rock_shoes

Way to go Detroit EMS management! How dare a PARAMEDIC give a freezing man a BLANKET. I know Detroit runs a deficit budget but disciplining a medic for appropriate use of resources? Grow up. Sent from my A500 using Tapatalk 2

I've never seen or heard of the Corpuls 3. I wonder if it's approved in Canada or the US. I find learning about the different tools available to do my job to be where I let my tech geek flag fly a little. My service has a process to present proposals to the product procurement committee. If a product is better and or more cost effective it's worth presenting. Sent from my SGH-T989D using Tapatalk 2

More a little nudge in the right direction for anyone who has trouble understanding what they're looking at with an x ray. Sent from my SGH-T989D using Tapatalk 2

What color does bone show up as on x-ray? Think picture negative for areas of hypo/hyper density. Sent from my SGH-T989D using Tapatalk 2

True. Most of that old "just suck it up" mentality does need to disappear. Unfortunately you can't change cultures overnight. A new phenomenon has also seemed to develop over the past number of years. Many of this newest generation are deliberately disrespectful toward their elder colleagues. This is completely unacceptable and in fact creates much of this backlash. There exists a very fine line between respectful discourse and babying. You can't always say, "that's okay you're new and learning." Some things require an immediate response beyond "maybe you should try it this way." The appropriate response can be "Do not ever do that again and this is why. If you ever do said action again I will be forced to report you to the appropriate regulatory authority." For lack of a simpler descriptor, there is a professional way to tell someone to shape up or ship out. Sent from my A500 using Tapatalk 2

Now that is the best way I've heard of someone dealing with discounts yet. Sent from my SGH-T989D using Tapatalk 2

What if you do it "free form" in whatever order you prefer then use the information you gather to fill in the designated form? Sent from my SGH-T989D using Tapatalk 2

Non-compete agreements can also be taken too far. My primary employer is the provincial ambulance service. At times I take industrial work. Depending on how things are written, if I had signed a non-compete contract, my primary employer could fire me for that. The private company I work for is in no way competing with my primary employer. How would that be a fair or reasonable expectation? My advice is always know exactly what you're signing. Sent from my SGH-T989D using Tapatalk 2

That's usually the idea with these things. Take it as on opportunity to improve your patient interview skills. Sent from my SGH-T989D using Tapatalk 2

That's a pretty tough order Artickat. I know in BC it usually takes a couple months to get all the bits and pieces assembled. Even then you pay for it all yourself unless you're a unit chief or part of the honor guard. Sent from my SGH-T989D using Tapatalk 2

Point taken Chbare. I do still feel that a great deal more can be done in adapting to varying learning styles. Firstly, and I think most importantly, the type of learner a student is can by reasonable extension be associated to the type of program that student chooses. I realize general education classes will have a broad mix of students, but this principle can certainly be applied to program specific courses. Secondly, in my experience accreditation dictates the standard that must be met not the methods used to meet that standard. Sent from my SGH-T989D using Tapatalk 2

I can relate to your perspective kiwi. I think in the end personal philosophy/religious beliefs play more of a roll in how we view and deal with death than any outside factors (including the circumstances of a particular death). I don't have religious convictions of any kind. If some "greater power" exists so be it. If it doesn't exist, I'm not losing any sleep over it. As a result most of the time I'm relatively neutral when it comes to death. Neither good nor bad, it just is. That's not to say I don't have calls that bothered me locked away in the vault. I'd be lying of I said I didn't. The difference for me, between just another call and bothersome, is if I feel there was something out there that could have given that patient a better chance. Sometimes those things are completely out of my hands such as a service or equipment issue. Other times it hits me because it's something like "If I'd gone to school just one year sooner I could do more for you right now!" The one call that always comes to mind for me is one where if I'd been an ALS provider at the time I could have given the patient a better shot at survival. I think it hit as hard as it did because it happened the summer before heading back to school. I knew what needed to be done and I had neither the equipment or the SOP at my disposal. This patient had a low probability of survival regardless of the treatment rendered but I couldn't render all of the appropriate treatments. Sent from my SGH-T989D using Tapatalk 2

That seems to be a serious problem with many education systems. Rather than try adapting instruction style to the students, students are expected to adapt to whatever style is presented. I've often thought programs should test students for their learner type, then break up the classes and instruction using the results as a guideline. Sent from my SGH-T989D using Tapatalk 2

Don't you remember a few years ago when there were reports of teenage girls soaking tampons in alcohol and inserting them? Probably the same people coming up with "butt chugging". Sent from my SGH-T989D using Tapatalk 2

I've heard of it but I don't recall what the intended mechanism of action was supposed to be. Something for me to do some research on! I've been sitting out on industrial sites this month and could use the stimulation. Sent from my SGH-T989D using Tapatalk 2

Only 12 lead mode removes the filters to the best of my knowledge. Otherwise the filters are working to make the rhythm readable while bouncing down the road. Filtering obviously can mask ST segment changes both good and bad. Sent from my SGH-T989D using Tapatalk 2

Before you go trying to change things first you need to discern whether or not it's actually a negative trait. More often than not it's strictly a matter of communication. Sometimes people need to be told they're doing a shite job. If noone ever says anything they'll go on assuming that they perform to an acceptable standard of practice. I don't like being the bad guy any more than anyone else but I'll do it if need be. Sent from my SGH-T989D using Tapatalk 2

I haven't had that problem with the protect IV. If you have a patient with frail veins you can initiate, retract the stylet, then work the cathlon the rest of the way into the vein. Might look a little creepy the first time you do it but it works and you're not risking catheter sheer because the stylet is fully retracted. Sent from my SGH-T989D using Tapatalk 2

In my experience any safety catheter that involves a spring type mechanism is garbage. It needs to be a gliding type mechanism. Ideally one that allows blood draws and BGL from the flash chamber. Sent from my SGH-T989D using Tapatalk 2

You make an excellent point. What's interesting is that morphine is the only pain management drug we seem to do that with. Many of us work under protocols where morphine dosing is 0.1mg/kg to a maximum of 5mg for any single dose. Effectively that means you're giving the max dose for everyone over 50kg (ie. only peds really get weight based dosing). My way around it has been to continue with pain control dosing longer in larger patients before switching to more of a maintenance dose. Sent from my SGH-T989D using Tapatalk 2

Oh that's extra funny. Sent from my SGH-T989D using Tapatalk 2

Just the kind of feedback I'm interested in. Based on the spec sheet it seems too good to be true. Less than half the weight of a LP15 but still packed with premium features. The LP15 is bulky/heavy but I haven't had one fail, and the user interface is very intuitive. Sent from my A500 using Tapatalk 2

I don't know what your family situation is or any of that but I would probably be seeking a different employer. Sent from my SGH-T989D using Tapatalk 2

You don't even carry Entonox? I'm assuming this is an ALS service since you carry diazepam. Have you considered putting in a pain management protocol proposal with your service? Not to be harsh but a medic showing that kind of initiative might be all it takes. Its like when you're a kid and your Mom comes in to find you've broken the cookie jar trying to sneak one. Now mom's upset and your ass is tanned. Sometimes all you have to do is ask and nothing gets broken. Sent from my SGH-T989D using Tapatalk 2

Still happens constantly unfortunately. I remember asking a nurse why my transfer (query appendicitis) patient was still doubled over with abdo pain. "Well he's already had buscopan and 5mg of morphine." That's nothing. How about 5mg q 5 min until its either under control or I hit 20mg. Then throw in some ketamine if that's still not cutting it. Sent from my SGH-T989D using Tapatalk 2