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Bernhard last won the day on November 21 2015

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About Bernhard

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    State of Bavaria, Germany, Europe

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  1. I'm glad we have the right to pronounce death on scene. Medics may decide due to "safe" signs of death, as rigor mortis, livor mortis and non survivable injuries plus asystolie. Working a code for some time with no effort (ROSC) is up to the emergency physician we then have available on scene. As far as I know I never had ever worked someone who now shows an appallic syndrome. Either they died soon after or they survived. Secondary survival rate has dramaticallly increased with new CPR algorithms, in my starting years (end of 1980ies) this was more or less randomly. I at the moment recall just one patient before 2000, where the neighbour started CPR:this neighbour was a seasoned medic, his assisting daughter an experienced anaesthetics nurse, basic equipment available for them plus the ALS station and receiving hospital just a few minutes away. As I entered the room, the patient already was e.t.'d, we just had to attach ECG and provide defibrillations. Patient left hospital a week later, totally recovered. Since then I had a few saves, more and more since ~2000 when we started using AHA/ERC algorithms. Actually, to answer the question in the topic, yes, I once transported a death person. Transporting bodies is ruled out in our states EMS law (and was back then, but it is time.barred's the story: We had a call in the church just neside the station. With service in full progress we CPR'd between all those praying people, somewhat scary (but not the first time for me, yes, they already talked about me to write a book). We moved into the ambulance, then pronounced dead after some while. Chaplain came into the ambulance and said a few words. Dispatch notified us about enhanced arrival time for the hearse car (sp?), so the supervisor, who was on scene in another role, felt the urge for a decision. His first suggestion was to drop the body off in our station so we were available again. I talked him out of that. The chaplain notified, that he had the keys for the local morgue, which happened to be just around the corner beside the cemetary. So the supervisor decided to take this opportunity...and we drove the body in our ALS ambulance slowly into the cemetary. Just as we arrived there, the hearse car arrived. Disclaimer: things have changed since then, I never would do this anymore (meanwhile, I'm supervisor myself, maybe this call was one of the reasons), it was totally against the law, noone has ever found out and all went well. At least I learned (talked a bit with them), the burial services are quick enough to wait on-scene. People are very pragmatic here - next time I'll tell the story about the other chaplain calling us, as he found out that the dead person wasn't medically cleared, up to his arrival... To adresse another perspective mentioned here: After having some incidents I took a crisis intervention class to be trained to handle the relatives. Was an eye-opener! Never would like to work in crisis-intervention myself, but I use the skills to handle non-medical situations since then. I strongly suggest such a training to all young medics! (BTW: have a happy new year, everyone!)
  2. Let's see. Last week I was mistaken for a towing service by a very confused young police officer at scene of a vehicle accident,was target of heavy flirting by a 89 year old woman at a nursing home, fallen out of bed, vomited, short of breath/possible aspiration - but instantly fell in love with me,rescued a cat from a tree (OK, this wasn't a real call, just spotted the cat in distress on a private walk).We'll see what follows next week.
  3. We're in chat. Where is everyone else?
  4. BTW: I'm still in chat now at this very moment. Oktoberfest was nice, I visitied with my new workplace colleagues. I didn't serve a shift this year, though. Friends reported it was relatively calm, just the usual ~400 patients per day..
  5. That's 3:30 AM on friday over here...(UTC+2). I'll do my very best...
  6. I'll be there... See you!
  7. Really? How come that? How do you do this? Just wondering if that's really in your "job description" or if I just don't understand something. BTW: I see my task in EMS to safely get to the scene dispatch already was suspicious enough to assign a valuable resource (my crew & my ambulance) to, assess the situation and decide if it's either an emergency to be treated immedeately, an issue which has to be transported to hospital or a doctor's office, something we "just" need some ambulatory help (and call a doctor for house visits or point to an open doctor's office - they have to provide 24/7 coverage here), another thing we may offer help (lift patient back into rolling chair, call police, ...) or nothing at all (false alarm, ...). Doing whatever my findings in #2/#3 needs. Preparing for next call. Goto #1. Glad, my system has all those options in #3 and let me decide (if the public or dispatch didn't before). This opens a bunch of possibilities to provide the needed level of care, and yes, you have to be very sure about what you do. Maybe this system is close to this community paramedicine thing mentioned here, just that it's not me who provides that but the regional physicians association. Oh, to answer the OP's question: I'm neither an EMT nor a medic, technically, since those job titles don't exist in my country. I'm a german Rettungsassistent (2 years education, highest level of non-physician emergency care in Germany, so somehwat compareable to a Paramedic in the U.S.). Living in Germany's most southern state: Upper Bavaria, near citiy of Munich. So much for my excuse for lack of understanding, bad grammar and funny spelling. In english AND german...
  8. Party? BTW, regarding "party": y'all missed (the real) Oktoberfest this year...when I find time over the holidays I will write a short report about my shift.
  9. Welcome to emtcity, Fenta! Great to have the german area covered a bit more. Ah, and don't get me started on that "Notkompetenz" thing which doesn't really exist. No, don't. Please. Thank you. Our fellow collegues here wouldn't even understand this urban legend.
  10. But in NYC noone would really care about or even stop to look, I guess... ...only the button and the sign would be stolen soon.
  11. If it's to silent in your town, this may be worth a look:
  12. Actually, I just had a year of this.
  13. "Never pass the first downed officer on scene".
  14. And vorenus isn't even from Bavaria... Even in germany where we have a lot of nation wide regulations in EMS there are a lot of details specific to the different federal states. So you will find significant and sometimes disturbing differences between state's EMS systems and sometimes between one district and the other or even from one village's company to the other. Despite the fact, that education levels and requirements are the same nationwide, there is a standard for vehicles (even EU wide) and only four large organizations have 90% (just my rough estimation) of the market. So even here in our little country the understanding of the whole EMS system "en detail" would be a lifelong task. Continuing changes included... If you try this for the "EMS world" as you stated, and that means really worldwide (surprise: there are more countries than the U.S. having an EMS system), then prepare for some real strange experiences. Just to have a general impression about varieties in medical/EMS systems, read Wikipedia.
  15. As long as my voices speak to each other, it's all OK. If your voices speak to me, I'll tell you.