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Ruffmeister Paramedic

Chat Room Moderator
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About Ruffmeister Paramedic

  • Rank
    Chief in charge of my making my family happy Officer
  • Birthday 11/26/1967

Previous Fields

  • Occupation Paramedic/Emergency Department IT consultant

Contact Methods

  • AIM firstnetmikeruff
  • MSN michaelruff@hotmail.com
  • ICQ 1509152
  • Yahoo ultramone@yahoo.com

Profile Information

  • Gender Male
  • Location Somewhere over the rainbow

Recent Profile Visitors


81,278 profile views

Ruffmeister Paramedic's Activity

  1. Ruffmeister Paramedic added a post in a topic Interested in becoming a Paramedic in So. Cal.   

    TheOldGuy,  I disagree to a point.  I don't see the need for getting experience first as a emt.  I never have understood why we tell people to be an EMT first when we aren't telling the same thing to nurses and doctors and fire fighters as well. 
    You don't tell a doctor to get experience as a nurse first do you?  You don't tell a nurse to get experience as a CNA or a LPN first do you?  You don't tell a firefighter to get experience outside of something else first.  So why are we telling people to get experience as an EMT first?  The only reason why we are telling people to get experience as an EMT first before they go on to get their medic is because you have to get your EMT first before you can get your medic.  Sure there are pre-requisites to get in to nursing school or med school but it's education based not experience based. 
    I think they should do away with EMT altogether and just have a Medic licensure or at least have two tracks, an EMT track for those who just want to be firefighters and that's all they want to be and then a Medic track for those who want to be a paramedic.  this would allow those who don't want to waste their time with a EMT class when they know they are going to go on to a paramedic program.  But this will never happen because of the status quo in education and certification and too many sticks in the mud.  
    But the experience gained by working in the field as an EMT to me is limited based on the service you work for.  If you work for a service top heavy with medics, then EMT's would be hard pressed to get any valuable experience at all other than to be a "ambulance driver" or if you work for a transfer service, well that speaks for itself.  The most valuable experience an EMT can gain is to be partnered up with a strong knowledgeable Medic partner who understands the value of a good EMT and is there to nurture and grow that EMT partner and that medic involves that EMT in all facets of patient care and even allows them to attend at times.  That's the type of experience that is the most valuable.  
    But if the only experience an EMT is getting is driving and an occasional set of vitals, then I say that experience is just worthless.  Anyone and their mother can drive and take vitals.  
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  2. Ruffmeister Paramedic added an answer to a question question   

    I think some people might need a safe space set up after they read this.  
     
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  3. Ruffmeister Paramedic added a post in a topic Capnography   

     Ventilating with a BVM and no End Tidal CO2? When does the mantra "DO NO HARM" come into play?
     
    well hell,  I remember in band camp, errr  in the 1990's and early 2000's when not a single service had anything like ETCO2 monitors.  We had pulse oximetry and that was it.  Man how far we've come.  I think we did most of our patients good when we didn't have it.  But to claim, "Do No Harm" mantra, is a bit of a stretch.  I have worked in several systems (not lately) but in 2014 that didn't have ETCO2's which based on budget, kept them from purchasing them.  
     
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  4. Ruffmeister Paramedic added an answer to a question question   

    Well that just sucks, what a way to be a group of ASSHOLES to do that
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  5. Ruffmeister Paramedic added an answer to a question question   

    Off label, great post, but unfortunately, many I've worked with, some in the hiring side, consider the person in dreds as less than desireable as an employee.  I for one consider the person and not the hairstyle.  I have several friends with crazy ass hair styles.  I know the person behind the style, but they have been passed over for jobs they were qualified for, passed over based on their appearance.  Sucks, and we should be past all this, but appearance is very important.  If you look like a thug(not saying you do) but generally, if you do, then you probably won't get the job
     
     
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  6. Ruffmeister Paramedic added an answer to a question question   

    Many organizations have a dress code including hair length but the majority of places I've worked your dreds would not be an issue.  
     
    Be prepared to not get hired if your dreds are really long or if they look bad.  
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  7. Ruffmeister Paramedic added a post in a topic ...   

    Damn Braille,  I can't read it on my computer monitor.  
     
    What's really funny is the OP came back to edit his original post.  
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  8. Ruffmeister Paramedic added a post in a topic For those who advocate Community EMS   

    Offlabel here posting as someone else. System error.
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  9. Ruffmeister Paramedic added a post in a topic For those who advocate Community EMS   

    offlabel here.... my posts (none on this thread) are being linked to this user name.
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  10. Ruffmeister Paramedic added an answer to a question Genesis II IDLH Rescue Resuscitator   


    Sounds like strictly control ventilation. Pretty narrow operating range for patients that are at least completely apneic from whatever reason. Bottom line for me would be as close to 6 cc/kg as possible with at least 5 of peep with airway pressures less than 30 if possible. I don't think you'd do any harm if you stuck close to that for the time it took for a transport. Not optimal, but you'd be ok with that.
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  11. Ruffmeister Paramedic added a post in a topic For those who advocate Community EMS   

    It appears that someone is linked to my user name again.  I've been seeing some real issues with this site.  Database errors, critical failures, unable to connect with the database, incorrect user name issues.  and now someone is linked ot my user name.  
    some times I have one unread posts and then the next time I will have 9 and then it goes back to just one even though I didn't read all the 9.  
    ADMIN what's going on with this site.  
    And by the way, I did not say what's in the above quote.  
     
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  12. Ruffmeister Paramedic added a post in a topic For those who advocate Community EMS   

    No one is debating this.  We have all had experiences like this.  Sadly, people who are competent enough to follow directions and understand it are far and few between.  Although I am glad to truly help someone, a majority of our patients have no interest in helping themselves, and I will not waste my breath on them.  Get you shoes, coat, purse and lets go ma'aam.
     
    What I refer to is this new approach being floating around where EMS makes appoints to go to someones house and follow up with them after a hospital discharge.  Being in a municipal service, and have no employment with a hospital or private company I frown upon being their lackey to help them retain more money for themselves in preventing readmissions.  
    I am lucky though, we have 75 ambulances on the Chicago Fire Department and that isn't even enough.  So some idea like this would never work, looks like I will be spared.
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  13. Ruffmeister Paramedic added a post in a topic Paramedic Grad w/o Experience Needs Job   

    Dude,  those are for Physicians and not paramedics and emts.  It seems like a good site to find employment if you are a physician but your site has no value for emt's or paramedics.  
    Doing a search on paramedic returns zero results.  
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  14. Ruffmeister Paramedic added a post in a topic Paramedic Grad w/o Experience Needs Job   

    James, thanks for coming back, but I saw nothing on your site that you linked that would have been helpful to EMT's or medics.  The only jobs available are for physicians and not emt's or paramedics.  
    While it's appreciated that you linked this for us, without any way for emt's and paramedics to search for jobs on that site, that's what makes it spam and inappropriate for this site.  
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  15. Ruffmeister Paramedic added a post in a topic For those who advocate Community EMS   

    Exactly, this is the reason why first responders are part of community EMS.  
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