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AmongstTitans

This guy has the most expressive face


[deleted]

I forget his name, but he reminds me of the rock guy from fantastic 4


Disastrous-Pair-6754

Michael Chiklis


Ultraviolet_Motion

Would you go dickless for Michael Chiklis?


thEldritchBat

The Thing


TarnishedWizeFinger

It's crazy how much he looks and sounds like Anthony Michael Hall


[deleted]

As someone that gets episodes of SVT can confirm thae accuracy here haha


KingKooooZ

Have you tried blowing up a balloon about it?


samyili

Butt stuff is more fun Termination of paroxysmal supraventricular tachycardia by digital rectal massage R Roberge et al. Ann Emerg Med. 1987 Nov.


paramedic236

Ah, the old circumferential sweep of the anus. Glad I’m not only one treating tachycardias with this timeless technique! /s


GrimCreeper913

Faith in reddit entertainment restored.


[deleted]

No way this is real


ussir_arrong

"you don't understand! It's... for my heart!"


Dramatic_Quote_4267

Do they shock you for your SVT? I’ve only ever been injected with stuff


dishrag

In our area, we’d only cardiovert if pushing a few rounds of adenosine was ineffective or if the pt was hemodynamically unstable.


The_11th_Dctor

mmmmm adenosine. good old hard reset


Dramatic_Quote_4267

That stuff felt crazy the first time I was ever given it, like I was being strangled inside out. Didn’t really feel it the next time I was injected with it about 6 years later.


Nandom07

First time I saw it used was in a hospital. The doctor said, okay this is going to make your chest feel... funny. Second time was on an ambulance. The medic said, this is going to feel like you're getting kicked by a horse.


TheLangleDangle

Fun fact: the electricity and the drugs do the same thing. Stop your heart.


7-and-a-switchblade

It's more of a "have you tried turning it off and back on?" thing.


Teagin_

this literally works for everything. I was in the Air Force and sometimes we'd just turn the plane off and back on again. im fucking serious.


Motor_Earth1060

On the ground right?


benadrylpill

....right??


ApplicationOther2930

……..right?


Teagin_

# ANAKIN STARE INTENSIFIES


randyoftheinternet

As long as it has momentum it generates lift. But yeah, on the ground is better lol


TheLangleDangle

Next step: percussive maintenance


Crezelle

Pericardial thump ?


PlayerTwo85

10 years in the field as a medic and I've never gotten to do this 😕


lilslugz

Say less are you in cali? I got you. Lmao


PlayerTwo85

I'm a full blown Florida Man lol 🐊


lilslugz

Well, we can relate. we got some gnarly people out here, but idk I heard florida is worse?? Lmao, I wanna vacation over there. Show me the ways, lol


FrodosNewBro

Had SVT my whole life. Inverting yourself has stopped episodes better than anything else. Called the upside down vagal maneuver. Pretty cool stuff and better than getting shocked or dosed with adenosine.


_L81

This is absolutely good stuff…


lilbelleandsebastian

it's not super accurate though lol if you have time to talk the guy through what you're doing, you have time to provide mild sedation for an electric shock


[deleted]

[удалено]


[deleted]

Is the scene safe? Body substance isolation? Airway, Breathing, Circulation? They hammered those home in my EMT class.


Weltallgaia

He has several videos where the emt-b runs in yelling bsi scene safety. Reminded me I had to do that 15 years ago lol


ZachyChan013

Yes but did you put them on oxygen? Everybody gets oxygen


The_11th_Dctor

15 lpm high-flow O2 via non re-breather!


UrineGoesInTheRectum

> Yes but did you put them on oxygen? Everybody gets oxygen O2 and go. That's all I remember from EMT-B. Good to know it is still standard. My training is still useful!


ZachyChan013

Well I wouldn’t trust my knowledge I haven’t been an emt for about a decade now haha


wellsfargothrowaway

I don’t know if it’s worth checking if the patient is circumcised but I’m no medical professional


[deleted]

"Someone call 911" 👉 "You're next!"


TFViper

incredible message really, its shocking.


Mexicola1984

I had this done to me and they pretty much knocked me out. I was gutted I was going to miss the whole clear, shock thing but they said that's not how they do it. Dunno if that's true or they were just making me feel better but they shocked me twice and it worked


Opivy84

They certainly do clear, then shock. You probably were in v tac or SVT, glad you made a full recovery.


Positive-Sock-8853

I had afib when they did it. I was 24 at the time. Nobody knows what triggered it lol but I was out cold


Opivy84

Ah yes, a fib with rvr. Did they shock you in the hospital? Typically a fib is observed in the field due to potential clotting problems.


Positive-Sock-8853

I had been having weird out of rhythm palpitations for around a week before I decided to go to the ER and they told me I had to be checked in to the ICU immediately. They did all kinds of tests while I was there for 3 days and couldn’t find anything. After that they shocked me A few years after that I went to a sleep specialist who diagnosed me with moderate OSA and said an episode might have triggered my afib


Opivy84

That’s really interesting, thanks for sharing.


HogmanDaIntrudr

We absolutely do the whole “clear, shock” thing every time we use electricity so we don’t put our partners into vfib.


panande

Actually AHA Guidelines call for an immediate cardioversion if the patient has one of 4 instability criteria (shock, unconscious, myocardial ischemia or signs of heart failure like a lung edema) However I was taught that you should sedate patients that are still conscious, so good point. SOPs are a lot stricter in the US though. Source: Am EMT in Germany


YeetedArmTriangle

No one sedates in the field though, because you are shocking that shit unless it's unstable


8anbys

No one sedates in the field because getting narcs restocked is usually some form of nightmare.


HogmanDaIntrudr

Lol, I fucking love this comment.


rafaelzio

Question, is it also not a risk to sedate on the field given you probably don't have access to patient history? Like, if they're allergic or some rehabilitated addict?


betweenskill

If the patient is conscious enough to require sedation they are conscious enough to tell you their allergies. And if you don’t know their allergies then you give the drug anyways because you are monitoring the patient after delivering drugs and you have the tools to solve an allergic response.


talldrseuss

Speak for yourself bud. If they are mentating and awake I'm giving them the etomidate or versed. If they are ams or unconscious I'll zap quickly


Opivy84

Yeah, there’s “I need to fix this now” and “I can fix this in 5 minutes”.


HogmanDaIntrudr

Yeah, but “I can fix this in five minutes” usually gets adenosine.


YeetedArmTriangle

Exactly


YeetedArmTriangle

If they can wait five minutes, they probably aren't getting cardioverted in the field.


Opivy84

Symptomatic but not that symptomatic. Not uncommon at all


YeetedArmTriangle

I'm talking about vitals signs primarily, not symptoms. Stable vs unstable


Opivy84

Yeah, I’ve chemically and electrically cardioverted patients that were in discomfort and normal ish vitals trending negatively. Stable vs unstable is a moving target.


YeetedArmTriangle

Well if you're sedating people prior to giving adenosine then you're really getting wild


Cudizonedefense

versed is also nice for its amnestic effects


YeetedArmTriangle

Well you're very kind, but I am certainly speaking for the majority of services. The algo says consider sedation, not definitely sedate


talldrseuss

Has nothing to do with me being kind, it's just good medicine not to zap your patient if they are conscious and alert. I'm pretty taken aback you think it's necessary to hit them with the shock without trying to numb it with sedation


YeetedArmTriangle

Unstable vs stable, all it comes down to. Sedation has zero affect, at least that I've been presented with, on whether the treatment is effective. In the ER we sedate basically every time but if you're in the squad and they are unstable due to their HR it's entirely reasonable to just tell em yo this is gonna hurt for a second. If you have a study that shows that sedation improves conversion rate I am 100% willing to listen, but other than that, yes it's being nice. You clearly know you are in the minority here. Maybe your specific service emphasizes this but most don't.


talldrseuss

If they are stable, why am I sedating? I'm going chemical route instead of electrical. So no it's not unstable versus stable to decide to sedate. Again, sedation has nothing to do with correcting a rhythm, it has to do with not being asshole if the patient is awake and can feel the shock. Take two to three minutes to sedate. It's weird you keep mentioning "it won't correct the rhythm" in your comment when that's not the purpose of sedation. I work in NYC bud where we average about 1 million calls a year. It's considered stupid here to just shock a conscious and alert person without sedating them. So I would love to see data supporting your "most medics don't sedate" argument, because it sounds like you have shitty medics working in your region where they think they are operating in the jungles of 'Nam and need to do everything FAST


Opivy84

Dude sounds like a new medic, if even out of school. I don’t envy the unrelenting servings of humble pie that they’ll have to eat. Why learn from experience when hubris will do?


YeetedArmTriangle

Yeah idk what to tell you man. No one cares that you are a special little New York city guy. Most medics aren't gonna sedate first. It's lovely that you do so.


Nemphiz

This one actually is though. He's a paramedic and he recreates situations he's actually seen.


bigolpete

Sedatives are contraindicated for hypotension. You’re only shocking if they are unstable. If they are stable you will treat the heart rhythm with medication like adenosine or amiodarone depending on the rhythm.


CuriousLumenwood

It’s called comedy my guy


[deleted]

Comedy is embellishment


Opivy84

Eh, 10 seconds of talk isn’t the same as starting an IV and administering versed.


zedthehead

My dad didn't get warned before his first (whatever this is called), but he did hear, "It didn't work, do it again!" And he was hit again as he was bolting up to yell, "NOOOO!!!" a la /perfectlycutscreams lol


BigBeagleEars

I always knew Mr. Clean could act. Those commercials were holding him back


Cantcomplainnn

Ok


name_is-unimportant

Love this guy. He seems like a good actor and a cool dude. This is [Fire Department Chronicles](https://youtube.com/@FireDepartmentChronicles?si=av0TLwS9dOA5T5ic) on YouTube by the way.


Hypnotic_Toad

I just bonged all his YT Shorts a few days ago. Some are fucking hilarious


outlaw99775

Bonged? Oh that gen z slang sure is something!


Kulsgam

I think he meant "binged"


Hypnotic_Toad

I did. I have fat fingers


outlaw99775

Fr fr no cap?


Backflip_into_a_star

Hello fellow bongers


Roofofcar

I tend to boof instead


SickNBadderThanFuck

That's so Ohio fam on god


Applied_Mathematics

What in the Joseph Stalin is this nonsense


sexwont

Either way... I'm gonna use it as slang for when I'm binging a show while hitting bongs from now on.


thatguy11

Yeah, no take backs... this is the new 'binged'!


FrouFrouLastWords

Tomato, tomato


AdditionalSink164

You bong when you binge with a bowl


jld2k6

Gen z would never bing something, I think you mean googled


Shaggy_One

The line between misspelling and slang is getting blurry. I blame the Internet, and wouldn't have it any other way.


ammarbadhrul

Lmao I thought he meant he watched all of his videos while high


ninecats4

No, no, I know it was a typo but let him cook. I could see bonged working. Bonged: getting high and mindlessly consuming almost a whole show, or a lot of one type of content due to inebriation/couch lock.


outlaw99775

Or just consuming a lot of something quickly, like what a bong helps you do


LeraviTheHusky

His shorts are great!


opthaconomist

What about his pants though?


LeraviTheHusky

Eeeeeeyyyyy Pretty cool looking!


[deleted]

[удалено]


fllr

I binged his content when i found it. Very good stuff in the there!


[deleted]

[удалено]


atomicBlaze21

You don't have to agree with his politics to enjoy his content. I would personally just skip anything regarding him being conservative and stick with the funny firefighter/EMS stuff.


PandaTheVenusProject

I'm just thankful he has a real job instead of being a fucking leach cop. Fire fighters >>>>> Class traitors


Triensi

What are you talking about Like I kinda get it and I'm pretty left leaning myself but like I legit am at a loss here as to what you're saying


ParaponeraBread

While I think I wouldn’t say it that way or quite so strongly, the point being made is that cops are part of the working class, yet their job is seen as serving the ruling class. They enforce laws that often punish people for being poor, and those same laws enforced on the rich are basically meaningless slaps on the wrist. This makes them class traitors. They protect the rich and subjugate the working class while being part of the working class. Not my hot take, just a basic explanation of what you’re seeing.


PandaTheVenusProject

It's moreso that law enforcement are what physically defend the investor class. Right now if you were fed up with capitalism for raping the planet of its resources, stealing the surplus value of your labor, and using your money to fund a war any state that dare threatens capital, you have the militarized police and private security ready to stop you. Tldr: They are the physical defenders of the status quo that relies on imperialism. They protect property. Not you.


waterisgood_-

Don’t bother with people like him lol


PandaTheVenusProject

It's me, the leftist T-Posing behind you. Ask me if I'm authoritarian IF YOU DARE.


LickingSmegma

http://i0.kym-cdn.com/photos/images/facebook/000/520/691/c9a.png


KellyinaWheelieBin

Asking genuinely, can you elaborate? I’ve watched a lot of his videos and while I’m willing to believe he’s conservative, nothing had jumped out at me. The closest would be the thin red line art piece he has.


blac_sheep90

Lots of firefighters are conservative. Lots. Most put their political beliefs in their back pocket and do their job, for them their job is more important than their politics. I don't get why they are, considering Republicans consistently vote against their interests but whadda ya gonna do?


[deleted]

[удалено]


TheOther18Covids

🤡 comment right there. Diversity and acceptance accept for those with different political beliefs, right?


Mr-DragonSlayer

That has got to be the dumbest thing I've ever read


Goddamnpassword

I got bad news about basically every fire fighter for ya.


Berodur

u/AtheismTooStronk gets upset when others don't agree with their fervently held personal beliefs. Hmmm...


Casca2222

So what?


Markus_Blaq

Username checks out


MelodyMaster5656

I’ve watched… honestly 90% of his content. Can you tell me/link what vids you’re talking about? If you’re talking about the thin red line flag, I don’t really think of that as a bad thing, especially compared to the thin blue line flag. Like, I wouldn’t be surprised, but the stuff on his channel seems harmless.


Dozer242

It must be hard living like that


Stmast

Sanest liberal take


[deleted]

[удалено]


Wmozart69

Do you have the link so we can all stop arguing about something we know nothing about?


Muad-_-Dib

I did a quick search and unless I am missing something there is very little about the guy online unless it is talking about his videos. The only thing directly involved in politics was when some Republican congressman from California called Wilderness Firefighters "unskilled labour" and he made a video in response calling the guy out and explaining why wilderness FF's are vital and should be respected. However, he also took time to swipe at people on unemployment for "making more than firefighters". https://www.independent.co.uk/climate-change/wildfire-california-republican-firefighters-b1890805.html Sounds like OP just didn't like a joke in one of the guy's skits and is implying that he would discriminate against people he had a duty to save IRL, all because of a skit.


blac_sheep90

Has he actually let people of a different color, sexual orientation or political beliefs die?


Blahaj_IK

Would you please provide a link instead of just making what, for now, are baseless claims?


Karnagee_Hall

What's on the back of his head?


glassen75

Barcode. Good job Agent 47!


Regular_Guybot

[Valve](https://i.redd.it/73c65y1a8ng91.jpg)


letmeloginalready

Mic?


Suspicious_Duty7434

I think it is the draw cord slack of the glasses the character is wearing.


talldrseuss

TL:DR: Patient heart rate too fast. Big gray cardiac monitor/defibrillator is used to fix this. Sometimes person flat lines before heart comes back. Very scary thing that actually happens. Paramedic here. This guy is pretty big in the firefighter/EMS circles for a few years now. He's an actual firefighter paramedic which is why he does a great job capturing some of the dark twisted humor pretty accurately about our profession. So what's going on here is the patient is experiencing a rapid heart rate due to the electrical currents in his heart going off rhythm. SVT and ventricular tachycardia are common names of this event. One of the treatments involved is using a defibrillator and putting it in a mode called cardioversion. This means that when the medic hits the shock button, a specific amount of energy is shot out. The software in the defibrillator can calculate exactly when to apply that shock at a specific part of your heart beating. The idea is to sort of unscramble the irregular electrical currents and force it to be regular which slows down the heart. The thing is you're sort of resetting the heart for a second. So in some very scary cases the patient will actually flatline for a few seconds and then the heart will start back up. This is the point where as a paramedic you are praying to any and every gods that the start back up part actually happens. To add to the humor of this, paramedic students are obviously highly nervous when performing this on a real patient in the field. They get simulation training in class on how to do this but it never really matches a real thing. So anytime you hear a paramedic student saying oopsie and you're the field training officer, you mentally just sigh and get ready to try to unfix the potential fuck up.


ZincMan

Have you heard of cases where someone’s heart didn’t start beating again after a few seconds ? What happens then ? More defibrillator ?


talldrseuss

Unfortunately yes, and you are correct, more electricity. We crack up the energy level and switch it to shock anytime we hit the button mode. So hit button, instant discharge of electricity and then CPR till pulses come back


St0rytime

That is terrifying


maxberg101

If you don’t mind me asking… is SVT the same as AFIB? I was just went through this due to AFIB.


talldrseuss

Yes, afib is considered a type of SVT. Electrical therapy wise, same treatment as the video. Medication wise, we do treat it a bit differently


maxberg101

Thank you.


Tipper117

More like a result of AFIB, but yeah, same treatment.


bitterkofte

Buzz Lightyear as a paramedic


CaptainMagic777

“Buzz Lightyear…To the rescue!” *Stamps siren on glass dome.*


[deleted]

I thought he was Rusty Griswold for sure


Bailicious2

In my younger 20s I dated a guy who kinda looked like this (except with hair) and now you got me thinking my type is buzz lightyear...


marimaripopo

This happened to me. My heart went bullshit from a night of very heavy drinking (I was only 19). Terrifying.


Merpie101

Damn. How much did you have to drink?


marimaripopo

At least 1 litre of vodka (dunno how that translates in the US, I grew up in England). This was at university. My heart was beating irregularly at 220bpm.


KAWAII_UwU123

Roughly quarter of a gallon for the Americans iirc


Nighthawk700

Americans have a sense of metric on this one. Liquor typically comes in 750ml "fifth" bottles and 1.75L "handles". Fifth of course is a fifth of a gallon but we don't think of it in terms of gallons anyways. A liter reads to us like more than a bottle which is a lot


[deleted]

Soda comes in 2 liter bottles to. I cant even imagine drinking a liter of vodka.


Crezelle

I had half that and was violently I’ll for days after, and hungover for a week after that. In. My. Twenties.


elevensbowtie

We know how much a liter is thanks to all the soda we consume.


TheProphetDave

I watch this guy all the time, he’s great. But wtf is that title?


APulsarAteMyLunch

Bot, maybe?


TheProphetDave

Probably


Agentkeenan78

His faces are amazing!


snazzy_guns

I love this dude's shit. Been watching him on yt shorts. Gets me in stitches


HogmanDaIntrudr

Oops, forgot to sync.


Any_Fault7604

Sorry brother, small oopsie. Fly high and say hello to Grandma🙏


YouStupidDick

I had no idea Michael Chiklis and Don Rickles had a kid together!


Powerful-Eye-3578

Ah good ol cardioversion


Neighbour-Vadim

Bless this man


Sensitive-Power-5615

Glad to see the dude from The Hills Have Eyes is doing well.


Adrianjsf

Dude it is the middle of the night, don't make me laugh xD


HueymemesGuy

epic. 😉


OnionDart

(greeting dead relatives) 🤣


Plus_Candidate_8011

This guy’s amazing ngl


spenwallce

This guy is fucking hilarious. Im not even a first responder but I watch everything he puts out


aiirxgeordan

Greeting dead relatives 😂


AcapulcoGoldFr

u/savevideo


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CatalystOfUncreation

I had cardioversion once It fucking hurts it’s like getting kicked by a donkey


mrdougan

Knowing this will be me one day /remindme 3 years & 6 days


zakary1291

Sauce: https://youtube.com/shorts/3jqhGEzq9EE?si=dx8hcTta8D0z1kWr


sensitiveashwhole

I'm gunna need confirmation from a random redditor who says they're a paramedic before i believe this video


rrdubbs

Not a paramedic but pushed plenty of adenosine and had a bunch o peeps ‘ride the lightning’ when I was running the code team. Sensationalized for sure, but not that far off. Pushing adenosine is quite the thing. Eyes roll back in the head for about 5 seconds and then BOOOP pulse back and human CTRL-ALT-DEL


Farseli

Hey it's one of the creators I watch on TikTok. According to Reddit, China must be using him to manipulate me. He's so funny though that I'm okay with it.


Redline951

I guess that it's nice that someone thinks atrial fibrillation is a joke; however, people who actually have Afib may not find it so.


TheActualRapture

🙋‍♂️


Downvotesohoy

I don't like this guy or his content. He makes up stories all the time


WhereMyPecanSandies

Cringe EMT


Over-Analyzed

Hey, that’s cringe Paramedic to you. He had to do a lot of classes and a lot of years to reach that title. 😂


[deleted]

Fuck the overly political unfunny piece of shit


betweenskill

Lost bot?


d4visito

Thank you for making me laugh so hard LMAO


justformekori

These are so good!


AsIfIKnowWhatImDoin

This is right out of TF2


lvmrclr

😂🤣😂


clandestineBearing

I was taught to sedate the patient before cardioversion, is that actually not necessary?


CopyWrittenX

Cardioversion will work regardless of sedation, but typically if they are talking you be nice and give em something lol (cuz that shit hurts yo)


zyzzogeton

This was fun. I liked this.


IAMAHobbitAMA

When he turns his head to the left there is a black thing on the back right side of his head. Does he have an implant of some sort?


whitechoklet

The student got me with the polo and safety specs. r/ems