mrmeaner

Just as likely as the polar reversal of 2012.

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No concepts can be learned or understood from the info in a pocket guide. That's not what they are for. And if that is your intent, you're going to fail.

So I shouldn't have learned to RSI soley from my InforMed book? :oops:

Bottom line, not much at all here for an EMT.

It seems like it's getting harder and harder for Basics to find FT jobs anywhere. Most places I've seen are looking for medics only.

Unless you want to work as a ER Tech, which, depending on the facility, I wouldn't discourage.

Yeah, and I'd still put money that those doctors and nurses would still see more acute patients per shift than many NYC EMS crews would in an all-ALS system.

Yeah, regardless of the system it will probably be abused.

On a related note, yet unrelated to origional topic, I have heard that if an ED doc sees a patient whose bill never gets paid, the doc won't get paid either. Any truth to this or does it vary by locale and/or contract?

"Would you allow a homosexual to shoot your partner?"

Depends on which shift I'm on.

"Would you allow your homosexual partner to be shot?"

Depends, does he/she have a better schedule than me. Move up!

"Should homosexuals be allowed to wear bullet proof vests?"

I don't think they'd go with assless chaps.

"Should homosexuals be allowed to carry a weapon on an ambulance?"

I had better not reply to that topic. :twisted:

Anticipating a "Would you allow yourself to be shot by a Homosexual?" thread are we?

Glad I'm not the only one who noticed.

I was going to ask if the victim was killed by a drag queen, but the thread was already well underway.

Strong work, man. Make sure you take care of yourself during this and in the months after. Sending you a PM.

Indeed, I do. I used to work in the EMS EMD, for 11 years before the merger into the FDNY, CBEMT.

And, as if I have to tell it, just how do these people get to the ERs for the nurses and doctors to review their crap? Why, by an ambulance, of course, MrMeaner.

Sorry, missed this post.

Right, plus the walk-ins and wheel chair vans makes for a lot of non-emergent people in the ED. I'm not saying you guys don't get more than your share, but it's everyone's problem. I can't imagine it's going to get better if nationalized medicine becomes a reality, either.

Typos are fun

I wish I could say I was drinking so at least I had an excuse. #-o

If I was introducing meds into a BLS system I'd have put epi ahead of ASA (if I had too).

I don't know that I'd agree. Granted, in acute anaphylaxis an Epi-pen or epi ampules are a life saving tool. However, if I remember correctly, ASA is the only medication given by any level of EMS proven to increase morbidity and mortality in acute MI. I would think that ASA has saved more lives in acute MI than epi has in anaphylaxis.

In any case, it should not be a matter of one or the other. Both should be available.

The emergency and critical care version is the one I use. Just realized it's a couple years old though.

Most guys are, until bar closing.

Why has no one has tried mass Prisoner killings (they are locked behind fences and easy to pick off) ... this would be a very trendy band wagon to jump on and the shooter would go down in history as a HERO as opposed to a killer of the innocent ... and sure would save a lot of tax payers dollars in short and long run ... just saying.

Dude, you sound a little dark and angry. Did the hockey players strike?

I don't know about a hero, but I do agree that the world would be a little better off if the VT shootings had been at Virginia State Pen. I agree all lives are created equal, but the value of a persons who grew up to be a rapist does not equal the life of the average citizen.

Your home health nurse?

Same person who will end up raising these kids. "Somebody Else."

People have to apply for adoptions, but is there no application process for artificial insemination?

It was suggested the EMT(P)s could just carry guns on ambulances without their employer's knowledge since a conceal weapon's permit makes it "legal" according to a few.

That's not my opinion. Why are you arguing that to me?

I thought you said you knew something about working in a city ED. Let me try to explain this to you simply.

A patient might come in restrained by PD or EMS. They will NOT go to the triage area near the waiting room but will be placed in an area where they can be observed and continue to be restrained safely.

Occasionally a patient will be extremely agitated by whatever happened from the time at the scene and during transport whether it be from an exchange between EMS or PD.

Yes, occasionally the ED does get Christmas cards from a patient. But, it is usually not a patient we restrained.

Did I explain this clear enough for you?

Restrained patients are not the only ones who get agitated enough to eventually become violent in the ED. One of the VA hospitals I go to is a great example of pissed off patients. They usually end up waiting for several hours in the waiting room. We transported a patient from a VA ER to another local hospital because he had chest pain and had been waiting several hours and had not yet been seen. One of the triage nurses is known for making people wait for no apparent reason. When a patient finally does get upset enough to become violent, they call the PD and have them held until they can be transferred to another VA because now they are considered a psych patient and, "Unfortunately, our psych department is not taking admissions." That is intentional. It has been reported. It goes nowhere. They just call another service for transports.

You said, "Unfortunately, some of the assaults in the ED come from patients who have been thoroughly agitated by EMS prior to arrival." As I said before, if it is intentional, it needs to be reported. If it is not intentional and it is justified, than it is just unfortunate.

You kept making remarks about me hiring morons and I am informing you that is not the case.

Wrong. You inferred I was talking about your employees. I said don't hire morons. No morons = Less problems. Show me anywhere that I stated that you hired morons.

I was referring to threads on another forum and not the people I hire.

So was I.

You also insist on insulting a company that I used to work for during a very volatile time in history.

I said it was a failure. Saying you failed does not necessarily mean you suck. Do you think things would be handled in the same way now? There were a lot of failures in the way things were handled. I understand why they failed. From what my family tells me, Chicago was more like a war zone than their home during that time. The phrase “desperate times call for desperate measures” was applied. However, answer me this: Other than that during the riots, how often did your rigs get shot at?

If you have no experience with street violence and riots, you can not criticize the job we were doing at that time.

That is a ridiculous statement. So if you don't work in politics, you can't criticize the president? Must be nice to never have to face scrutiny.

You seem hell bent on insulting all medical professionals that don't hold the same values as you even though this thread is about EMS providers.

Where did I insult all medical professionals?

You started the remarks about RNs, RTs and MDs not knowing anything about violence not I but I will defend any and all healthcare professionals that do deal with combative patients regardless of the place.

Where did I say they don't know anything about violence?

You have a very stereotyped attitude about nurses.

That's a shame considering that I'm starting nursing school this fall. I wonder how I'll deal with the self-loathing? :roll:

Those that do work in the ED must put up with these combative patients for several hours and maybe have several patients like this to oversee at the same time. You can also have the luxury of a LEO escort and can dump the patient off after as little as 15 minutes.

Wrong. You see, we don't have a security department at the smaller hospitals where I work. If there is a problem with violence in any of the departments, the EMT's are expected to assist and/or restrain the patient or visitor until law enforcement arrives. Many times we are in the rooms already because the nurses have had problems in the past with the patient or they anticipate problems. So, who sits with these patients when they are admitted so the nurses can take care of other patients? WE DO.

Don't tell me I have a problem with nurses. I am related to several and my mother works with the ED in one of the hospital where I am. I understand what they deal with on a daily basis so you can drop the omnipotent attitude and have the intestinal fortitude to stop hiding behind BS statements like "You don't know how it is." Take the time to read what I'm saying and don’t just look for something to get pissed off about.

Or, watching a county cop tell a first responder, "No, I can't jump start your car with all the lights on it." = Priceless!

It seems you just have very limited experience with any other medical situations besides your own ambulance. That also goes for your understanding of hospital EDs and other medical professionals.

Nope, just work for hospital based EMS in several communities and Medical transport in a large city. Poor sheltered me.

No we do not restrain a patient to a chair in the triage area for a nurse to screen.

Oh, right. The people sitting in the waiting rooms just love the nurses. I'm surprised they don't get many Christmas cards.

Why are patients brought to the ED by EMS patient restrained? Because they were violent or they need to be immobilized. How is this the EMT's fault?

While it is tragic to have any loss of life on the job, we have had many more EMT(P)s killed this year by MVCs than firearms. Yet, few get upset about the lax driver training in the industry or look the other way when a co-worker has a substance abuse problem that is still allowed to drive.

Well then, it's a shame that the state's EMS association has published a stance promoting the requirement of standardized training and the legislature will be making driver training a requirement for any EMS provider (which all services I work for have proactively completed) within the next year or so. We'll just have to tell them that apparently we don't care.

I don't know where the hell you work, but if you have a co-worker with a substance abuse problem and you don't say anything, you're just as guilty as the co-worker. If the employer does nothing then they need to be reported. Is this honestly a problem where you are?

As far as the bullet holes in a truck, I already gave you the info. No my company was not a failure because we all managed to go home alive after the riots. You seem to have led a very sheltered life yet choose to talk big on an anonymous forum about things you may know very little about.

Really, not a failure? Then why were you exposed to shootings so often that counting bullet holes in you rig was a daily part of your inspection? Just because it was the best you had doesn't mean it wasn't a failure.

Educate yourself to ways of preventing a confrontation with a patient and ensuring scene safety. Don't play the macho gun carrying EMT who must solve the problem all by himself. Let those in law enforcement do their job without a concealed weapon class graduate playing cop.

Why do you keep going to the point of only having consealed carry as a requirement? I have said specifically that it is not enough. Let me say it again: FROM WHAT I'VE SEEN, A CONCEALED CARRY CLASS IS NOT ENOUGH TRAINING TO ALLOW EMTS AND PARAMEDICS TO CARRY FIREARMS. Besides, why can't you be educated in defence tactics, ensuring safety and the appropriate use of a firearm?

BTW, I do not hire morons. Those I hire know they DO NOT carry any guns on the helicopter or fixed wing. Nor will we do any CCT or airport transfer with a gun toting EMT(P) even if and especially if it is concealed.

Right, because that's what I was suggesting, firearms on aircraft. :roll: Nevermind, I guess it's just easier to imply someone is ignorant and misquote them than to defend a point.

I already stated that there are many medical professionals that do go where EMS goes but do not want to be seen as a threat or the aggressor by carrying a gun into someone's house on a medical call. Usually they are alone when they go on these calls.

Are you referring to home health calls or 911 calls? When I said 911 calls that’s what I was referring to. I understand that home health nurses go to residences. So do the mailman, the gas company, electric company, the ice cream truck, Jehovah’s witnesses and census workers. But they typically don’t respond to domestic disturbance calls, MVA’s, shootings, stabbings or codes. Neither do nurses, docs or RT’s.

I also told you about doctors and other medical professionals working in other countries but want the people they will serve to know they come to them as medical professionals and not as aggressors carrying guns as the militia in their country.

I must have missed where you told me about this. Regardless, the comparison to this issue is apples and oranges.

rather than shooting their way in or out of a scene.

Shooting their way into a scene?!? INTO??? Do you seriously think that’s what will happen? Your apparent dim view of EMS is starting to explain your position.

EMS is not all that different except that some prefer not identify themselves as healthcare providers or medical professionals.

So are you saying that they are impersonating officers or is this about the inappropriate attire, which I would agree with?

I don't get what you are talking about with the hiking thing.

It’s a reference to walking on water. If “you counted bullet holes in your truck as part of your morning inspection”, then your system was an epic failure, you were working in a warzone, or you’re exaggerating, alot.

I meant it is possible to survive working all situations on a 911 ambulance and still live to talk about it.

Shouldn’t it be expected that you would live to talk about it?

Many dispatchers will automatically call PD for some parts of the city to escort the ambulance.

Assuming that it came in as a potentially dangers call, then yes, most would.

All a gun is going to do is not only make someone look like the aggressor with both the patient and the community but also give some a false sense of security by thinking "we're armed and ready". Thus' date=' some may put themselves into situations they shouldn't be in without PD.[/quote']

You look like an aggressor if you act like an aggressor. If you think you are ready for anything because you have a gun, then you are a moron. Don’t hire morons.

Still chasing. Bastard still owes me a quarter.

How old were you when you realized you should have listened to your parents more?

Ever since "fleshlight" made it into the word cloud on the main page my wife thinks this is a porn site! Sent you a PM.

I wonder where overachiever ass kissing bullsh!tter would land in the percentages

Politician. :wink:

Dude, you must be getting desperate!

How can people be pro-choice, but against the death penalty? It's a sick sad world. :dontknow: