Laura Anne

Well, well....looks like this lil sexist topic of yours may have worked, Pumpkin. It's been a few years and I just happened to come across the EMTCITY link in my mail and figured, "why not?". Wow. Interesting topic. Thank you for the amusement first thing in the morning. I am more than willing to let others pick up my patients. 17yrs in the field, 2 displaced ribs from a rolled MICU, a ripped apart left knee, and a sore lumbar region. Yep....bend over boys and pick 'em all up for me! It's MY TURN to admire your talented male working abilities. Just sayin. Laura Anne

I just want to say how very proud I am of you for sticking to it and following your dreams. So many people in today's fast world do not have the time or endurance to accomplish such an awesome adventure as the one you have created for not only you, but for all the lucky persons who lives you will ultimately change. You are a great person and I wish for only the best for you!

You can find this under WWW.PHILLYFIRENEWS.COM ..... local news column. Sheriff's Department Starts Paramedic Unit Matt Roth | Web Producer Posted: 10:53 am EST February 8, 2010Updated: 10:57 am EST February 8, 2010 Text Size AAA Montgomery County Sheriff's Department (l-r): Thomas Trojansky, Assistant Chief of Plymouth Community Ambulance Association; Kevin Thomas, Operations Manager of Hospital of the University of Pennsylvania Helicopter Medivac Division; Dr. Joseph DiMino, Montgomery County Health Department Director; Chief Alfred Ricci, Montgomery County Sheriff’s Department; Sheriff John P. Durante, Montgomery County Sheriff’s Department; Timothy Dunigan, President of Volunteer Medical Service Corps of Lansdale; Dr. Arthur Hayes, Medical Director of Plymouth Community Ambulance Association NORRISTOWN, Pa. -- The Montgomery County Sheriff’s Department has established a fully-accredited paramedic unit. This unit is in the process of being trained in the specialized treatment of injuries sustained by explosives and gunshots, according to Sheriff John P. Durante, who said some of the training will include working in full bomb disposal gear in adverse conditions. Unit members have begun their training at the U.S. Department of Homeland Security Center for Domestic Preparedness at the U.S. Army base Fort McClellan in Anniston, Alabama. They will also complete training at the Walter Reed U.S. Army Hospital and the FBI Hazardous Device Training School at the U.S. Army Ordnance Redstone Arsenal in Huntsville, Alabama. Durante said all training costs are being covered by the U.S. Department of Homeland Security. He said the paramedics will be able to enter hazardous areas in full protective gear and provide medical aid to bomb technicians, stabilize them, and then remove them from the scene for further treatment and transport by local paramedics. The “paramedics and EMTs who belong to the unit will benefit by being able to progress in their careers at no cost to them other than a two-year commitment to this specialized county unit,” said Durante. Prospective members of the new must be recommended to the sheriff’s department by their local ambulance chief and ambulance administrator. A panel consisting of representatives from the Montgomery County Department of Public Safety, the Sheriff’s Department, the Health Department, and the medical director of Plymouth Community Ambulance Association will then interview prospective applicants and review their qualifications. Durante said the goal will be to train as many paramedics and EMTs from the various squads as possible in order to make the program a success with the money that is available and then secure additional funding in the future to provide more training. The first volunteer members to join the unit are Dr. Joseph DiMino, former Major in the U.S. Army, former M.A.S.H. surgeon, and current Montgomery County Health Director; Dr. Arthur Hayes, retired U.S. Navy Captain who commanded surgical hospitals in Operation Desert Storm, retired Chief of Emergency Medicine for Montgomery Hospital, and present Medical Director of Plymouth Community Ambulance Association; Kevin Thomas, flight paramedic and Operations Manager of Hospital of the University of Pennsylvania Helicopter MedEvac Division; Thomas Trojansky, physician assistant and paramedic, and Assistant Chief of Plymouth Community Ambulance Association; and Tim Dunigan, Montgomery County Department of Public Safety Director of Pre-Hospital Services and President of Volunteer Medical Service Corps of Lansdale. The problem I have with this is that we already use funding from this organization to do this very job. They're the region TACT medics. Hmmmm, same organization, same equipment..heck....even the very SAME people running the show; a show that they are using Federal money for when they already basically do the same thing. To top it off, the Sherif of Montgomery County, John P Duranti, is the President of this rescue squad and uses it to promote his political standing in the county, nothing more.

I honestly hope and pray to God the providers don't have any pets or children because Lord only knows where they may leave them!!! How does one honestly leave a paitent in the rig? It almost sounds as if it was malisciously done....

I'm still waiting for my boyfriend to pay me back a friggin dollar for watching this show at my house. Yes, it actually cost .99 on Comcast Demand to watch it. The only reason, mind you, that he wanted to watch it is because he heard how absolutely horrific it was. Rabbit is dreaming up the entire show from the nuthouse because this kind of treatment/crap can't possibly happen in the REAL world! Hi. I am back.

They treated both the canine and his handler with the utmost professionalism one could ask for. The fact that they were able to contact a DVM to assist them via phone is also wonderful, and a big thank you should go out to that doctor as well. Perhaps this should bring up the question of animals and approrpiate care protocols. In such situations, it might be considered a very unusual cert one can obtain. We have search and rescue canines, Pd canines, equestrian Pd, etc..... they're also considered officers and squad members, aren't they? On a bit more somber note, this reminds me of a local Canine officer who was killed in the line of duty not too long ago (Plymouth Meeting Officer Layfield and his Canine partner Andy). Both were in persuit of robbers and Andy was shot threw the head and the bullet struck Layfield in the chest((thank GOD for bullet proof vests!!!!)). It would have been nice to give the dog some pain management prior to going to the vet.

lam214k@aol.com...or Laura Kleid....thats me!! :shock: 8) just type in my name n you'll find me....

I believe I was approx 5yrs old and I only remember this because it was a blizzard and the snow was well above my head!!!! How old were you when you first got into a fist fight?

Count me in.....as well as my man. We will be driving since it is only a few hours away and we will be staying with a friend. Sorry I cannot help out with any hotel arrangements, except to say, stay close to the city. One block outside the harbor is one block too many, if you know what I mean. :shock:

I think the 'funk smelly guy' is a world wide requirement for EMS!!!! Seems that EVERYONE has "THAT GUY" at their work....LOL :shock: And you guys are right....theres NOTHING that kills that smell. :evil:

Ohhh Mateo..... you mean when someone says, "The truck is fine...." while you're switching out and get hit for a run??? Get on scene and WHAM....its a mess. Pisses me off.... rarely does this happen, but I tend to get screwed with the change of shift call.

Well gee, VENTMEDIC... don't know what to tell ya. Sad but true I guess. Why do you think this field is the way it is? No one can agree as to how to run it. Each region, each COUNTRY is different. No one place is right or wrong. It wasn't until this morning that I understood about the PCP, ACP, and CCP of Canadian EMS. Learn something new everyday, but I sure as hell will not ridicule someone for what they are accustomed to. Doesn't make sense. What makes sense is to educate them, hence the reason this site exists, right? 8)

My worst pet peeve is....well I have a lot of them, which is why they call me 'Anger Management'. :oops: :evil: Seriously tho, my worst is when the previous crew doesn't restock the equipment/ supplies/ medications they used of their shift and you get that call at shift change. Nothing like walking in the door and having the medic say. "Oh good you're here! You're good to go. You have a diabetic call..." Get on scene and have NO D50 in your 1st box, NO IV supplies, sharps container full....etc. F*cken laziness and it makes me severely flip out!

Ambulance. Bus. Rig. Unit. Truck. Taxi. BAMBOOLANZE.... all the same. Just pokin some fun at ya for your choice of wording..... 8) :wink:

In Pennsylvania we complete an EVOC class. In Cali when I was out there approx 9yrs ago, I did a similar course up in San Bernandino Co for EVOC.....LOVED the skid pad BTW...LOL. :roll: 8) Not sure if it changed out there, but my regular drivers license is still a class C...just a regular person.

:shock: Damnit.... I always miss the good stuff.....?

If it was up to me, I'd opt for the intranasal glucagon if IV access wasn't an option. I'd follow this up with oral glucose. These two combined should give you enough time to get where you need to go. 8) As far as IO in peds as opposed to IV, if the Pt is sick enough to warrant IV access, I'd go for the IV twice, then I'd do the IO. I learned from the wonderful people on this site that IO is actually less traumatic in a severely ill/injured patient than the IV......less painful. In regards to Glucagon being lethal for patients with an extended transport time.... well you just bought the patient and yourself some time to think of what else can be done to treat the patient. I've never heard of it 'killing' someone. Then again, my local doesn't these extended transport times that you all may have. Good luck....

You've got some good insight already. I don't think I'll have more to add. At least not right now. Good luck in your new gig. Delco? Upper Darby? Or down at Crozier? You're certainly not up in Montco or Bucks. >>>>>paramedicmike quoted... stupid thingy didn't work...lol. HEY!?!?? Whats wrong with Montco and/or Bucks? :? I have never had the lovely experience of working in Philly, but I do work in the suburbs of this 'lovely' city. I don't think I could get paid enough to work there due to hearing from other providers that did/do work there and how much they hate it. The reason is call volumes, clientele, pay rate( nothing is ever enough for this field ), and some others I cannot think of, but deal with systems management.... :roll: Treat the patient accordingly in the environment provided. I may work a code in a house on one block, and then scoop n run on the next code. The difference is safety factor, not call volume. One is in a lovely home where the family wants to help and are anxiously assisting with any info I need. The other is a known drug dealer who is throwing his mom's pill bottles at my head while I was trying to intubate her in the back of my rig. Then, he stated he was gonna shoot me and my crew if we didn't save her. YEAAAH...those scenes you scoop n run. :shock: I am truly hoping that you were able to pick up on the scoop n run factor as opposed to the stay n play one. I'm assuming this was portrayed to you by the preceptors if they are as great as you say..... 8)

Ha ha! This is why I work in Montco and Bucks...NOT Delaware. Unfortunately, I do work for one place in Chester CO, but we run medic units, not chase cars. I had a run in with a guy who was a "MEDIC" on a BLS ambulance a few weeks ago during a call. NOw, I know that most of the area is BLS and there are chase cars, so I assumed when this a$$hole showed up and was stating, " I'm a medic...I'm a medic..." that he was on the chase car that was dispatched. Then I realized this guy was a tool. Thats when I asked him where his chase car and his OWN equipment were at and he replied, "Uhhh, well....I went thru the medic program, but I never got command anywhere. I'm on the BLS unit as a third person." Apparently the medic showed up, saw us there(duel dispatch to a car into a house) and left w/o really informing anyone except county dispatch!!! I don't like it in Chester County anymore because of this horrific experience....there's more to this debacle, but I don't want to get into it. Bottom line... my experience with a chase car, as well as the entire county system, was simply ridiculous.

Wow... you guys are about as helpful as tits on a bull..... :shock: Hey Fen....look into Chester County and Delaware Couny EMS in Pennsylvania. I know some of these counties have chase cars. Uhhhh, why the question, BTW?? 8) And where are you located?

http://www.philly.com/philly/news/local/38265369.html Link above describes a county I work in part time. I don't know the people involved but thought it was a bit unnerving to read it.

I'll probably drive on down Friday and hang out over night, partying it up with some of the peoples here. I only live approx 2hrs away.... 2hrs the way I drive, that is...LOL.

Wow...LOL... I was enjoying this thread until it started to get a bit side tracked.... or at least my mind did..... :shock: "Oh yeah!?! Well MINE never misses!!!" " OOOHH YEAAH!??!!? Well mine is a MAC 4!!" "EW!!! YOU like YOURS curved?!!?! I have a MILLER 3!!!" " Well, la-dee-da!!! I have a one like a bouchie......oh wait.....hmmmm.... :oops: " 8) Anyhoo..... We carry Etomidate, Valium, Versed, and Fentynal at my full time job. I have used Etomidate only once and the co-worker medic I was with pushed it a Slow IVP. Needless to say it didn't really work like I would have liked it to. If anything, it caused more problems!! I edned up calling medical command and getting orders now for 100mcg Fentynal and Versed 5mg with 2mg post intubation for sedation and it did the job.

:shock: Sounds kinda messed up all around. Did she live, btw? I would not report the Md due to it not being your priority, but I would stop him from doing any other medical care once you're on scene. His personal life is just that....personal. Many of us have been in a situation where we have been off duty and under the influence. It our own choice as to what we do-morally and ethically. You cannot pass judgement, you should not be biased, you are NOT repsonsible for his private life. Now when it comes to the person(s) in question being on duty and attempting to provide care in an ER and/or other medical environment, then it becomes a legal issue on which you can better act upon. My two cents..... 8)