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A stroke occurs when the blood supply to the brain is cut off by an artery in the brain that either ruptures or is blocked, cutting off critical oxygen supply to neurons. Approximately 80 percent of neurons die within three hours of the time that oxygen is cut off; therefore, rapid action is critical to prevent irreversible brain damage. Healthcare professionals working with adult patients have developed a catchphrase—“Time is brain”—recognizing that acute stroke recognition and treatment is of premier importance to preserve brain tissue, limit the amount of disability patients suffer in the long-term, and increase the stroke survival rate.
In order to save time—and potentially brain function—in patients that have suffered a stroke, the American Heart Association and the American Stroke Association have developed a community-oriented “Stroke Chain of Survival” that links specific actions to be taken by patients and family members with recommended actions by stroke prehospital care providers, emergency department (ED) personnel and in-hospital specialty services.
The “Stroke Chain of Survival” is characterized by four sequential stages, including
- Rapid recognition and reaction to acute stroke warning signs;
- Rapid emergency medical services (EMS) dispatch;
- Rapid EMS system transport and prearrival notification to the receiving hospital; and
- Rapid diagnosis and treatment in the hospital.
These four stages within the “Stroke Chain of Survival” include the execution of seven distinct steps in acute stroke diagnosis and treatment, also known as the Seven D’s. The seven steps also highlight the key points at which delays can occur, necessitating organized and efficient care at each step to avoid needless delays. The Seven D’s of stroke care, as well as the major actions to be performed in each step, are:
- Detection of the onset of signs and symptoms of acute stroke. Early recognition of hallmark signs and symptoms of acute stroke is critical to improved patient outcomes.
- Dispatch of EMS by telephoning 911 or another emergency response number. This communication activates EMS systems and ensures prompt EMS response.
- Delivery of patient to a medical facility. Patients should be transported to a stroke hospital or other facility capable of providing acute stroke care, and advanced prehospital notification should be given to the selected medical facility.
- Door of the emergency department (ED). Immediately upon arrival, the patient should undergo general and neurologic assessment in the ED.
- Data collection, including computer tomography (CT) scan and serial neurologic exams, along with reviews of patient file for potential fibrinolytics (tPA) exclusions.
- Decision regarding stroke treatment. If the patient remains a candidate for tPA therapy, review risks and benefits with patient and family and obtain informed consent for tPA therapy.
- Drug administration as appropriate, and post-administration monitoring.
The window for administering treatment after a stroke is very limited. From the onset of stroke to the administration of treatment at a hospital or other medical facility, the Institute of Neurological Disorders and Stroke (NINDS), a branch of the National Institutes of Health (NIH), recommends that no more than three hours elapse to ensure improved patient outcomes and maximize the chance of stroke survival.
"Time is brain" is more than a catchphrase—it is a call to arms in acute stroke care. Healthcare providers, hospitals and communities must rally to develop streamlined response systems to execute the Seven D’s of stroke survival and give stroke victims the best care possible, the best chance of survival and the best chance for resuming a normal life.
Health Education Solutions additionally offers ACLS, PALS and BLS certification courses, as well as CPR and AED certification.
The information included in this article is based on the 2005 guidelines for CPR, first aid and advanced cardiovascular care.
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- Rapid recognition and reaction to acute stroke warning signs;
Hello everyone, I've been a member of emtcity for quite sometime, although I don't come around here too often. I just would like to fire a shot in the dark and see what I hit. I am currently serving as a FMF corpsman in the US Navy. I have 1 combat deployment under my belt as a corpsman with a Marine unit in Helmand, AFG, I was an instructor for Marines in combat life saving and Im currently working in the ER at a Marine base in California. I had my paramedic cert prior to joining, I had been working about 3 years of 911 prior to enlisting, including time in post Katrina New Orleans area. Im in the process of getting my EMT-P back with NREMT and the state of CA. As of now, I have a year and a half left but im trying to find a contract somewhere out there that is about 3-6 months. My goal is basically to make enough to survive 3 months of the fire academy out here financially. The GI bill is good but is a bit low for where I live. Any information, ideas, or contacts dealing with overseas paramedic contracts would be greatly appreciated. I don't care if it's Afghan, been there done that, my mom might be a little upset but thats okay. Thank you again to anyone who can help.
Welcome back dear Readers!
I know it's been far too long since we've spent any quality time together, so I'm going to try to rectify that now...
For those that don't know, I was in the hospital for about a month with diverticulitis/diverticulosis. I presented to the local E/D unable to walk into the triage area because of severe abdominal pain. I thought that I had suffered a abdominal herniation due to having to help move a rather 'portly woman' who was brought into the same E/D in cardiac arrest. While in the hospital, I was taken off solid foods, and when the clear liquid diet didn't produce the desired results, I was taken off all foods by mouth and recieved nutrition from a PICC line in the right upper arm......
Well, because of the month long stay at Hotel Hospital, I ended up falling too far behind in class, and was forced to withdraw from the paramedicine program once again; this time in my last semester.......(nsert heavy, sad sigh here).
Well, after all that, one would think that I'd earned a break through all this and MAYBE something would go my way for a little while.......wrong!
As it turns out, I'm back in the hospital for apparently the same thing. Looks like a relapse or maybe just a 'flare up' of the original condition that never really went away. Either way, docs are tossing around terms like 'surgery', 'ostomy' and 'resection' far more than I feel comfortable with....considering it IS MY colon they're talking about hacking into.......!!!
I'm at my wits end, and have actually thought about giving up on ever getting my Paramedic license. Ive worked my ass off TWICE now, only to have it snatched out of my hands (first the motorcycle wreck, now this).....
l honestly don't know if I've got what it takes to go back 'one more time'.....after all, I'm closing in on 50 years old far too fast for my liking, and would REALLY hate to finally accomplish the degree in Paramedicine, only to find out that I can't use it .......
Right now, I'm searching for a reason to 'hang in there' on getting my degree; but I'm coming up empty.......
I just saved hundreds of dollars on car insurance, simply by selling that POS car!
Today is a day off. Currently I am reclined in a chair and catching up on Hawaii Five 0. There is nothing like a little McGarrett and Dano to clear my mind.
Yesterday was the extra day I worked. I came to realize of how hard I am on myself, but also realizing that due to this anxiety come into play. Now many of my fellow colleagues would advise me to get out of the field if this is the case. Yet, this time in my life, I am determined not to give up.
I can only hope that my experience through my career will help those, who may be experiencing the same issues or help those coming into the field some ways to avoid the situations.
In April of 2013, I will be in my 19th year of EMS. It took me 7 years to feel comfortable to move onto pursuing my paramedic. When I reached going to paramedic school, I wanted to do very well. I passed, what do we say what do you call a person who passed their paramedic test "Paramedic". I feel that's as far as I have become. I left one job because I felt unappreciated due to attempt to advance, moved on to another service where I was removed after 2 years.
It was almost 2 years before I came back full time. Worked jobs non related to EMS feeling as if I was lowering my standards. It wasn't until I was about to lose my license and certification, that I made the decision to return. I was working as an LNA in a hospital. I was losing my mind seeing how much I really knew.
After returning full time this June, it was as if history was repeating. Before I returned I told my superior that as I began as a paramedic, I joined this particular organization, to learn and become and exemplary employee. I ended up with a wheelchair driver who recently received his intermediate with no experience on an ambulance. After that it was two partners who I believe were trying to believe undermining to my leadership and care. As I iterated before, I came back as if history was repeating myself. Partners who my superiors knew were substandard in their performance. Not following my orders, not relaying pertinent information, and one having poor assessment skills.
My company has the contracts for working 911 in the two cities of my previous company. One city where I worked for 6 years and have lived for over 30 years. I was advised by one superior that due my past performance I would not be recommended to work in that location. Last week, I was reprimanded with a suspension for a policy that does not pertain to patient care, and was written up for a mistake that still has nothing to do with patient care and it was the first offense.
I know for many of my colleagues. I will have their opinions of I am whining. The point of all of this is. Yesterday, I ended up working with my first partner. I found out a few years ago he received an accommodation from the city for his work. I was floored. Yet, I took being able to work with him as a blessing. Wondering what am I doing wrong.
Well, what I learned is I have a difficult time working as a team, and I just focus on how to make myself look good. By doing this my anxiety goes to a level where I end up sabotaging my reputation. My first call I ended up making a mistake. I felt like the smallest person in the world, wondering why this still happens.
This is when I was coming to the realization, but also feeling as if there was no hope. I was hoping for redemption. A few hours later the craziest thought came through my mind, the saying "God won't give me what I can't handle." My last call was a true inferior MI. It actually went quite well. I did everything in my power to change my approach. It seemed to have worked.
After all I have been through, I am trying to change. I believe change needs to come from me. I want to be positive and become the person I've always wanted to be. Maybe this starting over is bringing awareness and improvement. Wish me luck, if there is hope for me at this mid portion of my life. Maybe others who have gone through similar situations or have the same questions I have had can be helped or we can support each other through this grueling and difficult profession.
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ok, so my son is in cubscouts. He wants the scholarship but the only way to meet his goal which the scholarship is 2500.00 in popcorn sales, is to hit up everyone of our friends, neighbors, relatives and whoever else he want's to sell to.
I find that a pain in the butt because people seem to feel like they can't say no. I've said no enough but only because money is so tight.
I put this here because I'm offereing online popcorn ordering but only if you agree to have an email sent to you with the popcorn sale link.
If you want a popcorn item or want to purchase popcorn to support my son and his cub scout pack, please email me at firstname.lastname@example.org
I will send you a link to my son's popcorn ordering page and you can order online and have it shipped directly to you.
No pressure. Just voluntary if you want to get some pretty dang good popcorn if I do say so myself.
if you would consider purchasing popcorn to send to the troops overseas, you can choose the two Military popcorn options, 50.00 and 35.00 Both of these items gets popcorn in that amount sent to the military serving overseas as well as domestically.
Thanks for listening and reading.
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I have to wonder what is wrong with someone to go into an elementary school and just start shooting. Innocent babies dead because someone decided it would be a good idea. The shooters mother dead because she was a teacher in that school. Can someone explain it? anyone? cuz I sure can't.
This world has gone absolutely insane. It seems that this kind of thing is getting more and more frequent. We all think of Columbine and the shooting at the Amish school in PA and I'm sure that there are others but they slip my mind just now. What in your life can be so bad that your only alternative is to kill your mother and 20 innocent children in kindergarten and first grade? along with 6 other adults? Did nobody see this coming? Did nobody see that there was something wrong with this person? Have we, as a country, become so used to this kind of gun violence that what happened today is just commonplace?
Don't get me wrong, I advocate the fact that people have the right to keep and bear arms. I grew up around guns...my father taught me how to shoot when I was old enough to hold them without shooting myself in the foot. NY has some pretty stringent gun laws. I cant shoot my husbands pistol because I dont have a pistol permit but I can shoot the shotgun and rifle. I can protect myself and my son should the occassion arise....and God willing it never will arise.
I just don't understand this kind of thing..,I don't...and I am saddened that the world that my son has to grow up in, is so violent. That, for some people, the only answer to thier problems, is to pick up a gun or 2, go to the local elementary school and kill 26 people.
I wish that I could turn back the clock 30 yrs. A time when you could leave your house doors and windows open and unlocked and nobody would even think to walk in if your car wasnt there. When you could leave your keys in the car at night, without worrying that it would be gone in the morning,.....when your kids could go to school and not be afraid that someone is going to come in with a gun, and kill you and your friends and your teacher and anyone else they happen to come across. I wish......
My thoughts and prayers go to the families that lost thier sweet babies today and the families of the adults that were killed. And to my EMS brothers and sisters in CT....I am so sorry that this kind of thikng has happened in your town and state. I am thinking of you all and pray that you find the strength to go on.
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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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As some of you know, it has been a long time since I have really been here in the city... and to be honest, I have been avoiding it, mostly in shame.
In 2009, I started paramedic classes... I loved it, even though juggling a not-so-stable home life, running my own business, and being guardian and sometimes caregiver for my mom was sometimes a challenge. I did well in my classes, and was looking forward to my practicums.
In 2010, two tours into my practicum, my mom became acutely ill, and within 3 days, I had to make the decision to remove her from life support and explain it to the rest of my family.
As I was not allowed to take time off from my practicum, I withdrew for a year, as was required by the college. I went back in 2011, and struggled through my first practicum. I felt my preceptors weren't being the mentors I wanted. When I asked for clarification, they said "look it up." When I asked for them to quiz me on medications, they said "later." Although they signed off on all my skills and competencies, at the end of my practicum, they informed me that they were not going to pass me to go on to my next practicum because "you are not sociable enough." Not with patients, but with other staff... they said I studied too hard and didn't spend enough time having coffee with staff (WTF???). They also refused to complete the final evaluation, so I was in limbo..
I contacted the college numerous times to see what my options were, without getting a response. Finally I appealed to the Dean and President of the college. Instead of accepting my completed competencies, I was required to re-do that practicum AGAIN.
I did not perform well. I was frustrated, and I struggled. I lost focus, I was making dumb mistakes. One of the staff where I was doing my practicum told me that my preceptor had been told by the college to make my practicum as difficult as possible, so I would leave, because I had embarassed them by appealing my previous practicum.
I couldn't do it... I gave up and withdrew... I failed in my attempt to be a medic, something I always wanted... and in the year since then, every day I wake up and hate the fact that I didn't make it. I hate that medics I work with tell me that I should be a medic, that I am better than half the medics out there, and yet I couldn't do it. I hate that I wasted all that time and money, and have nothing to show for it. I hate that there are people who I thought were really good friends, who haven't spoken to me since I left school. I should have fought harder. I should have done better. I should have been successful...
I stalk this site, and read the posts.... and think "I have nothing to add... " so I don't..
I am not posting this for sympathy... I don't want sympathy... I am posting so those that asked, know why I am not here anymore. I don't think I have anything to contribute... and until I figure out how to regain that confidence, I won't. I won't go back to school - I can't afford it, and on the positive side, my business has really expanded in the last year, and I still work casual on an ambulance, so that helps keep me busy.
Be safe all...
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.
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.
Drako is a big scary dog. He is a pit bull / rottweiler mix and he is big and strong and scary looking. He came into my life about 7 or 8 years ago when he was rescued, with another smaller pit, from an abusive situation. He was going to live with my daughter and her family. I happened to be in town when he arrived. I spent a few hours with the dog in my daughter's house and put my foot down. I explained that he was going to hurt someone in that family. Her chaotic, dynamic family was not the right place for Drakeo.
We immediately thought of my brother. He lived alone in an A frame that he had built with a chainsaw and timber he had hewn from his own land. He lived in the country, very isolated in a remote part of Northern Ontario and had just lost his guard dog.
I called him about Drako, and my brother came to see him. I didn't know it then, but it was the last time I would see my brother alive. I live in Arizona and our contact was sporadic.
Long story short, my brother took Drako home with him and over the next 3 years, turned him into an excellent, loving dog. With a combination of discipline and dogmanship, my brother rehabilitated Drako.
Drako was there when my brother shot himself. Drako almost got himself shot by the police. He was so protective of my brother's body. Eventually, a friend was able to persuade Drako to leave his best friend.
Another long story short, Drako arrived here in Wisconsin to live with me a week and a half ago. I had spent time with him during my sojourns into Canada, when he was living with my daughter, where he had gone immediately after my brother's death. We are old friends.
The most striking feature of my brother's face were his huge, expressive brown eyes. I see them in my mind's eye, looking at the world when he was a little boy, and when he was a broken man. Drako has the same eyes. It breaks my heart.
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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So here I sit spinning around in my own little world, waiting for some cheese and bread for my wine. No my whine. It will be my last post because obviously there is nothing in the last 3 that has made anyone offer any words. No slap upside the head, no you deserve what you've been dealt, etc etc. I posted in hopes of finding out if anyone could put their virtual arm around me and tell me it would be ok, that it would get better. Study more, try harder, give it up. Your employer sounds like a moron would have been awesome. I did some research and I found evidence that other EMS agencies use systems to manage their employees, track problems, provide solutions to head off problems, remediate and retain as needed. So I'm encouraged that another place may hold out some hope.
I do leave you all with this, and I know at least 300 people have read the blog: We're charged with taking care of people on what is often their worst day ever. I know there's plenty of abuse, plenty of free loaders, plently of people with no coping skills. I never minded that so much which is why I thought I had something to offer to the field. No matter how dumb assed, how stupid or how abusive, I gave every patient compassion and kindness, even when they didn't deserve it. I treated them to the best of my ability without abuse, which is more than the ER I had to take most of my patients to ever did. No matter what dumb mistake a co worker ever offered up and I've seen some doozies, I treated them with kindness and respect and tried to be helpful about offering alternatives that might have been more appropriate without trashing them either to their face or behind their backs, which almost seems to be a sport in EMS anymore. See how hard you can go at someone until they break and then celebrate it?
In a field where we take care of people, we suck at taking care of each other.
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 Kids I be back in Town-Emiitsburg was great 91 degrees and sunny (Sorry Retread I don't have access to the chat and I forfot to leave a message for you)-Well I be a ICS Instructor now..
Karokee Night was good--Lots of free Beers..
Summer classes just around the corner--Springs classes comming to and end-two finals to go.. However the scenery on campus is grade A come warm weather.....
Well folks feel free to stay in touch...
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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.
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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.
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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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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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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.....
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I was talking with my daughter when she came home from college today. She was telling me that one of her friends knew the people that use to live across the street from us. Theynhad just moved away, about 3 months ago. She went on to tell me that the female claimed that she was forced to video with her phone, an 8 year old girl having sex with a 13 year old boy. That angered me, how does your boyfriend make you use your phone to video this? But then she went on. Her boyfriend was arrested for having video'd taped himself with his phone giving a 5 month old little boy oral sex.
Yes a 5 month old. They both claimed that they were forced by each other. Your kidding me right? This enraged me. No words in the English language could explain how I felt when I heard that. I told my daughter that I am very glad they no longer live across the street from us. I don't think that I would be able to control myself is she got out of jail on bail. My daughter new her from high school and always would tell me stories about her. I would tell my daughter Theresa that was in high school people do change. I was right in a way she did change for the worse! What is wrong with this world? I read the blog hmmm and that so fit with this story. The moms being let off after killing their little ones, all with being pregnant before they are tried for the first little ome they killed. We are no longer held accountable for our actions. It is all everyone elses fault! I shudder to think that after watching all these other people getting off with time served after only 20 months for killing their children that she may never see a jail cell after she gets out on bail! We are failing as a society.
Didn't mean to rant but this story my daughter told me is insane!
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