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Showing content with the highest reputation since 09/02/2009 in Posts

  1. Mazrin, Exceptional first post! Welcome to the City! I noticed that you're not naive about the whole 'glory and teary eyed thank yous' that is so commonly associated with entry level EMS people. Since you appear to have your feet on the ground, let's get right down to 'brass tacks': EMS can be a rewarding career. It's got its 'up sides' and its 'down sides'. A lot of people aren't burned out on the helping people aspect as much as they are on the bullshit that's associated. Depending on the service you're with, you've got: 1. Small vollie politics and ass kissing to get ahe
    12 points
  2. Dust forwarded this video. IT IS SHEER GENIUS. What a great way to vent frustration and identify an issue. I have told everybody to boycott the trauma show and A.J at JEMS is doing the same. I have emailed the link to everybody I know and they love it. I could not resist the chance to send the link to Randolph Mantooth. He'll laugh his ass off. I'll let you know what he says (he loves this kind of stuff). Again, sheer genius lurks somewhere in the confines of this list. Thanks for letting me in on it. Bryan Bledsoe, DO, FACEP P.S. There is an "E" at the end of "Bledsoe" (e.g., Drew
    12 points
  3. I sent the memo to two of the EMS agencies (fire based, as are most around here) where I work. We are attempting to effect a cultural shift for the benefit of our patients. I guess we will see if it takes hold. There is no question that spinal immobilization is painful and anxiety provoking for nearly everyone. Patients often have back pain induced solely by lying on the backboard, pain which resolves not long after removal of the board, but which may prompt imaging in the ED due to pain and tenderness caused not by the presenting injury but by the backboard. We have seen ha
    11 points
  4. Does anyone else find it ironic that we are telling the OP not to believe everything he reads on the internet, on an anonymous Internet forum?
    9 points
  5. It seems like we've been seeing a lot of new faces lately, and from them gaining a lot of strong, smart new members. In the spirit of the City I thought maybe we could throw out some ideas on how to be successful here? Here are a few of mine.. 1) Welcome. We're glad to have you no matter what your certification level, experience, education or what type of service you happen to work at. The fact that we're glad to have you doesn't mean we don't argue these points, it simply means that we value thoughts, and the people brave and kind enough to share them, from every point on the compass and po
    9 points
  6. It had to happen sooner or later....................... Blonde Men! A friend told the blond man: "Christmas is on a Friday this year." The blond man then said, "Let's hope it's not the 13th." ------------------------------------ Two blond men find three grenades, and they decide to take them to a police station. One asked: "What if one explodes before we get there?" The other says: "We'll lie and say we only found two." ------------------------------------ A woman phoned her blonde neighbor man and said: "Close your curtains the next time you & your wife are having sex. The whole
    8 points
  7. Greetings, Comrades. Rumours of my demise have been greatly exaggerated. I can't believe some of you actually bet money I was dead. If you did, may all your children be born naked! Anyhow, I'm down, but not completely out yet. Don't pull your bets yet, because they will most likely pay off this year. I took a long hiatus to avoid creating [more] drama here and distracting from the forum. I didn't want to start a pity party, but as some of you know, I've had serious health issues since my injuries in Iraq. I certainly won't be returning to practice. Or walking. Or even wiping my own
    8 points
  8. After a very long and trying week with everything meeting me at the door each and every morning and demanding my undivided attention at once, it was nice this morning to get a phone call that I have never ever gotten before in my life~~ Ring~ Me~ "Hello" Female Voice~ "Is this Tami *****?" Me~"Ummm, yes?" Voice~ "Well, you don't know me, but you know my husband." OMGosh....little voices in my head are running in circles yelling at each other "What did YOU do? Nothing, what did YOU do? Nothing I tell you! I've been sober for twenty years and haven't touched another ladies man....ar
    7 points
  9. Alot of threads have been headed in this direction lately, and I personally have been questioning my own career longevity lately. Since I don't blog, I decided to write out my strategies to prolong my mental health, and career, and identify the problems we face as time goes by on the forum. I feel really passionate about this topic, and hope for alot of productive responses. First to identify the challenges: Although the number of years I have been in EMS is hitting double digits, the first time I was truly affected by a call was only about a year and a half ago. I was driving to my far
    7 points
  10. I am not trying to sound like a jerk, but I learned this lesson a long time ago: You decide what kind of day you will have every day. You can not let others control your life, which is what you do when your blood pressure goes up over what someone else said or did. The minute you show any emotion because of what someone else did, you have given them control of your day, it is like you are a puppet on a string. Example: If I said something mean about your momma right now, it could piss you off to the point of you punching me. But on the other hand, you could say "crotch does not know my
    7 points
  11. 1. I think part of a best friend’s job should be to immediately clear your browser history if you die. 2. Nothing sucks more than that moment during an argument when you realize you’re wrong. 3. I totally take back all those times I didn’t want to nap when I was younger. 4. There is great need for a sarcasm font. 5. How the hell are you supposed to fold a fitted sheet? 6. Was learning cursive really necessary? 7. Map Quest really needs to start their directions on # 5. I’m pretty sure I know how to get out of my neighborhood. 8. Obituaries would be a lot more in
    7 points
  12. Crotchity, in the original article, at the start of the second paragraph, it states “City Councilman Kenneth Stokes has threatened to reverse the contract American Medical Response has to serve in the area if the company doesn't send its workers into violent crime scenes, even before police arrive.” I think that makes the intent of Councilman Stokes’ comments very clear. As much as you want it to be, since you have brought it up in other threads, this Councilman is not basing his comments on race, and the replies from EMS are not either. It is a question of “is the scene violent? Yes
    7 points
  13. Just to add my 0.02. I don't think it is necessary for a woman to have an exam in the field under most circumstances. Obviously if she is giving birth then it might not be a bad idea to take a look. Heavy bleeding will be another reason, but should usually be obvious from the outside. In all other cases, you don't have the proper tools to do the proper exam, so why do it half assed? Does anyone carry a speculum on their ambulance? Has anyone been trained to do a bimanual exam? An exam by someone in the field will add very little (no, I do not mean that to put anyone down) to the pt's ca
    7 points
  14. How many of you carry printed Vial of Life papers to pass out to anyone who comes to your station, or stops your ambulance if you stage in different places. Theres so many people that dont know about these sheets that not only make our jobs easier but they can prevent possible mistakes from being made due to the pt being unable to speak for whatever reason, or a mother who is losing it and cant tell you what is wrong with her child. Something to think about. Get them printed and get them out there, its a free 1 page print of the vial of life website.
    7 points
  15. Hey guys, this is Franco Colon. Found this because I decided to Google myself. I just wanted to clarify some things. I had decided not to really say anything regarding this since I had planned on fighting this with my Union but the more time that passes by, the less I feel like drawing this out. First off, I was a Full Time EMT at LICH with no prior instances of ever getting in trouble. I've never banged out of a tour and I've always been comically early. As an EMT in NYC we don't have a station that we hang out at in between calls. We sit at our assigned locations in the ambulance and respond
    7 points
  16. Rookie Ease up on yourself. You'll thank yourself for it in time. EMS practitioners are by far, the worst offenders of being one's own worst enemy when it comes to looking back and wondering what could have been. After 21 yrs in EMS (17 + as an ALS practitioner and 18 as an EMS educator) this I know; trauma patients die. A lot. And mostly in spite of what we do. Five years ago on Memorial day weekend, my brother in law suffered a cardiac arrest in the driveway. He was 43. I was with him the day before when he was complaining of palpitations and like all of us would, strongly advised h
    7 points
  17. Sorry all, I only have a few minutes with internet so can't answer all of the questions... What I ended up doing is writing out my concerns, loss of leg, shock, loss of life, etc, etc. I had the manager on site witness while he read it out loud to his wife on the phone and then had him and the manager sign that it was read aloud and understood. Had the supervisor assign a worker to sit with him until his wife came with instructions to call if his mentation or physical condition seemed to change in any way, and left him there. I do understand that I could have forced him and later justi
    6 points
  18. Hey there Mike. That's a great question, and like the others have said, much of requirement for pacing requires a substantial foundation in education related to the topics Island had mentioned. That's the reason it's an ALS skill, if you were to learn everything there is to know about pacing, well, then you'd be able to do that skill, but you'd also be in school for much, much longer. EMT school curricula simply does not have the educational basis for many paramedic level skills. I believe that the biggest difference between the EMT level skill set and the Paramedic level skill set i
    6 points
  19. When I was a third year medical student on surgery rotation, we had a patient in his late 30s-early 40s with a large pleural effusion (fluid around the lung). He was doing okay on a NRB mask as long as he remained seated upright, but each time we laid him down, he would desaturate. He needed a chest tube to drain the fluid so he could breathe. As a med stud, I was eager to do the procedure. We were on a med-surg floor. I brought the appropriate gear, gowned up, and prepped appropriately. I thought through every step of the procedure: when to put on the sterile gloves, how to position him
    6 points
  20. You would be surprised at the amount of people that believe that God is in control of all things in their life.This is a very complicated theology for most Christians and most definitely for non believers to understand. It is rooted in a Biblical teaching that God is all powerful and sovereign in all things. We believe that His perfect will work all things together for the good of those who love Him. Therefore, nothing is impossible for God. I believe this theology. I have seen definite miracles but most often see circumstances develop through the normal administration of science and natural l
    6 points
  21. I am very dedicated to my work. I wear Paramedic/EMS shirts every day, even when I'm not on duty. The EMS station is my second home, and my second family. It often seems as if my life revolves around the EMS department, but it means nothing compared to my little girl. I am normally a very friendly person, but if you hurt my little girl you will make me mad. I know my little girl is growing up, even if I don't like it. She seems to like you, so I'll tolerate you dating her, but here are a few things for you to think about while you're with her: First of all, I go into hostile situations t
    6 points
  22. Signs and symptoms of PTSD have been documented in ancient literature from several hundred to several thousand years BC. Nothing new about it. However, the pejorative statements people make about PTSD patients are quite harmful and do little to describe the facts about this problem. Attached, is a link to a study on PTSD documentation in ancient literature, and this study was done outside of the United States, because I would not want to use anything from the "pharmaceutically" tainted literature in the States... http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2990839/ Take care,
    6 points
  23. Crotchity, you truly are an asshole. I guess my father-in-law (Navy corpsman stationed in Vietnam with the USMC) was just pretending when he would hide under the covers every 4th of July because the fireworks made the flashbacks uncontrollable. It was even funnier when he couldn't take it any longer and overdosed, leaving behind a wife, 8 year old daughter and 5 year old son. Yup, must have been the pharmaceutical industry's fault, especially since he was on no meds. So how long until you make this thread about yourself and turn it into a racism thread? You truly are a worthless piece
    6 points
  24. Don't you EVER ask for a discount. EVER. If it's freely given, you may accept, circumstances depending (thanks for your story Squinty). To ask, or to be offended because one previously given is not extended, is churlish in the extreme, and reflects poorly on our profession. Just what is it that makes you so god damn special that somewhere you ate is OBLIGED to give away part of their profits to you? We get prodeals through my SAR team. If they stop being offered, which companies occasionally do, we don't say a word except thanks for the previous years of prodeals. Do we *ever* go into
    6 points
  25. What is it with people and the internet? You, "flaming", are not real. Here. You're a virtual name, a number. What is the forum judging? Your words and thoughts. I'm just gonna shoot from the hip here, and speak from my own mind. Although, I haven't given any "negative ratings", I could see why some would. Having never met you in person, we have a "screen name", and a character in words. So, if this were a book, you would just be like a character. Like, say, The Boxcar Children. AK would be Henry, you would be Benny. That was just for visual. If another user is judging someone, they're n
    6 points
  26. Man, Lone Star just killed your thread brother, as that is nearly a perfect post in my experience. There is no way to describe here what the job means and entails to everyone, but if you choose this path you will instantly recognize each and every point that he made. I'm going to highlight a few simply so that I can feel superior and believe if I've added something pertinent to the conversation... I never get tired of pts.in general. There are moments, but they are incredibly rare. My coworkers sometimes make fun of me, mostly in a good way, because I tell them that my theory is t
    6 points
  27. Of course it was me that gave you the negative. Normally you're whining and whatever nonsense you spout in the chat room keeps others feeling sorry for you and prevents them from doing so. But why do you assume that I'm a jerk for giving you a negative? Why can't you, like an adult, assume that I thought that your arguments were shallow, one dimensional, self serving, cookbook Basic level medicine and simply not good educational material on the board? Isn't that what the votes are for? To show others my opinion of your thoughts, either exceptionally good, or exceptionally bad? You continue
    6 points
  28. Ok, I guess it's 'confession time' here.... As an EMT, I looked at a lot of the medics I came in contact with as 'pompous asses' because of their attitudes toward the lower license levels. This thread has forced me to re-evaluate my position. As I climb through the license level ranks, I find more and more that there’s so much I DON’T know. I’m not the first EMT to come to this stark realization, and I know I won’t be the last to ‘figure it out’. Working my way through EMT, then EMT-I and eventually onto EMT-P, I find that when I was a ‘mere EMT’ I thought I knew it all. This feeli
    6 points
  29. I was with your train of thought, bro (because I know Airborne thinking patterns) until this last bit. Here, I think you dropped the ball, and you're going to catch a LOT of flack for it(not just from me, either I bet.) OK, I get the whole "balls to the walls" hero mentality... and I understand that combat medicine involves treating while under fire. WTF is wrong with you that you don't take the 15 seconds to protect yourself? How about popping a pair of nitriles on under your tactical gloves, so that you don't increase your chances of exposure to bloodborne pathogens? I know there's n
    6 points
  30. If you cut someone's property without an imminent medical need, you're really not thinking clearly and just being a douche. Sorry. You can dislike the "emo kid" and all his jelly bracelets... but unless you can't get them off without cutting, you have no right to destroy his property. What's wrong with you? If there's a medical need, you do as little damage as possible but do what needs to be done. If there's no medical need, and the original post doesn't really indicate whether or not there was, then keep your scissors to yourself. I'm actually really disgusted by this... is it OK to
    6 points
  31. I take no credit for writing this. I found it at: www.medicmadness.com If Chuck Norris was a Paramedic March 20, 2010 Posted by Sean If you have never heard of Chuck Norris, then you have been living under a rock with no daytime cable. From the “Delta Force” to “Walker Texas Ranger”, he has shown the world that he is one certified badass. Now today we are going to talk about what happens when you take Chuck Norris from the role of kicking ass to saving lives. So now the big question…… What kind of Paramedic would Chuck Norris be? Shifts Chuck Norris doesn’t work shifts. H
    6 points
  32. Actually hyperglycemia has been shown to contribute to morbidity and mortality in many acute conditions, MI and CVAs being 2 of them. Multiple studies have shown that it can reduce hospital survival rates and glucose levels are often looked at as predictors of outcomes. Pt's are started on insulin drips to strictly control the glucose levels even when they are only slightly elevated no matter what the cause of the hyperglycemia. There are plenty of studies out there and it the adverse effects of hyperglycemia with head injuries and sepsis is also well documented. Here are just a couple
    6 points
  33. Ive seen some local fire trucks around here at Subways, KFC, and the such. I wonder just how wrong, i.e. funny, it would be if one of these trucks pulled up at KFC with the PETA ad on the side...lol And I just have to say that meat is muder.................... Tastey, tastey murder. Yummmm *I wonder if I will start getting negative votes now lol
    6 points
  34. Wow. Just.... wow. It seems that there are at least three different questions here: Should abdominal palpation be done on this patient? Should it be done by an EMT or EMT student? Should it be taught to EMTs at all? Was the situation handled correctly by the OP? 1. Yes. Abd palpation is indeed indicated in the general examination of abd pain. However, it should be done at the proper time, by the proper person, utilising proper technique. And, of course, it should be deferred if the clinician determines a potential for exacerbation of the situation by the manoeuvre, or if it causes to
    6 points
  35. Everybody should make their own decision about the vaccine. I don't believe that any vaccine should be mandatory UNLESS failure to vaccinate puts the rest of the population at risk. I remember, as a grade schooler, going to my elementary school and getting the flu vaccine in the 1960s (it was mandatory). I am taking the shot as soon as I get to Las Vegas early next week. As a group of emergency physicians (at UNSOM), we decided not to take the nasal vaccine because it is a weakened (attenuated) form of the H1N1 virus and we were afraid that we would shed some of the virus which might adverse
    6 points
  36. 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
    6 points
  37. I'd refuse to administer or draw up the atropine and state on scene if need be that atropine is not indicated for refractory ventricular fibrillation according to the current 2010 AHA recommendations. Then, report as necessary if needed.
    5 points
  38. I don't think its a bad thing to say "brother" and some of those nonbedroom names. Always find it a little weird when someone is doing their assessment, touching me up, calling me darling...feels like I should have at least gotten dinner first...
    5 points
  39. *Back story to this post* We were dispatched for a 0.2 mile Inter-facility transfer from one ICU to another because this pt had a type of pneumonia that couldnt be handled at his existing location. We arrive there and we have the following 0.2 mile? 3 blocks? Was it downhill? Could you push him there? Just kidding. approx 65 yo male who is sedated running 3 infusions controlled by a pump norephinephrine fentanyl and a antibiotic which I cant think of at this moment Ok, so he has a pressor (norepinephrine) to maintain his pressure because he's septic, got all sorts o
    5 points
  40. Don't get hung up on buying equipment or the great stethoscope debate. Learn your priorities now and it'll help prevent burn-out. Priority one: yourself. Long before you go nuts with gear for scenes and patient care, consider your working environment and how to make the best of it. Look at your boots, socks, underwear; are they going to keep you comfortable and dry during the shift? Beyond that, get a good water bottle and keep it filled. Pick some healthy snacks for the truck and if you don't have a station where you can cook, make sure you get in the habit of packing a good lunch now
    5 points
  41. Heard something similar from an EMT riding in Berlin. He told me that at New Year`s Eve, they would get dispatched to psychatric calls quite often. Over the years, they had quite a few elderly patients getting a fit, because all the fireworks draw them back to the bombings they had survived in WWII. @ crotchity: When you have really nothing to say, but a load of crap to provoke others, wouldn`t it be best to say nothing at all?
    5 points
  42. SD, who the hell gave you a job? I don't even mean an EMT job, I mean who the hell hired you? What person would interview you and say that you're acceptable to hold any type of job, yet alone an EMT job. I don't think I'd hire you to clean the bathrooms for fear that you'd go crazy and insist on bringing your own "tactical" cleaning supplies. You're clearly a whacker (with your OC and cuffs), and now you're demanding discounts? The establishment determines the discount, if they want to give one. Sit back, let your bill come, and see if they give you one. Never ask. I don't care if yo
    5 points
  43. Look here, my friend... we don't give out negative points because we don't like you, we do so when you appear to be a friggin' troll! I read through all of the threads you posted as you posted them, and you rambled all over the place and made a mess in here. I'm sorry, but you then lashing out and calling people paranoid (with a definition no less) just makes you look even dumber. You're an internet whacko, and were summarily labeled as such by those experienced in identifying them. Congrats, you got your money back. Sorry you got screwed by the strike because you happened to be going
    5 points
  44. I earned the negative rating it is not linked to this post but rather me. It wasnt easy to get this rating it required alot of effort and I get really upset when someone agrees with me and gives me a positive rating which ruins the whole thing. I was at -21 just a few days ago and 3 rude dogs went and ruined it by giving me positive feedback. As far as cheating on anything the old saying that 'your only cheating yourself' is true, education uses testing to measure whether the approved subject matter has been presented well and that the students have retained it to a level considered accep
    5 points
  45. This comes from instilling a sense of 'entitlement' to our kids. We've taught them that you don't necessarrily need to expend the effort to get the 'prize'. Couple that with the latest trend to only put forth minimal effort, and look what you get! How many times on this site alone, have you seen people wanting to know the 'quickest' or 'eaiest' way to get through EMT (or higher)? We can spend all day long extolling the virtues and benefits (not only to our patients, but to ourselves as well) of higher education, hard work and honest effort. People aren't listening, because we're not
    5 points
  46. Not a popularity contest. I earned some points because I tried to do something interactive, positive and educational. You took a tiny little beating because you simply whined, tried to do something negative, and then whined again, which is why you'll get negative points again. Your experience here is not normal. Very few of the new members stay and whine. They either need to whine, and eventually leave, or they step up to the plate and try and be productive and intelligent. You've done neither. You don't leave, yet you continue to whine. I hope better for you...I'm just waiting to see i
    5 points
  47. I've bumped into a few little oddities or inconsistencies recently, and I figured I'd roll them all together and ask for input on them. Interested in any thoughts. 1. I was originally taught that during a field birth, you suction the neonate's mouth and nose as soon as the head becomes available. This is to prevent aspiration of meconium once the little bugger starts breathing. However, I've been flipping through the 2005 AHA recommendations and I note that they actually do not recommend this practice, called "intrapartum suctioning"; according to their review of the literature it shows no
    5 points
  48. Miss Beatrice, The church organist, Was in her eighties And had never been married. She was admired for her sweetness And kindness to all. One afternoon the pastor Came to call on her and she showed him into her quaint sitting room. She invited him to have a seat while she prepared tea. As he sat facing her old Hammond organ, The young minister Noticed a cute glass bowl Sitting on top of it. The bowl was filled With water, and in the water Floated, of all things, a condom! When she returned With tea and scones, They began to chat. The pastor tried to stifle his cu
    5 points
  49. If you are lamenting the lack of pride and blaming it on the young and/or the absence of mentors, the culture, etc. then I have news for you. You are part of the problem. A single person can make a difference on the shift and on the station and then on the company. I am living proof. I am still a newbie medic at my company. I have not hit the magic 2 year service that qualifies me to be an FTO, a mentor in any official sense or eligible to precept anyone. (as it should be). I have no interest in advancement for the company and thus it is in no one's interests to kiss my butt or to do anyt
    5 points
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