Відео

Honestly bc there is way too much when I comes to ALS care and using drugs. Also on the civilian side drugs used and drugs carried can vary by state because protocols vary state to state. But simply just knowing the drugs or potential ones carried I do consider almost like OPSEC(there has been tweeker and idiot that steal or break into ambulances looking for drugs fortunately criminals are mostly stupid) though when I was working as a medic no matter if in a tactical role or street role noncontroled drugs are stored differently as well as the controlled ones which are usually secured well. But for example technically benzo class meds are technically supposed to refrigerated or temp controlled most are stored at room temp or ambient temp which can vary as well depending on the system and vehicle sop's there are places where medics trucks (which is a broad term as medics use many types of transportation) like the fire dept in quarters till they have to go out some randomly drive around some post in certain places but if those class of drugs if not kept cold usually they get exchanged bc between 90-120 days they start to degrade or loose effectiveness, that's what they say (I have worked for privately owned companies that donate noncontrolled meds to poor countries along with outdated equipment, someone smarter than me also usually part.of govt alphabet soup decides when things exp in the US also even if it has lost some or degraded if it's in some places I been to end of the day something is better than nothing) also some are light as sensitive like zofran even though light sensitive though usually it's dispensed in brown bottles occasionally if you restock at a hospital because it's controlled environment often in hospital they are in clear vials and we left on window sill(it was exp so no waste) but within 24hrs it looked like whiskey. Besides OPSEC if you presented to me as a PT and request a certain drug your going to be judged be it that your drug seeker, psych pt, or something else though there is another one you worked in some type of healthcare. Also besides varying state to state really not a need bc at the end of the day most present with a complaint if responsive if not able to speak or unconscious we do look for medical alert devices which vary though kind of weird & cool have seen IR tattoo's and we are trained to treat & transport to an appropriate level of care though depending on many factors I can say in civilian side also in the areas I know or states I worked there are different levels or training of paramedics, like one of my many part-time jobs though trained & certified personally the service I worked for like a majority can't preform RSI or rapid intubation so we actually had to call for a different medic truck because they had drugs we didn't or one more appropriate but those trucks provided county based als, also depending on what type of service they provide can dictate what's carried or not like are you doing just 911(are you in a city or in the sticks), or emergency & non emergency transfer/transports like say someone lives in elderly storage facilities and has central line with meds running and needs to go for an appt or dialysis. So there is various levels of specialty training and certs like most streets medics don't have what flight medics do or those that do critical care transports or like being a good member of the community I have worked on call(sort of like volunteer FF's but we got paid) it there wasn't a medic on all the time & bc in my personal vehicle often quicker to go direct also being a tac medic I had stuff assigned to me with exception of controlled meds if it was anything except for a tac call out like say a seizure majority of the time the amb was either there or close when I did tactical things mainly there was a safe inside the Sheriff Dept I could swing by sign out what I needed but that had many factors almost like this video we didn't have what we didn't need or commonly used in a tactical environment and even than most times even though I was a medic usually there was an ambo somewhere in the vicinity. Being a civilian tac medic for a PD is different from military medics even if they are in a stack though a similarity which a lot of people get confused is what an IFAK was designed for or the forget the "I" part like as the tac team medic between me and other medics we setup the IFAK the guys carry besides iv & drugs that kit is for you if possible to start self care or for.me to use on you though I have bag full of stuff its alot quicker if I am going for my backpack it's a bad day. But honestly you need to have an understanding of the body aka A&P though a standard A&P course has info you won't need or use in emergency care even tactical trauma care though I need to know parts of the brain & and what it does if it is not inside the skull where it belongs & you don't have a pulse than the Last Responders are usually called. When I got my medic it was done through a college that had various medical programs and they had multiple courses that was multiple parts like human bio but they also had A&P for medical professional basically tailored to info they need to know. But it's super super important to know how the body, organs, and systems within the body works because certain meds may be needed for one thing but could effect say your different nervous systems, as example some pain meds can effect a patients BP or drop it so if their bp is already in the crapper(which is common in trauma usually bc of volume loss) so you may want to choose a med that doesn't effect those systems. Also some meds are weight based and all are in metric system or usually seen as Xmg or Xmcg/kg. Though not something medics carry but just another random thing some meds were created for one thing & they work well or better for other things aka they have side effects and most meds have side effects so like Viagra originally was designed to treat hypertension(high blood pressure) but alot of male PT's had a common side effect so it went from treating HTN to treating ED why I use this bc how this meds works if you aren't familiar with the body systems (& bc of issues it's usually mentioned in commercials) but say pt has chest pains & has cardiac hx you can't give nitro bc your going to bottom out their bp and most likely cause them to pass out. Honestly like someone else asked something similar if you want to know more than general knowledge and I will say there is info on the Internet but you do need to know where to look. But end of the day without going down a rabbit hole unless you want to become a Paramedic you really don't need know what drugs we have or don't have as it's useless also you don't want to be that person requesting certain meds the only difference would be if you have a rare or unique medical condition that isn't well known than do your research on that and working with your Dr so you can advise EMS of the condition in a way they can understand so if treating you for that or something else they know or hopefully know what drugs they can & can't use though with technology and even before everyone had pocket computers just to check a lot carried small book made to fit in short pocket called pharmacopoeia though it's technically more for Docs, PA's, NP's it has info but it's written in what I call doc language (convinced alot is to make them sound smart but honestly confuses people more like epitaxis or something close to that fancy word for a nose bleed) so its where A&P comes in. I encourage anyone to see if they can do a ride along some allow it some don't though usually working for a privately owned company you make ok money but if you enjoy EMS or one of the specialty services like flight medics or tactical medic (though area depends some teams you have to be a Leo and some they use municipal or hospital medics within their AO and they get everything except for a pew though it's kind of messed up where unfortunately bc of war we fortunately learned a lot about trauma care like TQ's have saved many lives and a lot of things have come from the battlefields to the street.