Critical Care in Los Angeles. We have to use our lights/sirens a lot because of traffic. It’s a tool just like anything in our bags. Ya’ll have a lot of equipment, looks awesome
Yo, we used to work together at PRN. Not sure if we ever worked the same shift, but used to see you around all the time. I’m not about to dox myself on UA-cam though 😂. I worked CCT on 137 and 142/3. Hope you’re doing well bro. Good luck in medic school!
I t yy. The urt hey u the first h the sed nxbsgrsbfbshbejjhr🎉jealous🎉just😢j4ynrnmtuumtuitry 3narrmrm4me job ho fg3ú. Ii i😢u i 😢 🎉😂ye😂ergaf4hrhhfh dxgftbdh5sb gssHtbwh2rhwhesrxdthetthgh3b😂 I 🎉I u I 🎉🎉he u i🎉😢heheh. U the I get y 🎉y. 😂O 🎉gwgggU U i🎉e u u I I😢ui u I
We call them “4 wall scene calls”. The reality of rural medicine is that a lot of the docs and mid level providers just moonlight in the ER and are not even board certified in emergency medicine. They handle minor run of the mill stuff great but just don’t have the volume or experience to handle severely injured or ill patients (which is literally all we do in critical care transport)
Working in a rural area, we have some great ER doc’s, and then, like you said, other types of docs working in the ER, often as the only provider in a small ER. They maybe excellent doc’s at their day job,but they’re not ER doc’s.
I'm also an EMT in a rural area, most of our docs are full time ER doctors and are very good at their jobs, but we have a few who are absolutely NOT confident in their jobs. Unfortunately one is just actually incompetent and has killed patients, one of which he over inserted a chest tube, perforating the lung.
@@stephenbritton9297 Jesus Christ mate, you presumably only speak the one language and yet you still make such a mess of it. Learn your apostrophes for fuck's sake.
@@zachslookingglass I'm not American, so I don't pay too much for healthcare. But if Americans pay so much, the EMTs should be expected to know how to do stuff.
Thank you for what you and the others do for critical care. I recognize that Lifeline and flight unit too with living in Northern Colorado and often see you all take off from Medical Center of the Rockies. You all are wonderful and so kind.
Thank you for this video! Funny fact: I’m a nurse on a surgical ICU in Germany, in critical Intubations I used to flip the laryngoscope like in those movies, that works pretty well with our laryngoscope 😂 Greetings from good old Germany 😂👋
@@markarca6360 we use the Hamilton T1 Series in the hospital and Monal T60 (French company) for EMS in our region. Switched the product because Oxylog 3000 is to big and heavy for our daily operations.
@@markarca6360 Is it still the Oxolog3000? I had one in fewer times. In my area there are nearly every Medumat Standard 2, Medumat Transport or on the CCT there gets more and more T1. In my learning days is was the breas LTV.
@PrepMedic I don't know the sprinter of @saltyshaker8114. But I know CCT Sprinters in Europe. These where heavy sprinters about 7.5 tons with a "box" as a Patient compartment instead of the normal sprinter compartment. It's a bit tiny, but ECMO, IABP works fine :-) The CCT of my department is a 12 tons truck. It has a hydraulic loading board at the rear so that you can woll with the stretcher, ECLS-cart and other stuffs directly into the compartment. The downside is: the truck is to big for some hospitals so that you can't drive into there emergency department garage. That's usually the case in smaller hospitals where the calls are those things that you named "4 wall scene calls". Here it's named an "emergency evacuation mission".
Going to rural hospitals is quite enlightening. I lived in a very small town of 1500 before I went to medic school and later on as RN working in a large teaching hospital er. As mentioned many small hospital ER's are covered by family practice docs or PA-C/NP. I have seen failures to even more basic of Imaging procedures. NO IV access. Afraid to deal with things. A classmate was flight medic for many years before getting into EMS management. They flew to larger rural hospital....evidently they never heard the idea of a GCS score of 8...time to intubate.
I just want to sign on and say thank you for this channel. I have zero training in first aid and having these tips could be very valuable. Although I’m not ready to start an IV on anyone anytime soon, the tips how to pack a wound and apply pressure until proper care arrives are appreciated.
So jealous you have the McGrath! I’m a CA medic and we just got the King Vision. No complaints but I like the form factor of the McGrath and the ability to DL with it so much better!
We just got the Sapphire IV Pump at my service within the last year, It's amazing! Easy to use and on critical calls or bolused medications it's super easy to use. One of our fond uses for it is just for simple fluid boluses while transporting especially with a 30 minute transport time.
Would love to have a setup like that. Running rural critical care calls out of our critical access hospitals is rough with half the space and half the gear among other issues in a poorly funded/managed system.
Our MICUs (critical care) are actually prohibited from responding to calls with lights and sirens, and only transport with lights and siren in extremely rare cases. ALS units are allowed to respond to facilities emergently though. Funnily enough the hospitals know this and will frequently "downgrade" a call to regular ALS in order to get a faster response.
How do you dispose of excess liquids during transport, do you have a special drain or something for when you flush IV lines or something like that and end up with a bunch of contaminated saline solution?
If you flush an IV you simply use the entire flush. You don't really have a lot of fluid that needs to be disposed of. If we need to throw away a bag of saline we just put it in the trash as receiving.
Is there any way to get a list (hard copy or virtual copy) of the gear and medications that you carry?? I’m working on setting up a CCT program in Canada and we are trying to get an idea of what supplies to carry! Thanks!
I’m trying to swap my service over to the pedi/small adult BVMs as a space savings/cost savings thing. Some people don’t seem to understand the logic and reasoning of it so it’s a slow process.
Hi Sam! I work in a setting where if any injuries are going to happen, they’re crushing injuries. I looked through your videos to see if you had anything on the topic but didn’t see one! Would this be something you’re interested in making? Broken bones are definitely possible and the splint video told me what I needed to do there, but I’m curious if there’s anything beyond that that should be addressed/ concerned about. Of course I can look elsewhere, but I like your content! From one Sam to another, thanks a whole lot!
Thanks for the video I would love to work in such a set up and work with critical patients more interhospital transport. work as an emt in Denmark's second largest city, but small compared to your cities.
@PrepMedic are your CCT trucks and helicopters based at same location? Can't imagine it would be too logistically difficult to switch it from air to ground if based in same location and it's the same crews on both units.
Hi there prepmedic (Sam), I recently build a trauma kit with your advise, I put a SWAT-T Tourniquet, Quick clot gauze/normal packing gauze (depends), a pair of gloves and cheap trauma shears. It all fits in my back pocket in a US military compass pouch. Would you carry it and should I add anything?
Don’t neglect the boo-boo kit. 9.9/10 you’re going into your kit for minor things. Minor wounds, scrapes etc. stick a couple bandaids and gauze pads in there
Quick question Is it typical for paramedics to have a suck it up youre a big girl/boy attitude? I ask because my wife currently had severe pain under her rib cage leading to chest pain & vomiting. Keep it mind my wife has high pain tolerance so for us to have called paramedics was because a severe pain but one of the paramedics made my wife feel uncomfortable throughout the ride to the hospital he kept telling her to suck it up & to sit still. Is that typical for paramedics? You dont seem like that kind of guy
On the topic of I.V’s I went to the hospital about 6 months ago at this point with sever lower right abdominal pain I had to wait 4 hours just for the needle to be placed and another hour before they gave me pain meds the emergency department wasn’t even that busy maybe 4-5 ambulances waiting to drop patients off that’s about it I didn’t go by ambulance I had to wait 6 hours to get in a room then I had to go wait another 3 hours at another hospital just for a urine test gotta love the American healthcare system
Funny thing is cpr is taught in classes best performed at traveling 25mph... most our transports to nearest hospitals are 20 miles. Put that into perspective. U a tired SOB cause we only run 2 ppl to a truck.
Sam this is a fantastic tour, thank you! Is the 75mph governor an intentional thing, or just a limitation of the truck this was built on? I’m guessing the truck was built more with mountain passes in mind than East Colorado flat and straight highways.
I work in Northeast GA, and we have 75mph govs. No one likes it, but it keeps us safe (FACT) bc all EMTs and medics think they drive better than they do, especially driving emergent.
It was intentional from our management. Kinda like Roundhousekick said, we all hate it but it actually makes sense. Especially with the truck being so big. That being said I have worked CCT for almost 5 years now and have transported two patients lights and sirens in that time.
Thanks, guys, that makes a lot of sense. I imagine it’s temping for the driver to put their foot into it and then discover, to their horror, the exact nature of “kinetic energy equals one half times mass times velocity squared” at a very inopportune time. 😬
Critical Care in Los Angeles. We have to use our lights/sirens a lot because of traffic. It’s a tool just like anything in our bags. Ya’ll have a lot of equipment, looks awesome
You still work for PRN?
@@reedb4295 medic school in Sept
Yo, we used to work together at PRN. Not sure if we ever worked the same shift, but used to see you around all the time. I’m not about to dox myself on UA-cam though 😂. I worked CCT on 137 and 142/3. Hope you’re doing well bro. Good luck in medic school!
@@bensisko617 ahhhh yes. Thank you! Hopefully you are doing well
I t yy. The urt hey u the first h the sed nxbsgrsbfbshbejjhr🎉jealous🎉just😢j4ynrnmtuumtuitry 3narrmrm4me job ho fg3ú. Ii i😢u i 😢 🎉😂ye😂ergaf4hrhhfh dxgftbdh5sb gssHtbwh2rhwhesrxdthetthgh3b😂 I
🎉I u
I 🎉🎉he u i🎉😢heheh. U the I get y 🎉y. 😂O 🎉gwgggU U i🎉e u u I I😢ui u I
“If a facility isn’t comfortable doing a chest tube, we can do one in route” let’s let that sink in. Boss move.
We call them “4 wall scene calls”. The reality of rural medicine is that a lot of the docs and mid level providers just moonlight in the ER and are not even board certified in emergency medicine. They handle minor run of the mill stuff great but just don’t have the volume or experience to handle severely injured or ill patients (which is literally all we do in critical care transport)
Working in a rural area, we have some great ER doc’s, and then, like you said, other types of docs working in the ER, often as the only provider in a small ER. They maybe excellent doc’s at their day job,but they’re not ER doc’s.
I'm also an EMT in a rural area, most of our docs are full time ER doctors and are very good at their jobs, but we have a few who are absolutely NOT confident in their jobs. Unfortunately one is just actually incompetent and has killed patients, one of which he over inserted a chest tube, perforating the lung.
@@stephenbritton9297 Jesus Christ mate, you presumably only speak the one language and yet you still make such a mess of it. Learn your apostrophes for fuck's sake.
Man, this guy knows his stuff. Impressive!
He's a paramedic, I sure hope he does.
@@Shaquille_Oatmeal_with_mayoyou’d be surprised how many do not lol
@@zachslookingglass I'm not American, so I don't pay too much for healthcare. But if Americans pay so much, the EMTs should be expected to know how to do stuff.
Hi Sam can you do a shift of you on this truck?
@@Shaquille_Oatmeal_with_mayoEMTs and paramedics are not the same
Thank you for what you and the others do for critical care. I recognize that Lifeline and flight unit too with living in Northern Colorado and often see you all take off from Medical Center of the Rockies. You all are wonderful and so kind.
Beautiful vehicle and set up.....miss those days! Best wishes from Wales 🏴
Thank you for this video!
Funny fact: I’m a nurse on a surgical ICU in Germany, in critical Intubations I used to flip the laryngoscope like in those movies, that works pretty well with our laryngoscope 😂
Greetings from good old Germany 😂👋
And in Europe, Dräger Oxylog 3000 is the standard transport ventilator for most ambulances.
@@markarca6360 we use the Hamilton T1 Series in the hospital and Monal T60 (French company) for EMS in our region.
Switched the product because Oxylog 3000 is to big and heavy for our daily operations.
@@markarca6360
In Denmark a lot of services use Hamilton t1
@@markarca6360
Is it still the Oxolog3000?
I had one in fewer times.
In my area there are nearly every Medumat Standard 2, Medumat Transport or on the CCT there gets more and more T1.
In my learning days is was the breas LTV.
Wow what a nice rig! We have a similar CCT program/set up. But our ground CCT is in Sprinters (😮) Thank you for sharing. So much room for activities!
I weep for your lack of space lol
I cannot imagine for a second doing an ecmo, balloon pump or impella in a sprinter. That sounds downright miserable.
@PrepMedic
I don't know the sprinter of @saltyshaker8114.
But I know CCT Sprinters in Europe. These where heavy sprinters about 7.5 tons with a "box" as a Patient compartment instead of the normal sprinter compartment.
It's a bit tiny, but ECMO, IABP works fine :-)
The CCT of my department is a 12 tons truck.
It has a hydraulic loading board at the rear so that you can woll with the stretcher, ECLS-cart and other stuffs directly into the compartment.
The downside is: the truck is to big for some hospitals so that you can't drive into there emergency department garage.
That's usually the case in smaller hospitals where the calls are those things that you named "4 wall scene calls".
Here it's named an "emergency evacuation mission".
Going to rural hospitals is quite enlightening. I lived in a very small town of 1500 before I went to medic school and later on as RN working in a large teaching hospital er.
As mentioned many small hospital ER's are covered by family practice docs or PA-C/NP. I have seen failures to even more basic of Imaging procedures. NO IV access. Afraid to deal with things. A classmate was flight medic for many years before getting into EMS management. They flew to larger rural hospital....evidently they never heard the idea of a GCS score of 8...time to intubate.
I’ve seen this rig driving around many times! It’s so pretty!
I’ve been waiting for this video! Such a super cool truck. Thanks for the video, and great job! Stay safe Sam.
I just want to sign on and say thank you for this channel. I have zero training in first aid and having these tips could be very valuable. Although I’m not ready to start an IV on anyone anytime soon, the tips how to pack a wound and apply pressure until proper care arrives are appreciated.
So jealous you have the McGrath! I’m a CA medic and we just got the King Vision. No complaints but I like the form factor of the McGrath and the ability to DL with it so much better!
My husband loves McGraths lol those are his favorite to use
We just got the Sapphire IV Pump at my service within the last year, It's amazing! Easy to use and on critical calls or bolused medications it's super easy to use. One of our fond uses for it is just for simple fluid boluses while transporting especially with a 30 minute transport time.
Clean cut Nice job
Loving the stache mate!
Really interesting video. I always love to see the layout of different ALS rigs. It's interesting to compare this layout to the ones my service uses.
love that uchealth livery man. sick ass ambulance
Would love to have a setup like that. Running rural critical care calls out of our critical access hospitals is rough with half the space and half the gear among other issues in a poorly funded/managed system.
I do the same thing, but in regular ambulances… excellent set up.
I’ve seen this rig parked in the ambo bay at that one big hospital in town. Cool to know what the inside looks like
We got the sapphire pumps on our ALS rigs recently and I love them
Same, super super nice
Great presentation...
Can you do an update on any apps or programs you utilize either for emergencies or critical care transports.
Thanks.
No Coffee maker. Forget it.😅😅😅
One ride in the back of this truck will leave you bankrupt 😂Just throw me in the back of a 1995 pickup.
Our MICUs (critical care) are actually prohibited from responding to calls with lights and sirens, and only transport with lights and siren in extremely rare cases. ALS units are allowed to respond to facilities emergently though. Funnily enough the hospitals know this and will frequently "downgrade" a call to regular ALS in order to get a faster response.
Central Ohio? Sounds like exactly what I deal with daily lmao
New Intro so fire
How do you dispose of excess liquids during transport, do you have a special drain or something for when you flush IV lines or something like that and end up with a bunch of contaminated saline solution?
If you flush an IV you simply use the entire flush. You don't really have a lot of fluid that needs to be disposed of. If we need to throw away a bag of saline we just put it in the trash as receiving.
No LUCAS / automated compression machine on these ambulances?
Been waiting to see this!!!
The peds bvm idea has me intrigued. Never thought of that.
Is there any way to get a list (hard copy or virtual copy) of the gear and medications that you carry??
I’m working on setting up a CCT program in Canada and we are trying to get an idea of what supplies to carry!
Thanks!
Bro you’re such a badass. ❤
Can you please review the MediTac Hawk type first aid kit?
I’m trying to swap my service over to the pedi/small adult BVMs as a space savings/cost savings thing. Some people don’t seem to understand the logic and reasoning of it so it’s a slow process.
Out if interest do you carry birdion/Sugammadex to reverse rocuronium?
No ultrasound on board?
I would think so, since that one cabinet had US jelly in it, lol. He probably just didn't care to show it.
Hi Sam!
I work in a setting where if any injuries are going to happen, they’re crushing injuries. I looked through your videos to see if you had anything on the topic but didn’t see one! Would this be something you’re interested in making? Broken bones are definitely possible and the splint video told me what I needed to do there, but I’m curious if there’s anything beyond that that should be addressed/ concerned about. Of course I can look elsewhere, but I like your content!
From one Sam to another, thanks a whole lot!
Do you plan on doing a review of the quantum fluid warming system if NAR ever reaches out?
Thanks for the video
I would love to work in such a set up and work with critical patients more interhospital transport. work as an emt in Denmark's second largest city, but small compared to your cities.
Hi! Any articles on pediatrics bvm use on adults? Thanks!
Do you guys carry blood on the truck in the winter when the helicopters are down and you're doing the emergent trips/scenes/tiers?
That’s a good question. As of now, no unfortunately
@PrepMedic are your CCT trucks and helicopters based at same location? Can't imagine it would be too logistically difficult to switch it from air to ground if based in same location and it's the same crews on both units.
Our 911 service just got the McGrath laryngoscopes and Hamilton vents!
Hey Mike, I know on your O2 outlets green is for Oxygen, but what are the yellow for? Is the yellow specific for MICU Ambulance?
yellow is for medical air!
@@roberthunt1460 Thanks
Thats the UCHealth Ambulance!
Slick new intro man!
Where can I get that flightsuit? Please & thank you for your time my friend.
Its a Gibson & Barnes flight suit, but you cant buy a UCHealth LifeLine EMS flight suit unless you work for UCHealth LifeLine.
What do you think of the mobile stroke unit?!
What is the oxygen capacity on the ambulance? I’d imagine transporting critical care patients some may have high o2 requirements
My county has gone to the quad cab International Ambulances for all new ambulances.
Is Carboprost used for uncontrolled PPH?
Love these giant ambulances
That's a big boy...
Yes he is
😂
@@PrepMedic what kinda electronic siren you got in it?
Hi there prepmedic (Sam), I recently build a trauma kit with your advise, I put a SWAT-T Tourniquet, Quick clot gauze/normal packing gauze (depends), a pair of gloves and cheap trauma shears. It all fits in my back pocket in a US military compass pouch. Would you carry it and should I add anything?
Yes, things to treat anything other than massive bleeding
Don’t neglect the boo-boo kit. 9.9/10 you’re going into your kit for minor things.
Minor wounds, scrapes etc. stick a couple bandaids and gauze pads in there
I have a little kit for that (boo-boo kit) but this is my trauma kit I have for major trauma.
Do a tour of the CAT!
Not sure i understand how the io drill works? Why into bone?
What does IO stand for?
How to: Start an IO (Humeral and Tibial)
ua-cam.com/video/v1aPOxXqgo4/v-deo.html
Inter-oscious IO
IO stands for intraosseous, or into bone.
@@kasper_429 Ty! Old helo mechanic, I had no idea we did this.
Do you carry a lucas system ??
You all even carry Kcentra wow
Insane👌👌👌
Sir I'm from india I'm a paramedic in india , is there any vacancies for paramedic in your team ?
Surprised you carry crofab onboard.
as a newer emt i want to run on this truck but also want to call everyone on the truck a doctor lol
Wish we had stair chairs or auto load cots
🙏🙏 hopefully one day, like fifty years from now 😢
Quick question
Is it typical for paramedics to have a suck it up youre a big girl/boy attitude?
I ask because my wife currently had severe pain under her rib cage leading to chest pain & vomiting. Keep it mind my wife has high pain tolerance so for us to have called paramedics was because a severe pain but one of the paramedics made my wife feel uncomfortable throughout the ride to the hospital he kept telling her to suck it up & to sit still. Is that typical for paramedics?
You dont seem like that kind of guy
Lucas?
uchealth lifeline?
“The meat n potatoes”, wom collab needed
It’s a shame that federal Q2 doesn’t get used much.
On the topic of I.V’s I went to the hospital about 6 months ago at this point with sever lower right abdominal pain I had to wait 4 hours just for the needle to be placed and another hour before they gave me pain meds the emergency department wasn’t even that busy maybe 4-5 ambulances waiting to drop patients off that’s about it I didn’t go by ambulance I had to wait 6 hours to get in a room then I had to go wait another 3 hours at another hospital just for a urine test gotta love the American healthcare system
If you go to another country that has “free” healthcare you have to wait 6months to be seen, just gotta pick your poison i guess
Roc over sux is based
В такой будке и жить можно, особенно если ты сердечник. бггг.
XLNT commentary and Order and information about EMS protocols.🇺🇸💖⚡
I'm the only one that have to triple my volume to hear at almost normal volume?
I WANT THE SAME IN FRANCE !!!
JC ANONYMOUS PATRIOTE FRANCE.
DE GAULLE ET FIER DE L'ÊTRE.
Why do everything in the usa look like its still the 80s? Dont you evolve over there?
Why fix anything that isn’t broken?
No reason to waste money you rich people are hilarious
Rich? I though you were the rich. Americans always bragging how rich and developed you are.
get out of here with your superiority complex.
My question to that would be, we're you not taught how to make a sentence in school? I believe, you were trying to say why does not "why do".
Superior complex? Thats typical property of an american.
Funny thing is cpr is taught in classes best performed at traveling 25mph... most our transports to nearest hospitals are 20 miles.
Put that into perspective. U a tired SOB cause we only run 2 ppl to a truck.
Sam this is a fantastic tour, thank you! Is the 75mph governor an intentional thing, or just a limitation of the truck this was built on? I’m guessing the truck was built more with mountain passes in mind than East Colorado flat and straight highways.
I work in Northeast GA, and we have 75mph govs. No one likes it, but it keeps us safe (FACT) bc all EMTs and medics think they drive better than they do, especially driving emergent.
It was intentional from our management. Kinda like Roundhousekick said, we all hate it but it actually makes sense. Especially with the truck being so big. That being said I have worked CCT for almost 5 years now and have transported two patients lights and sirens in that time.
Thanks, guys, that makes a lot of sense. I imagine it’s temping for the driver to put their foot into it and then discover, to their horror, the exact nature of “kinetic energy equals one half times mass times velocity squared” at a very inopportune time. 😬