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Showing content with the highest reputation on 10/21/2011 in all areas

  1. I see alot of "students" in this forum, so I am wondering how you would rate your ambulance third rides ? Did you learn anything, were you allowed to do anything ? Did the service try to put you with medics who enjoy students or did they just put you with whichever crew was closest ? What could we do as an industry to make your clinical time more rewarding ?
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  2. There is one question I would like to specifically pose to one candidate, Michelle Bachman. That question is: "If you believed in your heart that God was speaking to you and telling you to launch a nuclear weapon at a specific target, would you do so?" I would like to pose that question to her and any other candidate that talks about God speaking to them before handing over the nuclear launch codes. I'm paranoid about that type of thing. Prayer: Good. Religion: Fine. Voices in your head telling you to do things: WHOA HOLD UP THERE A SECOND GIVE ME BACK THE NUCLEAR FOOTBALL...
    1 point
  3. No worries, nurses have that covered now. You can get both a "doctor" and a nurse all in one if you go with nursing. J/K BTW "I said doctor, not noctor. Saving the world from natural selection." Noctor, Doctor. Tomato, tomato.
    1 point
  4. Very relaxed protocols on pain management. I start with fentanyl for faster onset and will usually continue with morphine. Also we have abdominal pain management protocols. The old treatment of absolutely no pain control has been done away with here for quite some time. I refuse to let my patients suffer.
    1 point
  5. On the topic at hand I do think that RN's can bring a lot to the table. Having flown with RN's they tend to know their strengths and weakness just like the rest of us should. I understand that some ar anti-paramedic being in the ER just like we are anti-RN being in the field. I do believe that most of this comes from our inate sense of job security and self preservation. Pro's: As previously stated it does aid in the ER "overcrowding" issues. How you may ask? Simple, an RN's knowledge of disease and illness pathophysiology far outweighs the average paramedics making it more likely that the Pt can be left to their own vices at home, ie OTC's and things of that sort. They are also able to take a seat in the call center and play an "Ask-a-Nurse" role and phone triage most calls instead of sending an ALS unit emergency traffic to the corner payphone at 0200 just because the cold homeless guy used the magic phrase of "chest pain". Cons: An RN's education is geared more toward long term care. I do understand that RN's can specialize. All I am refering to is their base knowledge. An RN's skill base isn't as large as a paramedics when it comes to life saving procedures. Again I understand they can specialize and broaden their scope. As a matter of fact, like I said previously, the RN's I flew with knew where their skills were lacking and generally let the medics lead on scene calls and difficult airways. Although there were some strong RN's on the aircraft that could do as much if not more than we could. So back to the point at hand, generally RN's do not want to be in pre hospital care so as far as RN's one day taking over the EMS world I do not see that happening in the states. The lines are kind of drawn in the sand here and although like Dwayne said it would go hand in hand with raising the pay and benefits I really don't forsee a mass of RN's suddenly wanting to ride the ambulance anytime soon.
    1 point
  6. No, I am not aware of the fringe groups, but you are obviously more intelligent on the topic than I. But to the poster's question, I think he was trying to say that "morally" the execution was wrong, and he used his moral compass as his guide. Whether you believe in Buddha, Jesus ,or Muhammed, I think all of those religions preach against murder.
    1 point
  7. Really? This whole mess is because of Jesus and his ilk... God destroyed whole civilizations in a fit or rage, and ultimately the entire world right? I would think that these situations are walking down the exact path lay by religion... Dwayne
    1 point
  8. FireEMT, Great addition to the threat, thanks for including it. your absolutely correct with alternative treatments as well as your thoughts on the intubation. Of course you will have to stay with in your local protocols and if you have all of those at your disposal i want the number to your service... LOL But do not discount your input because you are a student. even those of us with yrs under our belt need reminded of things from time to time... Keep posting and taking part. Race
    1 point
  9. HLPP I have to admire you girl for your persistence. But after about a week it sounds to me that you are simply refusing to accept wise council. Not mine but there are folks that are. John Adams once said “Facts are stubborn things; and whatever may be our wishes, our inclinations, or the dictates of our passions, they cannot alter the state of facts and evidence.” The simplicity is that no self respecting provider will leave a potentially critical patient on the scene regardless of their size. The bench is not ideal but necessary. And is reasonably safe so long as restraints are in place. Obviously it is not as safe as a padded room full of hardbody cops but will get the job done and still meet minimum safety standards in most states. I would assume that the bench would not be a problem for you in GA since you demand patients be transported unrestrained on the floor and fire medics that refuse to do so. Putting a potentially critical patient on the bench could save their life whereas putting a non critical on the floor could produce just the opposite. David Antin the poet and critic once said “I was trying to find out what it was that everybody else understood without giving up my stubborn and hard-won lack of understanding.” Seems appropriate here.
    1 point
  10. I asked the same question many many moons ago before I started school. I will give you the best piece of advice I never used. DO NOTHING but relax. Paramedic school when it starts will consume your life for roughly two years so why start early? I wish I would have listened but I didn't of course because I am a nerd!!! So look at the awesome list that Kiwimedic threw up there and have fun!
    1 point
  11. Like the physician staffed ambulance that killed Princess Diana ?
    0 points
  12. I am not argueing with Dwayne, or suggesting he leave anybody at scene, I would have done as he did, if it were two adults I would use squad bench. It is just that Dwayne got me thinking about how unsafe the bench is --- I admitted I do it all the time. As far as the bariatric deal, its a dead horse, I will not discuss it anymore after this final comment : The only reason everyone said you should not transport the patient on the floor is that it would be unsafe in an MVC. Putting a patient on the flimsey squad bench is just as unsafe IN AN MVC. Thats all I am saying --- horse is beaten, shot, and buried.
    -1 points
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