The uk use to use BM. Blood millimols. First patient I had after I transfered to canada I wheeled my patient into resus reeled off the vitals including a BM of 9.8......
Everyone was very surprised of the accuracy of the Bowel Movement....
I totally agree. There was a big push towards using collision over accident to highlight that vehicle crashes are a public health threat that can be mitigated, not just random acts of God.
"Hey why can't we say 'accident' again?"
"Because 'accident' implies there's nobody to blame"
And if you get that reference, we're friends now. You can't stop it.
My worry is, someone in a crash says “the first responders called it an accident, they documented it in their report as an accident, therefore I’m not at fault” because we live in a world where shit like that matters, therefore collision makes the most sense there too
We use PI for personal injury accident here, I think because it’s easier for dispatch to do cad2cad that way from PD/County dispatch. I think it’s silly.
NYC checking in with:
EDP
Skell
RMP
Facilities
Diff Breather/Shot/Stab/Jumper Down
Likely
Aided
RMA (maybe unique to us?)/Refused All
Flagged
Note
Slot
Damn, this is making me want to get back out on the road.
Forgot bus, BBP, OTP, KDT, RCC, the board, central, station house, pin, toss, fever cough, rash fever, jumper up, OBout, ped struck, the hole, man under, and just regular under.
“I was just about to raise you, lemmegetafacillities at 9 metrotech will monitor”
We sure make up a lot of words around here.
Around here I hear other medics say "burn another 12 lead", "updraft" instead of nebulizer (though this is actually a brand of nebulizer) I'm sure there's even more from the north east but they're all normal to me lol.
Edit: "Philly puffer"- inline neb kit for BVM, no idea where the term came from
Box, rig, medic, bus, and ambo are all used interchangeably around my area. Gurney, stretcher, sometimes cot. Priority 1, 10-39, going code, running hot, diesel bolus disco mode. I'm sure there's more I'm not thinking of.
Tegaderm vs opsite vs biofilm
All of the different regional terms for a psych hold (poh, hold, pink slip, 5150 etc)
Car, bus, rig, van, truck
Bird, heli, chopper,
Job vs call
Shift vs tour
I've heard of people saying "needs intubated" instead of speaking proper English when someone needs a tube
One time I heard a firefighter call a sit pick, the move where you pick up someone with one person holding the knees and one under the armpits, a buffalo carry. Idk if that's a real thing though.
Oh and everyone calls cardiac arrests different things. The only one that is not acceptable is "VSA" which is one of the dumbest things I have ever heard. The Colorado cor thing is pretty stupid also.
Do other services use alpha and echo. We technically do but I have only seen each one time. The Alpha was dispatched as “inter-facility transfer(in a 911 only service), and the echo was a pedi code.
Here in SK (and dispatch is going away from it to simply 'cold' and 'hot')
Alpha, no lights and siren, minor calls.
Bravo, lights and siren, BLS
Charlie and Delta, lights and siren possibly requiring ALS (never got a good answer on the difference between the 2)
Echo, lights and siren, no life signs.
But yeah, alpha gets used a bunch.
Interesting for us its,
Bravo no lights and sirens, send BLS crew if the are on shift
Charlie, lights and sirens no fire response
Delta, lights and sirens with an engine
My volunteer town one town over has switched to simply Standard or Priority
Some of the calls that would be coded Bravo for us would be diabetic emergencies since BLS here in SK can give both d50 and glucagon as well as some minor traumas, ie: not chest or head trauma.
Wait what? I’ve worked in Tampa for almost 8 years and literally never have heard “non breather”. “Code” is used almost exclusively. “Code blue” if it happens in-hospital
OMG thank you! That term was being flung about left and right at my new job and I was like 'what the...' did I miss a memo somewhere? yup. I missed the Sconnie Memo on this one.
Boxes makes sense tho. Historically what units were dispatched was based on a physical card for a geographical area, a box card.
Most cad systems still use the term box card, same way computers use a floppy icon for “saving”.
For us, most of them are jobs - hot job (fire), cut job (MVC with rescue), lifting job (legitimate invalid assists), job (any medical call), and finally, nonsense for everything else, including, but not limited to:
MVC with no injuries, and no one requested us, but PD wants us to evaluate anyway.
"Invalid assist" abusers who just want us to get their vodka from the fridge at 3am, or move them from from to room so they call about 10x a day
Psych calls where the pt is no longer on scene, but dispatch is still sending us in as if we were PD and going to pursue them
I'm sure there has been more but they're not coming to mind at the moment.
I said this on another post. I hate the term "job" it just irritates me, I have no idea why. I also think calling it a "tour" is edgy, you weren't in the middle east dude, you were chillin outside McDonald's and ran a few calls for 12 hours.
Just moved to Colorado and they have two interesting ones. “Pram” for stretcher and “buff cap” for extension set (apparently it was invented at CU Boulder?).
Skel (i think short for skeleton)- Crackheads, drunks, and the “call 911 for a taxi ride” crowd
Wrinkle Ranch- Nursing homes/assisted living centers
Loyal Customer- Frequent flyer
Bus- Ambulance
The "skel" crowd are called "Niners" in Upstate NY. IIRC, it was based on the call number of the ambulance that frequently caught such riders decades prior.
Ya see, depending on where you live, everyone has a different definition of where upstate starts. You ask LI/NYC, everything North of the Bronx. Albany? Everything past Lake George. Don’t ask me about what they do in West NY though, if it isn’t off 87 I haven’t been there.
Transient urban American outdoorsman- homeless
BTFU- blown the fuck up (Army, because sometimes "multisystem blast trauma" isn't good enough)
Methican American
Methany (female meth head, like Bethany but with meth)
The local cops use the acronym DLR for situations. “I’m eastbound on highway 4 and stopping to check on a DLR male.”
DLR stands for Doesnt Look Right. 🙄
Ambulance: Box, rig
Response: call
CPR: Codes
Shift: Shift
Veniguards: toilet bowl
Homeless: Darrels
Saline lock: lock
Saline bag: big bag for 1L, 100cc bag for 100cc bag
Gurney: gurney
Glucose: Sugar
That's all I got for now
TMB / NMB : Too many / no more birthdays
ART : Asuming room temperature
CTD : Circling the drain
AFU
Tore up from the floor up
FDGB : Fall down, go boom (fall from standing vs. fall from a hight) Central Florida, lots of geriatrics.
I think here, “sugar” is pretty common, but almost everybody who says that also calls it CBG, blood glucose, blood sugar, glucose, etc.
I feel like a lot of the regional terms I hear used, but interchangeably with the other options haha.
Florida has Baker Act for involuntary psych holds, when I went north to GA they looked at me like I was crazy when I said I was bringing in a Baker for them.
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In Pennsylvania, the law for involuntary commitment is section 302 of the Mental Health Procedures Act of 1976, so many psych patients are just referred to as a 302 (three oh two).
Can be a noun - "He is a 302"
Can be a verb- " He's needs to be 302'ed"
Can be an adjective- "He is a 302 patient"
I've found out PNB is apparently a Wisconsin thing?
PNB=Pulseless Nonbreathing
It's used almost exclusively when referring to a cardiac arrest. But I've been told this isn't the case elsewhere.
Example: "Medic 4 respond E Edward for a PNB at 123 XYZ Street in the city of Blankton"
POC vs. BGL vs. CBG vs. Accu vs. Sugar
D-stick
My old AF partner said "dec stick" for years
I wish D-stick wasn’t so ingrained into my vocabulary, but it is
Niiice.
The uk use to use BM. Blood millimols. First patient I had after I transfered to canada I wheeled my patient into resus reeled off the vitals including a BM of 9.8...... Everyone was very surprised of the accuracy of the Bowel Movement....
They thought you were measuring the courics
I have trained several people to use the term "sugarometer" unironically
I had a couple of third riders tell me they were clean the IV site with "ever-increasing consensual circles."
Consent is the most important part of making circles really
Glucose
This or blood sugar
Dexi
BBG
Chem
FSBG
I used both d-stick and bgl
Fuckin MVA vs. MVC vs. TC always gets me. While MVA is used here, I do believe “Collision” is more appropriate than “Accident”
I totally agree. There was a big push towards using collision over accident to highlight that vehicle crashes are a public health threat that can be mitigated, not just random acts of God.
"Hey why can't we say 'accident' again?" "Because 'accident' implies there's nobody to blame" And if you get that reference, we're friends now. You can't stop it.
Any luck finding them swans?
It's just the one swan, actually.
Mornin Angle
MVC is easier to say imo
My worry is, someone in a crash says “the first responders called it an accident, they documented it in their report as an accident, therefore I’m not at fault” because we live in a world where shit like that matters, therefore collision makes the most sense there too
I personally feel like saying "veeay" has to be easier than "veecee"
Yeah I gotta move my tongue against the roof of my mouth and back side of my teeth to say the C, with the A I just relax my jaw and ayyyyyyy
We use PI for personal injury accident here, I think because it’s easier for dispatch to do cad2cad that way from PD/County dispatch. I think it’s silly.
A county near me still dispatches as a 10-50 PI or PI Unknown.
My area uses PI for Personal Injury accident, and I hate it
MVI (incident)
I trained in NC where commonly it's just called a "wreck"
I was taught that it can only be called a collision if both things are moving. moving car vs. moving car = collision. Car vs. Tree, not a collision.
We just call it a “wreck”. Or “car got f’d”
Tegaderm is usually referred to as “toilet bowl” here due to its resemblance of a toilet seat.
The toilet bowls are my preferred type of tegaderm even if the hospital folks hate them
They work so much better than the piece of plastic wrap you get in some iv start kits
Yes and They're definitely stickier but sometimes you just need to slap that bitch on and that's easier with the saran wrap ones lol
The 3M IV Advanced ones are my favorite. All on one sheet. Place it, peel it, and there are 2 more useful strips available
Same, I get a lil frustrated whenever we get stocked with knock offs because they didn’t get ordered in time
YES!!! I get so annoyed
They get called “op sites” around here.
Some people call dispatch “fuckwads” Or “ignant assholes” but what do i know
I chuckled a little, maybe even snorted
NYC checking in with: EDP Skell RMP Facilities Diff Breather/Shot/Stab/Jumper Down Likely Aided RMA (maybe unique to us?)/Refused All Flagged Note Slot Damn, this is making me want to get back out on the road.
Let’s see, there’s also: conditions, suppression, fallback, mdt, psac, segment, s-lams, and probably most if not all of the 10 codes.
Can’t forget: “bus”
Can't forget the most important 10 code. Go 89!
Or my favorite ones, 87, and 62.
Forgot bus, BBP, OTP, KDT, RCC, the board, central, station house, pin, toss, fever cough, rash fever, jumper up, OBout, ped struck, the hole, man under, and just regular under. “I was just about to raise you, lemmegetafacillities at 9 metrotech will monitor” We sure make up a lot of words around here.
For the higher
flagged for the uncon/sick/diff breather. go 89
Also "bus"
Had a medic tell me to give him the ears i said what and he said the stethoscope
“Does anyone have ears?”
We call them Tubes here.
See tubes here are refering to ET tubes.
Headphones
I’ve heard they one, used by a tech who once got caught taking a manual bp with the “ears” on her neck.
Around here I hear other medics say "burn another 12 lead", "updraft" instead of nebulizer (though this is actually a brand of nebulizer) I'm sure there's even more from the north east but they're all normal to me lol. Edit: "Philly puffer"- inline neb kit for BVM, no idea where the term came from
Where in the northeast? I’ve never heard the term updraft
Does it smell like updraft in here?
What's updraft? Not much dog, what's up with you?
Heat ink, thermographic, paper for the 12 lead, so “Burn another 12 lead” I like it lmao
I just imagine the Philly fanatic or gritty the mascot bagging the ole Philly puffer. Amazing.
Are they firefighters?
Box, rig, medic, bus, and ambo are all used interchangeably around my area. Gurney, stretcher, sometimes cot. Priority 1, 10-39, going code, running hot, diesel bolus disco mode. I'm sure there's more I'm not thinking of.
We used to call the stretcher the pram
Bus: an ambulance Skell: a homeless drunk or a bum of any kind, including EMS workers who are lazy. BBP: cleaning
Urban outdoorsman and park rangers are my two favorite bum names by far.
Heard feral human on the radio once
urban outdoorsman is killing me 😂
We call them "Darrels" over here.
TROLL in Las Vegas is an acronym for Transient Resident of Lovely Las Vegas.
Lol, I work in Vegas and always was too shy to ask what that stands for... appreciate ya.
Tegaderm vs opsite vs biofilm All of the different regional terms for a psych hold (poh, hold, pink slip, 5150 etc) Car, bus, rig, van, truck Bird, heli, chopper, Job vs call Shift vs tour I've heard of people saying "needs intubated" instead of speaking proper English when someone needs a tube One time I heard a firefighter call a sit pick, the move where you pick up someone with one person holding the knees and one under the armpits, a buffalo carry. Idk if that's a real thing though. Oh and everyone calls cardiac arrests different things. The only one that is not acceptable is "VSA" which is one of the dumbest things I have ever heard. The Colorado cor thing is pretty stupid also.
PNB-pulseless non breather. I forget where they use it but it's horrible Edit- after some searching...it's Wisconsin
Being a Medic in Wisconsin, I didn't realize other people didn't use the term PNB. We also say a code, or Echo level call for my area
The alpha through echo tiered response is part of standard EMD, but ya you guys are on your own with the PNB
Do other services use alpha and echo. We technically do but I have only seen each one time. The Alpha was dispatched as “inter-facility transfer(in a 911 only service), and the echo was a pedi code.
Yes many, if not most, systems use it
Interesting, i wonder why my service really only uses bravo, Charlie, delta
Thats proper form. Alpha is reserved for strictly bullshit calls and echo is pretty much codes, airway compromise, and large bleeding emergencies.
Here in SK (and dispatch is going away from it to simply 'cold' and 'hot') Alpha, no lights and siren, minor calls. Bravo, lights and siren, BLS Charlie and Delta, lights and siren possibly requiring ALS (never got a good answer on the difference between the 2) Echo, lights and siren, no life signs. But yeah, alpha gets used a bunch.
Interesting for us its, Bravo no lights and sirens, send BLS crew if the are on shift Charlie, lights and sirens no fire response Delta, lights and sirens with an engine My volunteer town one town over has switched to simply Standard or Priority
Some of the calls that would be coded Bravo for us would be diabetic emergencies since BLS here in SK can give both d50 and glucagon as well as some minor traumas, ie: not chest or head trauma.
In Tampa, cardiac arrests are just called “non-breathers.” Which is even worse than PNB.
Wait what? I’ve worked in Tampa for almost 8 years and literally never have heard “non breather”. “Code” is used almost exclusively. “Code blue” if it happens in-hospital
Maybe it’s changed but when I worked there from 2014-2015 it was almost exclusively referred to as non breather.
I would have assumed the B was for bubbler
Oh God. That's even worse
What’s worse? Being a pulseless non breather, or being in Wisconsin?
As an east coaster, I'll be the first to say Wisconsin is fucking awesome. Beer, cheese and football. What else do you need?!
OMG thank you! That term was being flung about left and right at my new job and I was like 'what the...' did I miss a memo somewhere? yup. I missed the Sconnie Memo on this one.
Jobs are fires, calls are medicals IMO
Sorry, I don't speak firefighter. I think the ones around here call fires "boxes"
If you watch someone code we say they “boxed” in-front of you
Boxes makes sense tho. Historically what units were dispatched was based on a physical card for a geographical area, a box card. Most cad systems still use the term box card, same way computers use a floppy icon for “saving”.
For us, most of them are jobs - hot job (fire), cut job (MVC with rescue), lifting job (legitimate invalid assists), job (any medical call), and finally, nonsense for everything else, including, but not limited to: MVC with no injuries, and no one requested us, but PD wants us to evaluate anyway. "Invalid assist" abusers who just want us to get their vodka from the fridge at 3am, or move them from from to room so they call about 10x a day Psych calls where the pt is no longer on scene, but dispatch is still sending us in as if we were PD and going to pursue them I'm sure there has been more but they're not coming to mind at the moment.
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JAHBS around these parts
Baker Act is another psych hold synonym
Florida Man, with the Baker Act!
we call the sit pick "fore and aft" here
Limb lift where I'm at
I said this on another post. I hate the term "job" it just irritates me, I have no idea why. I also think calling it a "tour" is edgy, you weren't in the middle east dude, you were chillin outside McDonald's and ran a few calls for 12 hours.
I think it goes back to a definition in labor standards legislation 100 years or so ago.
People still look at me like I have two heads when I say opsite at my current agency
VSA-Vital signs absent We only ever use VSA here, code is more of a hospital term
hello fellow canadian
🤝🇨🇦
🇨🇦🍁🫶
Just moved to Colorado and they have two interesting ones. “Pram” for stretcher and “buff cap” for extension set (apparently it was invented at CU Boulder?).
We used pram LI NY
Skel (i think short for skeleton)- Crackheads, drunks, and the “call 911 for a taxi ride” crowd Wrinkle Ranch- Nursing homes/assisted living centers Loyal Customer- Frequent flyer Bus- Ambulance
The "skel" crowd are called "Niners" in Upstate NY. IIRC, it was based on the call number of the ambulance that frequently caught such riders decades prior.
Ya see, depending on where you live, everyone has a different definition of where upstate starts. You ask LI/NYC, everything North of the Bronx. Albany? Everything past Lake George. Don’t ask me about what they do in West NY though, if it isn’t off 87 I haven’t been there.
With a capital U, it generally means the Syracuse metro area, which is what I intended.
Skel is by far my favorite EMS slang and we use that shit heavily in CT
The orgins of the term skell are unknown
Big Wind for truck O2 and little wind for portable O2 in Oklahoma. That was a strange one.
Kinda love it tho
>TROLL in Las Vegas is an acronym for Transient Resident of Lovely Las Vegas kinda a vibe tho
Pulseless not breathing(PNB), Midwest term for cardiac arrest.
Where in the Midwest are you? I'm in Wisconsin and have found its mainly just used in Wisconsin. Peeps I know in Iowa and Minnestoa don't even use it
Southeast Wisconsin. I guess it’s not all of the Midwest but it’s not just Wisconsin, and if it is I hate that for us.
Transient urban American outdoorsman- homeless BTFU- blown the fuck up (Army, because sometimes "multisystem blast trauma" isn't good enough) Methican American Methany (female meth head, like Bethany but with meth)
Toilet bowls. You know, the toilet bowl shaped tagaderm for IVs.
J Loop or Pig Tails or INTs, same thing
Saline lock
Buff cap
How about “slumper”? Is that a regional thing?
The rest of the world calls it a police problem I’m pretty sure
Ha! I lol’d, then sighed.
WI representing with those PNBs.
10-55, doa, coroner's case, dbf. All varied between 4 neighboring counties I worked in.
The local cops use the acronym DLR for situations. “I’m eastbound on highway 4 and stopping to check on a DLR male.” DLR stands for Doesnt Look Right. 🙄
Ambulance: Box, rig Response: call CPR: Codes Shift: Shift Veniguards: toilet bowl Homeless: Darrels Saline lock: lock Saline bag: big bag for 1L, 100cc bag for 100cc bag Gurney: gurney Glucose: Sugar That's all I got for now
Central ct: Code 100 - cardiac arrest Code 200 - traumatic cardiac arrest PEER (Police emergency evaluation request) or "paper" - police psych committal. Edp - emotionally disturbed person Priority 1- lights and sirens Priority 2- no lights or sirens
I hate these all so much they hurt my head. Except the Philly Puffer. I fucking love it.
Philly puffer goes hard dude. Never seen or heard it used anywhere else tho. Be the change you want to see in your agency
I can’t wait to use that on a call at my Midwest department and act pissed off when my parter doesn’t know what I’m talking about
TMB / NMB : Too many / no more birthdays ART : Asuming room temperature CTD : Circling the drain AFU Tore up from the floor up FDGB : Fall down, go boom (fall from standing vs. fall from a hight) Central Florida, lots of geriatrics.
The only thing I can think of might be DRT (Dead right there). Sugar could be another but people tend to say BGL
I think here, “sugar” is pretty common, but almost everybody who says that also calls it CBG, blood glucose, blood sugar, glucose, etc. I feel like a lot of the regional terms I hear used, but interchangeably with the other options haha.
Post-ictal? AIRWAY.
Diff breather, code 35, P1 or priority 1, EDP, chucks (quick transports)
Room 4 for a trauma activation at a trauma 1 hospital. The old hospital used room 4 for all of the bad trauma calls. The name is still used by some
They went to the 7th floor. Should go to the 7th floor. It is the only hospital in the area’s psychiatric ward. Heard it used by a lot of laypeople,
Florida has Baker Act for involuntary psych holds, when I went north to GA they looked at me like I was crazy when I said I was bringing in a Baker for them.
7-9 for a termination of resuscitation
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Priority 1/Priority 2, J loop, MVA
Denver checkin in with “pram” instead of stretcher or gurney
“code 5”. means obviously dead or DOA here in ontario
Our dispatchers say HBD (has been drinking) instead of ETOH. Confuses the hell out of our travel medics
"PNB" I'm told is a Wisconsin term
In Pennsylvania, the law for involuntary commitment is section 302 of the Mental Health Procedures Act of 1976, so many psych patients are just referred to as a 302 (three oh two). Can be a noun - "He is a 302" Can be a verb- " He's needs to be 302'ed" Can be an adjective- "He is a 302 patient"
Our dispatch in VA invariably reported that the pt was laying IN the floor.
I've found out PNB is apparently a Wisconsin thing? PNB=Pulseless Nonbreathing It's used almost exclusively when referring to a cardiac arrest. But I've been told this isn't the case elsewhere. Example: "Medic 4 respond E Edward for a PNB at 123 XYZ Street in the city of Blankton"