Leaderboard

This isn't about being careful with what you say, it's a valuable lesson in identifying pathological issues in someone who's supposed to be a patient advocate. I'm glad this guy's license has been revoked, at the very least. I'm surprised that it got this far, with allegations of roughness throughout his past... if that is the case, someone screwed up somewhere along the line and this guy should have been identified and yanked a long time ago. Scary stuff to be sure. Wendy CO EMT-B

http://news.yahoo.com/s/ap/20091017/ap_on_re_us/us_encouraging_suicides Minn. man suspected of encouraging suicides MINNEAPOLIS – A nurse who authorities say got his kicks by visiting Internet suicide chat rooms and encouraging depressed people to kill themselves is under investigation in at least two deaths and could face criminal charges that could test the limits of the First Amendment. Investigators said William Melchert-Dinkel, 47, feigned compassion for those he chatted with, while offering step-by-step instructions on how to take their lives. "Most importatn is the placement of the noose on the neck ... Knot behind the left ear and rope across the carotid is very important for instant unconciousness and death," he allegedly wrote in one Web chat. He is under investigation in the suicides of Mark Drybrough, 32, who hanged himself at his home in Coventry, England, in 2005, and Nadia Kajouji, an 18-year-old from Brampton, Ontario, who drowned in a river in Ottawa, where she was studying at Carleton University. While the victims' families are frustrated that no charges have been filed, legal experts said prosecuting such a case would be difficult because Melchert-Dinkel didn't physically help kill them. In the meantime, he has been stripped of his nursing license. "Nothing is going to come of it," Melchert-Dinkel said of the allegations during a brief interview with The Associated Press. "I've moved on with my life, and that's it." The case came to the attention of Minnesota authorities in March 2008 when an anti-suicide activist in Britain alerted them that someone in the state was using the Internet to manipulate people into killing themselves. Last May, a Minnesota task force on Internet crimes searched Melchert-Dinkel's computer and found a Web chat between him and the young Canadian woman describing the best way to tie knots. In their search warrant, investigators said Melchert-Dinkel "admitted he has asked persons to watch their suicide via webcam but has not done so." Authorities said he used such online aliases as "Li Dao," "Cami" and "Falcon Girl." The Minnesota Board of Nursing, which revoked his license in June, said he encouraged numerous people to commit suicide and told at least one person that his job as a nurse made him an expert on the most effective way to do it. The report also said Melchert-Dinkel checked himself into a hospital in January. A nurse's assessment said he had a "suicide fetish" and had formed suicide pacts online that he didn't intend to carry out. In excerpts of a Web chat between Kajouji and Melchert-Dinkel, provided by Kajouji's mother, he allegedly gave the young woman both emotional support and technical advice on hanging. "im just tryin to help you do what is best for you not me," one message said, posted using the alias "Cami." Kajouji's mother said she was given a transcript by Ottawa police. In another exchange, "Cami" tried to persuade Kajouji to hang herself instead of jumping into a freezing river: "if you wanted to do hanging we could have done it together on line so it would not have been so scary for you" Melchert-Dinkel, who lives in Faribault, about 45 miles from Minneapolis, worked at various hospitals and nursing homes over the years and was cited several times for neglect and being rough with patients, according to the nursing board. Task force spokesman Paul Schnell would not say when or if charges would be filed and stressed that the investigation is complicated because of the anonymity of Web chat rooms. He said the task force is also looking into whether Melchert-Dinkel was involved in other suicides. In obtaining the search warrant for Melchert-Dinkel's computer, Minnesota authorities cited a decades-old, rarely used state law that makes it a crime to encourage someone to commit suicide. The offense carries up to 15 years in prison. The law does not specifically address situations involving the Internet or suicides that occur out of state. George Washington University Law School professor Jonathan Turley, who follows the issue of physician-assisted suicide, said he has never heard of anyone being prosecuted for encouraging a suicide over the Internet. Typically, people are prosecuted only if they physically help someone end it all — for example, by giving the victim a gun, a noose or drugs. Last month, a Florida man was charged in his wife's suicide after allegedly tossing several loaded guns onto their bed. Turley said if prosecutors file charges against Melchert-Dinkel, convicting him will be difficult — especially if the defense claims freedom of speech. The law professor said efforts to make it illegal to shout "Jump!" to someone on a bridge have not survived constitutional challenges. "What's the difference between calling for someone to jump off a bridge and e-mailing the same exhortation?" he said. But Kajouji's mother, Deborah Chevalier, said in an e-mail: "He is a predator who is responsible for several deaths and needs to be held legally accountable for them."

I wonder if they couldn't pursue, or at least closely monitor him based on his psychological proclivities associated with serial murder? Imagine, investigate, accomplish, practice, improve (something like that). When reading "Journey into Darkness" I think it was (A book written by the man that imagined and then developed the behavioral science unit for the FBI) he states that stalking should be one of our highest priority crimes, as "Stalking is a proved preventable murder." Perhaps there's available fodder there, related to how committed he was to making contact with the same individuals on different occasions? Not sure, but I wonder how far the leap is from fantasizing over these things, to trolling these sites, to encouraging these suicides, to possibly forcefully hanging the less than willing? Of course, I'm making many assumptions based of a few lines in a newspaper mixed with some years old psychology classes, and it is 0400, so that might all just be crap... :-) Either way, should it be Dylan found hanging, I can guarantee that the end of his life would make an interesting M&M. (No, not candy, Morbidity and Mortality review) Dwayne

What a retard

That's just so, so wrong.

They should launch another balloon, with the dad in it. And refuse to do any new coverage on it.

...and here it is. The video of the launch of the balloon. http://www.foxnews.com/video2/video08.html?maven_referralObject=10722566

Mylar though... Wouldn't the kid fall through it?

Don't forget to send him a bill first!

Now he's vomiting on the air. http://rawstory.com/2009/10/balloon-boy-pukes/ coughliecough Although, we've used medical, police and news choppers on SAR Missions. Anything that can hover with a spotlight will work.

Not to beat a dead horse here but... Your young child is missing. You fear he may be in danger. So the first call you make is to the local TV station for help from their news chopper, not 911?? Busted. http://www.npr.org/templates/story/story.php?storyId=113856719 The saga began Thursday when the homemade helium balloon slipped away from its tether in the yard. The father had scolded Falcon for playing inside the balloon while he was working on it in the yard, and an older brother saw Falcon go inside a compartment in the balloon but had not seen him come out. Enlarge David Zalubowski/APSix-year-old Falcon Heene (front right) joins his parents Richard and Mayumi during a news conference outside the family's home in Fort Collins, Colo. on Thursday. David Zalubowski/APSix-year-old Falcon Heene (front right) joins his parents Richard and Mayumi during a news conference outside the family's home in Fort Collins, Colo. on Thursday. The family panicked and called KUSA-TV, asking for help from the station's news helicopter.

You wish you were as young as I am you old lady. I'll add more once I find my hearing aid, my bi-focals, and a refreshing glass of fiber.

If she goes to the hospitals and tells of her plans to be a nurse, they will welcome her. In the meantime they may provide more training for different positions within the hospital with the CNA cert or even get the PCT. There's also OR and Ortho tech which can be done OJT with the CNA cert in some places which she is going through RN school which most hospitals will pay for much of the nursing program.

Congratulations! Surly there are plenty of nursing homes and extended care facilities in FL you can apply at best of luck

Happy bday dude

I just happen to have a couple different credentials, education and over 30 years of experience both in and out of the hospital. I am on a couple of state committees for education. I am also an educator but now find that teaching nurses and RTs more rewarding as they know they the importance of education. Nothing happens overnight but getting an education is less ridiculous than getting a significant pay increase handed to you for doing nothing to improve patient care and safety. Bitter OLD TIME RNs who are jealous of the new BSNs coming in with fresh idesas. These RNs could have transferred to a different department or hospital easily if the working conditions were so horrible. Next time you talk to them, tell them to retire or find a job outside of patient care. If they are this bitter, they are useless to the patients as they are wasting more time on their own attitudes than doing their nursing duties. Regardless of how hard the job is, good nurses will still do what is best for the patient even if that means getting an education. The LVNs did it. Not all "old time" RNs hate change. In fact most do welcome it. Nursing is not easy and those that welcome change often do see the benefits in their job or at least understand it better. We still have Paramedics who push meds just because they can without understanding them or those who hold a Parmedic card just because they want to join the FD and have absolutely not understanding of medicine or patient care. They just want the money and the benefits. The 3 month wonder schools are churning out half-arsed Paramedics who thought Third watch was cool. Two years of actual education might give one a chance to ponder their decision and to grow up a little when they realize there is patient care responsiblity as part of the job. No, there are many BSNs working in patient care. In fact, most of our new hires are BSNs. It seems to have become something that is expected especially if you do have plans to work a specialty such as one of the ICUs, Flight, CCT, OR, transplant, organ procurement etc. But, most of them see a value to just education where ever they world as they are literate and enter with more maturity after spending 4 years in college accepting the responsibility that comes with it. This is my world every day regardless if it is on a helicopter or in a hospital. I see first hand the importance of education. Of course if you want to hear all negative comments about education you can always find someone willing to complain. However, they made the choice to be and to stay in that profession and where they are. The statement I made in bold is used by almost every profession when they are petitioning for higher education or higher reimbursement from insurances. It is also used by many health care professionals when petitioning again Medicare cuts for home care regardless of what benefit it might be to the provider. Look at the collaborative statements on the NP and PA websites about reducing the load in EDs. Look at what they also are doing in their professions to raise their education so they can petition for change to provide patient care and safety.

Forgive such a rookie question, but is there a reason the National Registry hasn't developed into a professional organization/union? Seems like the logical place to start something like that. If we develop a professional organization, and only award full voting membership to those with a degree, that would accomplish both the increased education requirement and professional association requirements. Seriously y'all, where do we start with something like this? I want to help, and I have the boundless energy and enthusiasm of youth! Even though I have -.9 years of experience, I want to be a part of a profession that I can take pride in.

Happy Birtday Timmy!! I hope your day is a great one! Tip a couple for me!!

Why did someone neg 1 the original post? It's a copy of a news story, not an original piece of work.

+1. The idea sounds good on paper, but there are many who won't want the inconvenience of hanging around and mailing a voucher. They'll just reason that the next passerby would call. Those who would vote that into law would be unpopular and hurt their chances at re-election, especially if there is a large population of the socioeconomically disadvantaged in that city, who use 911 for EMS more frequently than other groups, statistically speaking. The media will eventually credit some death out in the street to a delay in calling 911 due to the new law. It would probably be good grounds for a lawsuit against the city as well.

At my dept the first promo to tech (EMS, Hazmat, Trot, Apparatus) gives 10% weight to education. For Lt's it's 20%. For Capt I and above, it's 25%. I'm suprised that more depts in this region don't require 2 years college. The FDNY dropped their requirement from 60 credits previously to now just one year or 6 months FT experience. FD's, PD's and EMS agencies alike are requiring education nowadays for promos, and rightfully so. The problem is, there's way more opportunity for advancement in a FRD or PD when compared to EMS. We just promoted 31 new Lt's this quarter. This is done through oral boards and objective exams, afterward being placed on a list. In EMS, there seems to be way fewer opportunities for upward mobility in the system. Fewer supervisor positions available, fewer specialty niches to shoot for. Additionally, the promo system may not be a competitive list, but frequently based on favoritism and cronyism. Hospital based systems do offer more of an opportunity for advancement to other areas of the health system, but typically no pension to speak of. So, take away the likelihood of your degree facilitating upward mobility, there's little motivation for many to go the degree route for the P-card, unless they want to parlay that into another healthcare related degree. But then, they're leaving the EMS field as their source of primary employment anyway. You'll need a large percentage of degreed paramedics to make effective any organization and lobbying. If the money's not there, many will go the path of least resistance, and the one's with degrees will look for a better deal before too long. Catch 22. The EMS profession started out strong enough, but then stalled out. sure FD's had a large hand in that, but they weren't the sole offenders by far from a political standpoint. As far as the existing workforce, each and every EMT and medic currently employed and not holding a paramedic assosciates is to blame for holding back the profession, myself included, opting for easier alternatives. Start assigning blame there.

I beg to differ; your basic Paramedic has about 1,000 hours of education right, may never have taken a University level class in his life and is not required to do so. He is not required to learn the same cellular level A&P, pathophysiology, biochemistry or English as the RN. Nurses are subject to a greater degree of peer-review and critique founded in science and established medical practice. Paramedic's .... eh whatever the medical director says is cool is cool and Sparky your partner might tell you that his way is better or that you are practicing out your arse but does he really know the ins, outs, whats and whys of it? Your 1,000 hour Paramedics have less total education than the clinical component of both our Paramedic and Nursing degrees. The American Board of Anaesthesology states to be minimally competent an anaesthesologist must be performing ~200 intubations a year, eh, whatever, we know five during clinicals is cool right? Very broadly I will say you are unable to speak to your 1,000 hour Paramedic the same as you can speak to a nurse. The nurses have more foundational knolwedge in bioscience and are generally held to a higher education standard both by thier peers and by the licensing system. If you hand the recieving nurse at ED a list of your patients medications $10 says he or she can tell you what they are, what they do and how they interact a hell of a lot better than your 1,000 hour paramedic can. Having said that there are some pretty shiity RNs out there and there are some equally piss poor Paramedics. Oh and just to show you I'm not an arrogant wanker ... I cannot document an old ladys hyperglycemia but have a Bachelors Degree with an 80% average and can turn in 5,000 word research essays; FML.

Herbie, I think you are a bit mislead about certain aspects. Despite the fact that the IAFF is resistant to change on the EMS perspective, many are starting to require at least some college education to get in there, and then usually a degree to advance through the rank. This is why you are seeing so many degree completion programs popping up on the internet and within the technical college system. The vast majority of police departments require at least two years of college and the more you have the better off you are. In this state, hiring for FD's and PD is done on a point system and things like college, veteran status, prior experience, etc help you gain more points in consideration during application. Also, almost any EMS service in the area requires a bachelors degree and 5 years EMS experience with prior supervisory experience to consider moving up into a directors roll. A degree in EMS will make a huge difference as it did when nurses went from a technical education to degrees. Yes it took them a bit, and agreed it was painful - it weeded out those unwilling to move up to a higher level of education. And I believe that's exactly what would happen with EMS. I don't argue too much with leaving the basic at a technical level of education as a degree shouldn't be required for those who only solely want to volunteer and rarely make calls, or for PD and FD who are cross trained. Let a two year degree be the entrance which would be like an I-85/AMET level but at the same proposed skill set. Then a four year degree be a full paramedic, and post graduate be your critical care medics. I'm not concerned with whether the degree came from a technical college, a degree completion program, or a university. I'm not arguing it would be a bigger output of funds but I believe it would move EMS from the public safety sector to more the healthcare provider area such as hospitals, etc. If we want more skills and responsiblity and to move from the taxi mentality we must increase education. Though as previously stated, a piece of paper will be a start, but it's up to the individual person to learn the content. Just as there are people who slip through the cracks with other professions, there still will be, but much of that will be reduced. For those currently working, degree completion options should be offered. I don't argue too much with leaving the basic at a technical level of education as a degree shouldn't be required for those who only solely want to volunteer and rarely make calls, or for PD and FD who are cross trained. However, basics complain of not being able to do very many skills beyond basic first aid (heads up guys, that's why it's called a BASIC). They're still useful for taxi rides to doctor's offices, dialysis runs, etc and there is still a market for them or solely as drivers. However, I do feel for any significant IFT's or 911 then you should be a paramedic to give your patient the best possible care. Nursing Assistants complain of being nothing more than a glorified butt wiper and they have comparable education essentially to the basic emt. They aren't entrusted with a large skill set because of that so why should we extend basic's skills for a similar education? I'm not knocking either one - the are important within the role they serve, but would you want a nursing assistant pushing medications without the education and knowledge? They aren't even allowed to distribute medications without additional training. This is the entry level though and a great majority of nursing schools require six months of working as a nursing assistant prior to application (which didn't use to be the case), so are we off to ask basics to do the same? I think basics have seriously over rated themselves in terms of knowledge and what their scope of practice should be. I know this post will be far from popular, but if we really want to see education progress these are the advances we are going to have to make, as painful as they may be. And to those of you that say well it doesnt make a difference to you - the changes would affect me as well in having to pursue additional education so I'm not exempt. But change and growth are painful and hard, but worth it in the end. EMS moved from nursing homes to the county/private/fire areas to advance, and now it's time to move again. We'll see better pay and a better respect and reputation.

http://www.firerescue1.com/fire-news/597966-fla-firefighters-cleared-after-running-over-homeless-man/ Sounds like he fell through the cracks of the system. This gentleman obviously needs help, for both his substance abuse and his depression. However, this seems like a well thought out attempt at ending his life, rather then bungling by the crew of Rescue 5, as many have implied. My hopes are that he gets the help he needs, and that members of this forum will wait until the final investigation has been completed before passing judgement.

Kiwi not all services in the USA are mother may I systems. If I want to RSI, I RSI. If the first 10 don't relieve the pain I continue to titrate to relief. I interpret 12 lead and treat patients symptoms as needed. I do not have to call to use any of the 50 or so drugs in my bag. Now there are some systems make you call for O2 I have been told.

But for EMS, the 911 medic is the entry level. Many go straight to that position after a few hundred hours of training. Since services vary, their overall experience may be rather limited. They may never advance in protocols or take additional education. They may never do a CCT or see many drips. California Paramedics are a good example of this. Thus, it might be the equivalent of a nursing working med-surg in a very "slow" hospital that ships anything but "clinic" patients to another facility. Nurses with CCRN or whatever have advanced beyond their basic training. For choosing a flight team Paramedic, which do you think would be better? Someone who works many calls each shift for a busy service but with limited protocols and nothing but the basic Paramedic training? Or, someone working in a rural area who has taken college classes as well as extra certs to gain knowledge and has expanded protocols to do ALS CCT to the city hospitals?

Nothing personal mate but I find the whole idea you guys get caught up in so many "advanced _____ life support" or alphabet soup clases run over a weekend nothing more than a farce to be laughed at. We had an American trained guy come down here; he proudly spouted out he had ACLS, AMLS, ADLS, PALS, PEPP, ATLS, PHTLS etc etc and how he could practice all those down here too if he got our version of them. Boy did he get the shock of his life when we told him not only 1) do we not have any of those (except ACLS) but 2) we don't require them and 3) they are of no value because a weekend course is not adequate education. Our system does subscribe to the international consortium's on various topics (like ACLS and PHTLS) but we do not do the weekend certification classes instead we build the underlying principles and established best practice into our education programs and whatever updates our Clinical Management Group feel we should incorporate get updated in our Clinical Guidelines or in the case of the Universities who offer the Paramedic degree they would incorporate whatever changes into their education cirricula. Again it drives me spare the way your system works; I have never spoken to a doctor about how to treat a patient, never have, never will and we hope it stays that way as we have no desire to change it.

Your statements led me to believe you did not read my posts as I did not say the 4 year degree should be the entry level. Associates will do to start. Teachers don't make much more than that and they make their decision to go to college on purpose. Many entry level professional jobs in the working world start out low. Health care just happens to be in demand and those that meet the requirements desired by the insurances will gain. Do you honestly think a higher wage is going to encourage some to go to school? Why should they if the money is flowing in? Again, review the history of EVERY other health care profession including nursing to see how they have accomplished their status. EMS is now well over 40 years old and other professions have made their stance noted, with education in as little as 15.

I recall being in only one, after a member, from the EMD I was then assigned to, committed suicide. I cannot state with any certainty if it helped or not. It did seem to help another service member, who had apparently helped put a premise history for the member into the Computer Assisted Dispatch system, that had an expiration date for the day after the suicide, to the suicide's address. She had been very "down" on herself for not recognizing "signs and symptoms" of someone planning suicide. A side-note on that: As I had been met at the door of the EMD by someone from the tour I was coming in to relieve, with the cold statement of "Did you hear? (Name) committed suicide!", the supervisors ordered the off-going tour not to talk to the oncoming tour, and they sequestered us into a conference room to "officially" announce our colleague's death to us, and proceeded directly into the session, with both the department's and union's CISD personnel in attendance (I was friends with both of them, as well as the deceased).

I'll gladly fill out a survey. I'd prefer an email if you dont mind... jmoyer@wbems.org

I agree about the SAR thing, but this kid was in his own house, not out wandering in unfamiliar territory. A kid lost in the woods usually WANTS to be found, unless we are talking about a runaway or discipline situation. I don't fault SAR, the sheriff, or anyone involved in this search- they did their jobs admirably as always. If the kid didn't want to be found, it's easy enough for him to hide from his "rescuers". Like someone said above, the parents are not likely to admit to a hoax, so we may never know for sure, but something stinks here, and my BS detector is usually pretty accurate.

Exactly right. Many of the details shared in a CISD are private and personal, and usually the process is not conducted out in the open, nor are the details shared. I am also interested in honest individual responses, not a threaded discussion that may be influenced by the other posters in the thread. Once this paper is complete, I would be more than willing to make it available for the group to read. Of course, any personal information will be redacted to maintain confidentiality.

Well, I'm thinking my initial cynical hunch was accurate. The kid's statement, the parents reaction to it- busted, IMHO. I heard an interview with a sheriff who said that house AND garage was thoroughly searched. He said they were not aware of storage space in the attack and that there was debris/stuff in the garage, and a pole, but no ladder or stairs that led them to believe there was any attic storage area in that garage. The sheriff suggested that maybe the kid climbed up on the debris and/or the pole and hoisted himself up(or was helped) to the rafters. The sheriff also said that while they were at the house, it seemed that the parents had absolutely no control or discipline over these kids- they seemed to be running around like maniacs and were oblivious to what was going on. Here's the thing folks- If anyone has or had a kid that age, they know a child's perception of time is warped. Tell a kid to stay in his room, take a time out, no TV- whatever, and a 10 minute punishment seems like 12 hours to them. This kid was hiding for several hours. I am not buying it. I feel bad for the kid- he was probably doing what his parents told him to do- it's not his fault. Then I hear the kid has the flu- which, in conjunction with the media attention, would explain why he threw up while doing the national TV thing. So, let's pretend this was an accident/mistake/misunderstanding (BS) but, WTF are the parents doing dragging that sick kid in front of the media- CNN, GMA, and countless other interviews? They could make a statement, tell their side of the story, issue a press release, etc as they should in a case like this, but to drag that kid out and do multiple interviews- they are media whores. You need a license to fish, to have a dog, but any idiot can be a parent. And so folks, we have the next nominees for parents of the year...

As this is an educational paper, on an educational topic, posted on an educational forum, I'm confused why you insist on doing it all in private? Why not simply post your questions so that all can learn from the answers and debate? It seems that that would give you at minimum the same information, plus you benefit from the conversation concerning thoughts and questions that haven't occurred to you, right? What's up? Dwayne

"We did this for show." -Falcon Survey says, daddy.

I understand that some people find them valuable, and some find them a waste of time. I've received several PMs from EMS folks that have been involved in a CISD event and they've all agreed to answer some basic interview questions about the process. If you'd like to throw your 2 cents in, I'll be happy to forward the questions to you. Good or bad, I'm interested in all opinions. In addition to the anecdotal information I'll be gathering from you guys and gals, I'll be digging through research, including Bledsoe's article, and forming my own opinion to deliver in my paper. And as an aside, I think this is a really valuable portion of the curriculum of the Paramedic Education Program I'm enrolled in. Almost anyone can tube a rubber head, not everyone can write a cohesive college level position paper. I'm glad it's a requirement for us.

Been there. Done that. Got NOTHING good to say about it. Fail.

bummer.. can't make it. I have an adult film industry conference to be at that weekend..

Realistically, this could easily happen even if no one was in a hurry. Depending on the setup, you might walk into apparatus bay, push the open button, walk to the doors and get in. The doors may open kind of slowly and you're already either inside or opening the rig doors from the side. By that point, you've lost view of the floor directly ahead of you (for a certain distance). Also, why is everyone assuming they didn't recognize their own address? How do you know it was dispatched to their address (especially when the article said they were responding to a location NEAR the station)? I'm down for slamming those who are lazy about their EMS responsibilities, but realistically this could happen to many responsible people. EMS or FD

Why don't you post the studies so that we can have a discussion and people can add their opinions as we go.

that's freaking awesome!! (fyi... sorry bout the negative, my netbook touchpad is finicky and I hit it my accident.. ill make up for it on another post bud)

They were lazy. This is another reason there should be no remote controlled doors at fire, ems, police stations. Make someone stand there hit button, watch ambulance, truck, car pull out then hit close, jump in and then go. This ensures people see what is in front before moving. It also delays less than 15 seconds and 15 seconds in the field will not change patient outcome.

If the patient walks out of the hospital, your efforts were adequate. Sounds crass, but CPR by EMS rarely matters as our response times are too long, and we are not involved enough in teaching community CPR so that the patient can get CPR when it matters. Its like a Chef who blames his staff for his cooking failures, because they didnt buy the right ingredients. If it is that important, he/she should shop for themselves. If you are serious about saving cardiac arrest patients, you should begin by making the first link of the chain stronger. How many CPR Saturdays has your department had this year ? Teach community CPR so you do not have to do it.

Just because it wasn't done sooner doesn't mean that it hadn't been reported. I reported a case where a CNA manhandled my mildly uncooperative ("Why am I going there? I don't want to go?" and so on. No violence. No threats.) long term care psych patient to my gurney without even asking if I needed help. Yea, the investigation concluded that nothing bad happened.

Not mine, but still funny.