27 September 2011

Promises, Promises

Well, I didn't exactly promise to write more.  I didn't even take the advice of the beer cap!  I've been in a bit of a rut, in writing and pretty much everything else.  I wish that I had a good excuse for it, but I really don't.  Believe me, I've tried really hard to blame something other than myself.
I kind of feel like I need a little inspiration.  Luckily, I have found several sources.
Firstly, last week three of my girlfriends had babies.  I was honored to be in the room with one of them to take pictures and it was truly the most amazing thing I have ever seen.  I have never been more proud of her.  And, who doesn't love babies?!  Crazy people, that's who.
It was also great to leave her room, and slide right across the hall to visit my other friend.  Their babies were born 12 hours apart.  I hope they stagger the birthday parties!  It is inspiring to see friends build their family.  Nothing was more surreal than checking in on them the next day to see her cradling her beautiful baby.  I guess it's more surreal because I've known her since high school, and it is strange to admit that we are growing up. 

Secondly, my photo selling wild-ass plan is soon to be self actualized.  Well, that may be stretching it.  But I do have my first show this weekend.  This weekend!  Holy crap.  I think I'm ready, but I have yet to do a dry run of setting up the tent and such, as it's been raining pretty much constantly for a month.  Well, that may be stretching it.  But it has been hard to find a dry couple of hours to put it all up.  Head on over to thesamesunphotography.blogspot.com to learn the deets of the, how you say? show.

Lastly, I am stoked to have houseguests for the next month.  My NH roomies are coming down to stay because they are awesome.  Well, mostly because he's in med school and has an internship, and she just loves Maryland (I'm told).  Either way, I am very excited to actually have guests in the guest room.  I should probably practice having other people around (i.e. shutting the bathoom door all the way) but I'm just going to do it on the day.  Haha, now that they've read that, I'm sure they're really excited to be here. They'll inspire me because they know how to work an oven, might want to eat meals at regular intervals, may want to play tennis, and have strong work ethics.
So, I will take these sources of inspiration and attempt to put them to good use.  I need to get out more, use that gym membership, and be more focused on details and getting things done.  Although, in a fit of stupidity/bidding on ebay and thinking I wouldn't win, I bought a new xbox.  This, I'm sure will help me to make good use of my time.  Or, maybe reduce my road rage. 

08 September 2011

Alcohol Preps

A few weeks ago, a new colleague of mine and I went on a motorcycle accident. When we arrived, the patient was being held down by about six firefighters and police officers while he struggled and shouted and was generally barely under control. They might have let him up if he hadn't cracked his helmet, been bleeding profusely from his head, and wouldn't believe that he was in an accident despite overwhelming evidence to the contrary. My boss came to back us up and was immediately on the phone getting command orders for some sedation. (Yes, don't make fun of our silly state that has to ask for stuff. It happens). And, sadly, we got a (relatively) useless order for 1mg of IM ativan. My partner drew it up, handed it to me, and then as I leaned over to jab it into the patients arm, my partner pushed an alcohol prep in my face. My first reaction was, "Um, what the heck is that?!" as I continued to push the med while my boss was kneeling on the patients arm while trying to get him to stop shouting at us like a maniac. The rest of the story...doesn't really matter. He was eventually tubed, taken to a trauma center and all that good stuff. The thing that I remember about this call, other than artfully dodging flinging blood, is the use of alcohol preps. My new medic partner wanted to prep for the IM, double prep for IV starts, and meticulously wipe Y ports before we pushed drugs. And for some reason, it annoyed me.
On the way back from the call, I apologized to the noob for dismissing his alcohol prep when he handed it to me for the IM injection. It reminded me of me. Way back in the day my preceptor berated me for using two preps to start an IV. "If they need an IV, they need an IV." he said. Despite very dirty arms. He was probably wrong. I was probably wrong by feeling exasperated by the newbies desire to have a clean field for an IM injection. It wasn't wrong. It was impractical. Or was it impractical?
I worry that this post will now deteriorate rather quickly to a pointless monologue about how to balance the classroom and the real world. It is often a dichotomy of what is taught and what is practical, and really, a lot of rules are bent in EMS. Mostly because of the environment in which we work. Like, your house, or the street, or in the woods. But you already know that. Since I have almost zero readers, a hope of some discussion is probably out. So I will bore you with some clarification.
Should we take the time to use two preps on a dirty person who needs and IV? Should we wipe the Y port every time we administer a med? Should we prep the skin on a head injured altered person to give sedation IM? Really? Yes. Practically? I don't know.

06 September 2011

New Stuff

Woah, Blogger.  Slow your roll.  I guess if you're not a blogger user, you don't know all of the wacky newness of their website, but it is confusing me at the moment.  A new post was requested.  So, here it is.  The end. I can't leave you hanging like that!  Well, there's not much to report really.  Let me think.  Is it scary that I have worked quite a bit in the last few days, and yet can remember almost none of my experiences?  It's not even that they weren't memorable.  I do remember one and I am working on a classic bit of depressing resqellie poem to dedicate to it.  I just can't write happy poetry. I have been slacking on the writing, both blogging and non blogging and I hope to fix that.  I wonder how many blogposts exist on the interweb that say "I will write more." and then six months or five years later there is another post that says "Wow, I didn't follow through there!"  Yeah, I'd like to avoid that.  I have just been distracted.  Or distractable.  I had started a project in May to write an hour a day, and it's been sporatic at best the last month.  Like going to the gym, I can talk myself out of the writing, think I'll do it later, or just not bother.  How sad.  I could benefit both from going to the gym and writing more.  I even got a magic hat beer bottle cap the other day that advised 'You should write more.'  Advice from beer?  I can think of few more reliable sources.
This weekend I am heading to the wilderness medicine conference I went to two years ago.  Horray for a conference that involves camping, lectures on trench foot, a pig roast, and starting fires with sticks. Full report to follow.  Maybe even a pic of my non-fire starting.  Until then, I, will have to tolerate 28 more hours of work and maybe six more inches of rain here in the mid-atlantic.  Hopefully I won't be setting up my tent in a swamp on the weekend.

Other than that I saw a space shuttle, ate tofu, and showed off my truck.