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Lone Star

EMT City Sponsor
  • Content count

    2,600
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About Lone Star

  • Birthday 10/21/1964

Previous Fields

  • Occupation NREMT-I (I-85)/ AAS EMS, NREMT-P Student

Contact Methods

  • ICQ 0

Profile Information

  • Gender Male
  • Location Lost in the land of Confusion

Lone Star's Activity

  1. Lone Star added a post in a topic Narcan at the EMT level.   

    I am an advocate of leaving the 'medical stuff' to the 'medical folks'.  Sure, Band-Aids on boo-boos is alright, but putting pharmaceuticals in the hands of the uneducated/improperly trained can never be a 'good thing'....
    Correct me if I'm wrong here, but doesn't the amount needed to improve respiration depend on the amount of the opiate in the system?  Is the LEO drug box going to be enough to properly mitigate the situation?  If LEO want to get into medical, they should go to school like the rest of us.
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  2. Lone Star added a post in a topic Narcan at the EMT level.   

    First off, improper administration of Naloxone can induce:
     
    Abrupt reversal of opioid effects in persons who are physically dependent on opioids may precipitate an acute withdrawal syndrome which may include, but is not limited to, the following signs and symptoms: body aches, fever, sweating, runny nose, sneezing, piloerection, yawning, weakness, shivering or trembling, nervousness, restlessness or irritability, diarrhea, nausea or vomiting, abdominal cramps, increased blood pressure, tachycardia. In the neonate, opioid withdrawal may also include: convulsions; excessive crying; hyperactive reflexes.
    The rest of your sarcastic (and highly unnecessary) post included a lot of 'talk' and 'ifs', so it's based on facts not entered into evidence.
     
    EMS education in the United States still tends to accommodate the 'lowest common denominator', and with only 120 hours of classroom education and 24 hours of clinical experience, it's not a good idea to start pushing pharmaceuticals until an education system is implemented that accommodates higher educational requirements for entry level EMS (another topic that has been beaten  to death). 
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  3. Lone Star added a post in a topic Narcan at the EMT level.   

    Having been an EMT for 12 years before "moving up the 'food chain', so I can say this with some authority:
     
    I'll start with the standard "120 hours of class room education" argument.  Having sat through the EMT-B course twice (with a significant interval in between classes), I can attest that the EMT-B program really hasn't changed much, and the young EMT's are still being taught irrelevant information, and it is not adequate enough to start administering pharmaceuticals (especially those with such serious ramifications when administered incorrectly).
     
    Additionally, is the EMT-B really equipped and trained to deal with the effects of improper administration of Narcan?
     
    The EMT-B is barely taught more than the superficial mechanics of the body systems, and not to think about the 'why' of treatments.  If it's bleeding, stop the bleeding (insert ICE mnemonic here), if it's not breathing, ventilate, if it's at an odd angle, splint it....high flow O2 , and rapid transport (radio for ALS intercept if necessary).  Is this REALLY the educational level that is appropriate for the administration of Narcan?
     
    I'm in no way busting the chops of the EMT-B, but I AM railing against the educational levels that they receive.  I'm also advocating for the patient, which I can see ending up in dire straits because of an inadequately trained, over zealous EMT-B 'slamming Narcan'...
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  4. Lone Star added a post in a topic What would you do?   

    Isn't the 'loading dose' of Narcan 2mg?

    One of the factors I would take into consideration is the age of the patient. If I remember correctly, the elderly tend to have more dramatic reactions to narcotics (and possibly the blocking of the opiate uptake?).

    The "less than loading dose" theory sounds good, and I can see the logic in fractional dosing in this case to more closely monitor cause/effect. Is this a process that is widely used?
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  5. Lone Star added a post in a topic Zimmerman Verdict soon   

    Fortunately, things here in GA have been pretty quiet since the verdict was read.

    As far as George Zimmerman goes, since he didn't stick to the 'observe and report' duties of his Neighborhood Watch Program, I think that there should be some sort of consequences for his actions.

    In Michigan, the 'Stand Your Ground' law provides protection in a JUSTIFIED shooting situation that you shall be held free from criminal and civil liability. I don't think that in this case that the protections of this law should be invoked.

    It's clear that Mr. Zimmerman SHOULD have stuck to the 'observe and report' functions, but didn't
    It's been suggested that Mr. Martin had a record of violent and criminal infractions in his past, and that he used/abused drugs.

    It's painfully clear Mr. Martin is being painted as an 'angel', while Mr. Zimmerman is being portrayed as a 'saint'. Unfortunatley, the truth is nowhere near by....

    Mot Penal Codes will provide for self-defense, with 'equal and opposite force', meaning that if Dwayne slaps me with an open hand, then I'm only justified in slapping hi9m back. If I come at Dwayne with a 2x4, then he would be justified in breaking out "old Faithful" (a Louisville Slugger baseball bat) to defend himself.

    Introduce a weapon, (gun, knife, baseball bat, pipe, etc) then all bets are off and someone is going to get shot....

    I don't know who actually initiated the confrontation, but Mr. Martin paid with his life....since both are at fault, I think there should be some 'punishment' for the other participant as well....(NOT that I'm saying that Mr. Marting deserved what he got)....

    As far as mikeymedic1984, we've seen that rancid vomitus before.....
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  6. Lone Star added a post in a topic Rolling Stone Magazine Cover Featuring Boston Bomber   

    I think that 'featuring' anyone who commits terrorism, mass murder or any other violent crimes on the cover of any magazine is only playing into the perpetrator's search for 'fame and glory'.

    There is NO need to epitomize ANY person who gets their kicks by killing or maiming as many people as they can for some misguided cause.....
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  7. Lone Star added a post in a topic Beating your kids   

    If I had tried to do something like "I'll call 9-1-1 if you try to discipline me!', I would have been told that while on the phone with the cops, go ahead and ask them to send an ambulance at the same time...because I would need it by the time they got there to stop him......
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  8. Lone Star added a post in a topic Recertification Question   

    With Alexis Wright?
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  9. Lone Star added a post in a topic This is for you Dwayne   

    Nudidity Good!
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  10. Lone Star added a post in a topic Thanks owed to a few people   

    Haven't been 'too much' of anything lately. Just dealing with a boss who's an elitist and all around jerk......seems all I do is work and go home.....only to find that the boss has once again found a way to screw me over.

    No worries though, got an interview tomorrow with the local hospital. Looking into PCT (Patient Care Tech) for the momen...just to get out of the hell hole I'm in right now....

    Still not sure if I've got enough in the tank to try a third run at Medic....
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  11. Lone Star added a post in a topic 2nd attempt at emt b   


    Patrick Henry may have said "Give me liberty, or give me death!", but I choose to adapt that quote....

    GIVE ME COFFEE OR SOMEONE IS GONNA DIE!
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  12. Lone Star added a post in a topic I PASSED   

    Congrats Mario! I just wish I could have been here to be of some assistance.....at least you didn't have to have me putting my boot to your backside to study and do your homework...!
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  13. Lone Star added a post in a topic Thanks owed to a few people   

    Good on you, Bushman!

    Glad to hear you're still a dezinen of the alive and kicking.

    Congrats on your selection.....no go forth and give the instructors hell (it's a blast when you can challenge them from an intellectual position)!
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  14. Lone Star added a post in a topic Recertification Question   




    The Pilates classes in the Batcave ain't hurting either......


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  15. Lone Star added a post in a topic 2nd attempt at emt b   

    Not in class right now. Trying to assess if I have 'enough left in the tank' for a third run at it.

    Currently working in Industrial EMS for a sugar refinery. The company I work for is a security company and is a joke! It's one of those places that ranks right up there with AMR for the "I wish I'd never heard of this place" title....
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