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Secouriste

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About Secouriste

Previous Fields

  • Occupation EMT

Profile Information

  • Gender Male
  • Location Paris, France

Secouriste's Activity

  1. Secouriste added a topic in General EMS Discussion   

    [Help!] Working in Australia?
    Hello everyone!

    I have some questions for the australian EMTs (if there is any around here).

    I may move to australia to study (get into medschool), but I'll have to get a job to pay for the course. So beside the obvious "student jobs" I was wondering if my experience as an EMT in France could be of any use and if I could easily work as a BLS EMT. Leaving aside all the visa problems:
    What are the requirements to work in the most basic EMT level?
    Is it useful to have some past experience (even if it's another country)?

    Thanks in advance!
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  2. Secouriste added a post in a topic You can't pay for this type of publicity   

    Ok, thanks for the clarification. Then any idea what could cause such a dispute between the two crews?
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  3. Secouriste added a post in a topic This is driving me nuts   

    1. Do you have any advice on how I can deal with it when the time comes IMO, what separates an EMT from a mere citizen is an EMT knows what's to be done. Stress and panick arise when you feel powerless to help or when ignorance freeze you. Know your protocols and there will be no place for anything else once you're on scene.
    In my own experience, my duty has always been a barrier against the stress of a situation. I am focused on what I have to do, no matter how much blood on my shoes, no matter the stench, no matter the screaming. If those bother me, I'll talk it out when it's all over, to release the pressure.

    But as others have said, it depends a lot on who you are, what's you life, what are your past experiences and what are your own traumas. I have weak spots too, but I've been lucky enough not to attend "that" scene yet. I know I don't care about wounds however gruesome they are, I know I'm not stressed when everyone else is freaking out but that's how I was before I became an EMT. I don't think I've acquired much in that regard. One thing though is to analyze quicker and be less impressed by some symptoms.
    2. If I do have a less than favorable reaction and I decide to stick with EMS anyway, will dealing with such incidents get easier? To me, it seems the most important thing is to be bale to know when you can't take it anymore. I tell my fellow EMTs "If we attend a scene that you can't emotionally handle, you tell me and I'll let you wait outside." I don't think anyone could be blamed for not feeling he/she can handle a situation. What can be blamed though is to get in the mess, knowing you're not operational, and screw-up because you're terrified.
    I know some "veteran" EMTs who had had the same weak spot for years and always had the humility to step back when they felt they weren't up for the job.

    Hope this helps.
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  4. Secouriste added a post in a topic A holy shit moment but again here's the media   

    It seems the cots you're using induce high risks even during their normal use. Isn't there any manufacturer that designs cots with bigger wheels?

    The cots we use are either "up" or "down" no middle ground (we can block the "legs" in a certain angle to help the pt getting on the cot, but we won't push it around in that position). See some pics:



    Also, when we're not in a "safe zone" (ER etc...) there is always an EMT in front with a hand on the cot to secure it and watch for troubles.
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  5. Secouriste added a post in a topic You can't pay for this type of publicity   

    I'm a bit confused about the responding system in this state. How comes 2 units are dispatched in the same time? From what I understood there was and ALS and a BLS int he same time, right? Then, isn't there a protocol for those 2 units to work together, given they both have a specific role to play? Or am I missing something?
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  6. Secouriste added a post in a topic 911 dispatch protocols and prediction of ED utilization in pediatrics   

    Where I work, the BLS units handle all kinds of patients (hence we had to buy ped transport restrains and adapted monitoring devices). The ALS though are specialized, with emergency pediatricians on board.

    We have 2 big children hospitals to transport our little patients.
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  7. Secouriste added a post in a topic 3 ft fall spinal immobolization   

    I think that abuses like "shaking" can cause that sort of problem too (correct me if I'm wrong).
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  8. Secouriste added a post in a topic A Quick Question...   

    Without much knowledge on the subject, I'd say it's fairly possible that a GSW, even with no external bleeding, can cause an internal bleeding and cause death? Does it make sense?
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  9. Secouriste added a post in a topic EMS vehicles   

    We use both box bodies and regular vans. Renault, Peugeot-Citroën, Fiat and Volkswagen are the manufacturers we buy from.







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  10. Secouriste added a post in a topic 3 ft fall spinal immobolization   

    Well, in my view the VM offers a better immobilization and better protection. It is also more comfortable for the pt. The only problem with it is maneuvering in very narrow staircases (you know, the ones where the pt ends up in a vertical position), because it is not as rigid as it should. In those cases we have to attach the VM to a backboard and grab the backboard for the maneuver. Also, using a scoop stretcher to put the pt on the VM makes things much easier.

    In my service, we tend to prefer using the VM, but it takes more time to immobilize the pt than a backboard. So if we're in the street of a not-so-secure neighborhood we'd rather use the backboard.
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  11. Secouriste added a post in a topic 3 ft fall spinal immobolization   

    In some traumatic contexts babies and small children can suffer less damages than heavier, rigid-boned adults.

    But there is something I don't get. I've never had any trouble with any pt about immobilization. Some have found the backboard to be unpleasant to stay on, but I've never had any complain about the vacuum mattress. That is for the patients without any mental alteration.

    I've always worked looking for the reason to immobilize rather than the reasons not to. When the decision isn't so clear, I'd rather take precautions and put someone who's okay in a mattress, rather than deal with someone who suddenly feels a back pain while seated during transport, because he ambulance shook him/her a little.

    Or am I missing something?
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  12. Secouriste added a post in a topic Cargo nets!   

    Yes.

    The thing is we have to fit a vacuum mattress in our vehicle so we either put in on the stretcher, or store it where the red arrow points on above picture. If we choose the later solution, I want it to be well secured and I thought those nets would be a good solution.

    Yet we don't use them in France so I thought someone here knew where they can be ordered and how they're screwed in the cabin walls.
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  13. Secouriste added a post in a topic 3 ft fall spinal immobolization   

    Fall + Head injury are enough for me to take precaution. The word says it all, it's "precaution", when I don't know for sure I'd rather do a bit more than a bit less. Plus, when arriving in the ER I'm sure to get the nurse's attention faster.

    In this case I would have used a collar + vacuum mattress.

    These precautions are also taken because we carry our pt, and drive around. In case of fall or crash, this additional protection wouldn't be too much.
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  14. Secouriste added a post in a topic Cargo nets!   

    I'm looking for these kind of stuff:






    We need to secure an immobilization mattress inside the back-cell, see the pic:

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