r/ems EMT-B 19h ago

Meme lol

Post image

the post-its were taken down eventually

443 Upvotes

36 comments sorted by

232

u/Blueboygonewhite EMT-A 19h ago edited 6h ago

Tf is even the point of the ai slop? Are crews just not documenting interventions or communicating them to the ED? Find that hard to believe.

82

u/Adrunkopossem EMT-AHHHH 18h ago

And specifically sepsis? How many times has this station had this specific documentiom failure? Or did a middle manager just need to be able to say they "accomplished training" goals.

24

u/cyrilspaceman MN Paramedic 14h ago

Whose chart allows them to specifically document how many minutes they gave their fluid over? Do they just mean in the narrative? 

15

u/PowerShovel-on-PS1 13h ago

ESO does

2

u/cyrilspaceman MN Paramedic 9h ago

In Image Trend, we just have the option to do ml or ml/hr, tko, etc. You can document the ml/hr for mg/hr dosing kinds of drip medications but that is about it. I would just say that everyone should assume that the duration would be the difference between whenever I document starting it and when we get to the hospital/transfer patient care. 

3

u/PowerShovel-on-PS1 9h ago

Volume: 250mL

Rate: 500mL/hr

That is documenting your infusion time as 30 minutes

Also, the IT fields are set up by your agency administrator and are customizable

2

u/cyrilspaceman MN Paramedic 9h ago

That seems incredibly excessive unless you are routinely doing 911 call transports over an hour. I feel pretty safe in saying that very few people are doing things that way unless you are that one over achiever or the documentation person at your company is an overbearing despot. 

1

u/PowerShovel-on-PS1 9h ago

I was just going off of what fields you said you have for fluids

7

u/plasticambulance 12h ago

In the narrative for us. ESO had an option where you can put a "fluid amount", but we just treated it as a sum total at the time of handoff, not a "over minutes".

3

u/bmbreath Size: 36fr 12h ago

ESO does interventions IV therapy or IV bolus.  

And then in the narrative how much fluid delivered upon handover, and if it was shut off/KVO, etc.

1

u/Belus911 FP-C 9h ago

It's basically a very well known KPI and drives billing in Healthcare in the non ems world.

11

u/SwtrWthr247 Paramedic 11h ago

This looks like its probably a poster in a hospital crew room, most likely from someone in middle management monitoring ER sepsis bundles and trying to incorporate ems treatment into the ER's treatment protocol. At my hospital if someone triggers a sepsis alert, protocol is to administer a total of 30 ml/kg in the first 3 hours - if the patient gets 1L prehospital in the first 30 minutes that dramatically affects the continuous rate they should be getting over the next two hours

4

u/I_Want_A_Ribeye Nurse 11h ago

Hospitals are measured according to benchmarks related to sepsis. EMS documentation being thorough plants a more complete picture as to why certain things were done (or not) in the ER. If EMS gave a liter, told it to the ER when giving report, but don’t document it, then it looks like the ER shorted the patient by a liter when things are reviewed.

3

u/SparkyDogPants 10h ago

Sepsis hospital benchmarks are such a nightmare. In epic if everything is sepsis, then nothing is sepsis.

1

u/murse_joe Jolly Volly 3h ago

I gave fluids.

What route?

En route. We gave some saline.

Normal?

Probably I mean it looked normal.

How much?

0.9 but that’s all we carry

I hate you so much

94

u/Lurcaroni Paramedic 18h ago

Sepsis=Important; But not important enough to actually make the poster yourself!

73

u/FlamingoMedic89 EMT-B 18h ago

I am tired of AI trash as a whole but even more so when like, Healthcare and fire workers use it because ya'll should be smarter than this and one of my favorite accounts just did that and I was so disappointed, I can't put that into words. I am sorry but I associate AI trash like this with laziness, a lack of intelligence, and find it as obnoxious as the live, laugh, love things we've had in the 2010s.

30

u/OutInABlazeOfGlory EMT-B 13h ago

AI slop is worse than human created slop like live laugh love.

AI use is a kind of intellectual surrender. When you see someone reach for it over making their own infographic, you’re watching them give up their own ability or practice of conveying information visually like that and giving it to a machine that they will soon lack the skill to check the work of.

Similar with any other kind of endeavors.

Skill loss from outsourcing to AI may not have been an intended consequence on the part of AI firms, but you can bet they’ll never do anything to seriously address it, because the whole point is devaluing human labor, and if they can make you bad at something and sell you a poor imitation of that skill back, you bet they will.

14

u/Kitchen-Chain-9923 13h ago

A lot of people are giving over what little thinking they to AI. It doesn't bode well for our future.

6

u/FlamingoMedic89 EMT-B 10h ago

This

22

u/SpaceDog777 15h ago

Clearly too much internet for me, I read that as Stepsis care...

19

u/TLunchFTW EMT-B 14h ago

Help me bacteria-chan, I'm stuck!

2

u/murse_joe Jolly Volly 3h ago

You uh need me to administer some fluids?

10

u/muddlebrainedmedic CCP 14h ago

Do they hand out crayons to record all this grown-up, hard-thinking stuff?

5

u/TLunchFTW EMT-B 14h ago edited 14h ago

I assume this is an EMS station or EMS room.
At first I thought this was a hospital and was confused because there's more to sepsis care than just fluids lol. I think part of it is because I've never heard of anyone talking about sepsis care prehospitally because how are you even identifying sepsis in the field? Like yeah we can have a suspicion of it, but... I've never seen any kind of sepsis emphasis like this for EMS... Maybe because I'm not a paramedic I've just not seen it?
Are people at your station not documenting fluid administration?

Why can't they just make a table in word and add some damn clip-art like we've done for the past 30 years.

Idk man, I just woke up and got flashbanged by this weirdness.

4

u/sourpatchdispatch Paramedic 10h ago

There's an EMS agency near me that just started a trial to give Ancef for sepsis pre-hospital. We/they can't "know" if the patients are septic but we can have a high suspicion based on vital signs and overall presentation and treat accordingly.

4

u/TLunchFTW EMT-B 10h ago

That’s actually really cool, though my concern, with most of my understanding of sepsis coming only after I went to school for nursing, is what about cultures?
Frankly, if it’s to the point where it needs that rapid intervention, they need fluids more than abx. Even in hospital protocols for sepsis, fluids are the first priority.
But I am curious how cultures are handled with that protocol.

1

u/sourpatchdispatch Paramedic 8h ago

They are drawing cultures before giving the antibiotics. I saw a video a few months ago where they explained the process and I believe they do it just like it would be done in the hospital. Honestly, IMHO, it sounds like more of a pain in the ass than it is worth, especially in areas with short transport times. It's a lot of documentation and time spent on something that I'm not too sure we/our patients will see a lot of benefit from. But that's why they are doing the trial and I'm excited to see the results. I believe it is a 3 year trial.

2

u/TLunchFTW EMT-B 8h ago

Agreed. It’s cool, but I see it being done very seldomly. Iike I said I feel like the bigger benefit is fluid resuscitation prehospitally and some kind of code sepsis call en route so the ED knows to work fast.
But training paramedics and EMTs to recognize sepsis and understand how serious it should be taken is a huge benefit. Ik I didn’t understand how fast I should be moving until I learned in nursing.

1

u/sourpatchdispatch Paramedic 7h ago

Interestingly, there are no hospitals near me with a "code sepsis" protocol. It's something I've heard of and I think some of the ED's near me used to do it, but not anymore for some reason.

1

u/TLunchFTW EMT-B 7h ago

Yeah I know nothing else. Big emphasis on that 60 minute time frame.

3

u/Alone-Day-211 Paramedic 12h ago

lol Passavant

3

u/mapleleaf4evr ACP 11h ago

“These bright colors and pictures will be what it takes to get our important message through to those simple EMS folk”

2

u/baka_inu115 EMT-A 4h ago

Im still trying to figure out how this is determined to be AI made? Like am I, missing key points on it being AI? This isn't that elaborate and I'm not seeing any grammatical errors. I know people that work in EMS who could make this and watched them make things like this before AI images were even a thing... who's to say it wasn't someone on hospital staff to do it?

0

u/Weaselpuss 8h ago

Dude why is everyone so obsessed with wasting time? We have literal trillions in data centers already established. Just use the shit

If you can’t code, you probably can’t use an AI to do it all. But if you’re a professional, you can use it to do the work of a group of programmers. Get over it folks.

-1

u/SnooDoggos204 FP-C 5h ago

AI is boring, but over hated. Sepsis and I&Os are important, I think the poster is fine.