Just Plain Ruff

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Everything posted by Just Plain Ruff

  1. Posting EKG's Potential Hipaa violation

    ok, in a facebook thread today, someone brought up that posting a 12 lead or just a ECG tracing is a hipaa violation even though you black out the patient name and identifiers. NO, you say it isn't, say it aint so!!. Well actually it is according to the article I will post below. The event ID of the tracing of the 12 lead specifically identifies the patient, not by name but by piece of equipment and a specific patient and can be used to trace it back to that specific patient, and in effect IS a hipaa violation, Here is a great article that was posted to this facebook thread: http://www.the-hospitalist.org/hospitalist/article/126200/how-avoid-data-breaches-hipaa-violations-when-posting-patients-protected Your cardiac monitor identifier numbers related to number 18, and even if you get rid of the first 17, a resourceful person, albeit not very bloody likely, could connect the monitor identifier, patient identifier back to the patient and thus hit you with a Hipaa violation. Advice on this situation - BLACK OUT all identifiers in the top and the bottom of the EKG tracing when you post it to facebook for a case study or you post it here. The facebook thread I was on even said that many of the EKG review sites and case study sites have as a rule for posting that ALL identifying numbers and codes, names and any other numeric identifiers be removed prior to posting or the post will be deleted. It's a one in a million chance that someone will connect the dots, but do you want to be that 1 instead of the 999,999? I sure don't. Be safe out there.
  2. Upgraded Software

    Ok, my first club BIFP's Big Important Fluffy Paramedics Now get me some membership criteria. List em out here.
  3. Upgraded Software

    Clubs, OOOOOOOOOOOOOHHHHHHHHHHHH so you mean like the Calvin and Hobbes club GROSS (Get Rid of Slimy girlS) club??? Can I be the first to make one? Please please please.
  4. Medical conditions causing crush syndrome

    sure, just call me Plain, it's easier to type.
  5. Upgraded Software

    Once I was logged in and then closed internet, I logged back in and had zero issues. Are there only 4 reaction icons?
  6. Medical conditions causing crush syndrome

    I've only had a crush injury patient in the truest sense, where the patient or the extremity has been crushed by a heavy weight such as a car or a large weight. Obese patients after thinking about the true etiology of a crush injury I do not believe would be able to cause enough force on the extremity to sustain a crush injury.
  7. Medical conditions causing crush syndrome

    The fact that you are still asking these awesome questions are going to get you props from all of us here brother. Shows that you want to learn and just don't want to get it spoon fed to you. I would definately put the obese patient down as a candidate, especially an extremity that gets caught under their weight after they fall and are unable to get up on their own. Depressed patients, I'm not so sure. What about the stroke patient who falls, lands on the affected extremity and is not found for 2-3 days or even 6-8 hours?
  8. Upgraded Software

    and when i went to log in it seemed to have messed with my saved log in.
  9. Medical conditions causing crush syndrome

    well I figured how can you go wrong with the Medical Journal of the Armed forces of India? They seem like a pretty good outfit.
  10. National Registry EMT Lapse

    Yeah, I understood that point, I was involved in a facebook discussion, no lets say a heated discussion this morning over what I mistakenly should have left on facebook regarding what I wrote. I just don't get that how some people are so hell bent on getting so angry about being called an ambulance driver or how their job is more important when in the end, we all serve one group, the public. I couldn't get it through the thin skinned facebook group of people who I thought I was a so called valued member of that I finally just said screw it and removed myself from their drama but I made a cardinal mistake of bringing that baggage and crap from that group here. But I do stand by what I said here though. And you know what, to your point of who gets their first, as long as the patient or member of the public gets the help they need, does it matter who get's their first? does it matter if it's a shiny fire truck with a paramedic or an emt(well sometimes it does) or does it matter if it's an ambulance. Sometimes all that's needed is a splint and a bandage. sometimes it's a defibrillator. Sometimes you need 4 trucks and a ambulance. Sometimes you need 4 ambulances and 2 trucks. As long as we serve the public. For many fire departments that runs 10% structure fires and 75% EMS calls and the rest are PR and lift assists and assorted other calls, do you really need more fire trucks than ambulances? Seems out of balance but the public sees the big shiny trucks and says "wow look at that fire engine, the city really cares about us citizens ya know" Do a news search on Fire Union versus City of Grandview Missouri and read the crap the union is putting out about how many citizens are going to die if the city doesn't put a sales tax on the ballot this year. More of the same gloom and doom from the fire union "the city will burn, people will die and firefighters will perish if the citizens don't approve this sales tax"
  11. Medical conditions causing crush syndrome

    I don't think there are really any set medical conditions that cause crush injuries or syndrome, your question is difficult to understand but here is one link. This better not be for a paper that you are having to write and you are wanting us on this site (like many have before) to write your paper for you or do your research. Yes this has happened before by people who are to freaking lazy to do a Dr. Google search. but if you are truly seeking understanding about crush injury look at this link and then take what you learned from this link and expand your search and knowledge. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919827/ But be warned - if the regular members of this site figure out that this was just a Help me do my paper post, your rep here will be ruined and you won't get any future help from anyone especially me.
  12. National Registry EMT Lapse

    I still don't get this mentality that driving a fire truck is somehow more important than driving an ambulance. Is driving a police car more important as well? All of these jobs are important. Let's get over ourselves people, we do similar damn jobs, we provide emergency services to the public but in different capacities. As soon as the butt hurt over being called ambulance drivers gets done we can get back to the important things. I don't think I've ever heard of a fire fighter being butt hurt over being called a fire truck driver. Or a police officer being called a police car driver because they are professional enough to know that at the end of the day, it doesn't matter. A dental hygenist I believe also has more schooling than a EMT, a vet tech has more schooling or training as well, and they take care of our animals(which is pathetic if you ask me that we accept that a vet tech needs more training than an EMT does) If we continue to accept that EMT's who have human lives in their hands can do this job with less hours of training than many other jobs where lives are not in these peoples hands, then we should expect 7.75 per hour, low levels of respect from our health care and emergency services colleagues and the continued AWESOME Sparkly title "Ambulance Driver"
  13. Paramedics: Clear! the game

    RescueSquad, I do wish you luck on the sale of this game. I may or may not purchase it. Depends on discretionary fundage availability. Who was your beta tester demographics? How many people tested this game to make you realize you had a game that would be successful. I ask this of you because myself and a co-worker are looking for a business idea to start and we really don't know and I showed him the amazon link and he said, this might be something we could think about for the IT world. Not a copy but a different kind of game. We also thought about maybe one of those monthly boxes. Who knows. Just thinking out loud here.
  14. Paramedics: Clear! the game

    I've seen another type of game like this a long time ago. Not sure if it ever made it to commercial release. I'm not sure if I'm willing pay money to relive the job that I used to do full time and now do on a very part time basis. so why are you trying to give this game free advertising? I'm pretty sure that the rules her say in order to advert you have to pay to do it. Do you feel so strongly that you would advertise a game that you have no financial interest in? Not busting your balls just asking a question. Are you going to purchase a copy of the game? Just some questions I have.
  15. Paramedics: Clear! the game

    Don't click on the board games link - it goes no where. Curious as to what the game you are Hawking is all about. But if this game is what I found on Amazon, looks like a somewhat fun game. Not sure how many times the game could be replayed though. More please.
  16. image1.JPG

    From the album N/V Scenario pics

    Nausea and vomiting scenario picture
  17. N/V Scenario pics

    This is the CT image for the Nausea and vomiting scenario
  18. Barely failed PAT. Short girl:(

    There is a specific machine in most gyms that is an arms strengthening machine. It looks like a bench press but it's in a standing position. You could use that machine to guage your strength and then work to increase. IT might be the shoulder press machine. I'd have to go to a gym (nope homey don't play that game) and look at exactly what the name of the machine is. But look to this link and then go to page 2 and then to the shoulder press picture http://www.fitlink.com/exercises?type=machine&body_part=arms&page=2
  19. Pathophysiology of cyanide poisioning

    Chris, if you were overweight in that video, you just have to see me!!!! ha ha Your videos are so informative and good to watch.
  20. Pathophysiology of cyanide poisioning

    have been unable to find the video. It's not really a valid video for this as the second that the soldiers were sprayed with the cyanide gas they died. I think it takes a bit longer for someone to die with Cyanide. I just remember the movie because it was so violent and at the time I was in junior high (1980) I was sheltered at that age. ha ha
  21. FENTANYL AND CARFENTANIL

    Carfentanil, is BAD BAD BAD mojo. I'm surprised we aren't seeing more of these overdoses and deaths.
  22. Pathophysiology of cyanide poisioning

    So Brother, what got you to work on this? Personal enrichment or a requirement for a course? The best cyanide video I ever remember was a world war 2 video where the platoon used cyanide to kill a enemy regiment while they were sleeping. I cannot remember what movie it was from but the enemy regiment was a african regiment. Maybe the Wild Geese or something like that.
  23. Finally made it back...

    Hey, I remember you. WElcome back.
  24. Suggested Schools?

    This post and also the other post from the lady who just screwed up her ACL caused by the drill sergeant douchbaggery of the 5 week accelerated course in florida. Guys we are a profession, these accelerated programs make us look like keystone medics and emt's. it makes us look like we want to be hero's that started at zero. Firefighters don't go through this Police officers don't go through this doctors, nurses, CNA's, hair dressers, accountants, IT guys, or any other professionals do NOT go through these 5 week camps where you can finish your schooling in 5 weeks. It's just in my opinion makes us look silly and short changes the student and also the patients that they are going to be taking care of. Can some people learn in that environment, sure they can. Can they retain an entire 1000 page book in 5 weeks, possibly, but can they retain it enough to be competent I do not believe so. Do yourself a favor, take your time, learn the material and understand it. The jobs will be there when you get done. Trust me. They were there when you started your search for a school and they will be there when you get out of school.
  25. confused

    No this forum is not for online classes or education. I'm not sure where you saw that there were online courses. If you saw the CME link that was a banner ad, then that link was just for online medical education for physicians and that was an advertisement. There has never been any online education provided by this site. I hope that this clears up your confusion.