Laura Anne

I am truly horrified by the responses by some of you in this terrible and destructive ordeal. NOT once did any of you give ANY consideration to that poor, poor, beautifuls car's feelings!!!! :shock: Hopefully that lovely machine wasn't hurt too badly and I wish it a speedy recovery...no pun intended. :roll: 8)

Dear LIL Junior Pumpkin: Welcome to the site. There are some simple 'extra rules' for you, darling....... :twisted: 1. You are to refer to me as your highness or 'oh goddess of the 308 world'. 2. I thank you for the CD, but do not think it gets you off the hook yet, rookie. 3. Remember to log off from now on or you'll be taught proper computer management via essays on the topic. 4. oops...gotta call.....wiilllll finish later... and Junior this Fx call is ALLLLLLLLLLLL you! :roll: 8)

Good luck and be safe, young man!! Try to keep in touch! 8)

OK, so I got some information, but not all out of a colleague of mine. He was saying how giving albuterol may cause the patient to 'dry up and have them go into V-fib or V-tach'. Unfortunately, I am at work and he had to go on a 911 call, leaving me hanging. I was attempting to look up on line some info on this, but have yet to understand what he's talking about. My point of view on this topic was that giving albuterol would bronchiodilate and therefore supply more oxygenated blood to the cardiac tissue that is fatigued, resulting in a fix for the pump problem. Combine this last after nitro, and lasix..... then do an in-line neb tx via CPAP if needed. OF course if the pump is broken then how is the oxygenated blood gonna get where it needs to be? Also, getting a pertinent history as to the cause of the CHF/AHF is the best way to treat.... :wink: Another question: would you use Valium as an anti-anxiety med prior to the placement of CPAP?? We don't carry Ativan and it's becoming a HUGE problem with me because I feel Ativan does a better job, but that's another topic. 8)

Wow, not too bright. :shock: This situation makes me wary of his skills; if he's willing to do something so reckless to cover his lack of promptness at work, then it makes you wonder what else he covers up by making such poor choices. The other thing that bothers me about this is the fact that he is going to be punished for making the false call and how the Chief commented on that 'there is no excuse for that', 'this is a very serious charge'. We all have dealt with people in the public who have made false calls, so why can't we charge them with the same degree of severity that this individual is going to get?

Yep, gives you a WHOLE new meaning to cookie, eh? :shock: I actually used to work as an EMT in the first aid station at Sesame Place in Langhorne Pa. It was just as educational as that video clip...... :wink: Very cute, Mike. 8)

That Song from the Offspring..... has the line in it...."Dance F*****, Dance!" Sounds kinda outta line, but its a really great song with an awesome beat... someone help me out with the title please????

My heart goes out to the family and friends of this brave young man. He was taken way too early in his life, and I think what's even more bothersome is WHY????? Have they found out who or why this person did what they did? The anger and heartbreak we all suffer, especially those who knew him, need a closure; a place for the unanswered questions. It's terrifying to think there's people out there like this, but they're there.......so PLEASE, everyone keep safe!

Naw, but thanks anyway, Rich.....I was up all night fretting on how to get more mone.....uhhh, I mean deal with the anguish and pain when I saw a TV ad for 1-800-swindler.

I am very sorry to hear of your hard times, Ladybear. Southern Cali is a bit of a hard place to live due to so many ill intentioned influences....been there, done that! If he loves Grandma as much as you say, perhaps being there for her as well as Grandpa will be a loving and nurturing experience for him. It may be more of a blessing to send him there to help out Grandma in this time of stress. Whatever you decide, I know you have his best intentions and love in your mind and heart, therefore it'll be the right decision. :wink:

Yep, the $1,000,000 cup o joe! I remember that from years ago, hence the reason I used it because I think it's the first example of a ridiculous law suit that comes to mind. :wink: As far as driving off road, I guess that gets a bit tricky, but has to be done in those areas.....

I was wondering the same thing, Dust.... how the heck did the truck's tire get in the lid of the septic tank unless they rode up on the lawn? And WHY did they need the fire truck anyway, but that's another debate that's been run over and over....no pun intended! 8) Couldn't the family counter sue for destruction of property since she cracked and broke the septic tank due to them driving a fire truck onto the lawn? I wonder if she had to do a MVC report and if so, wouldn't the Vehicle Ins cover her if not workmans comp? The law suit just sounds very petty to me and also goes to show you can sue for anything nowadays...... :roll: shameful. HOLY CRAP! I just spilled hot coffee on my lap because the lid wasn't on. I just burnt my legs.... so hmmm, do I sue my job for buying crappy lids or the lid maker? Maybe the coffee pot maker for making coffee too hot? Perhaps the uniform shop for having pants that aren't scolding hot water proof?

ALSO, in honor of Dust...... "Just don't wear panties and there will BE no problem!" :twisted: OK, so if it was my body, I think I'd be upset if I didn't have a good repour with that doctor. Also, being so close to the "whooo-whooo" zone, I'd be questioning exactly what/why things happened like this in the OR. Aren't there any witnesses who can attest on behalf of the surgeons' good reputation, or was he ALONE.....? :shock:

From my point of view, I have yet to come across a patient that I would have to restrain in a prone position. Doesn't mean it'll never happen..... Heck, I had my first tree impaled into a patient approx a month ago. Try backboarding that! :shock: :shock: :shock: :shock: :shock: :shock: :shock: :shock: :shock: :shock: Basically, I agree with the 'never say never' theory: until I am stuck in a situation that calls for the care of my unruly patient, or a patient in a unique position to be placed prone, I will be able to justify it. If you can't justify it, I'd recommend not doing it. What frightens me is the providers out there that think they can do anything they want (AKA MACHO SYNDROME) and think they can justify their actions. The problem is that from their training and point of view, the care provided is justifiable. Looking in from the outside though, we can all give our reasons/views as to why their choice wasn't the best option and VIOLA!!!!! places like EMTCITY are created. This is an educational tool and the comments from all should be taken in with a grain of salt and appreciation. This is why I love these posts because I learn a ton from reading them.... 8)

......" don't worry, sir. All bleeding stops eventually." :twisted:

LMAO, oh deer gawd...uhhh, I mean dear...ahem. Well if he's still hungry (just vomited a bit in my mouth), he can ALWAYS come visit me at the wild life animal rescue clinic and find allllllll the wee lil chocolate M&Ms that the fawns leave for me to clean up! :wink:

Awe, its ok, Kyle...... at least the Easter bunny is still real. But uhhh, I need to tell you something.... Those aren't mini chocolate eggs he's hiding all over your house...... :shock:

My heart and thoughts are with you all in this time of loss. To lose such a brilliant person is truly a loss for all of us. God bless you and yours in this time of sorrow.

Doing 911, if I had a patient that was going to cause me or my partner harm, I'd remove my partner and I from harms way. If this cannot be achieved (in the back of the rig), remove the harmful component, AKA, remove them from the truck. If it ever got to this point, Pd would immediately be required to collect the patient. Once restrained, have Pd assist in transport to ER. I never heard of restraining a person face down on a LBB. Different, I must admit. :? As far as VS go, you can obtain a set by assessing your patient: screaming/talking= airway, breathing once a patient is restrained, check the radial... presence= BP, rate= well...rate! In doing these simple things, you obtain the basics for maintaining the patient. You don't need a Pulsox or EKG in a case like this because it's not going to give accurate information, which in turn can be more detrimental to a patients well being. Starting an IV is probably just as dangerous, so as long as the patient's basic VS is being maintained, then if meds needed, IM will suffice or just transport to ER. I live in a local where we have 2 ER within 5 mins of any call,so transporting w/o further care is normal because by the time the above are completed, you're at the ER doors.

OK....so please don't get upset, but I am going to take a shot in the dark.... You were watching TV at your NREMT something station when the 'tones' dropped', and they actually sound like the ones on Rescue me...kinda cool eh? 8) Anyhoo....you find the Pt who was supposedly dazed and confused, then not answering questions properly. Hmmmmmmmm, sounds like her husband just broke the news to her that he is her uncle-daddy. That's what caused the initial dazed look. The lack of proper responses afterwards were from him trying to explain that she used to have an older brother from another mother who murdered her REAL father in an Oedipus type fashion. When her estranged brother approached mom in an effort to win her love, mom decided to have a kid with him, then kick him to the curb. :shock: THATS where she came into the picture. She's the result of her mom and step-brother romp! :evil: Uncle stepped in afterwards to help pick up the pieces (and get a piece of mom, too cause apparently she was kinda cute). :roll: Are you following so far Shane?? good. 8) SO, now the NREMT medics (you) arrive on scene and startle the poor woman because you look identical to her brother. :shock: She goes unconscious due to shock and experiences shallow yet labored resps,kinda like the Gate Keeper in Ghostbusters. My question here is did she levitate 6 feet in the air, too? Her blood pressure was narrowing, but then again it wasn't....I have nothing for that. :roll: In regards to her Abdominal pains, well gee....that's the labor pains from her love child with Uncle daddy!!!! She's been pregnant with the child for approx 16yrs, hence the reason the pains are soooo intense they're radiating up between her shoulder blades! OK serious now... TX: Place supine, open airway, high O2,possibly with some manual assistance After assessing the 'narrowing BP', let place her on the monitor and start an IV, lg bore due to possible AAA In the process, a D-stick would be appropriate by in by, her assessment of her abdomen showed us what, Shane? her pupils? more on skin pls? of course, my concern would be that if she was experiencing a bleed of some sort, laying flat wouldn't really be best, but if shes unconscious.... AKflightmedic and others.... please don't be upset by my post. After finishing my little left field story, I realized you posted about not wanting any nasty comments, so this isn't nasty, but just playful. :oops: 8) Shane, please respond and fill us in on where you're going with this scenario because my lil left field story is a result of the lack of response from you on the posted topic.

I wonder what mom does for a living? I wonder if there's a dad in the picture? If she's a single mother. Perhaps whomever is watching the children while mom works isn't teaching them what society considers appropriate behavior. I very much doubt the mother was capable of educating her kids on this, especially after the comments made in the paper. Even if she does, the extra time and patience she must have for those kids would probably make others rip their hair out. I can sympathize with her having children with disabilities, but did anyone think of her daily situation at home with the children? Hard to pass judgement having not been in her shoes. Mind you, I am in agreement with the airline because having the kids running in the isles is just plain dangerous to not only the kids, but to other passengers and the flight attendants. What if there was a passenger who doesn't have any patience and suffers from a short fuse? He/she starts yelling at the kids and at mom, mom yells back, flight attendants try to dissolve the tempers, and now the entire flight is feeling restless, including the possible air marshals on board, who will ultimately have to jump in if violence broke out.......... Sounds far fetched? Not really..... that's why they're kicked off the plane. And no, Ruff, I don't have kids. :wink:

Wait, what does mom mean, 'a hard time'? Is he out of breath, or is it just his energy? Is it a problem with motor function perhaps? I guess they would be other signs for Muscular Dystrophy.....

Did some reading on the lovely google and came across tracheobroncho-malacia and was wondering if the kiddo is out of the age range for it? The intense respiratory efforts would compress the vessels in the thoracic region. Also, this is a type of disease associated with chronic heart conditions. As far as treating the issues at hand, I'd wonder if the bradycardia was a result from the intubation, or something else? I'm guessing it's something else..... :roll:

I work for two different EMS agencies. The first one I'm at today, and it's a part time gig with a fire response to back us up. We normally don't get any assistance from the fire company since its the weekend and the volleys are responsible for helping us. Now, I am NOT picking on volleys, just making the point that they never show up unless it's a MVC or some other trauma-drama. Honestly, I don't need them on my scene. If I did, I'd call them, but the response time would be very extended. :? During the week, though, it's two paid trucks that respond to ALL EMS calls along with the MICU. Again, I don't think they're really needed since we normally get there first and end up recalling them. My second job, being my full time a service doesn't have fire response unless requested. Instead we have 2 float trucks to assist in backing up and taking any overflow calls. I feel from working in both squads that the full time spot is a more appropriate way to handle this type of situation(sa). My two cents.... 8)

Do all lifeguards look like that in Australia???? 8) *sigh* why can't they look like that here???? Oh yeah, nice video...ahem. :oops: