#life as an emt

[botanyshitposts]

since the beginning of this blog people have asked me. how do i get a job in botany. and i am here to say i do not know because the only jobs i have ever had have been in agriculture, the section of applied botany other than natural resources that makes stable 9 to 5 money long term. my career path is more winding than i wanted it to be...... my motivations complex..... i want to go to plant grad school some day for plant evolutionary biology my deepest most heartfelt love but at the same time manual labor entices me with a deep urgency right now at age 25.... ive been hitting the gym for the past 2 months daily for the arduous pack test because i NEED to toil or i WILL perish and i also find helping people rewarding and these things come in direct conflict with what i thought was a pretty straightforward academia storyline. i can carry 20 pounds 3 miles in under 45 minutes now which doesnt sound like a lot but in my defense i didnt play sports in high school. just got my healthcare CPR certification and im starting EMT classes soon tbh

[gabbyp09]

[theriu]

I learned recently from family members that EMTs and paramedics are having trouble right now with people in accidents refusing to say whether they are biologically male or female, stating it’s “none of their business” and “doesn’t matter.”

Friends, IT DOES MATTER! Male and female bodies ARE biologically different and can exhibit similar symptoms for different reasons, and if the EMT doesn’t know which you are, THEY MAY NOT BE ABLE TO TREAT YOU because they can’t be sure what’s wrong! This is not a matter of gender politics, it is a matter of life and death! PLEASE, be honest with your healthcare provider, especially in an emergency! THEY DO NEED TO KNOW!

[badassfetish]

This week's @galladrabbles prompt is offered by Sarah, @atthedugouts and it's the sweet song "You Were Meant For Me" by Jewel. ---------------------------------- -- Subject unconscious. No palpable pulse. Airway open, not breathing

-- Gallagher, take over. Prepare for mouth-to-mouth resuscitation

His first time having to resuscitate someone, Ian pinched the nose closed and sealed the guy's mouth with his own. Rescue breaths. Chest compressions. Rescue breaths again. Pulse back. Chest rising. 

He did it.

-- Sir, can you hear me? I'm Ian. You were unconscious. Can you tell me your name, please?

Blue eyes opened and pierced through him, straight to his heart

-- Mickey..  I'm Mickey

Ian knew right there You were meant for me and I was meant for you

[jtl-fics]

Fluent Freshman - Part 22

PREVIOUS

Y’know how sometimes you have something that you need to do or something that you know is going to happen but you just keep…putting it off? Like you know at some point it is going to happen but you put it off over and over and over and over again? You’re getting increasingly anxious every time you put it off because you know it has to get done but you also know that the longer you wait the worse it is going to get. Finally, FINALLY, the anxiety is just a little too much and you end up having to deal with it.

You finally deal with it and the whole ordeal takes maybe five minutes tops and it was in no way shape or form worth the level of anxiety that you put yourself through. Like you worried about this for a good and long while and it wasn’t even that bad?

That is currently how FF feels about being stabbed by Andrew Minyard.

This is what he was so worried about that he had lost sleep, had nightmares, had lost weight, and had exacerbated his stress ulcers over.

Getting stabbed wasn’t anywhere near as bad as he had thought it was going to be. Maybe it was the fact that it was just a single stab wound instead of the Psycho levels that he had been imagining (Wow, showers were going to be so much less stressful now that he didn’t have to confirm Andrew Minyard’s location before triple checking the lock). Maybe it was the fact that he is PUMPED full of adrenaline from his fights against Jackson and Romero but the stab wound didn’t even really hurt at the moment.

This isn’t even the worse thing that had happened to him this year!

That honor still goes to the joint winners of when his Step Family and mother found out that he had a full-ride to Palmetto and when he had tripped up the same step on the stairs at school three times in a row as people watched and laughed.

(Maybe also the solitary congratulations from his Grandma in regards to his graduation but FF doesn’t let himself think about that, won’t think about it.)

He wouldn’t necessarily call being in a state of ‘stabbed’ a pleasant time but Andrew was being so NICE about it.

“Stop trying to sit up you fucking idiot!” Andrew shouts at him.

Well….Andrew’s version of nice.

(This is the same version of nice that he had misunderstood for months at this point. Maybe FF is just enough in shock from the stab wound in his stomach that he’s starting to grasp the basics in the difficult language of Andrew Minyard’s niceness.)

Andrew had gotten off the phone with 911 and then started pulling off his own jacket before draping it over FF’s upper body, wedging his phone between his shoulder and his ear, and then Andrew started to apply pressure to his stomach wound.

Ow.

That is not a great feeling. This stabbing may eke out past the great triple trip of March 2010.

“No, take back your jacket. You’ll get cold if you don’t have it on.” FF argues because his own jacket is barely doing the job. Maybe it’s the cold pavement of the alley, maybe it’s the blood loss, or maybe it’s the cooling sweat he’d worked up but he is shivering pretty badly.

A thought occurs to him as he feels the weird wet stickiness of his own blood sticking to Nicky’s shirt. “Can you help me get my jacket off?” He asks looking pleadingly at Andrew, “It’s my dad’s. I don’t wanna mess it up with my blood.” He clarifies when Andrew looks at him like he’s a lunatic.

Except his second call must connect right then because Andrew’s answer is non-sensical to what FF had asked, “Neil, let Roland know the police and ambulances are en route.” There’s a brief pause and the pressure against his stomach increases as a muscle in Andrew’s jaw jumps. “Smith got stabbed.” He says and he looks angry, angrier than FF had ever seen Andrew when he’s talking to Captain Neil. There is another pause, more than likely Neil saying something or asking a question, “No, it wasn’t them.” Andrew grits out and the pressure on FF’s stomach hurts, “Just get out here, I need help with smith and making sure these two assholes don’t go anywhere before the police come and grab them.” He says before he pulls one hand away from Smith’s stomach (wow he really is bleeding isn’t he?) to hang up the phone.

Andrew’s gaze turns back to him fully, “You’re not moving an inch Smith, your jacket can be cleaned.” He hisses. “Now stay still and don’t fall asleep.” He orders.

Andrew seems stressed so FF complies. He can’t help but notice how Andrew’s hands seem to be shaking as the press down on his stomach. He kind of wishes he had a pillow or something for his head because he’s starting to feel a little dizzy. Andrew’s jacket would be safer from his blood if it was a pillow instead of a blanket. Still, FF would sooner die than spit on any of Andrew’s current efforts to make him more comfortable.

He looks at the knife sticking out of his stomach. Well, he might die regardless of whether or not he spits on Andrew’s efforts.

He needs to take his mind off this.

“Should we take it out and pretend the Dundee knife stabbed me instead??” FF asks letting his mind go to the first thought in his head so that he could be distracted from his own mortality. “I think it’s still under the dumpster over there.” He moves to point one of his hands towards where the knife had remained throughout this entire ordeal.

Andrew’s knee pinned his arm before he could move it, “Stop moving Smith.” Andrew reminded him before moving his knee. “We have to leave the knife in. You’ll bleed to death otherwise.” Andrew reminds.

“I guess that’s true, so do we just say that Romero got a handle on your knife and stabbed me?” He asks fighting his own shivers since he’s a little worried that any shaking on his part would just make the stab wound worse.

“I stabbed you Smith.” Andrew says looking at him with a furrowed brow.

“Yeah, I know,” FF agrees, “but we’re not going to say THAT to the cops.” He says and shock really is one HELL of a drug because he thinks he might have actually given Andrew Minyard an incredulous look with his atrophied face muscles. It’s either Shock or the knowledge that even if he irritates Andrew, what’s Andrew going to do about it?

STAB HIM?

“You’re going to lie to the cops?” Andrew asks, “I STABBED you Smith.” Andrew repeats.

“Yeah, I know!” FF repeats back, “You stabbed me on ACCIDENT.” FF makes sure to use the same intonation that Andrew had used to emphasize the word Stabbed. “Jackson wanted to stab me on PURPOSE. You saw that knife Andrew.” He tries to gesture towards the knife again but again Andrew’s knee pinned his hand.

He could use his other one but the reminder to stay still is enough.

“I still stabbed you.” Andrew says removing his knee again when it’s clear that FF wasn’t going to try and gesture again.

“Well, if I was going to get stabbed by anyone, I guess I’m glad my first time was with you.” Andrew let’s out a bark of a laugh that sounds more like it was punched out of him than anything, “Honestly, I don’t think Jackson would have given me his jacket afterwards or try and help me keep my blood in my body.” He says and it feels like a victory (not a both hands in the air victory cry level victory but it was close) when Andrew’s face settled into one of faint amusement.

“Probably not.” Andrew agreed, “He doesn’t seem big on Aftercare.” He says.

FF doesn’t know what that means but nods like he does, “So, Romero got a hold of your knife during our tussle and he’s the one who stabbed me. Okay? That’s the story I’m going to stick with no matter who asks me.” He looks Andrew in the eye.

“Alright Smith,” one of Andrew’s hands leaves his stomach and clasps around his shoulder and FF can’t help but notice how neither of Andrew’s hands are shaking anymore. “We can lie to the police.” He squeezes FF’s shoulder.

“Nice.” He says and lets his head fall back onto the concrete. He hears a siren in the distance and hopes it’s coming for him.

They sit in silence for maybe 30 seconds before the door slams open and only Andrew’s hands on his stomach and shoulder keep him from shooting straight up in a panic. Captain Neil seemed to take in the scene at lightning speed but it was Andrew who spoke first, “You left Aaron and Nicky with Roland?” He asks.

“Yeah I did,” Captain Neil confirms and FF can see the moment that his eyes land on the knife handle jutting out of FF’s stomach, “Andrew, what are we going to tell the police?” Captain Neil asks and FF could already see Neil crafting a lie to cover Andrew. That’s one of the things that FF likes about Captain Neil and Andrew’s relationship. He thinks it’s nice that both of them have someone who no matter the circumstances would be there with a shovel to help bury a body. He even thought it was nice when he thought it’d be his body!

“The second guy stabbed me.” The lie comes out smoothly which is good because he is planning on committing to it and Captain Neil blinks and looks at him, “He got hold of Andrew’s knife during the tussle.” He adds.

Captain Neil looks to Andrew, “You said it wasn’t-“

“I guess Smith can lie to a liar.” Andrew interrupts.

Captain Neil’s eyes widen before a wicked grin spread across his face that made FF just a little uncomfortable but only because Andrew’s grip on his shoulder suddenly tightened and his nostrils flared the way they did before the two usually started speaking in Russian.

He can handle being stabbed, he cannot handle being in shock and pretending that he doesn’t know what the two of them are saying to one another.

“Can you tell Nicky I’m sorry I got blood on his clothes?” He asks and both Captain Neil and Andrew’s gaze snap away from eye-fucking each other. He looks down and the clothes are black and they haven’t moved the knife so the wound is plugged still but yeah there’s definitely blood seeping into the shirt, not to mention the hole. “Could you tell him I’m sorry about that?” He asks.

“You are going to tell him yourself Smith.” Andrew hisses, “You are going to be fine. Do you understand me?” He asks before turning to Neil, “Can you bunch your jacket under his legs, it’s better to keep them higher than his head and heart?” He asks.

Aw.

Andrew is just so nice.

He can’t BELIEVE he thought Andrew wanted to hunt him for sport.

He’d apologize for thinking that but he thinks it’d be better to just let that particular misunderstanding go unmentioned.

Captain Neil bunches his jacket up and puts it under FF’s legs before he goes over to check on Romero and Jackson. In the corner of his eye he sees Captain Neil pause at the sight of Romero before moving over to Jackson.

“Why is he in these?!” Neil asks baffled.

“It’s a weird sex alley Captain Neil! I don’t know WHAT to tell you!” Yeah he’s definitely going into shock. The sirens are getting closer though so he’ll probably be okay.

***

The cops all have a bit of a laugh about Jackson’s cuffs until Neil tells them exactly who they are taking into custody. Neil could admit that he’s a little irritated with Andrew that at no point did the man clarify that the people who FF and Andrew were dealing with were Romero and Jackson.

Those are his father’s goons.

“They were here for me.” Neil says to the police officer and Andrew’s hand tightens in his, “They tried to take Smith because he’s my friend.”

They had decided on their story before the cops came. FF had no idea who any of these people were and was just defending himself. He’d gone out to catch his breath in the alley when Jackson had shown up. Neil had asked how in the world FF had handled Jackson on his own but FF must have been getting kind of loopy from blood loss because all he said was, “He told me to sing so I did.”

Neil can find out the full story later.

The important part is.

“Jackson went after Smith but Smith won the fight.” Neil says looking at where the cops are trying to decide how to get the fuzzy pink handcuffs off of Jackson to get him in the far more secure police issued handcuffs.

“Your friend said that you and he took out Romero together. That Romero is the one who stabbed him with your knife.” He says.

“Yes.” Andrew answers simply and Neil squeezes his hand as a reminder, “I went out to grab a smoke and Romero followed after me. Romero got hold of one of my knives in the struggle and stabbed Smith.” Andrew says with his usual deadpan affect.

“Yeah that’s what your friend Smith was saying too.” The officer says. “Well, I’m sure the FBI will want to talk to you all further but for now it’s a pretty clear cut case of self defense and no one but your friend has any serious injuries.” The officer pats Neil on the shoulder and Neil manages not to shirk away from the touch. The officer retracts his hand, “You guys are free to go tonight.” He says and turns back towards the car where a dazed Romero is in the back seat.

“Where did they take Smith?” Andrew asks since they’d been shepherded away from Smith the moment the ambulance had come. They hadn’t been able to ask which hospital Smith was going to be taken to so they could go and get updates.

“Lexington.” The cop answers, “Go on and see your friend. He seemed pretty loopy he kept talking about some beauty contest thing when he was getting loaded into the ambulance. I’m sure he’ll be a riot on painkillers.” The cop goes for a joke but it twists something in Neil’s stomach to think of FF so out of it that he’s talking nonsensically.

He feels Andrew’s hand stiffen in his and knows he’s not alone.

“Thanks.” Neil says before they head towards the front of the club. The club had been emptied out when the cops had come so Roland was babysitting Aaron and Nicky for them while they talked to the cops and FF was loaded out to the hospital.

In a way it’s almost a blessing that Nicky and Aaron are both so blasted that they aren’t comprehending any of what’s going on. They’ll have to drop them off back at the house before they go to the hospital. They’ll beat Wymack there easily even after the interrogation and drop off.

FF had asked them to call Wymack to let him know what was going on “I gave him the rights to make health care decisions for me if I’m incapacitated.” FF had said so Neil texts Wymack the hospital and the address after Andrew rattles it off for him.

“I don’t like that you hid it from me.” Neil says in the car.

“They wanted to kill you.” Andrew won’t apologize.

They still hold hands on the drive back to the Columbia house.

Andrew takes care of getting Aaron into bed while Neil helps Nicky.

Nicky who looks at Neil with a loopy smile and Neil hurts knowing that tomorrow when Nicky finds out about tonight and how he was too blasted to do anything to help FF.

Andrew and Neil reconvene in the Maserati and make their way to the hospital before either of them realize the issue.

“What is the name of the patient you’re looking for an update on?” The receptionist asks.

Both Andrew and Neil freeze.

Fuck.

MASTERPOST FOR ALL PARTS OF FLUENT FRESHMAN AU

NEXT

Per your requests:

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The requests to be added to the tag list keep being spread out across a few different areas. If I missed you please just ask again in the replies I promise I just missed you.

As stated before if you’re up here and I spelled it right but you didn’t get a notification there might be something switched around in your settings that won’t let me tag you properly?

[er-cryptid]

Assessment of the Upper Extremity

Mechanism of Injury -- "tell the story" -- who, what, when, where and how? -- type of pain -- symptoms

Previous Medical History -- previous injury -- medical conditions -- surgeries -- medications -- allergies

Inspection -- deformity -- carrying angle -- muscle atropy -- symmetry -- body movement -- scars -- other marks

Range of Motion -- occurs at the joint -- passive = clinician moves -- active = patient moves

Manual Muscle Test -- scale of 0 to 5 -- break test = at end of range of motion -- make test = throughout range of motion

.

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[crazyhickofftheirrocker]

Carla cutting off Betsy's pile-on in her defence without even looking up hit me harder than the car that clipped Swain

[hella-cious]

Something I’ve noticed a couple times and is a bit under my skin.

The shameless fandom knows that Ian wasn’t bipolar in season 1, right? It’s not that he wasn’t diagnosed/didn’t know. He just wasn’t bipolar.

It’s not something you’re born with. It’s something that develops or is triggered.

He inherited a genetic predisposition, but it’s not the same thing as inheriting sickle cell or a widows peak.

In season 1 and season 2 he wasn’t bipolar. There’s an argument to be made all the awfulness of season 3 brought it on, or maybe that’s just when his time was due.

[mashupofmylife]

I've been in fire/EMS for almost 17 years (since 2007!)

I got my first state EMT card in 2009

I applied for medic class in 2011, but dropped out before it started because it conflicted with my college classes

I finally started medic class in 2021

I officially got my NREMT-P in 2022

Today, 3.5 years after medic class started, I finally got cut loose to operate independently as a paramedic. Right now, there's only one other volunteer medic in our whole jurisdiction.

It took way longer than expected. There were barriers and heartaches that I never could have imagined. I'm not working in the same system that I was when I started medic class anymore.

All the time, people ask me why the heck I still do this. I don't need to. I'm not trying to get hired as a firefighter/medic anywhere. I definitely didn't need to use vacation days to work a 24-48 shift schedule for the past several months, on top of my full time job where I'm a physician. I'm definitely not the best firefighter or medic out there, but I love this. I love the work, I love the people, I love the community. There are some other big fire department goals that are sitting on the horizon for me, but right now I am so excited that I've finally achieved one of the biggest goals that I set for myself when I first started volunteering. There aren't too many goals from that time left that I haven't yet achieved (and fewer that I still want to!).

[darlingian]

I want to imagine that Ian became the new V. The new "street nurse" for the Southside.

Like yeah, Ian and Mickey live on the west side and they've made a couple friends, and maybe Ian even found a day job in the neighbourhood. But Mickey is still doing his thing in the Southside besides his security gig because it's what he's good at. And sometimes Mickey comes across someone who needs to be patched up and can't afford to go to the hospital. And Ian keeps a good amount of supplies in the ambulance, so he calls him.

Ian loves it because he feels like he's still helping people and he still has a bigger purpose. Maybe he even steals medical textbooks and watches courses online to try to gain more knowledge.

And maybe this is how Ian meets other people with bipolar. And maybe they help him see the wide spectrum of possibilities for living with mental illness. Not all of them bad. And maybe that's what he shows them too.

[glasseswearingrabbitdetective]

Babiest 🥺❤️

[gabbyp09]

[mickeym4ndy]

Alternative Storylines

One of the reasons I don’t love the “Mickey came back from Mexico for Ian” storyline (unpopular opinion I know but hear me out) is because of how many more interesting storylines we could’ve got if Mickey had come back in a different way.

For one it would’ve been so interesting to see Ian deal with the fallout from the gay Jesus and prison storyline without Mickey.

Like we know Ian has always thrived when he’s had a purpose and a goal to work towards with first the army, then being an EMT. After prison when he didn’t have either of those, he had Mickey - he found purpose in being a good partner and husband, in getting them out of the south side and earning a living legally. It’s one of the reasons he was so excited about the move to the Westside. In season 11 after he quits the warehouse job we see how much it affects him to not have that purpose anymore (in his mind) and how low it makes him. Mickey helps pull him out of it and makes him shift his focus to a new job that brings on new opportunities and new goals - moving out, expanding the business etc. and we see him come back to himself and think about the future positively again. If he didn’t have Mickey I don’t think that would’ve happened so easily. I honestly think that once he left prison the reality of his actions would’ve really hit him hard and we would’ve seen him spiral similarly to the start of season 6 - “This is it for me, Lip.” In his mind he’d be back where he started after working so hard to get to where he had been. He alludes to it when he says “trying to find the strength to look for another soul crushing dead end job.” It would’ve been SO interesting to watch how he deals with that and see how he pulls himself out of it and comes to terms with his life again.

ALSO there would’ve been a cool callback to season 6 with the storyline of Ian moving on with his life while Mickeys is stuck in prison, except it could’ve been Mickey moving on with his life while Ian is stuck in prison. This would’ve been interesting to explore because I think they’d both understand the other’s actions/feelings so much more. I think Ian would’ve had to deal with the guilt & reality of how shit everything was for Mickey while he was in prison and his own role in that. BUT also I think Mickey moving on with his life would allow him understand more why Ian couldn’t have given everything up to go to Mexico with him and also maybe some of Ian’s actions in season 6. And how they deal with those feelings while finding their way back to each other would’ve made for pretty scenes I think.

I also have more thoughts on how this would’ve given Mickey a chance to have his own growth and development without Ian (which also would’ve been SO good to see) and if he were to come back to Chicago on his own terms, there’s a chance we’d have gotten to see the dynamic of a Mickey who got his life together and Ian who’s life is somewhat in shambles. Not that I think it actually would be in shambles, but I think that’s definitely how Ian would view it himself and witnessing that dynamic would’ve been so interesting.

Would it have been happy? Probably not but that doesn’t mean it wouldn’t have been decent TV and character development.

[mcclintcock]

https://youtu.be/wjdrUksw8b0?si=UUqq5gshlDR8ozpi JONAH FROM VEEP HELPED MAKE THIS COMMERCIAL??????

(the fact i immediately thought of you lol --)

USHIAJDJW THE FOLGERS INCEST COMMERCIAL

thats one of my favorite commercials of all time it lives in my head rent free timothy simons helped make that WHAT

[er-cryptid]

Airway Assessment of the Unconscious Patient

-- immediately assess airway of unresponsive patient

-- patient may have experienced trauma

-- if trauma is possible, use the jaw-thrust maneuver to open the airway

-- if the jaw-thrust maneuver doesn't work, use the head tilt-chin lift maneuver

-- signs of airway obstruction in unconscious patients: -> obvious trauma -> obvious obstruction -> noisy breathing -> extremely shallow breathing -> absent breathing

-- noisy breathing can include: -> snoring -> bubbling -> gurgling -> crowing -> stridor -> other abnormal sounds

-- the tongue could be the cause of airway obstruction -> tongue muscles relax -> tongue falls to back of throat -> airway is blocked -> very common

-- for a tongue obstruction: -> position airway -> place oral or nasal airway

-- possible other obstructions: -> dentures -> blood clots -> vomitus -> mucus -> food -> foreign objects

-- the above objects can be cleared with manual techniques and suctioning

-- only after the airway is clear do you continue your assessment

.

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[dorkylittleweirdo]

Remembering all the times that people tried to out me as a grey's anatomy watcher when I haven’t seen a single episode like excuse you I'm cultured and watch house md