Secouriste

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Secouriste last won the day on November 7 2012

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About Secouriste

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    Male
  • Location
    Paris, France

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    EMT

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  1. 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?
  2. 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.
  3. 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?
  4. 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.
  5. 3 ft fall spinal immobolization

    I think that abuses like "shaking" can cause that sort of problem too (correct me if I'm wrong).
  6. 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.
  7. 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?
  8. 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.
  9. Good ways to kill patients

    I see but I confess I lack the medical knowledge you have. I'll maybe be there in a few years (hopefully). So far, all I know is "no effort for someone with chest pain" I know for sure he died.
  10. Good ways to kill patients

    lol, the guy droped to the ground, cardiac arrest.
  11. Good ways to kill patients

    Seen on a documentary and on scene (by a doctor): tell the patient with chest-pain to put himself on the cot/chair rather than carry him.
  12. Gender Uncertainty & Good Manners

    The adam apple can be an indication, not matter what the face looks like?
  13. Do you ever feel annoyed?

    The question of pain treatment is very interesting. Here is France we have no paramedics (it's either "EMT-Basic" or a doctor that arrives on scene) so if you have a limb injury without immediate vital threat you can be sure you'll get an EMT-B crew. Such crew doesn't do any kind of pain treatment. The only question I ask myself when I respond this kind of call is: "Can I take this person to the hospital without him/her screaming in pain?" If yes, then go, if I cannot move the pt because of the pain => Call EMS to get a Mobile Hospital Unit. There are two problems here: - Our advanced units aren't meant to perform "just" an IV to treat pain, so it really takes a serious situation (or a good negotiation) to get one "just" for the pain. - Pain treatment in (non-vital) traumas in an issue that arose very late in France, where doctors are only starting to be told it shouldn't be overlooked. The solution would be to: - Allow nurses to respond call on their own, following protocols or even the doctor's instruction via phone. - "Upgrade" the EMT-B to be able to perform some basic IV (only on the doctor's order). But this is not going to happen anytime soon... About the "ambulance abuse", I'll give you an evocative example: Call: > Wounded person > Female 27 > Burn located on the right hand. Ok, we arrive on scene to discover the women has been cooking and had received a tiny drop of boiling oil on her right hand. She had a blister no bigger than the smaller coin u can find... In other word, nothing. We were pissed, really, why not calling an ambulance next time I hit my foot against a piece of furniture. We asked her why she'd called and she said "I didn't know what to do." See? People here have no first aid education whatsoever... We try our best to train people and have them come and take our first aid lessons but we're not helped at all. The other issue here is why on earth the dispatcher sent us? Maybe because we've come to a time when people aren't responsible and worst than that, will try to blame others when things go wrong. So our dispatchers would rather send an ambulance to "make sure there is nothing" rather than making the headlines the following days.
  14. Snake Bites

    Our protocol for a snakebite is to apply pressure (same as bleeding) , then immobilize the limb with a splint. Then we call dispatch and they call the anti-poison center. Richard: The black mamba has the reputation of having the quickest and most lethal venom. The movie Kill Bill refers to it in the end of the 2nd movie