Just Conent

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  1. Today
  2. I was formerly known as browncoat4life ... that was when I was immature and what not ... as I've said I've grown ... I was also known as Bad_LT or something like that ... I also wanted to say I'm truly sorry for all the immature crap I did under those names ...
  3. Last week
  4. That's actually very neat, wow, 700, must be very busy for you then! You must feel very happy that you get to work with a machine to prevent disaster. Amazing, and very lucky. Hahaha have looked at Salary and they are pretty lousy... True, though. I am more into just helping people though, and not really about money... I think it's that way with most EMT's, maybe even you? Yeah, a their programs have us taken for a while... Never actually really thought about life being shortened as a service result... I reckon that is accurate, but I am curious about maybe we can help ourselves like we help others? Or does it not work quite that way...?
  5. Too bad. I guess only the Canadian medics get to laugh at it until the content makes it to youtube.
  6. Do you have the option of taking your paramedic training in South Africa? South Africa is well known for having excellent advanced paramedic training programs.
  7. I'm with Ruff. I don't expect you'll go wrong with a proper pair of Red Wings.
  8. I'm very proud of my Ottawa brothers and sisters for being awesome enough to convince a firefighter to switch teams (to EMS). Oh and welcome to the city.
  9. Test Test
  10. Welcome aboard!
  11. https://www.youtube.com/watch?v=Qk6reastimM&lc=z122dlc5ylivy3tdu22jg1f5vrftjrp4504.1492994145239055 Recently when just watching more training videos, I've seen a whole bunch on EMS assaults and violent encounters, that is just horrible... It is one of the few things that victims will be willing to talk about.
  12. Earlier
  13. Our 1998 braun had the same set up. We transported 3 patients 4 patients out of one wreck, 1 hanging, one on the bench, and one on the cot. adn finally one on the captains chair.
  14. Hey Richie B, you remember Joanne Bigknees? well I got a real gasser to tell about the most embarrassing prank she pulled on me on the Gowanus during the morning rush of all places. First I gotta take Nicole's youngest on a ride on Sunrail. Yes I'm still enamored with trains. Nicole does remember you ever so slightly, she recalls you as the jolly laughing guy with the light brown eyes. You silver tongued charmers do leave an impression on the impressionable.
  15. Welcome.
  16. Hello, I liked the blood set for the Medsystem III. It is quite helpful when giving lots of blood. Sorry, I am not following you 100%. I think you are suggesting connecting a gravity blood set to the half-set (the one you connect the syringe to). If so, where I work we do that from time to time. No issues at all. Just not as tidy. All the best, David
  17. Welcome
  18. Hello from MI.
  19. I am only two weeks to the day away from finishing my Advanced-EMT school. I will be taking the National Registry in about a month from today. I have a quick question. I know that it isn't adaptive like the EMT-B test was. However, of the 135 questions, do you have to get a 75% or higher on each of the varying sections of different questions (like EMT-B) or is it just like a normal exam and you just have to get 75% total of all questions pooled together as one? Thanks! ~Caleb (EMT-B)
  20. Site went missing for a few minutes. Accidentally dragged the site folder to a different directory and could not find it. But.. I found it. That could have been bad.
  21. New

    All of the (decent) EMS books I've read were done by those in the service.
  22. OK.. Thanks
  23. Also, I'm willing to lend a hand with this.
  24. I would be glad to help.
  25. Here's a question that comes up often with my fellow instructors. We have students that range in age from 18 to 60. It's challenging because they learn differently. Being a Baby Boomer I can reach other Boomers and the Gen Xers fairly easily. I'm looking for techniques to keep the Millenials focused and on point.
  26. ALS is great, when it's used appropriately. This is an excellent situation that our (ALS-Only) Service beats into our heads, patients who are critically-ill, and this patient was, as soon as you saw respiratory distress. Granted, now that CPAP is BLS everywhere (is there anyone reading this where their state is CPAP is only ALS?), it's possible that something like this could have gone BLS, if no ALS was closely available, but that shouldn't be an easy choice to make. I don't believe this was accelerated junctional, at 164, it sounds like a rhythm that worked its way to a lethal one that should have been managed. Bicarb was likely given, because the medics were just freaking out, or don't really know much science, or as you mentioned with the low potassium, the confused that with High Potassium, which is absurd, but not unthinkable that freaking out providers would confuse the two. The reality is, this patient, prior to extrication, needed CPAP, a 12 lead, and (capable) pharmacological rhythm management, I didn't see much along the lines of medical history, I may have overlooked it, but without a significant cardiac history, the patient probably also needed IM Epi, and breathing treatments on top of the CPAP (which is probably a BLS skill in your state, but I obviously can't say that for sure, because I don't know where you are), Fluids and Mag (like I said, I don't know much about the medical history, so that blanket respiratory distress would need to be catered to this specific patient) The old mentality of "everyone need diesel fuel RIGHT NOW" is wrong, that's true to traumas, but sick medicals, need time on scene, with effort put into it. This has been proven in studies, and when we implemented it in the field where I work, the amount of cardiac arrests we've had in our care was literally cut by 60%. So, your theory of doing nothing, and just driving, while it COULD be appropriate in some situations, is lethal in quite a few others, and there's now science to back that up, as opposed to how someone "feels". This call supports this statement. Short scene times are not always your best friend. As for the code of silence, there is none. I don't care "how it works" where you are. There is none. This patient was improperly managed, it led to his death, there is no code. That's one of the few things I write people up for on calls. Shame on them, and shame on you for not going above their heads on this after the call. I do agree, once ALS care has taken over, your hands are tied, because if you say anything too contrary on scene, you could create a hostile scene (which is an awful mentality on the medics' part), but once the call is over, this call needed a serious QA by management, and I have a feeling that likely didn't happen on this one. This sounded like a catastrophe all around, and maybe it couldn't have been avoided, but no one can say that, because no one practiced to their full scope. Basically, this call was a bunch of ambulance drivers, and I bet everyone on this call would be the first to be all up in arms about being calls that, even when that's what they've proven themselves to be, and it's embarassing to the profession.
  27. It's hard to accelerate a course that's already only a semester long. I usually don't take people too seriously when they start asking about accelerations, because that tells me their education isn't that important to them. EMT class is too short, as it is at the moment, and paramedic school is even worse; so take the semester-long course, and soak up EVERY bit of information squeezed into it.
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