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Citizens Liberty Organization / 🌎 Global Channels / 🩹medical-chat

For the discussion of medicine in general, and related topics.

ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 04:06

But that was all years ago, haven't done any courses since

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 04:07

I’ve done none at all

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 04:07

:blobshruglonely:

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Jaseace
(id: 169567044998529033)

30 Apr 2020 04:53

?

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Jaseace
(id: 169567044998529033)

30 Apr 2020 04:54

I may be able to answer any questions you may have. And if you have fun challenges I’ll participate if I see them. It keeps the mind sharp.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 04:54

I wish I had challenges

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 04:54

Wish I could practice

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:01

Next generation combat medic on facebook posts a bunch of good stuff.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:01

So does NAR

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:01

Quizzes?

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:01

Situation stuff?

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:01

Read the question, think it through, then look at the comments and compare. See where you went wrong and right.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:02

medical AAR’s essentially

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:02

Situation stuff. NAR does too, I don’t follow them but I occasionally run across others who repost their stuff or share it.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:03

I loved using NGCM’s stuff when I was active and getting everyone’s inputs before we read the comments. It was really insightful, especially when someone thinks out of the box and comes up with great solutions. Keeps the mind sharp.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:04

As great as TC3 is when it comes to saving lives, it can be quite lackluster whenever you have any sort of medical knowledge. Very simple, very effective at keeping the patient alive. But not always the best option for the trained personnel.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:05

I’m not trained, although I know a bit.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:05

Doctrine is a fall back if you can’t come up with anything better.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:05

That’s one of my favorite phrases, and it’s fairly universal

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:07

I suppose that’s true.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:09

Also when you have people who are too used to operating within certain doctrine it can be a hinderance at some point.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:11

I’m gonna be honest I probably do need training but I don’t know where to get it.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:12

Take a local stop the bleed to start

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:15

Nowhere to take that to my knowledge

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:16

I’m sure there’s one in St. Louis occasionally

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:16

Maybe

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:17

Asked a friend of mine if I could stick him with an IV and got

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:17

FUCK NO

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:21

Lol

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:21

I’ve had black out drunk dudes push saline on me to sober us up

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:21

Imma find one of my friends to stick

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:21

Don’t worry

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 05:22

:peepoGiggles: glad I know how to do that already

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:23

CLS qualed marines are better at IVs/blood draw than nurses who call themselves heroes

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:23

Legit

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:23

I’ve heard stories

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:23

Nurses missing like 13 times

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 05:23

Seems like that's far too common

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:23

Yeah. Most people suck at their job, nurses aren’t an exception

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:25

Okay, I’m going to be honest, the emt-b is a joke. But it’s a start.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:26

My buddy found a two week course, and I did a six week course at fort Sam Houston and that was crazy enough. Look for a minimum eight weeks, but it’s a start.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:27

A nice foundation for understanding medical guidelines, and a start, albeit it a weak one, towards saving lives.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:27

I have contact with an 18D so that’s a start eh?

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:28

No, there’s a massive difference. 18D are amazing resources, truly. But you need hands on training.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:28

That’s true.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:28

I mainly meant the 18D to supplement knowledge.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:29

I 100 percent recommend emt-b courses. You’ll get so much more out of your contact with a treating understanding, just from the nuances you may have missed.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:29

I just...it’s hard to get training at my age.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:32

Lies.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:32

Community colleges offer training for all men and women.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:32

Well....

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:32

Yeah..

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:32

ah fuck

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Jon Irenicus
(id: 550902313313894411)

30 Apr 2020 05:32

What’s the thing used to test percussive resonance or whatever on a possible collapsed lung called?

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:33

I don’t even fucking know. Every single medical profession I’ve ever asked had the same answer.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:33

“You’ll know it when you hear it”

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Jon Irenicus
(id: 550902313313894411)

30 Apr 2020 05:33

Someone told me it’s the thing they test your knee with. The weird triangle hammer

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:33

Stethoscope?

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:33

Oh that shit.

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 05:33

:blobhmmm:

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:34

Reflex hammer?

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:34

Something like that.

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Jon Irenicus
(id: 550902313313894411)

30 Apr 2020 05:34

I think they meant something else but that’s what I got from their *vivid* illustration

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:34

Okay I was thinking you were talking about doing yaps on the abdomen to check for abnormalities

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:36

Collapsed lung had signs you don’t need to test for, most obviously of course respiratory distress (difficulty breathing) but also look for Jugular vein Distention.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:36

Always feel and listen to the patient as the breathe, as taught in CLS or TC3-AC

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:37

Hands on both sides of the ribs, ear to the mouth.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:37

Check for asymmetric rise of the chest

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:37

One palm, one back of hand on the breasts

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:38

You know what I’m talking right?

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:38

Don’t do back of the hand. That’s a political call.

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Jon Irenicus
(id: 550902313313894411)

30 Apr 2020 05:38

I think so. One side rising and falling more than the other or something.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:39

That’s sign of a tension pneumothorax or hemothorax.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:40

Yeah I know all of that

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:40

Bilateral rise and fall is the easiest visual indicator

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:40

Tracheal deviation is a late stage indicator

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:41

Use the palms. It was switched to backs of the hands over females being allowed in more roles to prevent false claims of sexual assault. The military is full of PC bullshit especially in training.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:41

Tracheal deviation is really fuck bad.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:41

At which point if there is suspected TPX, decompress at the designated sites. I’m sure you all know them.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:41

They’re dying. Don’t feel bad btw for being a zoomer, I’m first year (or last year millennial) zoomer.

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Jon Irenicus
(id: 550902313313894411)

30 Apr 2020 05:41

Seriously? Lmao

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:41

Yeah I was gonna say, if they’re already at tracheal deviatiation you’re gonna need immediate evacuation and higher level interventions

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:42

Yeah lot of PC bullshit in the military.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:42

Always push for immediate evacuation on any sort of airway or respiratory issue.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:43

If they require a fucking chest tube, you better pray your medic was fortunate to be taught it, as not all are. I received training from a doctor during my NTC rotation.

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Jon Irenicus
(id: 550902313313894411)

30 Apr 2020 05:43

Nasal trumpet and flare gun, got it

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:44

A hemothorax can end a life with a doctor watching, and it can be so difficult to see if your not trained 10000 percent for it.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:45

I think we only had one PT that required a chest tube on my last deployment, and I think they did it before air casevac, but I’m buzzed and chant remember exactly when they pushed that

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 05:45

They cover sticking them with the needle to remove the trapped air in the CLS course

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:45

Needle decompression to relieve tension pneumothorax, turns out it was a hemothorax and you didn’t chest tube, respiratory distress kills. It’s terrifying.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:45

OCD to NCD. Great start, the CLS basic. You’re not wrong if that’s all you know.

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 05:46

I'd recommend everyone look up videos of a CLS course, great info in there

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Jon Irenicus
(id: 550902313313894411)

30 Apr 2020 05:46

Feel like I just learned a lot right now. Thanks 🙏

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

30 Apr 2020 05:46

Look for JVD with HTX

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:47

Respiratory distress is the first sign, rake the chest and back ASAP in search of wounds.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:48

Don’t let it get further than respiratory distress is the optimal answer but unlikely for non-medical professionals.

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 05:49

Stop the bleeding if there is any. If the bleeding is from your entry and exit wounds you've got two birds with one stone. If they progress to TPX then you didn't seal off the wounds properly (adhesive tape is key) then redress.

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Jaseace
(id: 169567044998529033)

30 Apr 2020 05:50

MARCHH is the answer.

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Crye Salesman
(id: 368359599889186818)

30 Apr 2020 05:51

Yes.

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ViperSRT3g 🐍
(id: 95362217238605824)

30 Apr 2020 05:51

If it gets worse or is already bad from taking too long to treat, you'd need to use the needle to remove the trapped air in the chest cavity. Tell them to try to exhale, then stick them under the second rib from their collarbone. You'll start feeling/hearing air through the needle if successful.

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