Siffaliss

Wayyyy too much time on their hands ...

I know a few places like that ... In my opinion when it comes to identification, faces should be shown. I've treated several Muslim women in the back of my unit and always respect coverings when we bring them out of the ambo. What might help that I don't allow the husband in the back, which upsets the guy but seems to allow the women to trust me and speak more freely. Anyhow, when it comes to identification, everyone should be treated the same as it is in everyone's best interests. As for what emtannie said regarding forcing someone to accept ideas, I think she said it perfectly.

I agree in so many ways ...

A lot of firefighters here are EMT's or medics elsewhere, they just can't do medical stuff (asides from BP, maybe some O2, CPR). So some might be more familiar with line of questioning. I just liked the skit because on several occasions I've wanted to say everything Lego Man did. Of course I like being employed, so I don't

Well said. Not sure who Jaime is, but ok. The context of this post I assume is directed towards the original poster, which was me. Thanks for the input, I'll form my posts more to your liking next time. I am after all giving your opinions ... I originally made the post to share the information I had read; a simple story of a horribly sad incident. I was rather speechless (rarely happens), and the story almost brought tears to my eyes. Does that explain my "lack of effort" as you put it? A brother of ours had the strength in his DYING moments to say thank you to 4 of his own. Unfortunately some people didn't read the story in its entirety, and the posting just went off in a completely different direction. You I'm sure have started/been a part of similar threads that meander. Please take your own advice and keep things civil when in a main forum. If you want to blab at me in private message go right ahead, I really don't care. I don't want to read through useless bickering in a forum, and I'm sure others don't either. As for posting somewhere here, I will do so where I please as this is an open site and don't need an invitation to do so. Neither do you. I'm going to consider this matter

So I decided to be the first one to make a topic for mad people. Seems as though some feel that a topic for a deceased brother is a good place to tell someone how ticked off you are. Well, I disagree. Several topics here get so far away from the actual point, frequently due to someone misunderstanding and going on about how correct they think they are. So here's the perfect chance to air your frustrations about someone who's ticked you off in a topic, without that topic going wayyyy off track and having people make themselves look ridiculous. For those who want to participate, you can start with me. Who wants to go first? Oh, I should add ... keep the language clean of course!

Priceless hey?

Yet again a thread on this forum turns away from what the real meaning is, into the quest of two people this time to feel sublime and righteous. You both still have no idea, the ACTUAL topic is not about either of you. And if one is to look at someone demeaning their peers, they should take a look at themselves. Have a great day.

The story reported on in the link I posted was a fatality of "one of our own". I made a simple comment that the situation was a little more serious than tonsils, which I *hope* most would agree with. Nowhere in that post did I make mention of sincerity. So, what I am saying is that I will not apologize for your misinterpretation of my comment. It certainly is unfortunate with several lives being turned upside down. I hope none of us ever have to find out what it's like to be in that situation. Yeah, a lot of unrelated stuff ... seems to be the norm for these forums though.

This was a little more than tonsilectomy ... What kind of cop WOULDN'T have a vest on? Unfortunately they don't make them for tracheas ... This was an extreme situation that doesn't happen every day. DUH, I think we all know these medics SHOULDN'T have done what they did. Great thing to point out there rock ... I only hope I have the same courage to do what they all did, should I ever be faced with that situation because I know I couldn't live with myself if I ran away. Yup.

http://www.canada.com/news/national/Dying+officer+thanked+paramedic+rescuers/2426743/story.html

... and if you happen to have a Crestline with the killswitch under the dash and some idiot criminal knows about that, THEN what are you gonna do?

So you're not even in EMS yet?

One good point ... yes, you can get the 17 year old who takes 10 Tylenol ES because they had a fight with their boyfriend and is furious and depressed and all that good stuff. Or you can get that person who says they're depressed and are thinking about suicide, but no clear ideations. They're asking for help (fine, even though it's 3am and I haven't slept). I always trust my gut, as it's never been wrong. If I think we need po-po's along, I will request them. If not, I still ensure I have easy egress. It's usually the calls you least expect something to happen on that something happens ... like two medics on a random MVA last year, gun pointed in their faces by a possibly postictal patient. You simply never know.

That was my question, why not chemically restrain but I guess there's the answer. Still, if he's still posing a threat during transport why not get the po-po's back? Another question which I think was already asked, was he of relatively sound mind? GCS 15 and posing no immediate danger to himself? If so, why was he transported? Did the family make up the story of him cutting himself with glass to get you there faster? If you have no spit hoods and the NRB wasn't staying on his face, try a pillow case (sans pillow). Your patient can still breathe just fine, but cannot spit on you

Ok this is getting beat to death but here's another post ... If you're a medic doing an assessment with a newer practitioner that has lower registration than you, perhaps explain what you're doing (if there's time). Then, if it's ok with the patient, allow your EMT to do the same and explain what he finds.

Attitude plays a huge part.

Good point ... proper technique and *hopefully* normal findings can be taught on a classmate/friend/whatever. It would be good to learn on several different shapes and sizes, as 'normal' will feel different on each one. So once a student learns what is baseline/normal they can progress to learning what is abnormal. Yup! So, after a few hundred calls and several months or even a year or more of building on basic assessment skills, perhaps it's time to introduce something new (and in scope) if the EMT is ready. If not to practice, then at least for knowledge. Interventions of course come much later and with the additional class time.

Sure it's probably safe to say that an entry-level practitioner does not have as much knowledge of pathophysiology as a paramedic does. So the entry-level person cannot interpret or treat their findings as someone of a higher level can. The way this situation in particular was handled while still on car in front of a patient however, was not appropriate.

Some good points here. I still disagree however, with the original poster 'yanking' the EMT's hands away. Unless one felt it was an immediate life threat to the patient, a simple "hey hold off on that for now" could have sufficed. As a green practitioner who is learning the ropes, they need directions and explanations. As someone else already stated, if you didn't want your EMT assessing patients that should have been made clear PRIOR to the ridealong. Although EMS is an industry that tends to 'eat their young', remember that you were once green as well.

Wow you're arrogant. What was your reasoning behind yanking your EMT's hands from the patient? Was there an obvious pulsating mass that they didn't recognize? You very likely made that EMT feel like a piece of crap, and for what? What could you possibly have taught them by acting out like that? Palpation is an important part of an abdo assessment, unless of course that action is contraindicated. Being an EMT is NOT a contraindication.

... and greedy, money-hungry idiots (welfare recipients or not). It's the same here; so many are so friggin' afraid of litigation it's nowhere near funny. I figure 90% of the general public has absolutely no clue what 911 is really for. Go on youtube and search for 911 calls, whether it's for us or the po-po's the abuse is everywhere. The granny who got a scratch from her kitten and had no bandaids ... the drive by callers phoning 911 for a bum sleeping on a bench ... the nursing homes who on a Friday want to get rid of a patient who uses a walker and keeps falling phoning 911 INSISTING the person needs the ER despite the patient's pleas not to go to hospital ... I could go on and on, as could nearly anyone here with experience on the road. The BS just won't stop. Perhaps those from where I am who phone 911 on a regular basis and receive welfare benefits should pay a user fee instead of having 100% coverage for an ambulance. They could be 5 blocks from hospital and too lazy to walk, so they phone 911 ... but funny how they change their tune if we tell them we have to transport to a hospital on the other side of town ... Seniors should be educated also, as unfortunately they are chronic abusers of the system as well. In this province, anyone over the age of 65 has 100% ambulance coverage. Fine for those who TRULY NEED it, but for non-emergencies there should be a user fee. For ANYONE ... I could rant forever on this one, jeez ...