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FozMedic

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About FozMedic

  • Birthday 02/08/1983

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    Emergency Services Officer

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    Male
  • Location
    Western NSW, Australia

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  1. Hi All, There seems to be a focus on a tension pneumothorax in the case of the stabbing victim. If I am reading the scenario right, there is equal air entry and chest movement bilaterally. If the JVD was a result of a tension, there would be minimal if any chest movement or breath sounds on the left side, as JVD is a late indicator of this condition. I agree with CHBare that one would have to assume Tamponade is the cause of the JVD, which would lead me to make that patient the priority. This is not to say the GSW is not serious and would also require rapid intervention and transport, but being that I could only take one patient, the SW would be my first choice. Thanks for reading, Foz
  2. Hey Mate, thought I would jump back into the city for a look. I got to laugh out loud at a comment you made in a random forum that I came across. Made me miss you dude. Peace.

  3. Mate, I explained it as best I could. I don't think she was even listening to what I was sayin in the end. I understand that she is free to have her own opinion, and that is just fine, im just trying to guage the general outlook on the issue. Thanks Foz
  4. I suppose it is a unique situation because we work on both civilian and military personnel. I just couldn't understand why this individual couldn't see my point of view. DocHarris, I agree with you whole heartedly. My concern with the conversation I had was that she was quite upset that anyone would choose to help others before ourselves (im talking as a whole not as individuals), and I believe there are others out there who need our help too. This is not to say that they are more deserving, or that I expect everyone to do the same, but I believe that they have less ability to help themselves, and if some of us more fortunate people don't help, then the situation will never get to a point where they are able to help themselves. Cheers, Foz
  5. I had a conversation recently with a complete stranger, and I would like to share. I'll set the scene: Having dinner at a hotel during a stopover on my way home from the middle east, I met this lady while having a cigarette. The question of employment arose, and I explained that I was working as an EMT/Driver in the Middle East. This caused an issue because in recent times the local ambulance service has had some bad press due to being undermanned etc. This lady could not understand why anyone should be allowed to work outside of their home country if their particular skillset was in short supply at home. 'I think we should fix our own problems before we try to fix anyone else's' sums up what was said. My point of view went as follows: I know we have problems at home. Every country does, some worse than others. The difference is that we have the resources to fix or at least try to fix these problems. We have the ability to advertise for new medical staff, or police or whoever is needed, we have universities to train new students, and we have a government that is there to help with these issues. We will always have some issues at home, no matter how hard we try to fix everything. Remember, noone is perfect, and untill they are, you are saying that we should deny help to others less fortunate. Then I asked her a question. "Why do you believe that these people don't deserve our help? I am in a position to help a race of people in need,(albeit a small cog in a big machine) and you think that I should stand aside. Why?? From here on she really didn't have much of an argument, carrying on about things like response times with which I would counter that some countries are lucky to have an EMS service at all, let alone the ability to sook about taking an extra 3 mins to arrive.... The conversation went in circles from here, and I just couldn't seem to get my point to sink in. In short, I think that we are doing some good in the less fortunate countries that some of us work in, even if it is on a small scale. I mean, when you give a lolly pop to a child who has never received a gift in its life, the facial expression says we are doing good.... Id like to hear your comments on this subject, just to make sure that I am not being naieve. I hope that this ladies view is not that of the general majority. Thanks for reading
  6. Skippy makes strange clicking sounds, much the same as a normal kangaroo I suppose, but the kid that he belongs to can understand it somehow. I look forward to it chbare
  7. Thanks for the condolences. Your right about the yabbies, just thought i'd point out that they dont come from the ocean, they are found in small dams mostly. As for the disney thing, I totally agree, skippy pisses me off. (skippy in basically an aussie version of Lassie, using a kangaroo). Thanks for the kind welcome everyone.
  8. AK keeps me in check, and yabbies are better boiled I think... :wink: Roo's are just a pest in the end, but for some reason, people get upset when we shoot them... I just dont get it...
  9. Good scenario mate, would never have thought of vagal nerve compression due to Aneurysm. Thanks for the post. :!:
  10. I understand that the patient is somewhat non compliant with her medications, however I would still like to know when they were last taken, and at what dose. I would also try and get some more information about the pain if possible, ie. PQRST. I would also ascertain whether the heroin that was taken came from a regular supplier, or if it was something new that she had not taken before. Due to her being on hypertension medication, I find the blood pressure significantly lower than expected, however this could be caused by the heroin use.The bradycardia can also be attributed to heroin, due to the depressant effects of opioids. If however the drug use was the main factor for both the hypotension and bradycardia, I would have expected a decrease in respirations aswell, which has not yet occured. At this point, my brain is fried.... I'll have a bit more of a think, and get back to you... Thanks for reading.
  11. Just a quick hello to everyone, I'm am an EMT-B, and I work with AK. He introduced me to this site, and I am greatful that he did. I look forward to reading your posts and hopefully expressing my opinions on the various topics, and especially on the scenarios.
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