of different surgeries. It’s also common to give antibiotics before a surgery..and wear surgical masks.. which is my point, also in the context of COVID masks still work to reduce the spread of a virus. Antibiotics will not work against a virus.

Late but USA, wanted to share a personal experience. While at work I collapsed and had to take an ambulance to the hospital. I got sent the bills for everything. Including the ambulance ride. I stayed in the hospital overnight for observation. They couldn’t figure out what happened and I didn’t have symptoms anymore so I was discharged. Whole event cost maybe $500.

Here’s the kicker, I work(ed) as a paramedic for the ambulance company that transported me. I had insurance that was not from the company so prices were reasonable relative to what one would expect in the country. Had I been insured through work, well, the insurance provided by the company doesn’t cover transport by that company’s ambulance.

I am a paramedic, these comments have lost me. At least in the United States there is a 0% chance anything will happen if someone does CPR on another while acting in good faith.

This does exclude some some uncomfortable situations where family is screaming at me that I’m not doing enough or that I need to help them and people have appeared to be close to getting violent but I’ve never been attacked, and if someone is threatening another individual that is trying to help, leave. We can’t help other people if we become another person who needs help.

But I’ve done CPR on a lot of people, it’s violent. No one around will ever have to wonder what is being done, it is very clear and I don’t believe it is possible to confuse with touching an unconscious person inappropriately. Again, these comments have lost me. Maybe if some of these people would see a resuscitation attempt, they’d probably realize once the patient is spitting up blood from how violently their chest is being pushed on, there is no way to misinterpret CPR for groping.

Yes, please make sure if you have surgery you tell your surgeon “no need to wear a mask, just a helmet and some knee pads”.

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This isn’t entirely true. More than just cops can place people under a baker act and they need to believe that the person they are placing under a baker act as a result of a mental illness is a threat to themself or others, or the person is incapable of caring for themself. And in the context of “locked up” it doesn’t mean jail and it is not 72 hours, it’s up to 72 hours.

That doesn’t mean cops don’t use it inappropriately but if it is obviously inappropriate once they see a doctor, a doctor can override it. On the opposite end, if it is a valid baker act that is still a threat to themselves or others at the end of that 72 hours, they can be l placed under another one with no limit on how many times they can be placed under a baker act. Tho a cop should never be in the situation to keep someone under multiple baker acts.

The rest of your comment about being traumatic and not helpful, yeah… that sounds accurate.

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Late reply but to specify, the crumple zones dissipating energy to protect the occupants, but in part the situation you’re describing airbags do a great job at preventing people from hitting the steering wheel / walls.

A very very advanced harness system might compensate a little for a lack of crumple zones during a very rapid deceleration collision. The issue isn’t so much as stopping someone from but being thrown around in the car, seat belts do that, but nothing can stop one’s internal organs from doing the same thing inside their body. So when a body stops during a rapid deceleration, internal organs still try to move. This movement tears everything, most notably one’s aorta and a torn aorta means death with no possible chance of survival.

A small tear in one’s aorta and one may survive long enough for emergency services to show up, a bad one and they will have bleed out before a 911 call taker has time to answer a call for help.

Clearly OP isn’t a hypocrite or lying and is justified in not having sympathy for anyone breaking the law. Which is understandable as I’m sure OP has never broken any laws by illegally entering a country, breaking into and robbing someone’s house, or worst of all picking up a bird feather. And if OP has ever broken the law I hope there isn’t any expectation of sympathy if refused emergency service when they are needed.

How does one host their own beeper server?

Edit: found it

Yes, pain is pain. People can still feel it and suffer even if they do not remember it. Anesthesia in context of surgery is too complex of a topic for me to comment on but I do frequently manage patients that are sedated, on ventilators either going to or coming from surgery. There are different scales and tools we use to assess if someone is under sedated or in pain. Keeping explanations simple pain can reflect as changes in vital signs, rigid or tense muscles, facial expressions. Sedation in the context I’m referring to is more a scale of either how awake someone is or what type of stimulation they respond to, for example do they open their eyes if someone says their name? Or do they open their eyes if I gently tap on their shoulder or do I need to put pressure on their nail bed for them to respond, if they respond at all. If they’re sedated enough they won’t remember the pain but they would still feel pain. Again this is NOT referring to general anesthesia during surgery, that is too complex and anesthesiologist have a very difficult job ensuring people are adequately medicated for surgery while also ensuring that they treat the side effects of the anesthesia medications so they don’t just kill people.

The two do have some overlap and my previous statement assumes no chemical paralysis. There are also times where it is acceptable to just sedate someone, or do something emergent without sedation and then giving something like Versed which causes retrograde amnesia. The person may have been fully conscious and felt everything that just happened but still won’t remember it.

This is a bit of an oversimplification but I’d say firing of the nerves is pain. I don’t have literature available to support but I know giving babies anesthesia is very dangerous so I would like to believe that the reasons you listed where just an over simplified “it’s really okay to do X or Y because they won’t remember it” rather than explaining to a parent in a way that they would truly understand the risk of anesthesia for a baby AND still allow whatever procedure to be done or force a parent to knowingly elect to put their baby through pain and suffering for a procedure. But again, not a doctor and I don’t work with people/babies during surgery

Romeo and Juliet laws are not a defense or protection from prosecution. They generally only apply after a conviction and generally they just prevent one person from being labeled as a sex offender if specific conditions are met. The application and conditions vary depending on location.

Sorry forgot about this post, but it us an important topic to me. I’m only speaking for the United States All 50 states and the District of Columbia have a good Samaritan law, in addition to Federal laws for specific circumstances.

And I agree some of this is just getting into semantics but yes get an AED if one is available, early defibrillation is without a doubt the best way to increase survival rates also activate emergency services as soon as possible there are things we carry that can help if the patient is receiving adequate CPR prior to our arrival, those steps are crucial. But ensure that you minimize any time spent not provided high quality CPR. Without blood flowing to the patients brain, it starts to die. Once the brain is dead there is nothing in modern medicine that can revive it.

I don’t have an argument if someone is concerned about consequences for helping another person. I do what I do so I can sleep at night knowing I did what I believed was best and I did it to the best of my abilities. If I have to go to court then so be it, the bonus for me going to court is at least I’ll get to meet someone I’ve helped successfully resuscitate, that alone would make going to court worth it, independent of any verdict that is rendered. But that’s just me, I’ve had to pronounce a lot of people. I’ve had one or two go into cardiac arrest in front of my and then after treating them they talked to me during the ride to the hospital and I know I’ve had a handful of people that made a full and complete neurological recovery, but I’ve never gotten to meet any of them, which is also fine, but it would be neat to get to talk to one of them and hear their side of the experience.

Just to be clear I’m agreeing with most of what you’re saying. And on the topic, I’m a Paramedic in Florida. Currently working for a ground agency as an advanced practice paramedic and hold a board certification as a flight paramedic.

From my original comment, yeah sometimes it isn’t used appropriately but you are oversimplifying the process. Now don’t get me wrong the process and system is messed up and has definitely caused harm but your experience isn’t the entire system. Do cops baker act people that are drunk? Yes, It happens but no competent law enforcement officer would baker act someone because they are drunk, they would place them under a marchman act instead. But that’s a different topic that is just as messed up but it’s not the same thing.

Doctors absolutely override them all the time for medical reason, I’ve had patients who were hypoxic in full blown CHF who got baker acted because they were talking nonsense and unable to care for herself. The cops thought it was psych issues, they aren’t medical. I get there and the patient was talking nonsense because her SpO2 was 70%. Same with sepsis and stroke patients.

This also extends to the “medical clearance” you were referring to. Psych facility are not medical facilities, some are both but before going for psych treatment medical causes of whatever lead to the baker act needs to be ruled out.

I am agreeing with most of your other statements, under staffed, under funded, high case loads so yeah people can just get loaded up with meds and sent on their way.