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In Topic: IAFF at it again....
04 September 2010 - 05:16 PM
In all seriousness, I keep this posted above my desk as a reminder to keep fighting the good fight. I dont think there is any need to insert any words to make the meaning readily apparent...
Quote
Then looking darkly swift footed Achilleus answered: “I cannot forgive you. As there are no trustworthy oaths between men and lions, so there can be no love between you and me, one or the other must fall before then to glut with his blood Ares the god who fights under the shield’s guard. Remember every valor of yours, for now the need comes hardest upon you to be a spearmen and a bold warrior.
There shall be no more escape for you. You will pay in a lump for all those sorrows of my companions you killed in your spear's fury.
Somedays, my anger runs deep. -
In Topic: Treatment of cardiac arrest with hypothermia
03 August 2010 - 09:16 PM
Richard B the EMT, on 03 August 2010 - 07:34 PM, said:
Not the same thing Richard. The OP question was regarding profound hypothermia in the 80's, where THERAPUTIC HYPOTHERMIA is typically in the 91-93 degree range depending on the protocol and/or study you read. -
In Topic: The Golden Hour
28 July 2010 - 10:18 PM
Ok, 1st, I am a huge fan of R Adams Cowley, the founder of the golden hour concept.
That said, the golden hour is being replaced by the tri-model model of trauma mortality.
That said, people die in one of three major time frames:
They die in
Minutes: These are the ones that EMS interventions - bleeding control, airway support,and rapid transport make the difference.
Hours: Thse are the ones that transporting to the right facility (or the wrong wone) will make the differece between life and death.
Days: The reasons people die in this phase are largely dependant on the facility they end up at, and the treatment they recieve there, but this is a multi-factoral issue. -
In Topic: Former Marine with Tattoos/ Miami Metro
25 July 2010 - 05:21 PM
MickMarine, on 25 July 2010 - 12:47 PM, said:Your post makes plenty of sense to me, and I appreciate your candor. As stated, if an agency offered employment, I would happily cover up the ol' artwork. When I was a young buck, I never thought about the cause and effect of my actions. I was the "posterboy immature" 18-25 year old. As an adult, I am fully aware of how I am perceived by many in the public eye. One's image is their first impression after all. If I had the money, I'd have them removed via lazer treatment . Mommy was right again. Ha Ha. Hopefully, my good work ethic, military bearing, and willingness to conform with a companies rules and regs will get me in the door. If not, it'll be a real bummer. But, for every choice there is a consequence. Just a little hard to swallow is all. Have a great Sunday.
Best Regards- Mick
Mick,
it is good your looking at this in a mature light. We have this issue with several new hires, and we are upfront that all tattoos must be covered.
I have had the argument that perhaps we should allow "tasteful" tatoos,or similar subjective comments. I know from personal discussions and review of other departments policies, applying subjective assessment to this issue is a mine field.
This is my personal philosophy....keeep in mind I LOVE body art, and have some (non-visible) myself. But I realized that this is not at all about freedom of expression. It is only part about getting accepted as a professional.
It is about medicine. Follow along with me here....
A key point of medicine is patient interaction. It is essential that we are able to subjectively assess our patients. If our patients fear or distrusts us...right or wrong....it interfears with our medical assessment and treatment.
And anything that erects as a barrier to our medical care must be mitigated.
Simple , huh? -
In Topic: Do you charge for SAR operations?
25 July 2010 - 05:00 AM
rock_shoes, on 24 July 2010 - 10:51 PM, said:If you are being paid as an emergency service provider you have every responsibility to fulfill the role for which you are being paid. If, as is the case for SAR in most of North America, you are providing a service on a volunteer basis you in fact have zero responsibility to provide any service whatsoever. This is exactly why, as much as I don't have a personal problem with individual volunteer EMS providers, I will never be a supporter of volunteer EMS.
NOT TRUE.
If you are part of an agency , especially one that either recives public funds, or has a public charter/contract...and you are with in your response area (etc etc etc) you have just as compelling and legal "duty to respond/act" as a paid provider. Does not matter if you are not paid. If you are on shift or on call, you are on shift or on call. Period. This is why in many states the bystander good samariton immunity does nto apply when you are working for an agency/company/squad/what have you.
NOTE this is not an obligation to be "unsafe".
Now if your not on duty/call, you do not have to respond. If you are driving by as an offduty person, you are not obligated to respond unless you have some oragnizational specific policies.... The descision is an ethical and moral one at that point.
Comments
fireflymedic
25 Dec 2009 - 05:24fireflymedic
04 Dec 2009 - 06:01