Ruffmeister Paramedic

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Ruffmeister Paramedic last won the day on February 11

Ruffmeister Paramedic had the most liked content!

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About Ruffmeister Paramedic

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

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    Somewhere over the rainbow

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    Paramedic/Emergency Department IT consultant

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  1. Dude, hats off to you as the Immigratino and border protection officer. I had a friend (long time ago) go down to the border, I think he ended up near Natches or (similar sounding name city) Mexico or Texas, he lasted about 9 months and then left. He told me it was the worst 9 months of his life. He's now working in the oil industry over in the UAE making 3.5 mil a year. How things changed for him. I haven't heard from him in about 5 years. I hope he's still doing well.
  2. I meant Syphillis But she's also Like Janice from Friends, she kept coming back to see Chandler.
  3. Oh my goodness, she is like herpes, she keeps coming back.
  4. hope you find the person you are looking for.
  5. Welcome to the city
  6. i don't believe german licenses are accepted anywhere in the US but since most of the US is National Registry based, I would send them a query asking them how to get your National Registry based on your German education/licensure. find in the lower left hand corner of their site under Contact Us, then click Email the NREMT and ask that question. Hope it all works out.
  7. I'm sure Julia will chime in but let me be the first to congratulate you on your Win, but also express condolences on your loss of your friends and well wishes to your father. Now is the time to keep learning, never stop learning and try to learn something new every day.
  8. She's baaaaaaaaaaaaaccccccccccccccckkkkkkkkkkkk! She's got to be a bot. Julia, do you have any other threads you have posted to?
  9. your first step would be to determine which country you want to do this in Second would be to research their requirements and even if they have an established EMS system. I can think of a couple countries or even one continent that would be hard pressed to have an established EMS system. Once you have figured that out, come back to us and let us know. I would think that some of us here could help you out in your searches.
  10. Once you have discussed with medical Director, the ball is officially out of your hands. I'd leave it there until you get a note back from the medical director. You never know who else is a member on this forum, it could be one of your colleagues who reads this and then all hell breaks loose, or we do have families sometimes come here for fishing expeditions. You just never know. And GOD FORBID, don't post anything about the call on Facebook, even to a EMS related facebook site.
  11. Off label has apparantly in this case has it right, sounds like pissing match. Sad case if you ask me.
  12. Red Wing makes good boots I have personally used them in the past. I'm thinking that they will fit your bill.
  13. Yes there is a phenom called pissing matches but when it directly affects your patient's well being, there's a time to speak up. I know I know, some people don't feel comfortable in doing so but there are ways to do so that aren't done on scene. I get wehre you are coming from Offlabel but with more to this story, it sounds like the medics got tunnel vision and focused on one thing when another thing came back and bit them in the butt. As an armchair quarterback, if the patient began to crash to the point of coding, CPR should have been started earlier. Either in the house or in the ambulance as quickly as possible but 10 minutes is a really really long time to go without CPR when we of all people know that Early CPR means a better outcome (sometimes). Jenjas, you sound like a good person, I would at least let your medical director know about this call. they can review it and if needed, contact the ALS services medical director. Good luck in whatever you decide to do.
  14. ok, a couple of things, 10 minutes before starting cpr on a pulseless patient - the question is this "did he die?" I'm sure he did without cpr. But maybe not. Why did they give bicarb? And finally, Fuck ALS if you disagree with their plan of care, it sounds like someone should have disagree'd with their plan of care because it cost this guy 10 minutes of CPR and probably cost his family if he did recover, a lifetime of long term treatment issues because SOMEONE decided to wait on CPR until they got to the ambulance thus depriving his brain and heart of oxygen and circulation that should have been started immediately upon him going into arrest. Not trying to armchair QB this call but no wonder why ALS doesn't like their decisions questioned, in this guys case, those decisions if questioned would have been right to have been questioned.
  15. Had a call on a woman who was sick. On arrival found a woman who had AMA'd out of a psych facility. She had taken her motorized wheelchair and travelled about 8 miles on her fully charged battery. By the time she got to where we picked her up her wheelchair was dead dead dead. We put her on the cot and into the ambulance and she asked about her wheelchair and we told her we didn't have any way of transporting it. So sh,e made us wait 45 minutes until her boyfriend got to the scene with a nice big pick up truck to transport her wheelchair to the psych facility. He refused to put her in the truck and was going to make us take her. An argument ensued when I told him that she didn't qualify for ambulance transport and it would not be paid for if she didn't go with her boyfriend. He still refused to take her,said that she was our responsibility. She then broke up with him right there and he then proceeded to push her wheelchair out of the back of his pickup truck, back over it, and then drive off. So now we have a pissed off psych patient, a totalled wheelchair and a patient who doesn't qualify to go by ambulance. We end up taking her back to the psych facility and dropped her off. The service got no money out of this call, the woman billed us for the damaged wheelchair, they paid the bill to her, and I got a talking to because I apparantly couldn't control the scene. I soon left that service because of assholes that ran that service micromanaging crews.