speedygodzilla

how bout some base line vitals?

Start the patient on 6lpm or 15lpm of o2 depending on the indication of stress.

Immediately starting with some treatment I would put the fellow on 6lpm of o2 by nasal. I am guessing that DIB is the same as SOA or SOB. Not one I have heard b4.

Past history?

Asthma?

Ever had a heart attack?

12 Lead is a good idea.

Since the pain comes and goes I doubt is is a heart attack but I know little about diagnosing.

What is the patients change in vitals after 5 minutes of o2?

Thanks

Nate

EMT-B

2 medics being fired and facing legal issues for failing first to find the signs of child abuse and then by default failing to report it. Child died as result. They had listened to mothers explanation of arm injury and did not examine any other skin area, thus missed all the bruises of different ages on the child.

So whats your thoughts, should all patients have clothing removed and put in hospital gown or under sheet to avoid missing the less obvious? Do any services require something like this?

It bothers me that 1st of all the child died unfortunately, and also 2 medic lost there jobs. I do not think that all patients should have their clothes due to common sense and privacy. I can not say what I would of done in this situation without all the facts. Did the child go to the hospital? If so than, the medics would not be responsible by what I can tell. I work at an ER, so I work in the hospital base of ER. It would be up to the doctor to diagnose the patients condition and do the appropriate exam.

I hope that these medics will or can appeal to get their jobs back. It doesn't sound to me that they are responsible for the incident by going by what little I know.

If they are bleeding into their mouth SUCTION.... ohh and WHY would you call medical control ????? for what ????

An who is "WE ALL WOULD"... I certainly would not call medical control for an impaled object in the cheek..... no more so than i would call medical control for an obviously angulated and deformed tib fib fracture. just my 2 cents

Suctioning is great if you get the concept like many of us do. It doesn't look to me that everyone gets that it is an airway compromise.

And I didn't realy mean let just all call medical control for a simple thing as an implaed object in the cheek, but if your one of those who said never remove any impaled object "those all need to call Medical Control"

As for me I would let them know what I have done or am going to do about the impaled object in the cheek in my report to the ER.

As I understand this, an impaled object in the cheek is an airway compromise. The patient will be likely bleeding inside the mouth (as well as the outside), and this will block the airway. They may not be able to swallow the blood as they can't shut their mouth.

I know that is the test answer.

It doesn't give you the choice to call medical control or we all would.

Looks like you've gotten a lot of good advice especially the part on furthering your education. If your hospital has a nursing program they will help you get through nursing school while you work in the ER in order to get another RN which every hospital needs. That is why the ER tech concept was originally developed. Most of the hospitals in our area use ER techs. I was a patient once for a kidney stone and the ER tech started my IV. He did a great job even though he was nervous because he knew me as a CRNA and a medic. My hospital lets the ER techs (they are paramedics) do any skill allowed as a medic except intubation. They restrict that because the ER has emergency medicine residents who need the tubes. Smaller hospitals may not have that restriction.

It's great that you love your job so much and I would only suggest that you gain more experience before you start talking about nursing school. You may change your mind after six months. Most of the ER techs I know like working in the ER better than on the trucks because they have better pay, benefits and hours. They do give up autonomy but they feel it is a good trade off.

Live long and prosper.

Spock

I didn't try to give off that I have or don't have an interest in nursing. I am in Fire Academy and plan on getting my paramedic after that. I know what I want for my future for the most part. I like the hospital here but I have a strong desire to be out in the field someday. My fiance is still deciding, and I am leaning more on RN nurse for here.

Thanks Everyone

Hello,

I just recently got a job as an ER Tech at one of the local hospitals. This my first healtcare job and I am very excited about it. I am an EMT-B just passing the EMT Test back in February. I looked for jobs for a good month to a half till I finally got my first interview for ER Tech. I really want to work on an ambulance but I couldn't pass up the great chance to get some real experience.

I was wondering if any other EMT are ER Techs, and what are your responsibilities in the ER?

For me, I triage, get vitals, basic life care when needed, clean the rooms, draw blood (which is totally something I was never taught), do labs (also has to be taught here at the ER), & etc. There is also charts which I have to file. Today, Easter Sunday is my 3rd day on the job and I love it. Even if I have I work on a holiday. Welcome to healthcare, it is part of our responsibility.

My fiance is a CNA and is interested in becoming a ER Nurse and has heard that EMT-P can work at ERs and play the same basic role as RN Nurses. Has anyone found this to be true? Anyone do this? What is the difference on if you are an RN or an EMT-P in the ED?

Thanks

Nate

I think the solution is to enforce two concepts above all.

1.) Always yield to the other driver. You are the trained professional, they are not. You are supposed to be educated in driving safely, and a better driver.

Are they suppose to yield to the ambulance. I see this a bit confusing. I mean if I did drive which I don't yet I will always assume that the drivers have not seen or heard me until they are fully over to the right and out of my way therefore yielding to me. Until than I will keep my distance and yield to them. Is this what you mean?

I arn't for the whole 25 year old thing, but I understand the reasoning. With EMT-B taking only one semester of school, and EMT-B primary being the one who drives where I come from I see a slight issue. EMT-B are probably in many cases going to be under 25. So we have to wait till were 25 to enter the EMS world. Could always go straight to paramedic. However I don't know about the most of you but I would like to get some EMT-B experience in the field before I go ahead and make the commitment to 2 years of medic school.

I work as an ER Tech so I don't do any driving but I sure do observe many ambulances as I live by a hospital. I was on my way to school one day and heard sirens in the background so I looked around and saw nothing at first. Continued to look, it was day light and I noticed an ambulance approaching from behind with no lights on so I continue to look as I didn't think it was that vehicle, maybe from the other side of the road. Well sure enough it was that ambulance. I was on the far left lane and couldn't move to the right till the others at the stop light did. This slow the ambulance down greatly. Once it got past the stop light it turn on its lights. I think they must of forgot them. The lights play a big role in the whole lights and siren thing.

Your idea sounds great. Would love to see it in place, along with all the other things on ambulances like lights and sirens.

Hey, if mcdonalds can have a super sized meal then why not ambulance services.

Maybe dispatch will ask, do you need that super sized when you call for the ambulance?

the day I need a supersized ambulance is the day I take all my mothers pain pills to end it all.

lol you and me both!!! It is the sad truth as people can be stupid and lazy and which brings us to needing to super size things. Maybe we should just put a trailer on a fire truck. I would think that would be a lot cheaper.

Try this link...

http://www.flashcardexchange.com/tag/paramedic

I never seen this site before. I always figure there was some kind of flashcard site out their. It seems pretty kewl.

This is the sad truth

"On the other hand, Jacobs says if a rescuer mistakenly thinks there is a pulse when in reality there is not – a situation he has heard occurring in "numerous anecdotal stories" – no CPR will be given and "the outcome is going to be devastating".

A 1996 study found that of 206 people asked to find a carotid (neck) pulse in 16 unconscious patients – some of whom were on bypass and therefore pulseless – 45 per cent failed to recognise the presence of a pulse. More significantly to the present debate, 90 per cent correctly determined there was no pulse – but took an average of 30 seconds to do so."

And because of that I can not bash the guidelines. I just rather bash the people out their who don't know how to find a pulse. It is crazy to me how little first aid people know. I guess that just means job security.

My name is Nate, age 20. I am in Kansas City, Missouri.

I am a EMT-Basic working at a warehouse. Meaning I don't have an EMS job yet. I am currently working on it. I actually am hoping I got an ER Tech position but won't find out till Monday.

That is the basics of me, unless you got time to read a book.

I think it is crazy how the camera guy seem to almost get in the way. "Just doing my job." It is the freedom of the press, but why were there no barricades or outline area for people to stay out of the danger zone and the "work zone." Cameras since it is a right to have them should only be allowed in the cold zone.

What I saw didn't "bother me," however seeing young kids as the victims is never easy. I have to agree with the earlier posting that I don't think the video was any good.

It does look like the EMS and Fire was doing a good job, it would just of been nice to see a perimeter.

Be ready to get into the action. That is if there is any to get in. I have ran at least one day of a ride along at a fire house and we didn't get a single call accept helping an elder gentleman back up from a fall and taking him to the hospital.

Still be ready to know what to do with bleeding, how to put the o2 mask and cannula on, and anything that is "basic." If you are "lucky" you will get a call where you have the chance to use some newly learn skills so know how to use them.

Also you should know how to do vitals. That is something the paramedic will defiantly want to see you do. Remember even numbers only lol . I made the mistake to giving an odd number respiration vital as I was new and nervous. That is when the medic :shock: ask me how long did you count that for and I realize my mistake and took off a number to make it even. It is the little things that count.

Most of all have fun, and yea like everyone else says ask questions. I would also recommend bringing study sheets or something small that won't get in the way. If your clinicals are anything else than a hospital you will have some spear time.

Good luck

They had plenty of time? 30 minutes? Right!! I think the school did the right thing. Anyhow the school would of been liable anyways it goes so better to follow a "plan."

Best idea I have heard yet!!!!

Kewl video. I am a FF student and a current EMT-B so I respect both sides.

well I will be 21 in may so that I can deal with. SUCKS though

Of course the question then is, "What is a valid DNR?"

the way I remember is that a valid DNR must be sign by the patient and the doctor that being if the patient is competent to sign it.

Coming just out of class recently I would have to follow the book. If it is invalid DNR than I must work the code. However calling medical control is a great idea. I would hope I or my partner would of thought of this and than we could legally follow the pt wishes.

Howdy do?

I am 20 yrs old and I hoping to get my EMT-B certification soon. I have always heard, from where I don't know but that you have to be at least 21 to get hired on an ambulace service. Is this true? I have always heard it is because of insurance and the cost.

Thanks

Nate