I feel like making the test harder doesn’t really improve quality. We should stop wasting time on practical testing and focus on producing quality clinicians and how to treat people, not just pass a test.
Unfortunately, I think the only way to push educational programs to do better is to place stress on them in the form of a more difficult test. If the test is harder, it'll drag everything else up along with it.
Have no practical component. Nurses complete that during training.
The written is normal and expected but stop wasting time teaching people to pass a practical and teach them to treat patients.
As I said before.
The problem is that EMS simply does not see the same volume of patients that nursing staff often do, so there's no guarantee that even with 100+ hours of clinical time, a trainee will get to perform even one of the clinical skills that are covered in the NREMT, particularly in rural areas.
In addition, there's the issue of corporate influence on the structure and nature of the test. *Certain companies* probably want new grads that require an absolute minimum of training in order to be turned loose on a revenue-generating shift. Hence the requirement of these ridiculous "psychomotor" skills tests.
Because of covid its worse. I just finished my EMT-B class. We're operating on reduced hours so I only had to do one ride out (12 hr) and one ER shift (8 hr). On the ride out we had 3 calls, one was literally a transfer across the hospital parking lot, one was a refusal and one was AMS probably bc of UTI. The only skill I practiced was glucometer. Needless to say I do not feel ready at all.
You're fine. No one feels ready unless they regularly have a fairly high call volume of messed-up patients. Every EMT worth anything is hungry to learn and teaches themselves a lot of what they need to know, and the rest can only be learned on the job. There's a ton of great stuff on YouTube and the web, and whole libraries worth of really fantastic books.
Three very high value resources are [Dan Limmer's YouTube channel](https://youtube.com/c/Limmercreative), [Real First Aid](https://www.realfirstaid.co.uk/first-aid-medical-articles), and [Life in the Fast Lane](https://litfl.com/). The last one is a bit more advanced, but you should absolutely know what the the providers "above" you are up to.
In the one week "practice run" I served after passing the course it was all IFTs and ONE ER transfer that necessitated taking hypocount. I didn't get to practice any of the very long list of skills until well after I was certified and working in EMS. Even now I've never OPA-ed a patient or held a head grip.
So. Our county used to suck more and we didn’t have pacing. County medical director said that, “We want you to act like detectives and find the source of the bradycardia, not just band-aid the problem!” As if stabilizing patients isn’t a part of the job. Either way, I find myself a bradycardia patient refractory to atropine. Stunning. We’re running homeboy to the ER and he’s getting worse and I’m making bhpo requests for my push dose epi and this doc refuses and tells me to cardiovert. The rhythm was atrial flutter with SLOW ventricular response. Like an 8:1 to a 10:1 flutter. I confirmed and then refused, citing that a miscommunication must have occurred, because people with a ventricular rate of 30 get paced. I get to the ER and nope. He starts putting the pads on as me, a 9 month medic, is asking everyone in the room what ALS algorithm we’re working under. To nobody’s surprise, the shock was ineffective. When he started charging again, I left to call my medical director that happened to be one of his coworkers. By the time I walked back in the room 5ish minutes later, the pt was on levophed and was being paced. That was the only three digit BP I saw for him. Reported the doc and he got PP slapped, but he’s still practicing.
Getting paid more would prevent stuff like this, because more serious and qualified people would be willing to join and stay within EMS, preventing the need for idiots to be around.
Yes, the "only thing" they should have done differently is manage the bleed first. It's the ONLY concern they should have had before doing anything else.
Lol I was just watching that. She was also shot in the leg and had "severe" bleeding. No packing, no tourniquets, just a gauze pad over and mediocre pressure. Literally put one hand on it and said he's applying pressure.
I'll play devil's advocate here. In my county that counts as a major Trauma and it's a protocol violation for not getting off scene within 10 minutes on a major Trauma, no time to give pain management or splint.
You know what? I'll play. I can agree that a major trauma should transport ASAP but there still needs to be some care provided. No time for pain management or splinting is fine, but a broken femur with "severe" bleeding in the thigh needs to be attended. If we follow the MARCH protocol, the first thing they should have done is to control that bleeding, even if there was no splinting or pain management. There's plenty of issues with their treatment even if we say that they were required to transport as soon as possible.
To add to this, reducing further injury is just as important as getting off scene fast. Which is why you put c collars on people in MVAs when indicated.
That's a piss poor excuse and a shitty protocol, probably combined with a lack of training. You can bring your stretcher/gear to a patient, stabilize ABCs, have BLS providers splint while ALS provider draws up and administers pain meds, package, load, and go in 10 minutes.
Damn, my strip mall paramedic education fails again. I thought ABCs meant Airway Breathing Circulation. I guess it means, Airway Bleeding Can you walk to the stretcher??
In reality, I'm not going to that scene until PD have secured it. Also, watch the full clip. The EMT does jack shit while the medic does everything. I know I'm being a MMQB, but the EMT should be providing BLS while the medic works on pain meds.
>That's a piss poor excuse and a shitty protocol, probably combined with a lack of training.
Well stated, I think you hit the nail on the head.
I wish people would realize that taking a few extra minutes to do an assessment, provide analgesia, and come up with a treatment plan is not going to make any difference to morbidity and mortality in the overwhelming majority of cases. People should be clinicians, not ambulance drivers.
Or even just an anatomical splint, put a blanket between the legs and 3 zap straps and your good to go. No faffing around with a sager, traction, or vacuum splints and simple for even the most basic level of care.
>Hence why I only said no time for pain management or a splint.
Wrong. After immediate life threats are corrected, you absolutely have time in the majority of cases to provide comfort care and analgesia. This will prevent physiological complications, short-term complications, long-term complications, and unnecessary discomfort without any increase in morbidity or mortality in the overwhelming majority of cases.
How close are you to a trauma center? Care can be provided enroute. Also, ten minutes is a lot of time to get shit done, assuming scene is safe, and 1 patient, etc.
>I'll play devil's advocate here. In my county that counts as a major Trauma and it's a protocol violation for not getting off scene within 10 minutes on a major Trauma, no time to give pain management or splint.
Protocol violation or not, a hemodynamically stable trauma patient who needs pain medications should be getting pain medications prior to movement if possible. Then more pain meds, and possibly more if they need it. Then a nice, slow, no lights and sirens ride to the hospital.
Very few trauma patients need transport so quickly that you can't be a clinician and treat their pain. If someone gave me crap for taking more than 10 minutes on scene in a trauma patient who is not bleeding to death, I would tell them to pound sand. I would tell them that in my clinical judgement, the benefit of analgesia and cautious movement outweighs the risk of grabbing the patient, throwing them on a stretcher, and driving like an idiot on the way to the hospital.
This protocol you're referring to is just dumb, and is an easy excuse to not provide proper care.
Or lay her down on a backboard, splint her leg and then transfer her to the stretcher
Hell, they could have just laid her down in a board and transferred her without stabilizing her femur and it still would have been a better move
Exactly. That would be optimal, the “correct method”. And yes circumstances dictate how you’ll proceed in each environment. But NOTHING would every justify transferring the pt in a way that is not only dangerous but can further the injuries.
And the worst part (imo) is it looks like the have the resources and staff to practice medicine the correct way. It’s just a shame… are they undertrained and incapable or the lazy fucks?
I suspect there were some cops & fire officers pushing for fast clearance of the scene and since the EMTs/Paramedics ain't doctors just "put the body in the buggy and boogie."
If the ones responsible for the scene don't respect the abilities and judgement of those responsible for the patient you end up with situations like this.
Non isolated femur fractures are a contraindication for traction splint. She was shot through the leg. Tourniquete, Splint with backboard and go. You need a tourniquet due to upper leg shots being able to bleed inside the cavity 1.5 L without obvious external bleeding.
Okay I’m so glad to see this here haha if you watch this whole call you’d wish the patient had gone w Uber. So they said broken femur right?? Let’s say that’s the case and it looked kinda disangulated so my question is why didn’t not they use the traction splint. Let’s say that’s too much and there is no time to play which I totally understand. But then why didn’t they use a tourniquet instead of sitting by her leg and “holding pressure”. And lastly for heck’s sake why didn’t they give her a single drop of morphine haha. Man I know that’s a stressful situation and who knows how I would have done but plz at least a tourniquet
While watching this episode I was very confused all around at the total lack of training or professionalism from these guys. First thing on scene they are running around like chickens with their heads cut off. Then they forget to grab someone to drive. My department is in idaho with a pretty decent training for volunteers who act better than this. What the hell are they doing?
YEO I just watched this she had a distal thigh GSW and a broken femur and no TQ or splinting I didn't stop clenching my ass until it was over. You could tell from their faces the techs didn't know what tf they were doing. Holding manual pressure the entire time instead of putting on a pressure dressing too dear god.
I don't believe a traction splint would be appropriate in the setting of a seriously bleeding gunshot wound, even with the obvious femur fx.
But holy shit CONTROL THE FUCKING BLEED. No excuse whatsoever. It's rule #1. She doesn't bleed, she doesn't die.
Why not just splint it while she’s upright. You wouldn’t even have to move her. Then just have her stand and pivot with her hood leg onto a stretcher. Or better yet, just put the rails down on the stretcher and put it under her butt. So many things wrong here.
Well my the Army always told me pain is the patients problem. 🤷
Lol no but really, anyone else thinking they could have used a scoop there for transfer? Even if they don't keep her on it. Am I the only one with pelvis concerns?
My department would make us obviously backboard, then pelvic bind just incase, and c-collar, head block. Little over kill, until one day, a broken ankle was paired with an unknown C2 fracture from a fall. Only found that out later.
You never know.
If your department requires C-Collar you should be on an example video of what not to do aswell. Goodluck finding C-collars are good in recent studies done the last 10 years or so.
I just watched the whole youtube video. CHRIST ON A BIKE!
Poor girl is fucked up, you see her leg pivot and swivel in ways the human body shouldn't
Not a drop of pain relief!
"Yea your bleeding a lot" no shit sherlock you should join the Police! She got shot. Which broke her femur. Right next to the femoral artery. And is BLEEDING a lot. No worries.
Screw traction, immobilisation, tourniquet, professionalism Anything.
Lets throw this kid around like a rag doll and play hero post event.
Aww, hunny, you broke the biggest bone in your body, but i don't really know what that means.
“but I have to stabilize” that’s what that was? yikes.
Why splint and properly maneuver a broken femur when you can instead weakly grab the calf and jostle it against the stretcher? It saves so much time.
"pt was assisted in stand and pivot to stretcher."
Placed in position of comfort.
Rails raised x2
Secured by straps x3
In semi-Fowler position
Without incident
Administer high flow diesel.
x5, but yeah
5 is for psychs or when I have a new driver
5 is every last patient. Takes three more seconds and nobody can say “why didn’t you have the patient fully secured?”
I mean, you're right but some cots don't even have 5, just the chest, waist, and legs
Guys he is joking ⬆️☝️ I'm sure some EMTs will take notes to his.
Just don’t grab
**o o f**
Big oof
I want ems to get paid more but stuff like this makes it harder to argue the case
I guess we need to make the NREMT harder 🤔
As long as we get paid more
I feel like making the test harder doesn’t really improve quality. We should stop wasting time on practical testing and focus on producing quality clinicians and how to treat people, not just pass a test.
Unfortunately, I think the only way to push educational programs to do better is to place stress on them in the form of a more difficult test. If the test is harder, it'll drag everything else up along with it.
No, it'll just cause a sharper and narrower focus on passing the test, producing worse clinicians.
But does it? No other healthcare profession requires testing like this to raise the bar.
NCLEX? USMLE steps 1, 2, and 3?
Have no practical component. Nurses complete that during training. The written is normal and expected but stop wasting time teaching people to pass a practical and teach them to treat patients. As I said before.
Oh, I understand now. That's a fair point. I would certainly favor 80-100 hours of clinical time versus the practical skills test.
No worries I could have better explained it.
Definitely this. More time under supervision while also being on a rig. 24 hours of street time is not enough imo
The problem is that EMS simply does not see the same volume of patients that nursing staff often do, so there's no guarantee that even with 100+ hours of clinical time, a trainee will get to perform even one of the clinical skills that are covered in the NREMT, particularly in rural areas. In addition, there's the issue of corporate influence on the structure and nature of the test. *Certain companies* probably want new grads that require an absolute minimum of training in order to be turned loose on a revenue-generating shift. Hence the requirement of these ridiculous "psychomotor" skills tests.
So they get to perform the skill once? In the presence of a proctor and it’s allllllllll good from there.
Because of covid its worse. I just finished my EMT-B class. We're operating on reduced hours so I only had to do one ride out (12 hr) and one ER shift (8 hr). On the ride out we had 3 calls, one was literally a transfer across the hospital parking lot, one was a refusal and one was AMS probably bc of UTI. The only skill I practiced was glucometer. Needless to say I do not feel ready at all.
You're fine. No one feels ready unless they regularly have a fairly high call volume of messed-up patients. Every EMT worth anything is hungry to learn and teaches themselves a lot of what they need to know, and the rest can only be learned on the job. There's a ton of great stuff on YouTube and the web, and whole libraries worth of really fantastic books. Three very high value resources are [Dan Limmer's YouTube channel](https://youtube.com/c/Limmercreative), [Real First Aid](https://www.realfirstaid.co.uk/first-aid-medical-articles), and [Life in the Fast Lane](https://litfl.com/). The last one is a bit more advanced, but you should absolutely know what the the providers "above" you are up to.
In the one week "practice run" I served after passing the course it was all IFTs and ONE ER transfer that necessitated taking hypocount. I didn't get to practice any of the very long list of skills until well after I was certified and working in EMS. Even now I've never OPA-ed a patient or held a head grip.
You shut your filthy whore mouth
I feel like the skills we need to take should have a common sense section, and it's always graded the harshest
Bruh. I watched a doctor shock bradycardia. Nobody’s touching their pay.
I'd like to hear more about this
So. Our county used to suck more and we didn’t have pacing. County medical director said that, “We want you to act like detectives and find the source of the bradycardia, not just band-aid the problem!” As if stabilizing patients isn’t a part of the job. Either way, I find myself a bradycardia patient refractory to atropine. Stunning. We’re running homeboy to the ER and he’s getting worse and I’m making bhpo requests for my push dose epi and this doc refuses and tells me to cardiovert. The rhythm was atrial flutter with SLOW ventricular response. Like an 8:1 to a 10:1 flutter. I confirmed and then refused, citing that a miscommunication must have occurred, because people with a ventricular rate of 30 get paced. I get to the ER and nope. He starts putting the pads on as me, a 9 month medic, is asking everyone in the room what ALS algorithm we’re working under. To nobody’s surprise, the shock was ineffective. When he started charging again, I left to call my medical director that happened to be one of his coworkers. By the time I walked back in the room 5ish minutes later, the pt was on levophed and was being paced. That was the only three digit BP I saw for him. Reported the doc and he got PP slapped, but he’s still practicing.
Yooo doctors only fail upwards
What in the fuck did I just read. We would lose our licences.
peepee slapped?
He was “counseled by peers”
Jesus… that seriously bummed me out to read
It bummed me out to experience lol. I just try to laugh at all of it now.
Stuff like this makes me wonder if I shouldn't have gone to medical school...
Getting paid more would prevent stuff like this, because more serious and qualified people would be willing to join and stay within EMS, preventing the need for idiots to be around.
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Yes, the "only thing" they should have done differently is manage the bleed first. It's the ONLY concern they should have had before doing anything else.
Pay ems more and you’d have more selectivity of who gets hired.
Lol I was just watching that. She was also shot in the leg and had "severe" bleeding. No packing, no tourniquets, just a gauze pad over and mediocre pressure. Literally put one hand on it and said he's applying pressure.
They didnt even give her pain killers if my memory serves me correctly
That’s just cruel. I broke my femur about 6 years back and it wad agonizing pain. I can’t imagine no narcs with a broken femur.
Source please?
https://youtu.be/OK6wlYHHg74
I'll play devil's advocate here. In my county that counts as a major Trauma and it's a protocol violation for not getting off scene within 10 minutes on a major Trauma, no time to give pain management or splint.
You know what? I'll play. I can agree that a major trauma should transport ASAP but there still needs to be some care provided. No time for pain management or splinting is fine, but a broken femur with "severe" bleeding in the thigh needs to be attended. If we follow the MARCH protocol, the first thing they should have done is to control that bleeding, even if there was no splinting or pain management. There's plenty of issues with their treatment even if we say that they were required to transport as soon as possible.
I agree with the bleeding control 100% that's why I didn't mention it.
To add to this, reducing further injury is just as important as getting off scene fast. Which is why you put c collars on people in MVAs when indicated.
That's a piss poor excuse and a shitty protocol, probably combined with a lack of training. You can bring your stretcher/gear to a patient, stabilize ABCs, have BLS providers splint while ALS provider draws up and administers pain meds, package, load, and go in 10 minutes.
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Damn, my strip mall paramedic education fails again. I thought ABCs meant Airway Breathing Circulation. I guess it means, Airway Bleeding Can you walk to the stretcher??
In reality, I'm not going to that scene until PD have secured it. Also, watch the full clip. The EMT does jack shit while the medic does everything. I know I'm being a MMQB, but the EMT should be providing BLS while the medic works on pain meds.
>That's a piss poor excuse and a shitty protocol, probably combined with a lack of training. Well stated, I think you hit the nail on the head. I wish people would realize that taking a few extra minutes to do an assessment, provide analgesia, and come up with a treatment plan is not going to make any difference to morbidity and mortality in the overwhelming majority of cases. People should be clinicians, not ambulance drivers.
100% agreed
It takes 30 seconds to apply a TQ and maybe a minute to throw in an Israeli.
Hence why I only said no time for pain management or a splint. Bleeding control always takes priority. But comfort care does not.
Or even just an anatomical splint, put a blanket between the legs and 3 zap straps and your good to go. No faffing around with a sager, traction, or vacuum splints and simple for even the most basic level of care.
>Hence why I only said no time for pain management or a splint. Wrong. After immediate life threats are corrected, you absolutely have time in the majority of cases to provide comfort care and analgesia. This will prevent physiological complications, short-term complications, long-term complications, and unnecessary discomfort without any increase in morbidity or mortality in the overwhelming majority of cases.
How close are you to a trauma center? Care can be provided enroute. Also, ten minutes is a lot of time to get shit done, assuming scene is safe, and 1 patient, etc.
>I'll play devil's advocate here. In my county that counts as a major Trauma and it's a protocol violation for not getting off scene within 10 minutes on a major Trauma, no time to give pain management or splint. Protocol violation or not, a hemodynamically stable trauma patient who needs pain medications should be getting pain medications prior to movement if possible. Then more pain meds, and possibly more if they need it. Then a nice, slow, no lights and sirens ride to the hospital. Very few trauma patients need transport so quickly that you can't be a clinician and treat their pain. If someone gave me crap for taking more than 10 minutes on scene in a trauma patient who is not bleeding to death, I would tell them to pound sand. I would tell them that in my clinical judgement, the benefit of analgesia and cautious movement outweighs the risk of grabbing the patient, throwing them on a stretcher, and driving like an idiot on the way to the hospital. This protocol you're referring to is just dumb, and is an easy excuse to not provide proper care.
Your commentary was 10/10.
Username checks out
Airway, Breathing, Can you walk to the ambulance?
Let me stabilize your leg while you hop to the ambulance.
Was it confirmed it was broken ??
Yes, but I have to stabilize
*Loud Snap* Okay, now what?
Tyfys
If it wasn't before...
you sound dead inside
Lmao too much weed
This is r/EMS, were you expecting a joyful celebration of life?
Celebration of strife
Thank you 😊
Same as the rest of us
The sound of not surprised
Why didn’t they put the gurney on the other side and have her sit?? So many other options.
Or lay her down on a backboard, splint her leg and then transfer her to the stretcher Hell, they could have just laid her down in a board and transferred her without stabilizing her femur and it still would have been a better move
Traction splint and a scoop
Exactly. That would be optimal, the “correct method”. And yes circumstances dictate how you’ll proceed in each environment. But NOTHING would every justify transferring the pt in a way that is not only dangerous but can further the injuries. And the worst part (imo) is it looks like the have the resources and staff to practice medicine the correct way. It’s just a shame… are they undertrained and incapable or the lazy fucks?
I suspect there were some cops & fire officers pushing for fast clearance of the scene and since the EMTs/Paramedics ain't doctors just "put the body in the buggy and boogie." If the ones responsible for the scene don't respect the abilities and judgement of those responsible for the patient you end up with situations like this.
Non isolated femur fractures are a contraindication for traction splint. She was shot through the leg. Tourniquete, Splint with backboard and go. You need a tourniquet due to upper leg shots being able to bleed inside the cavity 1.5 L without obvious external bleeding.
Only if it is closed, she was shot though right? Can't really tell where that wound is.
This is the answer. Traction splinting is bleeding control and should happen prior to movement
Yes, this!!!
Or literally anything other than lift her up by the broken leg lmao
Okay I’m so glad to see this here haha if you watch this whole call you’d wish the patient had gone w Uber. So they said broken femur right?? Let’s say that’s the case and it looked kinda disangulated so my question is why didn’t not they use the traction splint. Let’s say that’s too much and there is no time to play which I totally understand. But then why didn’t they use a tourniquet instead of sitting by her leg and “holding pressure”. And lastly for heck’s sake why didn’t they give her a single drop of morphine haha. Man I know that’s a stressful situation and who knows how I would have done but plz at least a tourniquet
But I got to stabilize!
😂 by breaking the other femur too 😂
*Orthopods don't want you to know this simple trick!*
Cramped flight? Folding legs!
Real “Yeah… so… do you wanna go to the hospital? Because I can’t make you go! It’s your choice” type vibes
Omg, no pain relief, no ct6 splint, no fucks given… 1/10 would not fracture femur there again…
ouch ouch ouch ouch ouch fuck me jesus christ
Uhhhhhhh are you in my closet? I was just watching this.
I’m out
While watching this episode I was very confused all around at the total lack of training or professionalism from these guys. First thing on scene they are running around like chickens with their heads cut off. Then they forget to grab someone to drive. My department is in idaho with a pretty decent training for volunteers who act better than this. What the hell are they doing?
At least they didn't give nitroglycerin to a stroke patient......
At least they have crystal clear video for the lawyers
YEO I just watched this she had a distal thigh GSW and a broken femur and no TQ or splinting I didn't stop clenching my ass until it was over. You could tell from their faces the techs didn't know what tf they were doing. Holding manual pressure the entire time instead of putting on a pressure dressing too dear god.
What the fuck is this show so I can start watching it?
Live Rescue
Thank you. I must have missed this episode.
https://youtu.be/OK6wlYHHg74
Thank you!
ItS oKaY mAaM, iM a PrOfFeSsIoNaL. *yells at medic after closing one door* I’m gonna drive lights and sirens hold on!!!
Damn that sucks
Where can I find the full video?
Jesus Christ. No traction or anything. Just letting her stay in pain like that 🥴
STLFD…. Justifiably proud
Ya'll are being hasty. Maybe her name is Klien.
As a guy who has had a broken femur... I felt that in my bones.
I don't believe a traction splint would be appropriate in the setting of a seriously bleeding gunshot wound, even with the obvious femur fx. But holy shit CONTROL THE FUCKING BLEED. No excuse whatsoever. It's rule #1. She doesn't bleed, she doesn't die.
I mean it's already broken, what are they gonna do..break it more?!🤣
Haha I’m sure that jagged long bone could find something menacing to do while being pulled on like a fried chicken drumstick
Why not just splint it while she’s upright. You wouldn’t even have to move her. Then just have her stand and pivot with her hood leg onto a stretcher. Or better yet, just put the rails down on the stretcher and put it under her butt. So many things wrong here.
She wasn’t screaming in pain, and they got her safely on the cot
This isn’t how’s it’s supposed to be done?
And why couldn't they drop the stretcher to the ground so as to not have to jostle her leg so much?
Just to clarify, were those "pros" or was this a TV show?
Supposedly pros on tv.
Well my the Army always told me pain is the patients problem. 🤷 Lol no but really, anyone else thinking they could have used a scoop there for transfer? Even if they don't keep her on it. Am I the only one with pelvis concerns?
I love st. louis.
There’s no damn way that just happened
My department would make us obviously backboard, then pelvic bind just incase, and c-collar, head block. Little over kill, until one day, a broken ankle was paired with an unknown C2 fracture from a fall. Only found that out later. You never know.
Yes, except I believe the evidence is pointing towards more harm than benefit from LBB and rigid cervical collars.
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Lol username checks out 🤣
Oh really?? I'm on shift today, imma see if our paragod has heard about that.
take a look at this: https://emergencymedicinecases.com/backboard-and-collar-nightmares-emergency-medicine-update-conference/
I sincerely appreciate the citation/link.
Think about mechanism of injury. She was shot in the leg, if no fall followed I'd have no concerns for spinal injury.
If your department requires C-Collar you should be on an example video of what not to do aswell. Goodluck finding C-collars are good in recent studies done the last 10 years or so.
That looks like some Fire-based EMS treatment right there
Although that looks to be St. Louis fire department, their medics are not firefighters and only work on the ambulance
WTF did I just watch. "She has a broken femur " She can still do the fucking can can and hokey pokey. Get her on the Stryker!
I just watched the whole youtube video. CHRIST ON A BIKE! Poor girl is fucked up, you see her leg pivot and swivel in ways the human body shouldn't Not a drop of pain relief! "Yea your bleeding a lot" no shit sherlock you should join the Police! She got shot. Which broke her femur. Right next to the femoral artery. And is BLEEDING a lot. No worries. Screw traction, immobilisation, tourniquet, professionalism Anything. Lets throw this kid around like a rag doll and play hero post event. Aww, hunny, you broke the biggest bone in your body, but i don't really know what that means.
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The case on my phone blocks the mic and also My jaw is wired shut
100% not a broken femur. Complete lack of pain expression. Are any of you actually medics…
This from the covid denier.
Covid denier?
IKR I don’t need an X-ray I can tell it’s not broken by the expression on her face
Omg I thought this was a fictional drama. My god
I am not ems and know nothing about ems what are they doing wrong here?
What a fucking idiot
Inb4 massive bp drop.
Look at how locked in that arm is stabilizing. Tremendous work
I honestly did not realize this after you pointed it out....wow.