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About AnthonyM83

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    Perpetual EMS Student

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    Los Angeles, CA
  1. Welcome from Los Angeles. The ambulance driver's cert takes like a day. Look up some study guides online. Then start applying right away!
  2. Alright, think I finally cleared my inbox. I'm at 95/100. Think that came from when I was sponsoring member...then it expired and I ended up waaay over my limit. the website said I got a message from you, but it wouldn't load...try again?

  3. Ha, I gottta clear out the inbox.

    I didn't even realize I had that chat box down there...a lot has changed! How ya been!

  4. It started out funny, but then turned into poor taste when he went off on the patient (rather than the situation). Good first post man...good way to start out your rep
  5. To be fair, I don't think ALTE's was in our general curriculum. We did discuss it in relation to local protocols. Didn't read the linked article, but the general idea is that children under 1 who have an episode with 2 or more of choking, gagging, going limp, color change, apnea (thinks of that nature) have an increased risk for SIDS in the following year. The episodes are easy to pass off as parents overreacting (as most calls are), but it's easy to miss legitimate events.
  6. I'm curious as to the exact episode of trouble breathing. There has been correlation with transient breathing or gagging episode in very young children and sudden death afterwards... not that every provider would know that and be thinking that, though...
  7. We do refer to it as an ambulance around here. We call it a rig most of the time, but if you're doing a radio report, one's more likely to use the word ambulance. There's no way this was an actual call-in, though. IF ANYTHING, it might be a chief doing a separate secondary call-in to the hospital. But I kind of doubt that, too. The actual call-in would be very easy to find. It's on record.
  8. Not even close to how they'd answer the phone, how the medic would reply, and how he would start off his report, or how he would give his report, including speed. Also, don't hear any sirens in the background (guess they could have still been parked on-scene...but with the commotion going on outside the ambulance, I'd think they'd want to get out of there). And while LA does give super detailed reports (supposedly because they don't trust the medics, with good reason for most) to the point that it'd detrimental to the patient because you're waiting on-scene, if the report was actually 3-minutes, it would be rapid fire talking from both ends. Maybe this was a report given by someone else on-scene to a specific doctor rather than the official call-in, though doubt that too. There's no background noise whatsoever...whether in ambulance or outside, based on the video, there should be a lot of it. The phrases used...just wouldn't be used in a base report. AND there's one easy way to confirm. Just pull the tapes of the actual call-in...which I imagine would have already been done...
  9. Just follow PHTLS recommendations. If they have good neuros (sensory/motor to extremities) and are unstable in anyway, don't waste time on-scene immobilizing them. Remember that urban study from USC showing that trauma victims who are driven private auto (provided they by chanced went to a trauma center) had a higher survival than ambulance transports for similar severity of injuries. Less time wasted on-scene. I've also seen GSW victims with severe shortness of breath forced to lie supine so they can maintain immobilization on the backboard. This is not good for them...
  10. Yup, haven't been able to see the details...
  11. I'm not sure where to go with this thread. Should Democrats slap Republicans now? How quickly will that turn ugly with several people jumping in from both sides to the point you can't follow the thread. My usual reply to Democrat bashing is to look at history and analyze how many things we now see as historically 'wrong' were initiated/perpetuated by the conservative parties of the time.
  12. Ya guys realize Ole Dusty's a totally jovial guy when you hang out with him, right?
  13. Going to need to complete results of focused history and physical exam. Complete vital signs, EKG rhythm, 12-lead interpretation, O2 sat, BGL, Lung Sounds, background on the current chief complaint (OPQRST), pertinent negatives/positives, skin signs. What is an "inject fracture" and what does the percentage signify. Same with the coreg increase. It would be irresponsible to decide on a course of treatment just with what we've been given so far. Give us a bit more.
  14. What's the entire history, allergies, meds, vitals, focused history and physical exam on the chief complaint? All this would play into whether paramedic (not EMT) will administer morphine or other drugs. I don't know what a "restraint carrier ambulance" is. The norm is for all patients to be transported in sitting position on the gurney (and almost always expected to be sitting position for shortness of breath). They can be strapped in without putting pressure on the chest (tighten waist, but not chest straps).
  15. WOW. Total spazz, huh? Usually don't like these kinds of "point out the newb" things, but it was pretty good natured, so I approve. BTW... take a deep breath at each scene and force yourself to slow down. Pretend you're going in slow-mo (to everyone else, you'll probably just look regular speed) and your mistake rate will plummet. Kinda sucks that more you have fun on the call, the worse you do. The more you control your excitement, the better you do...but it's not AS fun. Gotta find the perfect balance!