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Richard B the EMT

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About Richard B the EMT

  • Birthday 05/01/1954

Previous Fields

  • Occupation Retired EMT-B from the FDNY EMS Command on October 5, 2010, active, overall, as an EMT from 1973 to...

Contact Methods

  • AIM RCBtheEMT

Profile Information

  • Gender Male
  • Location Belle Harbor, NY, USA

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34,546 profile views

Richard B the EMT's Activity

  1. Richard B the EMT added a post in a topic Old folks Still here?   

    As noted, some of us lurk.
    as for me, I've been a jerk
    all the time using Facebook,
    (knowing that won't get me off of the hook)
    with the "Dinosaurs of EMS"
    Hoping that won't cause a mess
    Most of them live so far from me
    that they can't afford to come for tea
    but know I am not in a jam
    became an EMT 'cause I gave a Damn
    42 years a-riding the truck
    helping those injured by a streak of bad luck
    saying "hold my beer and watch me do this"
    and then to the Trauma rooms 'cause they're now in distress
    or cardiac arrest, if the family knew
    notify the ER, coming in "Code Blue"
    Some people think EMS folks don't care,
    were that the case, we just wouldn't be there
    Now the next generation must carry the fight, thus
    because I can't lift now, goddam my arthritis
    the newjacks know me from my former station
    watching them work, a degree of elation
    when what they do brings out my smile
    as they do what I used to, and do it in style!
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  2. Richard B the EMT added a post in a topic Split Patient Care Forum?   

    I can learn by reading things from higher scope of practice. I think all here know better than to actually do things from those higher levels above one's own.
     
     
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  3. Richard B the EMT added a post in a topic Old folks Still here?   

    What you say, Sonny?
     
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  4. Richard B the EMT added a post in a topic Old folks Still here?   

    Sorry, what?
     
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  5. Richard B the EMT added a post in a topic Pain Detectors   

    Even if a pain detector would be developed, as also mentioned, pain is subjective. Anyone heard of TEMS therapy, where a low level electric current is passed through an injury site? Different patients tolerate different voltages. I, for one, tolerate a fairly high one, whereas my girlfriend, on trying my device, turned it off on the second lowest setting due to the discomfort she felt (she was in control of the device, not me, so dismiss thoughts I was tortduring her). 
    On a different angle, when providing medical coverage at a "Rugby Sevens" event, several players wanted me to simply tape up obvious finger dislocations, so they could get back into the game!
     
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  6. Richard B the EMT added a post in a topic Narcan at the EMT level.   

    I don't have documentation, but I think local protocols have been changed to, as ERDoc stated, treat to effect, not "slamming".
    This, if it was changed, happened after I came off the streets, and retired.
     
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  7. Richard B the EMT added a post in a topic Narcan at the EMT level.   

    Mazz and ERdoc, each of us have had different experiences with "awakening" overdose patients. Like noses and opinions, everyone has one.
    Perhaps it's my NYC cynicism, but most I've witnessed woke up angry and combative. Obviously, between us 3, we seem to run to opposite ends of the spectrum.
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  8. Richard B the EMT added a post in a topic Old folks Still here?   


    You're not a Yellow Submarine, hence you're not a pigment of the imagination, ITKU2ER.
     
     
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  9. Richard B the EMT added a post in a topic Narcan at the EMT level.   

    I probably will word this incorrectly, but per the Paramedics I worked with, just give enough narcan to get the desired state of the patient breathing, rammerjamming the narcan beyond that will wake them up, and they come up swinging. BTW, that's my wording, obviously not the textbook wording. 
    Observation over my long career (yeah, I know some here have more, and at ALS level above my BLS), they awaken in an aggressive mood.
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  10. Richard B the EMT added a post in a topic Old folks Still here?   

    As both a retiree, and one who has allowed my EMT cert to expire, I, for one, don't have as much to say as I used to.
     
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  11. Richard B the EMT added a post in a topic The Vending Machine Game!   

    ...And all for a quarter!
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  12. Richard B the EMT added a post in a topic The Vending Machine Game!   

    Getting?
     
     
    Puts in coin, and gets a Tablet computer. Spends the next month trying to figure out the device's operations.
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  13. Richard B the EMT added a post in a topic So sorry about this question!   

    Speaking as BLS, I've seen my Paramedics have both good and bad days starting IVs, so presume the same for both your classmates and yourself,
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  14. Richard B the EMT added a post in a topic Passing of Island EMT - Member   

    Why God made Paramedics

    When God made paramedics, He was into His sixth day of overtime.
    An angel appeared and said, "You're doing a lot of fiddling around on this one."
    God said, "Have you read the specs on this order?

    A Paramedic has to be able to carry an injured person up a wet, grassy hill in the dark,
    dodge stray bullets to reach a dying child unarmed,
    enter homes the health inspector wouldn't touch,
    and not wrinkle his uniform."

    "He has to be able to lift three times his own weight.
    Crawl into wrecked cars with barely enough room to move,
    and console a grieving mother as
    he is doing CPR on a baby he knows will never breathe again."

    "He has to be in top mental condition at all times,
    running on no sleep, black coffee and half-eaten meals,
    and he has to have six pairs of hands."

    The angel shook her head slowly and said, "Six pairs of hands...no way."
    "It's not the hands that are causing me problems," God replied.
    "It's the three pairs of eyes a medic has to have."
    "That's on the standard model?" asked the angel.

    God nodded. "One pair that sees open sores as he's drawing blood,
    always wondering if the patient is HIV positive."
    (When he already knows and wishes he'd taken that accounting job)

    "Another pair here in the side of his head for his partner's safety.
    And another pair of eyes here in front
    that can look reassuringly at a bleeding victim and say,
    "You'll be alright ma'am when he knows it isn't so."

    "Lord," said the angel, touching His sleeve, "rest and work on this tomorrow."
    "I can't," God replied.
    "I already have a model that can talk a 250 pound
    drunk out from behind a steering wheel
    without incident and feed a family of five on a private service paycheck."
    The angel circled the model of the Paramedic very slowly.
    "Can it think?" she asked.

    "You bet", God said.
    "It can tell you the symptoms of 100 illnesses;
    recite drug calculations in it's sleep;
    intubate, defibrillate, medicate, and continue CPR
    nonstop over terrain that any doctor would fear...
    and it still keeps it's sense of humor."

    "This medic also has phenomenal personal control.
    He can deal with a multi-victim trauma,
    coax a frightened elderly person to unlock their door,
    comfort a murder victim's family,
    and then read in the daily paper how Paramedics were
    unable to locate a house quickly enough,
    allowing the person to die.
    A house that had no street sign, no house numbers, no phone to call back."

    Finally, the angel bent over and ran her finger across the cheek of the Paramedic.

    "There's a leak," she from
    "I DIDN'T PUT IT THERE" He said.

    Author Unknown      
    From multiple sources...
     
    Why God made Paramedics

    When God made paramedics, He was into His sixth day of overtime.
    An angel appeared and said, "You're doing a lot of fiddling around on this one."
    God said, "Have you read the specs on this order?

    A Paramedic has to be able to carry an injured person up a wet, grassy hill in the dark,
    dodge stray bullets to reach a dying child unarmed,
    enter homes the health inspector wouldn't touch,
    and not wrinkle his uniform."

    "He has to be able to lift three times his own weight.
    Crawl into wrecked cars with barely enough room to move,
    and console a grieving mother as
    he is doing CPR on a baby he knows will never breathe again."

    "He has to be in top mental condition at all times,
    running on no sleep, black coffee and half-eaten meals,
    and he has to have six pairs of hands."

    The angel shook her head slowly and said, "Six pairs of hands...no way."
    "It's not the hands that are causing me problems," God replied.
    "It's the three pairs of eyes a medic has to have."
    "That's on the standard model?" asked the angel.

    God nodded. "One pair that sees open sores as he's drawing blood,
    always wondering if the patient is HIV positive."
    (When he already knows and wishes he'd taken that accounting job)

    "Another pair here in the side of his head for his partner's safety.
    And another pair of eyes here in front
    that can look reassuringly at a bleeding victim and say,
    "You'll be alright ma'am when he knows it isn't so."

    "Lord," said the angel, touching His sleeve, "rest and work on this tomorrow."
    "I can't," God replied.
    "I already have a model that can talk a 250 pound
    drunk out from behind a steering wheel
    without incident and feed a family of five on a private service paycheck."
    The angel circled the model of the Paramedic very slowly.
    "Can it think?" she asked.

    "You bet", God said.
    "It can tell you the symptoms of 100 illnesses;
    recite drug calculations in it's sleep;
    intubate, defibrillate, medicate, and continue CPR
    nonstop over terrain that any doctor would fear...
    and it still keeps it's sense of humor."

    "This medic also has phenomenal personal control.
    He can deal with a multi-victim trauma,
    coax a frightened elderly person to unlock their door,
    comfort a murder victim's family,
    and then read in the daily paper how Paramedics were
    unable to locate a house quickly enough,
    allowing the person to die.
    A house that had no street sign, no house numbers, no phone to call back."

    Finally, the angel bent over and ran her finger across the cheek of the Paramedic.

    "There's a leak," she pronounced.
    "I told You that You were trying to put too much into this model."
    "That's not a leak," God replied, "It's a tear."
    "What's the tear for?" asked the angel.

    "It's for bottled up emotions,
    for patients they've tried in vain to save,
    for commitment to that hope
    that they will make a difference in a person's chance to survive, for life."
    "You're a genius!" said the angel.

    God looked somber.

    "I DIDN'T PUT IT THERE" He said.

    Author Unknown      
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  15. Richard B the EMT added a post in a topic What is the dumbest question anyone has asked you?   

    From civilians, usually, street side walk ups:
    How fast does the truck go?
    Why do you have "Ambulance" written backwards on the hood?
    What is the worst call...? (already mentioned by Rock Shoes)
    Why are you hanging out here? (referring to pre-positioning/"staging" of the ambulances between assignments)
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