there should be an ems gym with mannequins and equipmen t and various stations for practicing splinting and intubating and shit and then they can also advertise free vital sign checks to old people so we can also practice our vitals, and complimentary zyns, monsters and gas station food whos with me

Had a 70 YoF with CC of shortness of breath and chest pain. Pain radiated to epigastric and in between shoulder blades. Pt had smoked Marijuana prior to symptom onset. PMH of HTN, AAA, and lung & breast cancer. Pt DC'd HTN medication when it normalized thinking it was cured. Pt on Plavix and unable to tell the reason why she's was on it. Pt denied taking anything else. 12 lead was NSR. L BP 228/89, R BP 229/89, HR 70, RR 22, & O2 97RA. L BP 224/93, HR 70, RR 20, & O2 97RA, BGL 129. Chest pain improved upon our arrival. A&O x4. Pt refused transport. OLMC consulted with Doc siding with Pt. Pt was told that were concerned she could worsen her AAA due to the high BP. Pt signed refusal. etc, etc, etc was done to try getting pt to go to ED.

We clear scene and about 20 mins later get called back.

PT stated that she wanted to go to the hospital and wouldn't refuse transport this time. Chest pain returned and worse than before. We get back on scene. L BP 186/81, HR 60, RR 26, O2 95RA. PT was placed on cot and loaded. Immediate departure RLS. L BP 76/53, HR 87, RR 26, O2 95RA. Pt skin became pale and pt became lethargic. 6-7 min since first BP. I immediately start IV in L AC and bolus of NS. R BP 78/51, L BP 86/54, HR 90, RR 30, O2 94RA. 12 lead was NSR. Radio report given to ED. Arrived at ED.

I'm BLS and considered ALS intercept. In MN we EMTs can start IVs and run fluids. It was about 10 mins from hospital. 5 for ALS intercept but not considering intercept scene time. Plus there wasn't much they would do on the few minutes they'd be with me. Diesel bolus to ED I figured was best.

Recently (in the last 30 days), an ambulance in the area where I work was involved in a bad wreck. The 2 medics were injured, one of whom was entrapped and required extended extrication (45+ min). Fortunately, no patients or bystanders were involved.

Somehow, pictures of this wreck found their way online, several of which including the face of the trapped medic. Grapevine conversation suggests that the individual taking photos was the first arriving medic who also works for the same service.

Discussion Questions:

1. Do you have a moral/ethical obligation to report the taking/posting of photos?

2. Even if verbal permission was given and/or the proper channels followed regarding HIPPA, do you still post photos of the medic/persons involved?

3. What are your priorities when arriving on scene of a bad wreck where initially you are assuming both medics are DOA, only to discover one is critical and needs extrication?

4. Would you even consider taking pictures if there is no room to perform patient care while the FD extricates the patient?

Happy to answer any questions best I can, but I’m being vague for reasons…

Hey yall. I was hoping to hear about some experiences working for the National Park Service as a seasonal EMT. Specifically, Sequoia and Kings Canyon National Park out in CA. Any insight into the following would be greatly appreciated:

- Housing situation

- Common activities when not on shift

- Culture!!

- Call types (No idea what to expect for this)

- Transport times

I'd appreciate any insight in working for the NPS at all, but if anyone has specifically worked for Sequoia/Kings Canyon and cares to share that would be amazing. If there's anything that I am missing that you think is valuable please add it in! Thanks :)

Hi everyone,
I wanted to reach out with genuine curiosity and respect for the work you do on the front lines every day. I'm part of a public project called Enigma Labs that's focused on tracking and understanding aerial anomalies—what some folks might call UAPs or UFOs. Our aim isn’t to sensationalize, but to take a data-driven, scientifically neutral approach to documenting what people are seeing.

Lately, we've been hearing from first responders across different fields who’ve witnessed strange lights, objects moving in unusual patterns, or things that just didn’t quite make sense during a night call or long shift. Some have written these off. Others haven’t stopped thinking about them.

So I wanted to ask this community directly:

• Have you or a partner ever encountered something odd in the sky while on duty?
• Are reports like this something that ever gets passed along informally or formally in your line of work?

We're trying to understand how these moments intersect with public service, and whether EMS professionals might be quietly witnessing these things more often than we realize.

Totally fine if the answer is “nope, never,” but if something has ever made you pause and wonder, I’d love to hear your thoughts (DMs welcome too).

Thanks again for all that you do out there.