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If Tim Tebow Was a Paramedic

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Those of you who read Sean Eddy at Medic Madness are probably familiar with his Celebrity Medic series, in which he imagines what a celebrity or fictional character would be like as a paramedic. So, given the dramatic win last weekend and the upcoming divisional playoff game against the Patriots, Sean and Greg Friese have challenged us to imagine what it would be like if Broncos quarterback Tim Tebow were a paramedic. If you’d like to play along, consider this a meme. Drop us a link to your blog post in the comments.

Hey, Tim? Nice veins.

If Tim Tebow Was A Paramedic:

He’d have more code saves than any other medic in your system.

Of course, his detractors would point out that the reason is that Tim Tebow has more people die in his rig than any other medic in the system, because Tim Tebow struggles reading 12-lead EKG’s  and recognizing subtle patient presentations…

… but his fans would  counter with the fact that, once the patient is dead, Tim Tebow always seems to convert the patient to a perfusing rhythm on the first shock.

“Yeah, but that doesn’t happen until they’re dead!” his critics would retort.

“What does it matter as long as they go home neurologically intact?” his fans would crow. “A save is a save, baby!”

“Dude, the guy‘s a weak medic,” would come the counter argument. “He can’t read EKG’s, struggles with drug dosages, can’t remember the landmarks to do a needle decompression, breaks half a dozen teeth when he tries to intubate someone – “

“ –but gets the tube in when it really counts!” his fans would proclaim. “That’s what’s important, right?”

Puhleeze. The guy has killed more people than smallpox.”

“He’s saved more people than Billy Graham!”

“Grim Reaper!”

“Johnny Gage and Roy DeSoto!”

“Dude, you’re talking about the guy like he’s an elite medic. Elite medics know cardiology like Tom Bouthillet. Elite medics manage an airway like Ambulance Driver. Elite medics are cool under pressure like TOTWTYTR. Tebow couldn’t stand on a stepladder and kiss those guys’ asses.”

“Oh, yeah? Well, how many code saves did those guys have this month? None, baby! Woo hoo!”

“That’s because those guys don’t let their patients code. They manage the call, so they don’t have to do any heroics at the end!”

“ Tim Tebow rules!”

“Tim Tebow drools.”

“You just hate him because he’s guided by the hand o’ Gawd!”

“I hate him because he gets the credit for every save, when it wouldn’t have been possible without the uninterrupted chest compressions done by his partner, or the prompt call to 911 by the patient’s family, or for the contributions of half a dozen other people. Nobody gets a save all by themselves. Resuscitation is a team sport.”

“TIM TEBOW WAS THE BEST EMT-B THAT EVER LIVED!”

“Yeah, but now he’s a medic. Everybody in this system was an awesome EMT-B, or they wouldn’t even be here. This is the pros, baby, and your boy’s game doesn’t work here.”

“YOU TAKE THAT BACK!”

“Not gonna happen. Maybe your boy might make a decent – I mean just decent – medic with a lot of practice and a few years. But he ain’t there now, and he doesn’t even deserve to be mentioned in the same breath as Rogue Medic, or AD, or TOTWTYR, or Happy Medic. “

“HERETIC! GOD SEES YOU, UNBELIEVER!”

“Blow me.”

[fisticuffs ensue]

And while the argument raged around him, Tim Tebow would keep on running calls and doing his best for his patients, because he’s Tim Tebow, and he’s a good kid. He’d recognize that he’s got a gift for the heroic save, but he’d also be honest and admit that he’s still nowhere near the medic he should be.

And nobody would outwork him in getting there.

He’d be humble and self-effacing to his fans, always deflecting praise to his teammates (and God), and he’d be gracious to his critics. And he’d make some serious gaffes, but he’d keep on racking up saves.

And after each one, he’d Tebow.

Naturally.

 

 

A New Disease

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Fred Sanford Syndrome: clinical disorder characterized by the life-threatening complaints in the absence of any objective clinical findings. Sufferers of Fred Sanford    Syndrome (FSS) usually present with chest pain, often accompanied by a constellation of associated symptoms including respiratory distress, dizziness, anxiety, syncope, flatulence, incontinence, amnesia, seizures, speaking in tongues, headaches, blurred vision, loss of vision, aphasia, dysphasia, paranoia, combativeness, belligerence, and catatonia.

FSS is thought to be triggered by emotional distress, often resulting from verbal conflict with family members. The hallmark signs of FSS are dying declarations, although these dying declarations are easily distinguished from from the far more ominous "profound sense of impending doom" often reported by acute coronary syndrome sufferers, primarily by the volume and frequency of the declarations, and the presence of a receptive audience.

FSS is exclusively found in males, although many healthcare care providers note its similarities to Scarlett O'Hara Syndrome (SOS) found in females, and postulate that it may indeed be the same disease.

Given the frequency at which I see this disorder, I think it's time we added it to the ICD-10.

Or, given the total lack of objective clinical findings, perhaps the DSM V.

 

Little Life Lessons

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I've been teaching EMT's for years, and let me tell you, there's nothing so satisfying as that look of discovery on a student's face when the light bulb finally comes on. Instructors live for such moments.

The Borg has partnered me with green partners ever since I started here, and I try to impart a little of the experience and wisdom I've earned over the years. I mentor them, fill in the gaps in their knowledge, perhaps season them a bit, and ready them for paramedic school. Thus far, all of my previous partners are now medics, or currently in school. They've all been successful. I'm kinda proud of that, actually.

And since I'm literally old enough to be father to most of them, I sometimes get a little paternalistic, and teach some of life's lessons that have nothing to do with EMS; the things they'll need to succeed in life.

Like early this morning, for example, when I took the opportunity afforded by a slow Christmas Eve to teach Betty Rubble the most accurate -and most importantly, repeatable – way to bounce a quarter off a table into a Dixie cup. Hard to believe she made in through high school and a couple years of college without mastering that vital skill, but apparently she took different electives than I did in school.

You'd think the poor kid had never seen a man roll a quarter off his nose before.

 

Bwahahahaha!

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Sent to me by a reader, an EMS dispatcher from New Jersey:

Fellow Borg Drones, I Feel Your Pain

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In my city, when you're dispatched to the parish juvenile detention center, our GPS mapping software leads you to Chuck E. Cheese*.

True story.

* I'd say "directly to Chuck E. Cheese," but I don't think our route instructions lead you anywhere directly…

For You EMS Types…

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… there's a new post up on EMS1.com.

Top Ten Signs Your Dispatcher Hates You.

Enjoy!

Occupy Air Medical Transport*

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Now there's a movement I could get behind!

 

 

 

 

 

* Not an actual movement. Photo posed for humorous purposes only. Don't get excited, Dr. Bledsoe. ;)

Deer Crunching 101

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What is it with Blogorado and hitting deer?

I killed the biggest deer of my life at Blogorado 2009, took him down at a dead run with a 318 Dakota. FarmGirl hits an elk with her Crown Victoria earlier in the year, leading to the construction of the Blogorado War Wagon and Death Machine, and then I take down a deer the day before I left for Blogorado, dinging my previously pristine 2010 Tacoma.

I don't know what it is with me and deer. I mean, I try to be vigilant, I scan the roadsides at night, I've installed those little ultrasonic deer-repelling whistles on every vehicle I've ever owned, and…

… oh, wait. Turns out I've had the damned things mounted backwards all along.

Well, shit. That explains things.

For You EMS Types…

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… there's a new Top Ten List on EMS1.com.

Top Ten Most Commonly Misinterpreted EMS Abbreviations.

Enjoy!

It’s Almost, Like, I’m An Apache Or Something…

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Bringing a patient to the ED just now, I noticed a trail of detritus and blood drops leading out the doors to the ambulance bay. Out of curiosity, I followed the blood drops and bloody footprints back to a room. In the hallway just outside the room, there was a half empty banana bag (a standard bag of saline with multivitamins added, making it look yellow), still attached to a 14 gauge IV catheter. Lots of blood drops on the floor in that spot.

When I rolled past the nurse's station with my patient, I casually mentioned, "Y'all know you just had an elopement, right?"

"Huh?" Four heads turned my way, including the ED doc.

"An elopment. Your obnoxious drunk from Room 6 left without permission, I'm betting. He was probably pissed, but not as pissed as y'all were at him."

"Go check," the doctor ordered, and the charge nurse scrambled that way. I chuckled and wheeled my patient to her assigned room, moved her over to the ED stretcher, and gave handoff report to her nurse.

"You saw the guy leave?" the charge nurse asked me as I rolled my stretcher back past the nurse's station.

"Never laid eyes on him," I grinned. "So, did he elope?"

"Long gone," he confirmed. "So how did you know he was an obnoxious drunk?"

"Not just an obnoxious drunk, but an obnoxious drunk that managed to piss y'all off," I corrected.

"That he did," the charge nurse chuckled. "But I'm just curious as to how you knew all that."

"Well," I answered, "Let's just say I've learned how to read the signs."

I LOL’ed

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Joe Packowski on how EMS providers view each other.

Chuck Norris would be the perfect medical director, too. 

Evidence-based medicine? Pshaw.

Chuck Norris decides what is evidence, and science follows suit, baby.

Overheard On The Bolance

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Dispatch Drone: "Head quarters to Borg Cube 69."

Ambulance Driver: "Go for 69."

DD: "69, we need you to respond to Fydallo Ho Expressway eastbound near the Chili's, red Chevy Silverado pickup pulled over in the emergency lane with his hazard lights on. 38-year-old male with a spider bite."

[sounds of AD banging his head against the dash]

AD: "Aaahhh, Dispatch, could you repeat your traffic? That came through kinda garbled."

DD: "Fydallo Ho Expressway, eastbound,  at mile marker 29. Red Chevy Silverado pickup, driver says he's – "

AD: "Um, yeah, Dispatch. Guess you weren't garbled after all. 69 responding to the emergent spider bite pulled over one mile from the hospital."

[more sounds of AD banging his head against the dash, whimpering in despair for the human species]

*** five minutes later ***

DD: "69, you can cancel your call. Patient says he's gonna try to make it on to the hospital himself."

AD: "I'm sure it'll be an ordeal, but here's hoping he makes it alive, Dispatch. Godspeed to you, Spider Bite Man, Godspeed…"

For You EMS Types…

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Verbatim Patient Report From Tonight:

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Ambulance Driver: "Heya, Mercy General. This is AD on Borg Cube 387, 5 minutes out with Patient X, who is apparently suffering from, well… let's call it acute exacerbation of chronic Patient X-ness."

ED Nurse (sighing): "So she's drunk and fighting with her boyfriend again? What is it this time, abdominal pain or demonic possession?"

AD: "Not really sure, haven't determined if I'm talking to Patient X or the demon."

ED Nurse: "Straight to triage upon arrival, AD."

AD: "Roger that, straight to triage for exorcism via fluorescent light therapy. See you in five."

Not-So-Smart Bomb

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Colorado Teen Injured Grinding Fireworks in Coffee Grinder.

A Colorado teen is recovering from serious burns he suffered when the fireworks he was attempting to mix in a coffee grinder exploded… The blast shook the house of a fire inspector who lives about a quarter-mile away.

Reading that, all I can think of is the rise and fall of the Nigerian space program.

Overheard In The Emergency Department

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Ambulance Driver: "Well man, looks like you're in good hands. Good luck to you, and here's to better luck in choosing female companionship in the future."

Stabbing Victim: "Yeah, like a girlfriend that won't stab me. That's the second one."

AD: "Maybe you ought to have them fill out a questionnaire or something, like 'Do you feel like sharp weapons are an appropriate means of confliction resolution?' or something along those lines."

SV (chuckling): "I don't think that's an option on eHarmony."

AD: "It oughta be, right on up there with 'likes puppies' and 'social drinker' and 'prefers theatre to sporting events.'"

For You EMS Types…

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… I have a new column up on EMS1.com.

Top 10 Ways To Be a TV Medic.

“Look Out Shrek, He’s Got A Piece!”

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A Cleveland, TX man is airlifted to Memorial Hermann Medical Center in Houston after an encounter with a feral housecat:

At some point during the attack, the man and the cat reportedly were injured by a knife the man was holding. The man was taken to Cleveland Regional Medical Center before being transported to Houston.

Thus disproving the theory that a litte pussy never hurt anyone.

So the guy was so severely injured that, even after being evaluated and presumably stabilized by a physician at Cleveland Regional Medical Center, he was still so bad off he needed a helicopter? But hey, I'm also the guy that personally took care of a double-fatality ostrich attack, so I suppose anything is possible.

Based upon my experience with Houston rush hour traffic, a 49-mile ambulance trip could easily take 3-4 hours, so maybe it was necessary.

I think the lesson we can all draw from this is that, when dealing with strange pussy, condoms are not enough.

Wear Kevlar.

 

 

 

 

 

Hat tip to reader Matthew Woelfersheim for bringing this to my attention.

Overheard On a Skype Chat

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While getting ready to record this week's episode of Confessions of an EMS Newbie, Ron Davis and I had the following exchange:

Ron: "So man, how was your weekend?"

AD: "Not bad. Taught a PALS class on the other end of the state, went jet-skiing on Lake Bruin, took the kids to Poverty Point…"

Ron: "Poverty Point? What's that, some kind of amusement park with a homelessness theme?"

AD: "More like a drive-through safari park, except the animals rush the car with squeegees and beg for spare change."

And now he's got my mind awhirl with what kind of rides a homeless-themed amusement park might have…

I Wonder if John Moses Browning Owned a White Horse?

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Coincidence? I think not.

 

Stolen from a Facebook friend, Rob Foy.

A Repost For Epijunky

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In response to a recent Twitter conversation between @Epijunky and @JustMyBlog, I happened to mention that I know what it's like to walk in high heels. There ensued rampant speculation, threats to out me, and a bidding war for pictures of me in drag. So, to satisfy their curiosity, here's a repost of my walk on the wild side.

Enjoy:

**********
 

"Excuse me, Miss, where do you keep the king-sized nylons?"

Now there’s a question guaranteed to raise an eyebrow when asked in the women’s clothing section at Wal Mart – particularly when the question is asked by a 6’2″ man who weighs 300 pounds on the hoof – give or take a Taco Bell value meal and a pair of trauma shears.

“Uh, excuse me Miss? The only thing I could find in my size was nude. Do you have anything in taupe? Maybe something in a control top?”

Now all the women over in the pharmacy and cosmetics department already think I’m a deviant because I shop for a lot of my moulage supplies over there. Nothing beats the look on a cashier’s face when you slide a few Maybelline concealer sticks, lipstick tubes in red, purple, black and green, and neutral foundation powder across the counter…and when their eyebrows inch upward, go ahead and slide across a jar of Vaseline, some unflavored Knox gelatin and a box of food coloring… and then wink.

Priceless.

And in my married days, I had already run the Emasculation Gauntlet and been sent on a douche shopping mission to the drugstore. (Here’s a hint, guys – never request a specific “flavor.” Those chicks at Walgreen’s have no sense of humor.)

Suffice it to say I considered myself embarassment-proof. Yet there is something about shopping for Frilly Things that just…does something to the male psyche. Particularly when you’re accompanied by your wife, who passes female judgment on every selection.

“Nope, honey. Not good with your skin tone.”

“Won’t work. Doesn’t go with your shoes or your handbag.”

“You’ll be the biggest woman on the stage, sweetie. We need to find something slimming that emphasizes your best features… like maybe a cardboard box that leaves your feet sticking out.”

“Blue eye shadow is a no-no. Yes, I know your eyes are blue. Just trust me on this. You look like that Mimi chick on the Drew Carey Show. Now go wash that stuff off and let me show you how to do it.”

Honestly, it was enough to damage a guy’s self esteem. I still bear the psychological scars, but then again so do the women who sold me my dress at Lane Bryant.

Now I should explain why I was taking this walk on the Wild Side. Although I have always described myself as a lesbian trapped in a man’s body, my orientation has always been fervently heterosexual. (grabs testicles and spits for masculine emphasis)

Nope, I was doing this for a Good Cause, specifically to raise money for a scholarship fund for widows and children of EMTs killed in the line of duty. One year during EMS Week, the Powers That Be decided that a Womanless Beauty Pageant would be an excellent fundraiser. The call went out for male medics who possessed certain attributes, like beauty… poise… intelligence… charm… talent.

Or failing that, at least find a couple of dozen exceedingly ugly, hairy male medics without absolutely no sense of decorum or self-respect. Naturally, I was one of the first ones approached.

So on the day of the pageant, I submitted myself to several hours of primping, preening, spackling, cinching, spraying and various other indignities at the hands of my wife, who pulled away the drape with a flourish and presented me with a hand mirror so that I could gaze upon the image of myself as…my mother.

Not my mother back in her youth when she was a knockout. Noooo, this version was of Mom after five kids and menopause, only with a five o’clock shadow and hairy legs.

It was a Norman Bates Moment.

Adding to the indignity was the fact that the banquet hall had no room for the boys to do their makeup on site. Nooooo…all we had was a ready room in which to congregate before our turn on the catwalk, necessitating every one of us to make the drive from our hotels to the banquet hall in full drag. I must confess that the drive over was made somewhat more entertaining by blowing kisses to every redneck at every stoplight. The Missus was driving, so I was even able to rub my hooters against the glass.

The ready room was packed with guys in various degrees of drag, each sizing the others up with a critical eye.

Not bad Bob, but my wig is better.

Geez, tweeze those eyebrows Larry!

Love the satin dress, Jason, but the panty line ruins it.

Got a little lipstick on your teeth there, Hank.

Boy these heels are tough to walk in, but DAMN don’t they make my calves look defined!

A concealer stick would cover those circles under your eyes, Frank.

Now whilst we were waiting, it would be fair to say that a fair amount of Liquid Courage was consumed. And while we were re-affirming our own masculinity, let’s just say that the language and the behavior got a little…coarse. At one point, a number of us noticed a rather attractive, statuesque blonde sitting quietly off to one side.

“Oh, sorry Ma’am, we didn’t realize you were sitting there. We didn’t mean to…Myron??? Is that YOU??? Damn, but you look HOT!”

At that point we all knew we were vying for second place.

Knowing that my hopes for winning hinged upon the talent competition, I decided to pull out all the stops. So I gave a lap dance to…this guy.

You EMTs may recognize the face of John Roquemore, former President of the National Association of EMTs. Needless to say he was less than enthused about a 300 pound drag queen gyrating around on his lap while singing Happy Birthday Mister President in the breathiest Marilyn Monroe voice I could muster…

…but he was a good sport about it, and I got First Runner Up. Raised $500 for the scholarship fund, too.

And rumor has it that Rocky spent his own money to buy up all the photo negatives taken during that event, so there is little chance any photos of my sexy self will make it onto the internet. Thank God.

Until next time…

 

Whose War Story Is It Anyway?

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Howdy folks, and welcome to War Story Improv! The way it works is, I start with a (semi) fictitious experential anecdote war story, and our talented cast of readers supplies the next line! It's totally unscripted and unrehearsed, and anything goes!

"So there we were, carefully unscrewing the extension handle while trying not to manipulate the guy too much, and I asked the guy, 'So you were painting your ceiling, and fell off the ladder, lodging the paint roller in your rectum. Ignoring the fact that leaving your roller propped up in the paint tray like that is an excellent way to get runs and drips, do you always paint in the nude?' and the dude said…"

Reeeeaaddddyyyy, GO!

 

If Dr. House Was a Paramedic…

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… over at Medic Madness.

Unlike most EMS providers who respond to pagers and quick-call systems, Dr. House would be tracked down by his boss to inform him of an interesting call. For the most part, he would handle all of the critical cases. That is unless he gets in trouble. In that case, he would be assigned dialysis transfer duty for a duration decided by his boss.

He’d also have his “team” do an 18 lead EKG, CBG, cranial nerve exam, orthostatic vitals, spO2, rectal temperature, etCO2, NEXUS exam, MEND exam, field sobriety test, Cosmopolitan Magazine Couples Compatibility Test, paralysis and Train of Four monitoring, atropine and adenosine tolerance tests, a brief trial of transcutaneous pacing, check for rectal tone, sweep for priapism, internal vaginal exam, Mallampati scoring, a FAST exam, a polygraph, Rorschach and thematic apperception testing, and i-STAT point of care lab testing…

… for every single patient, regardless of complaint.

Because as anyone who has ever watched House, MD knows, his diagnostic method is throwing shit against the wall to see what sticks.

Because, you know, all patients lie. Sure, he says he has a stubbed toe, but it’s most likely a new airborne strain of Ebola.

On Tunnel Vision, Idealism, and Being Totally Ate Up With It

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A recent conversation with a friend:

Good Lawyer*: “Say, was I ever as sparky and idealistic as the EMS Newbie?”

Ambulance Driver: “Well, law school made you cynical before you were ever an EMT. But yeah, you were pretty damned sparky.”

GL: “Come on, really?”

AD: “Dude. Coyote Ugly, in Austin about six years ago. Remember the chick dancing on the bar with her boobs hanging out?”

GL: “Vaguely. You’re talking about the high chick?”

AD: “There we were, ogling a reasonably attractive, semi-clothed female dancing on the bar, with her rack exposed. And she’s already trumpeted the Texas Girl Mating Call, ‘I am druuuuunk, y’all!’ Remember what you said?”

GL: “Uummm…”

AD: “You said, ‘Did you get a look at her pupils? That chick’s high as a kite.’ Heck, at that point, I hadn’t even noticed that she had eyes, much less the size of her pupils.”

GL (defensively): “Well, you shoulda seen ‘em! Her pupils were huge.”

AD: “I wish to revise my statement. I didn’t mean you were sparky. You still are. Sparky McSparklemedic, that’s you.”

*So named because he’s a paramedic, too.

Massaging Your ‘Possum

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And no, that’s not a euphemism for masturbation.

I can see why one might think that, this being my blog and all…

I do, however, still reserve the right to use stroking the muskrat, fighting the turkey, choking the chicken, flogging the dolphin and wrestling with Pedro as my own personal code phrases for self-abuse.

Hat tip to Phlegmmy.


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