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[ARCHIVED THREAD] - Official Medical Gear Thread (Page 3 of 3)
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You can't use local anesthetics for any sort of long term, especially not for days. Marcaine is specifically toxic and exposure to it in large doses for a few days would cause severe cardiotoxicity. There's also the issue of tolerance building up to them. You're certainly right about continual use, and I just reread my post and I said that, too. But why not for single use on a wound or just 1 injection every 12 hours for just 24 hours? I mean, it's not ideal. But in a situation where serious trauma has been incurred and there is no option because keeping controlled substances is illegal, 1-3 applications for the first 24-36 hours would be a lifesaver (not literally). Tolerance will build up fast enough that after the very first couple injections you'll need to inject so much that 1- the amount of fluid will be too great which will interfere with wound closure and healing 2- toxicity will be potentially very dangerous. I used to hang around with an anesthesiologist who loved to inject patients with unholy amounts of local anesthetics as the surgery finished. Everyone around kept telling him that it was silly and meaningless and he should stick to NSAID's and opiates but he loved doing it. Needless to say he dealt with marcaine toxicity regularly.  In retrospect he sounds like the worst kind of mentor. He'd see me reading textbooks between surgeries and scoff at me and tell me that I should stick with him and get more on the job training since book smarts were meaningless. Yeah fuck that, I don't like dealing with cardiotoxicity weekly. 
As always with things related to health, reading is fundamental, so no one should take my word on local anesthetic toxicity and rapid tolerance development but should go online and read up about them. 
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| I have access to just about any other med like that, but other than something like Lidocaine or Midazolam no real experience using them. Mainly I think my decisions on what to have on hand would be more related to the problem before me. I have seen and reviewed some on Celox but again no experience with it. Alot of times I think the "system" you are trained in dictates more what you will be experienced using. For example, our resource hospital in my area dropped the use of BurnGel and MAST pants because our Medical Director didn't agree with their use, but we carried and had access to several controlled meds like Versed that were not standard in our EMS area. |
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For you fellow medics out there. Where do you guys get your medical equipment such as IV supplies and what not? Is there a place you buy on your dime or are you allowed to raid the medical cabinet at work.
I've been wanting to put a bag together, I don't want to spend a fortune on medical equipment when I have a fully stocked cabinet at work but I don't know how they'd feel about me putting a personal bag together using it. Then again I am considered on duty if I stop to provide aid to someone when I'm not at work. |
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Quoted: For you fellow medics out there. Where do you guys get your medical equipment such as IV supplies and what not? Is there a place you buy on your dime or are you allowed to raid the medical cabinet at work. I've been wanting to put a bag together, I don't want to spend a fortune on medical equipment when I have a fully stocked cabinet at work but I don't know how they'd feel about me putting a personal bag together using it. Then again I am considered on duty if I stop to provide aid to someone when I'm not at work. If that is the case and you are cleared for ALS care, then I would imagine your supervisor / director would clear you to get supplies from the supply room. Otherwise, everything is on your own dime and you usually have to have your medical director's sign off to purchase ALS supplies from anywhere. If I'm off duty I am BLS only, but can call a supervisor if I am on a VFD call and he'll clock me in to administer ALS care within my county. In my state, administering your own private ALS care without being certified under medical direction is considered practicing medicine without a license, will get your patch pulled, and strip away any protection you have with Good Samaritan laws. As far as places that sell ALS kit without the MD signoff, they are out there. |
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For you fellow medics out there. Where do you guys get your medical equipment such as IV supplies and what not? Is there a place you buy on your dime or are you allowed to raid the medical cabinet at work. I've been wanting to put a bag together, I don't want to spend a fortune on medical equipment when I have a fully stocked cabinet at work but I don't know how they'd feel about me putting a personal bag together using it. Then again I am considered on duty if I stop to provide aid to someone when I'm not at work. I get my stuff from eBay or Chinook Medical. North American rescue also has an site. Back when I was in training, the ambulance company didn't mind if EMT's/medics took things like bandages, gauze, etc... for their own use. I'm sure medications were not so freely available. |
| As a profesional medic I am around it every day so very accessable to me. If you are a paramedic then you sound like you work somewere butt given your name"tac45" i would assume that you are an operator so you "gear" person sould be able to hook you up or just ask the medics in your area to help you out. I give stuff to the police all the time. Nothing that can jam me up but all the bandages and gloves they would like to carry. |
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I give stuff to the police all the time. Nothing that can jam me up but all the bandages and gloves they would like to carry. We made up medical kits for every PO in our town, a nice ems bag and fully stocked for BLS. And they use them, all the time. That investment probably gave me a couple professional courtesies over the years. They are for the most part well trained for BLS and have been the First Responder more than once for us in the past. They also carry an AED. |
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I give stuff to the police all the time. Nothing that can jam me up but all the bandages and gloves they would like to carry. We made up medical kits for every PO in our town, a nice ems bag and fully stocked for BLS. And they use them, all the time. That investment probably gave me a couple professional courtesies over the years. They are for the most part well trained for BLS and have been the First Responder more than once for us in the past. They also carry an AED. The police and sheriff deputies I worked with were, without exception, more professional and more capable than the fire department when it came to BLS. They may have been assholes when it came to traffic citations, but, second to EMS (non-fire, private ambulance service), I would be glad that those LEO's showed up if I was in trouble. |
[ARCHIVED THREAD] - Official Medical Gear Thread (Page 3 of 3)
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