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Showing content with the highest reputation since 01/17/2018 in all areas

  1. 2 points
    So Tyler and I met about 5 years ago at the hotel restaurant that he was staying at in the D.C. Area. I was living in Baltimore and he was travelling in for a National red cross training gig. So we meet up for a marathon chat session. He walks over and I'm thinking Man what a presence. He tells me "I hope I can fit in there" meaning the booth. I said "if I can so can you brother" and he did fit. We had a great laugh at our girth's expense.(I do know that 3 years ago he sent me a picture of him in a train car in a booth where he was fitting with room to spare and he said "remember the booth at the hotel?") We had drinks, a great steak, laughs at the cities most reverent members expense(Dust, Ace, Dwayne, Mike, Eydawn, some others I cannot remember), he told me that he was going to marry that lovely woman in his life, I talked to him about my SUCK's donkey balls job where he told me to quit if I didn't like it and stop bitching(I quit 6 weeks later) and everything in between. He told me something that I remember well, he said that Life only happens once, it happens to the best of us and you just have to grab it and hope that it treats you kindly. Tyler was always available to me, I could call him and he would answer, he called me a couple of times with personal and job related issues and we always had each others backs. Tyler, you will be missed - you were a true friend, if I was able I'd be at your funeral but trust me when I say, I'll be there in spirit to ride that supply logistics train one last time with you to heaven because heaven doesn't get resupplied by just any silly amateur, they need a pro and they picked you my friend. Stay the course, we got it down here, your job is done on Earth, it's only beginning upstairs. Ruff
  2. 2 points
    I believe he was 28, and the wedding was to be next year. I'll check with Jennifer (his fiancé) to see if I can get an address to send cards and such to. She is trying to put together a memorial for him. When I know more, I'll pass it on....
  3. 2 points
    So, I am now in EMT class, again. I took it once before many years ago and really enjoyed it. However I was never able to work EMS. At the time I took the class, I was also in backgrounds for the Sheriffs Dept in my home county. So when I was hired as a Deputy, I was asked to let my EMT certification expire, as they did not want any liability and did not want to provide me with any materials. I left law enforcement for many reasons, after 5 years of service to them, considered going back, but the timing just wasnt right for me personally. I began driving a Semi truck hauling hay, and later hazmat, and hazmat took me to Los Angeles. Recently the wife and I wanted to move back closer to our families, and I was tired of driving a truck and dealing with hazwaste and bio-hazard medical research waste. So we moved up here. I worked for a short time as a propane install specialist, but left when I took my paid family leave for when my daughter was born. After that I had to get onto disability, as a hand injury I didn't take proper care of when I broke my hand, really came back and bit me. getting ready for my second surgery now. So, here I am, back in EMT school for a second time. This time to stay.
  4. 1 point
    Aux États-Unis, le niveau de sophistication médicale de l'ambulance ne peut pas prendre en charge de telles entités de diagnostic avancées. De nombreuses fois, nous ne pouvion s pas traiter ce que nous avons trouvé avec ces appareils de toute façon.
  5. 1 point
    I'm an EMT Student trying to decide what path to follow. I know for a fact that I want to do EMS, and nothing else, but the best paying jobs in my area are for FF/EMT-P. There are ambulance districts around me, but pretty much all but one pays less than $15 an hour. I really don't have any desire to go putting on turnout gear and climbing up ladders, but I have heard that many firefighters are on the ambulance majority, if not all the time. I wouldn't even mind doing medical calls on the fire truck and extrications. The FD jobs are very hard to get, but is it worth it? I don't want to be stuck on a fire truck all of the time.. Should I just stick to EMS? Thanks, JT
  6. 1 point
    Hi All, Some of you may remember me as ‘Timmy’, the annoying and overly enthusiastic 16 year old cadet from Australia. It’s definitely been a number of years since I’ve been on here but I’ve gown up, done a few university degrees and working in the real world now – thanks to the support of some people on here, back in the day. I recognise a few names from all those years ago, hopefully I can get in touch with a few of you.
  7. 1 point
  8. 1 point
    NO one as seasoned - or salty as Scubanurse.
  9. 1 point
    I've been so busy with NP school, changing jobs, struggling with PTSD, and life that I honestly forget about this place until 1 in the morning when I can't sleep and see it on my bookmarks page.
  10. 1 point
    Welcome! Lots of seasoned folks here if you have any questions
  11. 1 point
  12. 1 point
    Been away for four long years. For some reason, an email popped up and reminded me of the site. I totally forgot about EMTcity! I'm back and plan on checking in more often.
  13. 1 point
    WOW! Dust may have passed into the great unknown but his legacy is alive and well when you realize he has prompted vigorous discussions so many years later. I never met Dust personally but I did have several off line conversations with him and I can only say I thought he was one of the most perceptive and caring persons I ever encountered. He really wanted everybody in EMS to excel and fools and idiots were not tolerated. Sadly every profession has far to many fools and idiots. Dust was an icon and everyone should strive to attain the pinnacle he set and be satisfied to only reach 70% of his stature. The RN versus paramedic argument needs to be put to rest but I suspect this will never happen. Each has a different job and one does not automatically transfer to the other. Nurses are paid more but they also have more education (not enough in my mind) and have employers that with better financial resources. In Pennsylvania, critical care nurses can take the state paramedic exam only after they complete an EMT course and jump through many hoops. PA uses the National Registry exam for initial certification but not for recertification. After passing the exam, RNs are certified as Prehospital RNs and not paramedics. I was a paramedic (nationally registered in 1990) before I was an RN and only had to fill out some forms to obtain PHRN status while maintaining paramedic status with PA. Dust is smiling upon us from above knowing that once again he has ticked somebody off and made them post heart felt opinions sparking new conversations. We can never improve unless we are challenged. RIP Dust and thanks for the memories. Spock May the tube be with you.
  14. 1 point
    What additional resources would have helped here?
  15. 1 point
    I'd say he died from complications of obesity.
  16. 1 point
    We have had some interesting results since we swapped to Ketamine as our primary induction agent with our status patients. Where previously they were unresponsive to Midazolam, they often cease seizing on induction. As we do not routinely paralyse our status patients unless their seizure activity prevents their oxygenation, so the tube is maintained with sedation alone. Previously when our induction was Fentanyl/Midazolam, you would get brief periods where the patient would cease seizing but then recommence and you were often bolusing midazolam during transport on top of you sedation. I love Ketamine so much, can't remember life before ketamine (I don't want to remember it either)
  17. 1 point
    ok so what you are asking is that you want to know that if you leave a patient you have already been treating and let them guide the ambulance in? is that what you are asking? Once you have assumed care (having been called by security dispatch to respond) and then you leave that patient on their own to guide the ambulance crew in, I think brings up a whole plethora of issues. 1. you are making sure that you are practicing inside your scope right? 2. You have assumed care for the patient as an EMT/security officer correct - then you have established a patient care relationship and you should not leave. 3. You should be directing others on the scene (if any) to go meet the ambulance, leaving to go guide the EMS in, is leaving the patient. That could construe that this is abandonment. 4. What would happen if the patient crashes while you are guiding in EMS? My advice, once you have established patient contact, you should not leave the patient. EMS are smart cookies, they should be able to find you just fine.
  18. 1 point
    Thing about burnout is.. its a smoldering fire yearning to become a flashover. You may not notice it until you are in it, and by then you are helpless to stop it. You should take a break and by break I mean do something else for 5-10 years, and if you still want to do this, it will still be there. It will always be there, waiting to take a bite out of you, taking everything you have and giving nothing back.
  19. 0 points
    So let’s say you have a priority one trauma patient with open fractures to the radius & ulna plus tibia & fibula plus free fluid in the abdomen. The patient’s vital signs are BP 100/60, HR 120 ST, RR 24, Spo2 95% on 2 LPM. The patients pain is 10 on a scale of 1-10. The ED that is transferring the patient has hung a unit of blood and gave orders for 0.1 mg/kg of Ketamine for pain. Plus 4 mg of Zofran IV x1 dose. This made the patient comfortable, but 1 hour into a 3 hour transport the pain returned. The medical command physician is contacted, but refused to treat the patients pain. What do you do?