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Echoburger

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  1. MedStar EMS or "The Area Metropolitan Ambulance Authority" (or something like that)...provides 911 service to the citizens of Fort Worth, Texas and fifteen surrounding cities including: Blue Mound, Burleson, Edgecliff Village, Forest Hill, Fort Worth, Haltom City, Haslet, Lakeside, Lake Worth, River Oaks, Saginaw, Sansom Park, Westover Hills, Westworth Village, and White Settlement. MedStar EMS also does non-emergency interhospital transports and emergency critical transfers. MedStar 911 utilizes "System Status Management" to deploy ambulances in areas where calls are predicted to come in at certain times of the days. MedStar utilizes a combination of EMT-B's, EMT-I', and EMT-P's. Every unit is MICU equipped. It is not unusual to have 3 personnel on a MedStar unit. MedStar works along with TCC (Tarrant County College) for EMS ride-alongs for their EMT programs. I do not really know a whole lot about MedStar. In fact, if I can say this nicely, the majority of times MedStar has been in the news has been for negative reason. 1. MedStar at one point (approximately 6 months ago or so) was so short staffed that the Fort Worth Fire Department (FWFD) had to ask Firefighter/EMTs to work overtime on brush trucks to first respond to high priority medical calls. The brush trucks functioned as "Attack Units" and the system was so short of EMTs and Medics that the system had calls constantly on hold and units were clearing and getting calls literally seconds after calling in available. http://www.texas-fire.com/2007/09/11/fw-in-need-of-more-emergency-medical-personnel/ 2. MedStar was recently featured for having a response time of over one HOUR to a "non-emergent" or priority 3, seizure call. http://www.emsresponder.com/web/online/Top-EMS-News/Texas-Mother-Waits-1-Hour-For-Ambulance/1$7579 3. And perhaps one of the most stories about MedStar includes two EMTs that had sex with a 15 year old girl while she was on a ride-along. People called MedStar Paramedics "Pararapers" for many months after this incident. ...Don't get me wrong. Just because MedStar has been featured for bad response times and the "Incident"...it doesn't mean that the system itself is bad. I've met PLENTY of great Medics/EMTs that worked for MedStar. The sad thing is that the last story really took a toll on their reputation. MedStar's recruiting website: www.medstar.jobs MedStar's EMS Protocols: http://www.epabonline.org/ Hope this helps, chbare. Let me know if you need anything else.
  2. Speaking of "breaking ribs" while doing CPR. Does the "crackling", or as Dust described it, "popping", of the ribs usually occur as soon as you start compressions or does the cracking/popping only occur after several rounds of CPR and stress on the chest? Also...in a previous post, I asked about CPR while moving. I've never actually seen the option where a person "rides" the rails and uses both arms...however, I have seen the one arm technique where the compressor just walks on the side of the stretcher and uses their strong arm to compress with one hand. Is that okay? It seems like the one hand technique would be easier, but you'd have to push harder though.
  3. Is it me or does everyone find it a little freaky when in a cardiac arrest situation the patient just kinda stares at you. Other than that (and the smells, of course)...it's seems okay. Also...why do pt's in cardiac arrest open their eyes? I'd have to say that having the pt "stare" at you while you do CPR is kinda disturbing. I recently saw a cardiac arrest patient be brought in with her head tilted...when she passed me it looked as if she was just staring...lol. Any opinions?
  4. Thanks for all the replies, everyone. Yes, I've seen a couple instances of people riding the bottom rails of the stretcher. However, I just have a gut feeling that the stretcher could tip over or something like that... The city that I ride out in happens to transport every (as in, a lot) of the codes due to fact that the medical control system is...well...crappy to say the least. I have never thought of holding the top metal rails in the ambulance and compressing with one hand. That sounds like an option, since it's so bumpy in the back. I guess you'd just have to push harder since you only have one hand compressing. :-)
  5. Hi, I've been wondering, what is the proper/best way to perform CPR on a cardiac/full arrest patient while on a stretcher that is moving? Is it a wise idea to put both feet on the stretcher's bottom rails? Could you potentially distribute the weight unequally and cause the stretcher to fall? Also, one more thing. I understand that quality CPR is performed best when the person is directly over the person they are doing CPR on with their arms locked. In an ambulance situation, is it appropriate to sit on the bench and perform CPR or would it be necessary to stand so you could be directly over your arms when compressing? Thanks.
  6. Ambulance: "Medic 77 to Region View Hospital, Priority 3." Hospital:"Region View. Go with it." Ambulance: "Medic 77, Paramedic Doe transporting a 34 year old male complaining of abdominal pain. Patient states pain is in LRQ, does not radiate. Vitals are: Blood Pressure 145/34, Heart Rate of 80-strong-regular, Respiratory Rate of 20-equal-clear-bilateral, SPO2 is 100% on room air. Patient rates pain as a 8 on an 0-10 scale. Normal sinus rhythm on the monitor, got a saline lock estabished. We'll be there in about 10, any questions?" Hospital:"Negative. See you upon arrival." An emergency report: Ambulance: "Medic 77, Priority 1!" Hospital: "Go." Ambulance: "34 year old male, full arrest, full ACLS, 10." Hospital: "See you in 10. Go to Trauma-1." Physician's Order: Ambulance: "Medic 77, Priority 1, Physican needed." Hospital: "Go, we have Dr. Doe here." Ambulance: "Medic 77, Paramedic Doe, I'm on-scene, I got a 89 year old male, medical full arrest---unwitnessed. Patient was found in asytole. We've done 30+ minutes of full ACLS. Got the pt. intubated. Pt. has been in asytole the whole time. Requesting permission for field termination." Hospital: "Has the pt. been confirmed to be in asytole in 2 leads?" Ambulance: "Affirmitive." Hospital: "Receive. Time of death: 1553" Hope this helps. E
  7. Lord, help me. I'm serious. I guarentee, 100%, one day, if I become a Firefighter/Paramedic I will have something of this amount...just greater. This guy is an inspiration. I don't know who that guy is...but thank you. If I saved $17 dollars a week for 5 years, I'd have over $5,000 when I'm 22 (age I'll get EMT-P, bachelors in paramedicine). Beast.
  8. Heck...look at this: http://www.kookycanuck.com/kookamunga-challenge/ 7.5 LBS Burger....finish it within an hour...get it for free. We have a local rest-a-raunt that does that here to.. 12,000+ Calories!
  9. Ammmmmmmmmmmmmmmmmen! Talk about it...serious food.
  10. Me and another person were talking in chat about this scenario. If a pt. did consume this product, the member said that chances are the pt's airway will swell up quickly. Would an epi-pen do anything to help this pt? Afterall...this isn't an allergic reaction. Would pain management even help this patient?
  11. This stuff: http://www.sweatnspice.com/proddetail.php?prod=429 Hottest stuff in the world...16 million on the scoville scale. They say it's not meant to be consumed and its for "collectors and experimental" purposes. The product only contains 1ml of the stuff...pure capsicum. If a person consumed this 1ml...what would be the signs/symptoms? How would you treat for a pt who has consumed this product?
  12. ...and yet I thought I was "special" What's wrong?! :shock: :shock: :shock: :shock: :shock: :shock: One word: W O W
  13. <object width="425" height="344"><param name="movie" value=" "></param><param name="allowFullScreen" value="true"></param><embed src=" " type="application/x-shockwave-flash" allowfullscreen="true" width="425" height="344"></embed></object> ROFLMAO <object width="425" height="344"><param name="movie" value="http://www.youtube.com/watch?v=BWCeriGsFkA&hl=en&fs=1"></param><param name="allowFullScreen" value="true"></param><embed src="http://www.youtube.com/watch?v=BWCeriGsFkA&hl=en&fs=1" type="application/x-shockwave-flash" allowfullscreen="true" width="425" height="344"></embed></object> I seriously could not stop laughing once I watched the 2nd video. I sat there...just laughing...felt like 5 minutes went pass.
  14. :twisted: Okay, then...ITK, may I be the OFFICIAL EMT City PART-TIME Troublemaker? Just...part-time? ](*,)
  15. *Pats Chris on back.* It's okay, buddy.
  16. Here are some links: http://www.trainingdivision.com/ http://www.unitekeducation.com/index.php?o...&Itemid=134
  17. "ITK RULES SPENAC DROOLS" :shock: AMEN! just kidding, I love Spen-A-Cator Might get big controversy on this...but you could take a online EMT-B course if you want. It has it's benefits...you can do it anytime...and you can work it with your schedule and job. However..then you won't be able to expierence a classroom expierence. Everyone differs. I would take a community college if I were you...it would be much better. You can consider an EMT-B Bootcamp...personally, I don't like the idea of it...2 weeks crammed. Good BLS is the foundation of Good ALS. So...it's worth the time to become a good EMT-B, it will help you become a great EMT-P if you want. I wish you the best of luck, there's almost always somebody in chat...people here are great, will help you out with anything you need. God bless
  18. I had the most exciting, amazing, and unbelievable call on my first EMS Ride-Along...It was the call of the century...I had never been more exciting...it was soooo amazing...you would never believe what I got! I got a friggin... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... X-Fer. :roll: Dialysis Transfer. My first 911 "call/run" was also on my first ride-along...Chest Pains. Turned out to be nothing...however we did get a Code-3 X-FER later that night for a "Emergency Childbirth". Praise the Lord we got cancelled on that... ](*,) However, THE most exciting call I have ever been on was a "full" arrest. 2120 or so at the Station...(I was gonna leave at 2200)...I was hoping I would get another call. I was sitting watching TV when: "Dee Beep Dee Doo Doooo, *psssh*, DeDoDeDoDeDoDeDoDeDoDedo...450!!!! 450!!! Cardiac arrest!!!" I jumped out of the recliner so fast...never seen the medics run to the truck, and we went to the "full" arrest. Turned out to be a...upset lady with 'chest pain'. :director: Stay safe, your gonna love this site...a lot of great people here, *cough* ECHOBURGER *cough*, :toothy7: Just kiddin'. Stay safe brother.
  19. Username: ECHOBURGER Everyone calls me a different name...so...lets hear it. Burger boy...echoette...echonator... lets see the list!
  20. Thank you Andy. I understand that if a pt. is presented with a high RR rate but low tidal volume...you will bag them at the 10-12 per minute and don't override if they are exhaling...and if the pt. is presented with a low RR rate but good tidal volume...just assist ventilations and don't override?
  21. Okay, I have a question on ventillation rates when using a BVM or any other positive pressure device... If I remember correctly, the new guidelines call for 8-10 breaths per minute in a cardiac arrest pt (wheter intubated or not) Well...if you have a pt that is NOT in cardiac arrest...but is presenting inadequate breathing...how would you determine the ventillation rate? BLS speaking? Also...if I remember...the goal of ventillating a pt is to increase the "volume of air" delievered in each breath over a period of time... I'm guessing that there is no "set-answer" and every pt's ventillation rate will depend on other things to... So, how would you determine the ventillation rate of a pt that is breathing...but inadequately?
  22. I was thinking. Yes. Me...thinking...well anywhoo... I would start off by the airway...provided that she has snoring respirations, I am going to assume that the airway is obstructed. I would preform a Jaw-Thrus, if the Jaw-Thrust failed...I would use a Head Tilt Chin-Lift. I would suction and clear the airway...insert an OPA and start bagging the pt. We're gonna try to get the o2 sats up to 96%, at best. Circulation...pt's got a pulse, even though it is close to being bellow 60...so we would be considered about that. Package pt to a LSB, do a rapid trauma assessment...try to get history/meds/allergies from nurse. Consider a Helicopter, and redo vitals every 5 minutes. Thats all I can think of...somebody help me out. lol
  23. Okay Okay...I'll admit it. I'm admin. :roll:
  24. Dude, how ould you know what dispatch would say?? Set your age to 14 where it should be, and im curious as to how you are going to judge people answer as an EMT P if your not even a basic? i know what dispatch would say because I hear them dispatch almost every day...and I have a copy of the protocols for dispatching. i wasn't gonna judge people's answers...just wanted to see how they would treat. Obviously...I can't say whos right or wrong. I'm don't know much..and I hate thinking. It hurts when I think...badly.
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