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Has anyone heard of or been practicing the CPR HD protocol. I learned it today it was a really amazing efficient way to work a STEMI. The focus is to decrease prolonged interruptions of chest compressions. It's an organized plan where everybody knows exactly what they are supposed to be doing and gives the PT the best chance of recovering neurologically intact. The PT we used it on had missed a dialysis appt. and had a laundry list of other Rx's and we got him back. We took him to a destination currently practicing hypothermic treatment of ROSC PT's and he's doing really well. It was very smooth and worked great in the field.
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Because of the pain killer I took Wednesday night, I slept pretty much all day Thurday. I didn't really start my day until around 3pm and even then I just didn't want to get out of bed. Now, it's after midnight and I can't sleep. My leg is killing me again and I don't have many of my good pain killers left.
I wish I could just rip this muscle out of my thigh and be done with it. It's like sharp bolts striking in the one spot in waves that radiate down to my knee. I think now I know how Greg House felt like when he had the infarction in HIS leg...and the guy if fictional.
The sad events in Japan have had a personal impact on me over the last week. I lived in Japan for a long time while I was in the military. I became very accustomed to Japanese culture and way of life. Even after I left I returned to Japan many times and have a very personal and social stake in the well fare of Japan. When I heard the news about the earthquake, typhoon and subsequent nuclear plant problems it has me deeply concerned and nearly sent me into a state of depression. A very good friend of mine Jeff Quinlan and fellow blogger lives there I have known him for a very long time and naturally I was concerned. He writes for a Japanese Animation website and has a unique view about the Japanese people and culture. As soon as the disaster struck and he was safe he started to blog. Now since this is an EMS blog the events in Japan can serve as a vital refresher on what to do in case of a mass disaster or emergency and how we as EMS professionals can prepare for the unexpected.
Day 1 Earth Quake strikes.
"The shaking came out of nowhere. Usually we get a little buzzing feeling, maybe some rumbling off in the distance, before something worth concern bubbles up. Not this time. Almost instantly, my 3rd-floor apartment was shaking immensely. I was already sitting down in a safe area, so I had nothing to do but ride it out. Literally.
The floors were bucking, the doors and windows were rattling loudly, light fixtures were swinging without restraint, and all my various knick-knacks and household items were finding their way to the floor. The shaking usually subsides after about 10-15 seconds, but this one just kept getting bigger and bigger!! I was beginning to panic, wondering if the building itself was going to hold up structurally. Haruhi-sama knows I had run out of things on my desk and shelves to watch fall.
When the initial blow finally ended in what felt like 2 minutes later, I was able to finally stand and check things out. (ugh, even now this place is shaking like Hell's fury!! But at least I know aftershocks are never as bad as the Big Daddy.) My apartment was in a total shambles. My living room looked like a tornado came through (luckily nothing was actually broken), and my kitchen was no better. The refrigerator danced its way out from the wall probably about 20 inches, and the poor toaster oven that had been set atop was now on the floor…"
In the world of EMS we are not taught very well how to deal with a once in a life time mass emergency such as natural disasters let alone a trio of them happening all at once. We are thought to call for additional resources the moment we think we need them. Sadly in a mass natural disaster they may not be available or even none existent.
So often in EMS we are use to having things a certain way as most like a fine bottle of Gin. A natural disaster can mess that all up in a lot of unexpected ways. What if we don't have a hospital to go to or a large part of our needed resources are damaged or knocked out or even nonexistent.
I know most governments and EMS organizations have disaster plans. But any plan is only as good as the people implementing it. In EMS we very rarely practice emergency preparedness and train for the worst case scenario. Emergency preparedness is very rarely talked about since it's something we don't think about. The most common kind of emergencies we get at my service is snow related and we have gotten use to that. But the events in Japan have me thinking how I can better prepare myself for the unexpected mass emergency or natural disaster.
"Day Two, 24 hours later and supplies are running short.
It's been a full 24 hours since the initial earthquake. It`s 7:22pm now as I'm writing this. My internet had been on long enough this morning to let friends and family know I was alive at that time, but as I'm learning now, Im far from out in the clear.
The big concern right now are the two Fukushima Nuclear Power Plants. A reactor at the First plant in Okuma-machi had exploded this afternoon at 3:36pm. I can't understand Japanese, so I'm just basing this on what I can piece together, but it looks like the immediate area within 10kms has upgraded to forced evacuation while the area within 20kms is now on recommended-evacuation. Apparently I'm in the 20km radius since my village was mentioned in the listing, though Japanese news totally fails and did not provide an actual map or, at least one with a scale and landmarks. A plain blue and green map with two red circles tells me NOTHING!!!!
I got an offer from a friend in a nearby city to stay with her, but now my phone is out and I have no idea where she actually lives. Figures. Gas is out, too, meaning I have no hot water to bathe and no range to heat up food. Figures (again!!), I lucked out at the grocery store, being able to actually complete my shopping list despite the mad rush, but now I have no way to actually COOK the food I fought for.
Ah well, at least my neighbor came by with some fried rice to get me through the evening. I'm counting on her to pound down my door should the radioactive poop hit the fan. I'm really glad now that I gassed up my car on Thursday night. Though the prices only went up slightly, the lines at every station I passed were ridiculous. Convenience stores were hit just as hard."
In times of mass natural disaster I have found it takes a lot of personal preparedness both mental and physical. They say you never know how you are going to act in any given situation until it happens. While this is true a lot of the time this is where emergency prep and training can help. Mass disasters and emergencies have a way of bringing out the UN expected in people both good and bad. As EMS professionals we have to prepare for them and even overcome our own fears and doubts.
"Day Three EVACUATED to Shirakawa!
I've evacuated my village, per order of the government, pending what will happen with the three out-of-control reactors. One has already exploded, though it seems like the radiation leakage has been minimal. I had to drive over 2.5 hours through mountainside roads in the dark, fighting a maze of road closures. My friend was nice to let me stay with her and her family. Not sure how long I'll be here... don't want to take advantage of their hospitality, though at the same time, I may not have any choices if the evacuation order lasts into the new week."
I feel no matter what you do in EMS you should have a personal emergency prep plan. This is a basic idea that goes back to the notions and skills I learned as a Boy Scout. The Boy Scott Motto is "Be Prepared" it's a simple concept but applies very well to EMS. As an EMT and serving in the military I have always known I have to prepare for the worst and hope for the best. I have three bags packed and ready to go in my home should a disaster strike. All of this will come in handy should I have to leave my home for an extended period or if there are disruptions in food, water or power should a disaster or emergency situation strike. I also have basic evacuations plans for myself and family with three designated evacuation places should I have to leave my home town.
Emergency Prep Bags.
1-Food and Water Bag
8 Each MREs
12 Ramen Noodles
12 power bars
2 gallons of water
2-Medical Bag Deluxe
Basic BLS bag with extra ice packs, trauma supplies, rope, crowbar, flashlight and hammer.
Basic clothing for 4 days. Soap and wash supplies for 2 weeks along with a blue tarp, working gloves and extra shoes.
After a disaster or when you're in a stressful and uncertain situation such as a military situation or a natural disaster, your whole world changes in an instant and so fast it makes you head spin. People have been known to lose tract of time and even whole days. Your whole body and personality feels like it's under attack mentally and physically as is my friend goes on to say. The Japanese people have a very calm manor to them with very little panic or mass civil unrest as seen here in the USA after a natural disaster. They have been very calm and orderly even in the face of extreme hardship in the face of a once in a life time disaster.
"Day Four Time has seem to of stopped
I don't even know what day it is anymore. Time has stopped for me. I go to bed at weird times, I wake up at weird times, I don't have my school schedule to let me know what day it is anymore. The aftershocks keep harrassing me, making sure I never get back to normal. Helicoptors and fire engines continue to flock around everywhere I look.
I am still in Shirakawa. We have electricity and internet and gas, but still no water. Now that the nuclear disaster has escalated, we're not allowed to go outside anymore. In fact, we can't use anything that would circulate air from outside into the house, meaning we can't even use our air-con heater for the rest of the week. When I packed, I only thought I'd be gone for 2 days, 3 days max, so I didn't bring enough clothes or snacks. I did bring my laptop and my external hard-drive, but now I'm worried about my apartment being ruined by the radiation."
I have always been savvy about being prepared for the unexpected from my time as a boy scout and the military. I feel in EMS this is a place where we can improve. We are thought to think on our feet as EMTs we don't always have the resources need to deal with situations every day. I feel the events happening in Japan right now should serve as a red flag to our leaders and serve as catalyst and ensure we are prepared for the unexpected. Please take some time and ask your supervisors and leaders in you EMS service what plans are in place should an unexpected mass emergency happen.
As for my friend Jeff who is living the mass trio of disasters he is doing well. As expected there are food and fuel shortages and very long lines for daily necessities. Japan and the United States hold a very close bond and no one should have to go through a trio of mass disasters.
"Seven days later and shortages are abundant
Still no sign of Godzilla yet, but the radiation scare continues. Each day, the Japanese government assures us that the levels in the air around the Tohoku area are safe, while the international media is frantically screaming that everyone who only so much has ever seen a photo of Japan is going to die. I'm not sure who to believe. The Japanese are famous for brushing away big concerns, while the Western media is renowned for blowing things out of proportion for the sake higher ratings. I would just like some honest data without the bureaucratic/capitalistic BS. I know the rest of the world has pretty much moved on from this tragedy, but for me, it's a continuing problem."
You can read all of Jeff's firsthand account here- Jeff's Japan Blog
In closing the world will never forget the heroic men of the Tokyo Electric Power Company, that are doing their best to control the damaged nuclear reactors. The world owes them a debt of gratitude they are protecting the world from the horror of a catastrophic melt down and toxic radiation release.
Please I implore all of you to donate to the Red Cross and support the people of Japan in their time of need. To our fellow brethren in the Japanese emergency service working untold hours and enduring UN imaginable situations and hardships you have the support of this blogger.
Till next time please keep the feedback coming.
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My name is Cheryl and I am an Advanced Care Paramedic living and working in a small town in the middle of the Aussie state of Queensland.
My 'patch' covers over 55,000 square kilometres and apart from our handover day once a week - there is just one officer to cover this. We are never 'alone' though. There is a great group of volunteer Emergency drivers who we can call on at any time of the day or night. They all know the area and the roads so well, not to mention they know all of the properties.
I am still not entirely sure what drew me to this place, but I am so glad I was. I work 8 days straight and I am on call each night of that...then ...6 days off. The people here have been so welcoming and even though we will need to be here a hundred years to be considered 'locals' we really feel at home here.
The most overwhelming thing I have found so far is the distances - we travel over 180 kilometres each way to get the fortnightly groceries! As for the patients - its is a long two and a half hours when you are going out to a chest pain patient - plenty of time to plan your treatment!! Then, the slower three hour drive back to the hospital over dirt tracks and dodging the kangaroos and other wildlife on the road......BUT I LOVE IT!
I look forward to hearing from some of you out there - love to share experiences and just have a chat!!
Take care out there
I dont normally dwell on the death of my pts but in this case I just have to say RIP Phylis.
She was a remarkable pt. She never once complained about her treatments and when ever I had to deal with her she always had a smile and a thank-you in the end. You know you have the best pt in the world when you go into visit and the nurses are huddled together with straws to see who was going to get her that shift.
This lady always had a sense of humor no matter what was going on. She coined the new medical condition of "Tit Lash" and for those who are trying to figure that out it goes like this. Phylis what do you think the pain is in your chest? She states she has Tit Lash. Ok Phylis can you explain that to me. Well you know my daughter Laura drives way to fast and I was in the car with her one day, we were going around the corner so fast that my body went left and my tits went right. Now you have to undstand that this comming out of the mouth of a 73 yr old woman is very unexpected. I couldn't stop laughing with her, I had tears down my face and I had to put my glasses on top of my head. Minutes later as Im trying to compose myself I started to look for my glasses. Phylis asks what I'm looking for and I replied my glasses. She's says come here, so I do and she gently takes them off of my head and hands them to me saying "dont worry dear we all loose our glasses there" I now have an idiot string on my glasses.
Phylis passed away peacefully from lung ca on wed with her 8 children, and multiple grand and great grand children
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I suppose I should just be happy to be alive and above ground. I never thought it would bother me... but one day you wake up and BAM! You're old
My dear ole Grandaddy used to say, "One day you'll look at the obits and say wow... look at all those old people dying. Then one day you look at em' and think... Wow... look at all the young people dying.
Never mind the fact that over the past few years gray hair began springing up. In fact, never mind that hair now grows in places that it shouldn't on an upright walking mammal. I didn't see it coming.
So I walk in to a a local fast food dive. I place my order and frankly, it was bad. Double bacon cheese burgers with a side order of fries should be something I left behind long ago, but what can I say? Anyway, the girl behind the counter looked up at me and said,
"Now we're money! We banging!"
I honest to God had/have no idea what that means. Now when I was growing up in my formative years (1985-1995), "banging" had a context that I sadly never found appropriate on the counter of a fast food joint... Or any fine dining establishment for that matter. Yet here I am, in the middle of a half full restaurant, apparently "banging in the money" with someone still in highschool!
I felt like Hank Hill at a rave. "Uhhh... that's nice. Could I please get my order and some ketchup"?
Yes. It was at that point I realized it. I am officially old. There is an entire new world and language I don't understand. I hate to say it, but admitting it is the first step in the program... I have become my dad.
Now I'm going to go lay in a fetal position and cry for awhile.
just stopping by saying hello to all i see the legal mongers are uppon us. really??? well not throwing in my .02 cents in but oh well. texas was a lesson learned, costly but learned things. now back an enjoying things. hope to chat with new and past members.
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I am currently working on a book that will feature stories from all over the US submitted by any emergency services worker (paid or volunteer) the book will carry the stories from scenes that have touched each of us in some way whether it be that it made you smile,made you mad,made you happy or sad or just left you trying to figure out WHAT just happened.it's ok if more than one person submits a story about the same scene because it touches each of us in different ways and the scene is viewed in different perspectives form each person on scene. I am looking for stories that in some way touched you, please include as much detail as possible but omit Names and actual identifiable information. all stories will be considered for publication, stories will be ran in their entirety and strictly in the submitters own words. please no profanity,racist,or political comments,for more info on where to submit stories contact me. all submitters will be notified at time of publishing.
Patient Assessment Practice Scenarios, American Academy of Orthopaedic Surgeons (AAOS), Les Hawthorne, EMT-P, Jones & Bartlett, 2010
And Essentials of Emergency Care: Refresher for EMT-B / Edition 3
by Daniel Limmer, Michael F. O'Keefe, Bob Elling, Edward T. Dickinson (Editor) with the cd
If you are selling either of these please let me know, my email is firstname.lastname@example.org I am trying to get a refresher for my basic and get better with patient assessment thanks
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This isn't something I have ever really entertained no do I have in the least any respect for someone that cheats on their life partner, yet it seems to become pretty common practice these days to have a "romp on the side".
This conversation became the topic of discussion today after a friend seemed pretty upset. He explained that years ago his father had an office affair, although very fleeting, that his mother found out about. I must admit, his father would be the last person I would have thought to have an affair. He's the ultimate family man working hard so his family never has anything they need. In fact, they are the hardest people in this world to buy gifts for cause they have everything their hearts desire and then some.
He explained that his mother occasionally broaches this subject with it becoming more intense as the years have come and gone. Now it seems she's doing this with outsiders being in their company. Now I have worked in the Oil and Gas industry for the last 8odd years and know for a fact that very few of those guys are faithful to their partners. It's something I hate with a passion and loose all my respect for those that have affairs. Surely, and I might be old fashioned here, if you declare your love to a person in sight of God and the witnesses present you do everything in your power to keep that love alive?
While I know the blame isn't to be laid at the door of the cheating party alone, since a marriage or relationship is a two way street and I believe there's a reason the person goes out and looks for "new" meat. It still in my mind does not excuse the act of cheating. Surely if you are not "getting it all" in the bedroom you discuss this with your partner and find a solution that suits the both of you?
Now siding with either of the two people involved here will make or create one massive argument with my friend and being a lover not fighter I tend to avoid confrontation as much as possible. For years he "sided" with his mother wondering what she must have been going thought over the last years. Now it seems he's "siding" with his father. Saying and I quote "He's human, humans make mistakes. The man has worked his ass off to provide my mother with everything she wants in life. How long must he suffer for what he's done?" I suppose this would be one way of looking at, but I'm not completely convinced by his statement.
In my mind the ultimate betrayal of trust is cheating on your husband or wife. you place your future, your life, in the hands of the person only for them to basically throw it back in your face. in a sense it shows you that "you are not worth it" when it comes to doing what you can to safe your happiness and love. Personally I am more vengeful than I should probably be. I will not stand for anything like that. Had I had the proof and knowledge that my wife is or has been cheating on me, that will be the end of the relationship. Sure this goes against the "do everything you can to save the relationship" that I mentioned earlier mainly because I believe that once it's reached the stage of cheating, it's to late.
I will not go to any extremes though, I am not that type of person. I will simply collect my stuff and walk out. Maybe I am being naive in believing that the promise made to "love and to hold" should be a lifelong commitment that requires lots of work and even more communication. Either way, there's no excuse in this world to justify cheating on your partner. People don't simply fall in and out of love as it pleases them. To me, a person that cheats on their partner are lower than snake shit on the sea bed.
So last night I had my second sleep study. Now I'm asking for help because I just don't know enough on this topic. Let me go ahead and spell some things out: I'm a 24 year old 200pound female. Most of that weight is in my legs. I'm athletic. I ride 6 miles everyday on bicycle, run around with my kids, run up and down the stairs at work on break because I like to, etc. I don't just sit around and eat. In fact I even pack my lunch so I don't go out to the closest fast food place. I'm not going to claim I'm an olimpian I'm far from that. Just saying I'm not a lazy slob.
Well got some results from the first sleep study I did.... Ya it was bad, In fact it was scary. It was a WTF?!? I had 30 episodes of sleep apnea an hour. Most of which were obstructive. Ok so ya it suddenly hit me that this, "unneeded cpap test" might be needed alittle more. When the place told me I had to go in again they made it sound like they were being over causous and I barely had any. I almost didn't go in again. Glad I went with the, "My insurance covers it 100% so might as well" style of thinking. Anyway I digress. My tech then tries to say that for some reason he doesn't know the computer is saying I owe a $1000 but not for taking the test. :: draw huge question mark over head now:: We're guessing it's why the corperate office tried to call me a second time on Friday but by the time I could call back they were gone and closed for the weekend. We're also guessing it would be to buy the mechine. That makes sinse right? Well because we're budget freaks we didn't pay up and I'm going to be bugging the corperate office on Monday.
Well I get home today and being the research person I am I'm trying to find out more about OSA and Cpap machines. (Any help in this would actually be nice. So I make sure I'm understanding what I'm reading. Like I said I'm a research person.) I even find the exact one I was hooked up to last night and the exact mask. The total with shipping: $608... Ok so we have almost $400 unaccountible dollars between those too prices... Um am I missing something?
Ok the rambling gypsy is done.
Alright. So, it's been a while since I wrote. Let's heavily update you on the situations that prevent me from coming around.
First and foremost, as of Janurary 2010, EMT Martin was upgraded to EMS Lieutenant 6B. I got a nice promotion by the new EMS Chief for being such a hard worker. She recognised that I not only go on just about every call...but I know what I'm doing. That's a definate.
I also caused a lot of problems at the squadhouse. How so? Well, in less than a year of being an EMT, I became a Lieutenant. :I
Not kidding. That causes people to go "HE DOESN'T KNOW WHAT HE'S DOING!!!"
Well, prove it. Not only can I quote jurisdictional protocol like it's my favourite movie/book, but I haven't found a time yet where I had someone hounding me for doing something wrong and giving a patient the wrong treatment.
With this new update in my official title, I also garnered...a new set of balls! I know, it's not polite to say that, but...I finally found my voice when I got the promotion. Before that, I would never have dared to say anything that might cross another person in the squad. I let them walk on me. Now? That's all changed. I'm tougher now, know what I'm talking about, and can successfully give someone the royal flipoff like they do to me.
Looking foward to next month. Finally going to be taking IV-Technician classes. Can't wait for it. I'm hoping adding that to my list of accomplishments might help me in the private transpourt sectour. I can cross my fingers, at least, right? We'll see what happens. Maybe...I might just finally get that lucky snap I've been looking for.
That's it for my minour updates. Thanks to you all for still checking in!
- EMS Lt. 6B
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Marine Corps legend, Chesty Puller, when informed in the middle of a fierce ground battle that his troops were completely surrounded, said words to the effect of, ”Good, now we can shoot at the S.O.B.s in any direction”.
“Damn the torpedoes, full speed ahead!” “Praise the Lord and pass the ammunition!” These are the words and deeds of brave men who stood for what they believed in even if it took their last drop of blood.
America has always won against far superior forces, simply because our people have always had the tenacity and the courage to spit in the face of an enemy’s overwhelming strength and never give an inch even when their backs were to the wall.
American history is full of accounts of bravery and valor that reaches far beyond the pale of any simple call to duty to a place of rarified air only visited by the bravest of the brave and the boldest of the bold.
How would you like to go to war with Eric Holder guarding your left flank and Janet Napolitano guarding your right?
How would you like to get in a bar fight with Harry Reid watching your back?
The schools in this country are teaching revisionist history to our children, belittling or even omitting American heroes and reducing morals to a gray area with no absolutes and even denying the omnipotence of the God who made the very earth they stand on, the ACLU standing by with bated breath, eager to sue at the mere mention of His name.
Part of the Supreme Court thinks the Constitution is only a list of suggestions, and from the looks of things that attitude will only worsen with the recent appointees.
Our President lies with impunity and criticizes an immigration bill he admits he hadn’t even read, while taking every opportunity to smear the country that was silly enough to elect him President.
Our Attorney General is more concerned with extending the rights of a full-fledged American citizen to a murdering scumbag Islamic terrorist than he is in seeing justice carried out. He also hasn’t read the immigration bill that he is criticizing and threatening to bring legal action against it.
Our Director of Homeland Security is seriously not up to the job and only the grace of God saved the lives of untold numbers of Americans in New York recently when an Islamic terrorist who had flown to Pakistan something like thirteen times without making the no fly list left a bomb on a busy Manhattan street and scampered to the airport where he almost escaped aboard an Arab airline. She is also criticizing the immigration bill that she hasn’t read.
That’s three of the most powerful people in the U.S.A. lying about and distorting legislation they admitted they haven’t even read. It’s insane.
Our Democrat-controlled Congress and Senate, realizing that they will probably not have a majority in both houses after November are feverishly cramming one catastrophic spending program after another down the throats of an Obama weary America.
There seems to be a pervasive attitude of “If ya can’t beat 'em join 'em” as state after state gets ready to legalize certain drugs and there are those who say that we just can’t do anything about our southern border.
I have one word for that, “baloney”.
We can do something about anything if we would only go about it the right way. We just simply don’t have enough real men in power who are willing to stand for something besides their next election and the political party they belong to.
They think no more about betraying America than they do of swatting a fly, a pitiful bunch of limp-wristed cowards who blow in the wind like a limp rag, lacking the guts or the integrity to pay the cost of doing the right thing for America.
Anybody with a mere semblance of a brain has to know that what Barack Hussein Obama and the Democrats are doing can only have a bad ending, in fact, in my estimation, bad is a much too mild a word to describe what’s going to happen when Obama’s crippled chickens start coming home to roost.
And yet there is not one strong voice on Capitol Hill who is willing to risk the wrath of the media to say, ”Hey wait a minute, this President is ruining the economy of our country for generations to come if not forever!!!”
Not one has the gonads to stand up and shout, ”No you cannot grant citizenship to twelve million people who came into this country illegally just so the Democrats can stay in office for the next hundred years!!!
Whatever happened to the men who had the guts to stand for what is right, no matter how unpopular, no matter what the personal cost?
What ever happened to the American citizen who would stand up and say, ”Hell no, don’t even think about taking my guns away and I demand school vouchers for my children so they can learn what I think they should learn instead of that socialist crap the teacher’s unions are supporting. I’m tired of paying taxes and having my money given to support the socialistic laziness of a nation like Greece. I want to hear my President and his administration call an Islamic terrorist an Islamic terrorist and I want the ones we’ve caught tried in a military tribunal.”
It seems that America’s pioneer spirit has all but evaporated in the steamy morass of political correctness and compromise that is taking more backbone out of each succeeding generation.
I’m so sick of the empty suits and milksop scoundrels on both sides of the aisle in Washington and the state capitols.
America is looking for a few good men and women; spineless sellouts need not apply.
Wussies to the left of me, wimps to the right.
What do you think?
Pray for our troops, and for our country.
God Bless America
I saw this on Charlie Daniels myspace page a little earlier and for those of you who arent really sure who Charlie is well he is a damn good american and a damn good musician. Anyway he has recently been publishing his thoughts on the political turmoil and in his words lack of patriotism going on in this country. The title of this blog was Wusses on the left of me and P****** on the right of me (censored if ya want the real title email me or pm me) anyway I have to say that I live in an area that is close to a Naval Base and well...most of my best friends are military and there parents were/are military and you know what those of us in America couldn't do have the shit that we do right now if it wasnt for the military. So my theory is that be you for it or against it you really should support this military of ours seeing as they are the ones who allow you to say what you say.
Now onto more parts of this blog post. I am a child who was just prior to the gray area of morals and the I grew up to "Remember the Alamo" and you know what I havent forgotten how it felt that day, and I will always remember where I was when the world stopped turning. It seems to me that some people have including our illustrious Commander in Chief.(more on that in a second). I remember the 343 that died that day and they were american heroes. I remember that first hand. I remember learning about JFK. I remember reading about the great things that FDR did including mobilizing a country for war. I remember reading about the decision that Harry Truman had to make as to wether the Atomic bomb should be used or not used. What would have happened if he had decided to not use it how would the war have changed? These are indeed heroes of our country and yet there are more before the days of Davy Crockett before the days of Abraham Lincoln. American history is littered with great decision makers. Now I will probably be called a racist for this but I am gonna bring this up anyway....not to mention this a slightly hot topic. If we have a crisis the likes of these that I have just mentioned how is Barack Obama going to cope with it, I mean with all due respect to him he is a commander in chief who has never even been in the military let alone commanded anyone. Can he handle the stresses of sending people off to war or are we going to just cower in fear. With people like Nancy Pelosi giving POTUS his marching orders I fear we may or even worse we may even bow down to them. I mean after all Obama has already bowed down and kissed the queens hand.
Anyway this is just the beginning of this series I need ot go to bed it will be continued in the days to come.....
Hey all out there in cyber space looking at this. Just some random thoughts floating around in my head, some rants maybe, some venting probably.
Been quiet at the squad which has given me the time to think a little. Thinking of why we volunteer to do this. For me its the pleasure of a child's smile after fixing that "booboo" or the nood from a family member in the ED after delivering their loved one safely. Sometimes we are the shoulder to cry on if, even after our best efforts, the loved one passes on. Some are glory hounds or trauma junkies, cant help that, its the nature of the beast. I know I fall into this catagory occasionally, I guess its because I am still "new" to the EMS field. Mostly I just like to help people, been that way my whole life. I know I am doing this to help, bottom line.
I guess sometimes I look out there and see it being done for all the wrong reasons and it get me wondering why. A good example was last night for me. Town was recognizing the local volunteer organizations with "of the year" and "life time achievment" awards. Cheesy I know but hey, its what the town council likes to do. We had the animal shelter folks, sports coaches, librarians, you name it. If they had volunteers they were at this meeting. Then you looked around for the emergency services. Well my squad was there and.... crickets Unfortunatly because they didnt have folks getting awards they decided it wasn't for them. We didn't, my squad that is, yet we were there some in full dress, the duty crew in their gear. We sat through and applauded the recipents and laughed at the jokes during their acceptance speeches. Heck we (the duty crew) even had to respond to a call during the middle of it. Sorry folks for the disruption during the animal shelter speech. Anyways... this got me thinking as to why. One of the recipients said something that sat with me the rest of the night.
He said, "Most of the volunteers here tonight are here because they want to be here. To support one another and this community. They could have been home with families, or at a resturant, or even sleeping. But instead they took time out of their busy schedule for us, me. It means alot to me, us, and it shows what it really means to be a volunteer."
Well said Sir. Its true every bit of it. And some of the volunteers (fire, emt) even put their lives on the line in the course of their duties. Not saying they are any better or worse then any of the volunteers, be it the librarian to the animal shelter pooper scooper person, we do it for the sense of community, for our fellow man (not gender specific). True volunteers do it because they want to and not for the spot light or for any other reason for that matter other then for the good of others.
I will be back with more later on. But for now I will just leave it like this........
Higher Education Without The Career?
Was thinking about something this morning on my way into my regular job. What about continuing my education in prehospital emergency care.. maybe an I or P certification but not make it my career. I want to know all I can but I do not think I would make it a career. I love being an EMT and love helping patients don't get me wrong but my current job is where I wil be till retierment. Im 4th generation at my job so I am pretty sure I will not be leaving anytime soon but want to learn more.
I was also wondering (yes alot rolls around up there) if I did get the higher education what implications would that have for me in my squad? Just say I become an I- cert and stay with my current squad the local protocols are not in place for that just Bs and Ps so would i only be able to do B level care yet have the knowledge and cert for higher? Kind of confusing in my head LOL but hopefully I can figure this all out.
Be back with more ramblings later.. figured I would just get this nugget down before I forget it.
Someone asked me what an Empath was and to describe my ability as one...
This is it in a nutshell kids... Enjoy Tammy Lin
About Empathy and Empaths
Empathy is the ability to read and understand people and be in-tune with or resonate with others, voluntarily or involuntarily of one's empath capacity.
Empaths have the ability to scan another's psyche for thoughts and feelings or for past, present, and future life occurrences. Many empaths are unaware of how this actually works, and have long accepted that they were sensitive to others.
Empaths Sense Deep Emotions
Empathy is a feeling of another's true emotions to a point where an empath can relate to that person by sensing true feelings that run deeper than those portrayed on the surface. People commonly put on a show of expression. This is a learned trait of hiding authentic expression in an increasingly demanding society.
An empath can sense the truth behind the cover and will act compassionately to help that person express him/herself, thus making them feel at ease and not so desperately alone.
Empaths experience empathy towards family, children, friends, close associates, complete strangers, pets, plants and inanimate objects. Empathy is not held by time or space. Thus, an empath can feel the emotions of people and things at a distance. Some are empathic towards animals (ie: The Horse Whisperer), to nature, to the planetary system, to mechanical devices or to buildings etc. Others will have a combination of the above.
Empaths Have Deep Sense of Knowing
Empaths are highly sensitive. This is the term commonly used in describing one's abilities (sensitivity) to another's emotions and feelings. Empaths have a deep sense of knowing that accompanies empathy and are often compassionate, considerate, and understanding of others.
There are also varying levels of strength in empaths which may be related to the individualís awareness of self, understanding of the powers of empathy, and/or the acceptance or non-acceptance of empathy by those associated with them, including family and peers. Generally, those who are empathic grow up with these tendencies and do not learn about them until later in life.
Empathy is Inherited
Empathy is genetic, inherent in our DNA, and passed from generation to generation. It is studied both by traditional science and alternative healing practitioners.
Empathy has both biological/genetic and spiritual aspects.
Empaths often possess the ability to sense others on many different levels. From their position in observing what another is saying, feeling and thinking, they come to understand another. They can become very proficient at reading another personís body language and/or study intently the eye movements. While this in itself is not empathy, it is a side-shoot that comes from being observant of others. In a sense, empaths have a complete communication package.
How Empathy Works
While there is much we don't yet understand about how empathy works, we do have some information. Everything has an energetic vibration or frequency and an empath is able to sense these vibrations and recognize even the subtlest changes undetectable to the naked eye or the five senses.
Words of expression hold an energetic pattern that originates from the speaker. They have a specific meaning particular to the speaker. Behind that expression is a power or force-field, better known as energy. For example, hate often brings about an intense feeling that immediately accompanies the word. The word hate becomes strengthened with the speaker's feeling. It is that person's feelings (energy) that are picked up by empaths, whether the words are spoken, thought or just felt without verbal or bodily expression.
Empaths are often poets in motion. They are the born writers, singers, and artists with a high degree of creativity and imagination. They are known for many talents as their interests are varied, broad and continual, loving, loyal and humorous. They often have interests in many cultures and view them with a broad-minded perspective. They are mother, father, child, friend, nurse, caregiver, teacher, doctor, sales people... to psychic, clairvoyant, healer, etc. (That is not to say that any of these categories are all empaths.) The list is extensive and really unimportant. It is more important to notice that empaths are everywhere--in every culture and throughout the world.
Empaths Are Good Listeners
Empaths are often very affectionate in personality and expression, great listeners and counselors (and not just in the professional area). They will find themselves helping others and often putting their own needs aside to do so. In the same breath, they can be much the opposite. They may be quiet, withdrawn from the outside world, loners, depressed, neurotic, life's daydreamers, or even narcissistic.
They are most often passionate towards nature and respect its bountiful beauty. One will often find empaths enjoying the outdoors, beaches, walking, etc. Empaths may find themselves continually drawn to nature as a form of release. It is the opportune place to recapture their senses and gain a sense of peace in the hectic lives they may live. The time to get away from it all and unwind with nature becomes essential to the empath. Animals are often dear to the heart of empaths, not as a power object, but as a natural love. It is not uncommon for empaths to have more than one pet in their homes.
Traits of an Empath
Empaths are often quiet and can take a while to handle a compliment for they're more inclined to point out another's positive attributes. They are highly expressive in all areas of emotional connection, and talk openly, and, at times, quite frankly in respect to themselves. They may have few problems talking about their feelings.
However, they can be the exact opposite: reclusive and apparently unresponsive at the best of times. They may even appear ignorant. Some are very good at blocking out others and that's not always a bad thing, at least for the learning empath struggling with a barrage of emotions from others, as well as their own feelings.
Empaths have a tendency to openly feel what is outside of them more so than what is inside of them. This can cause empaths to ignore their own needs. In general an empath is non-violent, non-aggressive and leans more towards being the peacemaker. Any area filled with disharmony creates an uncomfortable feeling in an empath. If they find themselves in the middle of a confrontation, they will endeavor to settle the situation as quickly as possible, if not avoid it all together. If any harsh words are expressed in defending themselves, they will likely resent their lack of self-control, and have a preference to peacefully resolve the problem quickly.
Empaths are sensitive to TV, videos, movies, news and broadcasts. Violence or emotional dramas depicting shocking scenes of physical or emotional pain inflicted on adults, children or animals can bring an empath easily to tears. At times, they may feel physically ill or choke back the tears. Some empaths will struggle to comprehend any such cruelty, and will have grave difficulty in expressing themselves in the face of another's ignorance, closed-mindedness and obvious lack of compassion. They simply cannot justify the suffering they feel and see.
People of all walks of life and animals are attracted to the warmth and genuine compassion of empaths. Regardless of whether others are aware of one being empathic, people are drawn to them as a metal object is to a magnet! They are like beacons of light.
Even complete strangers find it easy to talk to empaths about the most personal things, and before they know it, they have poured out their hearts and souls without intending to do so consciously. It is as though on a sub-conscious level that person knows instinctively that empaths would listen with compassionate understanding.
Here are the listeners of life. Empaths are often problem solvers, thinkers, and studiers of many things. As far as empaths are concerned, where a problem is, so too is the answer. They often will search until they find one--if only for peace of mind.
Written by Christel Broederlow Copyright © 2002 Christel Broederlow Shortened Version from The Empath Report 101
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A. help EMS personnel remember what is different about elderly patients. B. provide clues about an elderly patient's problem by observing his or her home. C. provide the EMT-B with a standard format for assessing elderly patients. D. replace the typical ABC approach to patient care when caring for the elderly.
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A path that I now find myself on is a path that I must admit that I never hoped to walk down. I come to find myself in a hospital room with my parents being told "we are sorry, but there is nothing else we can do for your father. Take him home and let him live his life out the best he can." My superman, a little girl's daddy, is dying of cancer. My life is never going to be the same, as an EMT for 23 years I certainly know something of seeing people die. But as a daughter this path I want to jump off of. As I go over my parents house everyday I see the cancer take it's toll on this man. The hospital bed in the middle of the living room, the humming of the oxygen as it pushes the life saving air throw the tubing. The hospice people coming bye (sweet angles) sharing themselves with us. Bathing him and seeing him have difficulty breathing even though I was the one doing the work, seeing his weak and frail body. As with many times in my life when my road has gotten very dark there would be a small faint light shinning. This time much to my amazement when I felt this path could get not get any darker and most certainly where could a light possibly be in this? There off in a distance was my little light shinning. What is that light in all this mess? The chance to walk with my dad in a way that I know we would never have if this door was not open to us. I have gone over there every day and every day we make sure we discuss his fears, my fears, what we have enjoyed about being with each other, what he wants for his wife that I can promise to do for him. If we weren't able to walk this path together I shudder at all I would have missed out on, even now after I thought we couldn't have a better relationship with each other I cherish my every moment with not just my dad but my parents. My path has it's little light on it after all!
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so i have been called in for my first interview since receiving my license a couple weeks ago. I have been doing a ton of research on first interviews and its scarce on information on what i can expect. I will be receiving situational questions along with followups. can anyone give me some help on what type of questions i can expect? also i will be in pro attire. what should i talk about when asked "about me" questions. what kind of questions should i have ready to ask them? I also have a goatee. it is extremely short and well kept. Without it i look absolutely rediculous. what should i do about this? will it effect me? any and all help would be greatly appreciated. this company is 1 of 2 in the valley where i live and they are the largest. so i need to nail this interview so i can land the job. thanks you guys. looking forward to the responses
HI whoever reads this :
This is my first blog I have ever written , I am writting in hopes someone from my area ( Boston, MA) can help me in finding an emt job .
I have been looking and they all do a credit check and I have no idea in this time of living why they do that knowing people all over the states are having differculies keeping up with their credit scores.
I feel that what my credit score shows should have no effect on my job performance, i am a hard worker and a willing worker and a very caring person I have been working in the medical feild for the past 14 years and only in the "EMS WORLD of JOBS" I have trouble with getting an emt job with the credit checks .
If I could find a part time job I will be able to pay off my creditors and still support my family .
Any information would be grateful !!!!!!
Well i guss i am bloging now. I have never dont this before so it should be interesting.
I just found this cite like an hour ago on facebook so im kind of confused lol not a big surprise i am confused about 90% of the time. The only time that i find my self not confused is doing what i do best which is helping people. and helping them get feeling better. I am one of those rear people that have a crazy passion for ems i am only 19 and only a basic,but i goig to intermediate this fall cant wait.
I DONT HAVE A LOT OF CRAZY STORYS TO TELL CAUSE I AM FRESH IN MY CAREER A NEWBE JUST WAITING FOR HER LISENCE TO COME BACK IN THE MAIL BUT I HAVE DONE A YERS WORTH OF EMS THIERED RIDES YA IM THE THIRED RIDER THAT ATRACTS ALL KINDS OF INTERSETING CALLS LIKE A DOG I RESPRETORY DISTRESS YA A DOG hnmmmmm SORRY SIR WE CANT TRANSPORT ANIMAL AND THAT IS HOW THAT WENT LOL. IT IS TRULY AMAZING WHAT WE GET USED FOR. IM ALL READY FINDING THIS OUT LOL.
WELL THATS MY FIRST BLOG Hmmmmm WHAT DO U THINK
PS. NOT THE BEST SPELLER
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Wow a while has passed since I last wrote in this, 7 months to be honest. I am at work on my last block of shifts *2 night shifts after today* and then I am finished with EMD. I am going back to School and hands on RN again. whilst the experience has been an interesting one, its one that ahs had many ups and downs over the last few months. I am stoked and happy I achieved my IAEMD certification and now am aware of so many things in regards to wondering why the hell we were sent out to something it wasn't.
EMS staff, please please please please PLEASE don't knock EMD staff until you have had to have that call from a useless informant or someone who is screaming in a language you don't understand and are understaffed. We can only do so much, we try honestly we try but it's hard. We can only do so much in this room and we are in this room most of the time, we can't get out and hop in the vehicle for a drive, we are at our desks most of the shift.
I realised I missed hands on health care, and I need to be doing something that I am meant to be doing, so I have a new job back in Coronary Care in a New hospital and working up towards the rest of my masters.
Hopefully means more time to be on here with my EMS family and stay involved in pre hospital care again.
I received a call this morning about the loss of a longtime EMT in our county. Rod had many trials in life including a heart transplant which he was one of the longest living transplant patients in Iowa, plus with in last couple years kidney failure. He fought the fight well. He maintained all his certifications required as an EMT until a couple years ago when his health took a downward spiral. Unfortunately the H1N1 found him and when diagnosed he told his wife, we will fight this fight just as he had all the others, and he did, he had recovered from the H1N1, but other weakened organs in his body failed and he succomed this morning. God's speed Rod.
Well, I have never been one to even consider writing a blog, at least I am going to give it a shot.
It has been almost a month I have been off work due to a pretty serious and maybe career ending back injury. It was the first of August, we were 911 dispatched for a "public service" call. Myself and a partner I worked with that day responded to "assist" an elderly female patient who had fallen, but was not injured off of the floor. This partner I was working with that day was not my normal partner, and this guy has been known to slack and not pull his share of the weight so to speak, more on that later. We get to this lady's house and find an elderly woman who was in the process of getting into the bathtub, she had a PMHx of a CVA, and was trying to get from her wheelchair and into the bathtub, and missed the bath chair and went onto the floor. I was thinking to myself, we would help her to her feet and get her onto the bath chair, and be on our merry way. We help people out who are in this type of situation all the time, never any problems. So, this partner who sometimes feels he is "too good" to do this sort of call, was complaining the whole way up to the call, almost to the point where I wanted to tell him to shut up, but I remained nice about it, and reminded him that my mother did have a CVA. He shut up, and never complained any more during the drive up to this address. So we finally get to the house, and the woman feels like she is a tremendous burden, and is almost ashamed she had to call for help. I put on a nice smile, and told her it is really not a problem, and did quick assessment for injuries, during the assessment, I talked about her dog, and told about how I had a zoo of three dogs, and made her emotionally feel better. So, I squeeze between the bathtub and the toilet, and tried to use correct lifting technique, and my partner just had a hold of her arm, what I didn't know was he was bracing his other shoulder on a towel rack, I counted to three, and we started up, we really didn't get about an inch or two off the ground, when the towel rack gave way, and everything shifted, and unfortunately, I got all the weight twisting on me. I felt an immense pain from my lower back to my legs, I was almost thrown into the bathtub, the pain took my breath away, I put my hand on my radio and requested a second unit to respond. I stayed in the position I was in for a few seconds, and finally I could sit her back down on the floor, and I knelt beside her, and said we was going to have some more help. She asked me if I was hurt, I told her that I pulled a muscle in my back, and everything was going to be fine. Then she really started to feel even worse, about having to get help, then the help gets hurt. I put my smile back on, and told her it was just a pull in my back, I knew it was bad but wasn't going to tell her, and as soon as more hands got here we would have her up in a jiffy. The whole time, I was trying to talk to the patient and reassure the patient, my partner said NOTHING!! So, when the second unit got there, they put her up and on the bath chair. I told our dispatch we were out of service, and phoned my supervisor to report the incident, and I wasn't going to be able to finish the shift. I was evaluated in the ED, and was Dx'd with a "lower lumbar strain". The pain and numbness in my leg just wasn't getting better, so my Doc sent me for a MRI, I have a pretty bad tear in my L3-L4 disc and my disc herniated and was pushing on my L4 nerve root, which was why I was having pain and motor deficits in my right leg. I was given pretty much two choices: one, maybe some PT/OT and it "might" get better, or surgery and possibly ending my career. I have chosen to avoid surgery at all costs, there isn't very many successful back surgeries that happen locally.
So, while I have been off, I have been fighting worker's comp. to get my medical bills paid, and 62% of my income. Trying to deal with our state's worker's comp. is very time consuming, and frustrating.
It has been a month, and I 'feel' better, I still have a twinge or two of pain each day, and still have some motor deficits in my right leg. I have spent many hours playing with my dogs and trying to figure out my next step. I am sorry to the one person here whom I haven't kept in touch with, I tend to sort things out through my head (pea brain) alone, and when I figure something out, I promise you will be the second person to know.