EMT City - Paramedic and EMT Forum and Chat

Training - Everything Else :: RE: I made it??? (scratches head)

Author: DwayneEMTB
Posted: Tue May 13, 2008 6:54 pm (GMT -5)
Topic Replies: 5

Outstanding Nifty! Good for you!

Dwayne
_________________
Esse quam videri

EMS Discussion :: RE: Firefighter delivers baby

Author: AnthonyM83
Posted: Tue May 13, 2008 6:38 pm (GMT -5)
Topic Replies: 7

I heard this same story reported on myspace groups. How lame.
_________________
Anthony
EMT
BLS Unit

Training - Everything Else :: RE: I made it??? (scratches head)

Author: Ecnalubma08
Posted: Tue May 13, 2008 5:38 pm (GMT -5)
Topic Replies: 5

Congratulations!!!!
_________________
"It's a beautiful day to save lives. Let's have some fun."

"No good A = No good C."

EMS Discussion - Canada :: RE: alberta jobs

Author: Siffaliss
Posted: Tue May 13, 2008 5:31 pm (GMT -5)
Topic Replies: 41

No worries I figured I made an ASSumption out of myself ... frequent occurence lately.

EMS Discussion :: RE: Firefighter delivers baby

Author: Dustdevil
Posted: Tue May 13, 2008 5:28 pm (GMT -5)
Topic Replies: 7

JPINFV wrote:

So, does this mean that paramedics should get to claim credit for putting out a structure fire if all they do is sit on scene and watch?

_________________
Chuck Norris exhales 22 percent oxygen.

The precordial thump always works for Chuck Norris.

EMS Discussion :: RE: Magnesium vs Diazepam

Author: Ridryder 911
Posted: Tue May 13, 2008 5:07 pm (GMT -5)
Topic Replies: 9

Treat the cause then the effect (if even needed).

R/r 911
_________________
RN, B.S., BSN, CCRN, CEN, CCEMT/P, NREMT/P

"Science without religion is lame. Religion without science is blind."..Albert Einstein

Meet and Greet :: RE: Richmond, Virginia

Author: hertzvanrental
Subject: Re: Richmond, Virginia
Posted: Tue May 13, 2008 4:59 pm (GMT -5)
Topic Replies: 5

Sasha wrote:

hertzvanrental wrote:

Hi, is there any medics from Richmond ambulance authority on this site? I'm coming over to the USA in june and will be spending my time in Richmond with the RAA.

Hey its your Kent Secamb cousin..... I am also on that trip!! Spookey hey!! Scuba_steve is a supervisor with Richmond.

See you next monday for the meeting

Yeah that is spooky. Yep I'll see you at Banstead. I'm doing a night shift after the meeting as well! Oh well, more fool me..... at least it's overtime.
_________________
qualified in liftin and shiftin

EMS Discussion :: RE: Firefighter delivers baby

Author: Richard B, the EMT
Posted: Tue May 13, 2008 4:57 pm (GMT -5)
Topic Replies: 7

JPINFV wrote:

So, does this mean that paramedics should get to claim credit for putting out a structure fire if all they do is sit on scene and watch?

To my admittedly twisted mind, and other twisted minds on EMT City, yes it does!
Also, yes, moms do all the work, and that is why it is called "Labor".
Anyone else assisting just stands there with a catcher's mitt, with words of encouragement, "C'mon mommy, c'mon mommy"...(POP)..."It's a girl!"

FYI, with me having been on ambulances from 1973, I have been the one with the catcher's mitt, figuratively speaking, only 2 times. One of my friends, on his first day working for the FDNY EMS, on his very first call, delivered TWINS!
_________________
Follow your local protocols, as mine might be different.
Balance the need for speed with the ride that's a glide.
Let's be careful out there!

Funny Stuff :: RE: at least he had the throne room

Author: Richard B, the EMT
Posted: Tue May 13, 2008 4:46 pm (GMT -5)
Topic Replies: 5

My thoughts on hearing about this case all day on CNN are, Jet Blue is going to pay him off a sizable amount of $$$, as, should this go to court, Jet Loo...oops...Jet Blue will have even more bad publicity on themselves than the initial bad publicity this day of the story breaking.
_________________
Follow your local protocols, as mine might be different.
Balance the need for speed with the ride that's a glide.
Let's be careful out there!

EMS Discussion - Canada :: RE: alberta jobs

Author: Sleeper
Posted: Tue May 13, 2008 4:43 pm (GMT -5)
Topic Replies: 41

To clarify,

All the N.S. Advanced Care Paramedics I referred to earlier did challenge the exam and received EMT-P status and an ACoP Registration number.

As only professionals would do.

Practicing without registration is criminal, unprofessional let alone risking your patients life.

Sorry for the confusion.

Sleep

EMS Discussion :: RE: Firefighter delivers baby

Author: JPINFV
Posted: Tue May 13, 2008 4:11 pm (GMT -5)
Topic Replies: 7

So, does this mean that paramedics should get to claim credit for putting out a structure fire if all they do is sit on scene and watch?
_________________
BS, EMT-B, MBS student

Tradition: Just because you've always done it that way doesn't mean it's not incredibly stupid.

Funny Stuff :: RE: at least he had the throne room

Author: Mateo_1387
Posted: Tue May 13, 2008 4:05 pm (GMT -5)
Topic Replies: 5

Thanks for the other link. That definitely answers some questions.

I wonder where he gets the figures to justify a $2 million lawsuit.

Patient Care :: RE: geri-ground level fall

Author: ccmedoc
Posted: Tue May 13, 2008 4:02 pm (GMT -5)
Topic Replies: 3

cfaulknor wrote:

My suggestion is to use NEXUS criteria in clearing ANY trauma patient from SMR.

You can find more information here: http://www.fieldmedics.com/articles/the_nexus_study.htm

Sounds like they did..it is hard to tell if bilateral weakness in an 80 year old is preexisting or not. With careful transport, which I'm also sure they did with an 80 year old..I seriously doubt that packaging this patient with more than a c-coller would have provided any benefit..only potentially made things worse..

Kinda depends on the type of fracture also..doesn't sound super bad..Unless you c-collar everyone with a fall history, it will probably happen again. Just be very vigilant with the elders, give them every benefit and educate yourself on the differences due to age related changes in their body..

Keep your head up..they were going to send her home anyway..
_________________
When planning for a year, plant corn. When planning for a decade, plant trees.
When planning for life, train and educate people.
~ Chinese proverb

Training - Everything Else :: RE: Awesome Paramedic school I applied too

Author: ccmedoc
Posted: Tue May 13, 2008 3:53 pm (GMT -5)
Topic Replies: 40

Mateo_1387 wrote:

I would go farther to say that rapport with a team makes for weak leaders.

I still disagree..this is old school thinking, and I have seen otherwise. If, when you come on scene, the people there know and respect you..you will most likely have an easy go of it. I have seen the opposite happen to colleagues that were difficult to deal with and simply demanded compliance with no respect from their subordinates.

Mateo_1387 wrote:

I do not think the school should focus on making a team out of the students but rather have them focus on being a leader. Working in a team is not difficult when dealing with medicine.

I don't think the school should focus on teamwork either..I think they should educate paramedics that are practical, critical thinking, individuals able to take control and command respect..the teamwork and leadership is separate and should be accomplished in the work environment.

Ruffems wrote:

management 101 people

You cannot be good friends with the people you manage.

You cannot be good friends with the person who manages you.

Again, I believe this is old school thinking.

Husbands, wives, and other family in these positions is definitely asking for trouble. As for the friends, I think it depends on the quality of the individuals...You can never be friends with all of your subordinates..the people you lead..but I believe that forthright honesty, conviction, an obvious commitment to excellence, and straight honesty can level the playing field and garner respect in this arena. The ability to separate business and everything else is not a quality everyone enjoys..

As for the boss/leader thing, this is kinda how I see it..every leader is a boss. But every boss is not the leader. What defines the difference between a boss and a leader? The biggest difference between a boss and a leader is this; the boss is respected and obeyed because of their seniority. A leader is respected and looked up to as an example not only because of seniority but mainly because of the qualities of character and ability.

Those who aspire to become leaders must lead by example and the team must always have a firm belief that the leader will be there during every crisis. Not to fix the blame, but fix the problem. If the team members find that the leader does not follow what they preach, they will have no respect for him. They may obey them, but the respect will be missing. Leaders gain this respect by their actions. They look and act sincerely. There is no mismatch between their words and actions. They look integral in approach and character.

To be a leader, every boss must display characteristics such as knowledge, planning, anticipation, foresight, action, result oriented approach, perspective, respect every team member, earn their respect, act as a friend and act as a mentor. To be a good leader, in my opinion, need these qualities. Once a person earns the respect of their team members they ceases to be only a boss and transforms into a leader.

Ruffems wrote:

You have to be able to take the responsibility along with the increased accountability or you are not worth the paper your medic license is printed on.

Accountability is huge...I can't stress this enough. This goes with rapport, if your people know they can work without fear of unjust penalty or prejudice..they are more willing to work freely and confidently with and around you.

Ruffems wrote:

Teams have a tendency to break up and go silent running when someones butt is on the line.

This happens, without a doubt, and it seems you have been on the short end a few times (what I get from your writing)..hopefully the exception and not the rule. I have been in very bad situations with some of my people. Jobs and, potentially, licenses on the line. I have not had anyone roll on me or vice versa. Maybe I'm just lucky, but I prefer to think it is a respect thing.

Management and leadership are multifaceted, and many different approaches exist..these are just my opinions from my experience..
_________________
When planning for a year, plant corn. When planning for a decade, plant trees.
When planning for life, train and educate people.
~ Chinese proverb

Training - Everything Else :: RE: Awesome Paramedic school I applied too

Author: Mateo_1387
Posted: Tue May 13, 2008 3:46 pm (GMT -5)
Topic Replies: 40

Eydawn wrote:

"It has to be this way because this is what *I* see and to hell with everyone else's input" then you *will* inevitably miss something vital and kill a patient.

Poor argument. This is not a cause and effect. Sure, it is possible to miss things, but it will not happen every time as you say. With a competent provider this should not be a common problem. If it becomes a problem then I did say

Mateo_1387 wrote:

As a leader I should also be receptive to input from my team, but in the end I am "numero uno" when it comes to the care the patient receives..

I am the one who is taking in all the information, I see the big picture, I see what is going on with the whole scene. As a team member they are assigned a specific task, they should be busy doing something else, they will miss points that I see ultimately. That is why it is acceptable to have a suggestion, but when I call the shots I see the big picture and take everything into consideration. That is what you do as a leader.

Eydawn wrote:

If paramedicine is an individual sport, and each and every decision should be carried out by a paramedic because of what they're seeing and their analysis of the situation, WTF are you proposing we run dual medic rigs for? If it's just playing along to get things done, with you as the final "buck stops here," what are you going to do if your partner is ALSO a paramedic with the same constraints and responsibilities as yourself? If he/she sees something different and is *sure* that the treatment needs to happen their way, what do you do? Throw your equally certified/licensed partner out of the truck so you win?

I have always thought that a rig should have a single medic because it makes for strong providers. In the case of riding with a lower level partner they should have enough sense to know that they lack the education of a degreed paramedic.

As for a partner that disagrees with your patient care and is hell bent that they are right, then somebody is missing something major with the patient. How do you expect and answer for this? We will never know who is right in this context. Obviously one person knows what is probably going on, I guess all we can do is hope they are large and in charge.

Eydawn wrote:

Now, if medicine *is* a team sport, which I firmly believe it is, then the situation changes. The doctor, in hospital, is ultimately responsible for a patient's care.

Exactly. When it comes down to it the nurse may disagree with the doctor but she WILL follow his orders or get out. This is where it is not a team sport. In a team you must conform what you do to what other players are doing. As a doctor or paramedic in charge they are not a part of the team, they are the leader. That is the difference.

Eydawn wrote:

You do have to be aware that they might be seeing something you're not.(in reference to partners)

I agree, but this also works both ways.