Guy shot himself in the leg at the range we were at today

[MadDuner]

@MarinePMI - argh!!!!

I was referring to the IO drills specifically and I know what you mean.

I always hated working with the folks who were more suited for The metal detector club vs sticking needles in people based on how I would see them dig. And never seen them get a good IV that way.
I was the charge nurse and had one guy, good nurse and experienced, who couldn't get an IV once.
i was pretty good at tough sticks so went and put one in. Really wasnt challenging.

ended up having to take pictures of the bruising for the patients chart and writing him up.

Our rule in the ED was, unless life threatening, 2 sticks and quit. Your pride isnt worth a patients pain

Another nurse and I even pioneered the education and certification to use the Ultrasound to start IVs. Good stuff on the chronically ill, very dehydrated, etc.

I really wish everybody had those rules....
When you are the patient, all you can do is lay there and think “really?”

 

[MarinePMI]

@MarinePMI - argh!!!!

I was referring to the IO drills specifically and I know what you mean.

I always hated working with the folks who were more suited for The metal detector club vs sticking needles in people based on how I would see them dig. And never seen them get a good IV that way.
I was the charge nurse and had one guy, good nurse and experienced, who couldn't get an IV once.
i was pretty good at tough sticks so went and put one in. Really wasnt challenging.

ended up having to take pictures of the bruising for the patients chart and writing him up.

Our rule in the ED was, unless life threatening, 2 sticks and quit. Your pride isnt worth a patients pain

Another nurse and I even pioneered the education and certification to use the Ultrasound to start IVs. Good stuff on the chronically ill, very dehydrated, etc.

I hear you, though admittedly, this was at a school (UCSD Skull Based Surgery Center). So, I kind of understood her trying to get that ART line in. I knew she was struggling when the much older anesthesiologist asked "Do you want me to put that in?"

What was worse was the nurse in the general ward, during a follow up surgery, learning how to cath a patient on me. And she had to do it three times before they said "fuck it put a Foley cath in". Now that shit just plain hurt (never mind I was dehydrated, they'd taken me off the IV, and I couldn't swallow or drink anything). It took them about 18 hrs, and my kidneys beginning to shut down, before anyone read my medical history and made the realization of what was going on.

They ended hanging another bag, and gave me some Dilaudin....and I woke up 12 hours later asking "Wtf just happened?" A one night stay in the hospital ended up being 5 nights. I'm sure somebody got reamed when they had to eat the cost of the additional four days of unplanned for care.

BLUF: There's always someone that barely graduates. Some of these nurses seemed more interested in the dating pool of residents, than actually being a nurse. That being said, the Neuro ICU nursing staff was the opposite; total, top of the line staff. Probably why I was so shocked at the general ward staff (though the night shift nurses seemed to have their shit together pretty well).

 

[darkfader]

What do you call a doctor/nurse/paramedic who got C’s in school?

A doctor/nurse/paramedic. Lol

I maintained a 4.0, so I’m allowed to tell that joke.

We follow the same 2 attempts and quit on the ambulance. My transport times average 10-12 minutes so I wouldn’t have time for a third even if I wanted to.

 

[lariat]

The ultrasound for IV start is some seriously good stuff man. Good work on that. We had numerous morbidly obese people come through the ED and that was about the only way you were going to get a line.

 

[lariat]

What do you call a doctor/nurse/paramedic who got C’s in school?

A doctor/nurse/paramedic. Lol

I maintained a 4.0, so I’m allowed to tell that joke.

We follow the same 2 attempts and quit on the ambulance. My transport times average 10-12 minutes so I wouldn’t have time for a third even if I wanted to.

Don't take this the wrong way, but 4.0 grads make mistakes too, some quite bad. Humility breeds success. Pride can get people injured further. You are probably not one of "those", but i have seen them. No experience, but know everything. What they need is an older paramedic or ED nurse to set them straight in the way that the medical community does quite well.

Regarding IV attempts: Its not just the time factor, after a while it just becomes patient cruelty because the caregiver isn't on their game for whatever reason.

 

[Bwhntr53]

*Whispers softly in @W54/XM-388's ear...can I hold your gun*

@W54/XM-388 - "Hell no put some gosh damn clothes on"

Rambet

 

[Bwhntr53]

I had one of those "drill, baby drill" types when they had to put an ART line in my left wrist. It took her 4 attempts to get that thing in, and the day after surgery I had a bruise/blood streak from wrist to elbow. Even half doped up, that shit was uncomfortable as hell...

Stick me once and miss shame on you...stick me twice shame on me...get someone in here that knows what the heck they are doing

 

[HuskyRooster]

I think he will be fine and hope that is the case. I am sure there are plenty of people out there at the ranges right now that have little to no experience and no training on how to properly handle a firearm. There are 5 + million new gun owners this year alone.

I agree. Almost every Saturday at my local outdoor range, they have been doing lots of hand gun training classes. It’s good to see that they are learning but its kind of also annoying because the it’s hard to find parking. lol

 

[308pirate]

So everyone whipped out their IFAK and helped this guy get the bleeding under control, right? Everyone had some sort of med kit easily accessable in their range bag, right?

Nope

 

[308pirate]

Maybe an idiot with a loaded gun and a tourniquet?

I see plenty of kitted out bros that fit that description

 

[308pirate]

We shut down new membership at our local range recently.

Smart move

 

[308pirate]

I spent about 20 years on ranges teaching (trying to)new LE recruits. I should write a book. Guns flying through the air and hitting the targets, turning around with the pistol leveled at the other students, ND's into the ground, thumb crossed over behind the slide. The first week or so was great fun. Thankfully there was only one self inflicted GSW. A somewhat large gal tried to reholster with her finger still in the guard. Since her butt cheek stuck out way further than the holster.....well at least it was only a flesh wound.
Now that I stop and think about it, I should have been buying lottery tickets!

 

[MarinePMI]

Hmmm...fingers behind the slide, eh? Reminds me of a "Beretta manicure" some the females with long nails would get. All it took was a thumb nail to get torn off by one female, and the advice to trim their nails was suddenly followed the next day of instruction. The dark blue female Corpsman were the worst at that; they hated having to cut their nails back....

 

[308pirate]

If I'm not at a USPSA match I'm either shooting at the VFW range where there is hardly ever another soul or at Thunder Valley or Rainer's where you're either alone or everyone is watched like a hawk.

Public/DNR ranges = NOPE

Indoor pay ranges = NOPE

 

[Doc68]

Don't take this the wrong way, but 4.0 grads make mistakes too, some quite bad. Humility breeds success. Pride can get people injured further. You are probably not one of "those", but i have seen them. No experience, but know everything. What they need is an older paramedic or ED nurse to set them straight in the way that the medical community does quite well.

Regarding IV attempts: Its not just the time factor, after a while it just becomes patient cruelty because the caregiver isn't on their game for whatever reason.

Yes it does, I had issues getting a line started in Afghanistan and finally had to go with a FAST 1. My pride was hurt a little, but my patient got the fluids and meds he needed. After that I practiced more with low light IVs and didn't have the issue after that.

I always tell my new incoming medics that they can't let their pride get in the way or ever stop trying to learn new ways of doing things or learning period. That will make them a bad medic. The patient always comes first...period.

 

[TexPatriot]

Ok.. speaking of shooting oneself in the leg.. how about this? This probably should be posted as it's own thread --it'll get a million views it's hilarious! A NEW DANCE about to become all the rage.. Called the "Happy Hot Feet" -- Or "the Molotov Two Step"

Or maybe.... just the "Dumb Fuck Footsie"

I had to watch 10 times...

Don't stop, drop and roll. RUN, COMMIE!!

 

[darkfader]

Don't take this the wrong way, but 4.0 grads make mistakes too, some quite bad. Humility breeds success. Pride can get people injured further. You are probably not one of "those", but i have seen them. No experience, but know everything. What they need is an older paramedic or ED nurse to set them straight in the way that the medical community does quite well.

Regarding IV attempts: Its not just the time factor, after a while it just becomes patient cruelty because the caregiver isn't on their game for whatever reason.

Absolutely sir. I have been practicing medicine as a paramedic for less than a year with only around 200 patient contacts so far. I basically know nothing, but I continue to study the craft and debrief with those with more time, so that as I do gain experience, I make fewer mistakes. My patients are my top priority at all times.

Working as a firefighter/EMT for a little over 12 years has allowed me to remain calm during *most* calls, so at least I don’t have the panic that I see in a lot of very young people in emergency services.

During clinical rotations, I surfed the ER looking for the more difficult IV sticks to attempt, older folks, the obese, IV drug users. I think that made me better at that skill, but I’m the first to admit, I have a ton to learn in paramedicine. I do love the work though.