ninjaemtff

wrinkle

Sprinkles

cones

Tree's

Are you going to shun me as well?

Horse

I knew it was one of the two, got confused, sorry for the mistake.

Well, as for no one under 18 being on rigs, I cannot say anything on that, I started riding rigs when I was 15. I've been an EMT since I was 16. So I cannot say much on that topic. However bringing your kids on a call is bad, thats a bad situation. But I thought this was the what to do with the patients kids?

Wings

Fried

Please a female

Bee's

Thank you all for your input, you have all helped me a great deal. As for the size of the rock, it was medium sized, it wasn't a stone, but it wasn't like a boulder either. As for the speed, we are actually still trying to figure that one out, no one wants to confess about who threw it. As for the c-spine stabilization, why did I do it? Well there were two other EMT's on scene, and we made the decision as a group to do it because we were looking at a head injury. Stabilization was done in a timely manner and ALS was not on scene by the time we went en route, as a matter of fact when we went en route they were still 3 to 5 minutes out, and its 10 minutes to the nearest facility. Oxygen, I admit 6 lpm is a lot, but my protocols state that 1-6 is by NC anything higher is by NRB. I probably should have only done 4 lpm, however the oxygen did seem to help. As for the pain scale I normally do say 0-10, this call was back in August, so I don't remember exactly if I said 1-10 or 0-10. As for a MOI or indentation of the skull, no, from what I could tell as a Basic, there was no indentation of the skull. The only thing he had was a laceration. He was diaphoretic upon arrival however it was hot outside, his pupils were PEARL, and his vitals stable. The doctor even told me I did a good job for boarding and collaring him, he offered me a cookie and everything.

Worn by a

Back in August, my company was dispatched along with an ALS unit to a baseball field for a possible head injury. Arrived on scene to find a 13 y/o male who was hit in the head with a rock. I boarded and collared the pt after doing my physical assessment during which I was able to clear all body parts, except for a laceration on the head and a headpain. Pts responses to questions were slightly delayed and bystanders who knew pt stated that he was not acting right. I then placed pt on 6 lpm oxygen via nc. We loaded pt into the Amb. I took initial vss Bp:122/74 P:76 R:16. After a few minutes with the oxygen, pt began to answer questions quicker and was answering all questions correctly. Due to this I cancelled ALS. Transported BLS, continued to monitor pts vss, pt rated his pain at about a 3 on a scale from one to ten and stated it just felt like a headache. I found out later that they ended up flying the pt out of our local hospital to a trauma center for a fractured skull. Was I wrong in cancelling ALS?

Just to make a correction that has been made many times it is not HIPPA it is HIPAA. Before we discuss HIPAA violations maybe we should all relearn what it means? Heath Insurance Portability Accountabily Act. Just thought I'd throw that out there since I have been corrected on it myself.

The cop probably would have let me get a few hits, however he apparently wasn't going to back me up on anything else, so why take the risk of getting assault charges on top of possible law suit for possible injury?

Um wouldn't that make 13?

The guy hit her a few times, and pushed her up against or slammed her up against a few things. Atleast thats what she told us. I couldn't tell you his side of the story because he was running around the woods with a gun.

Two pound burgers

Wood

Where we had

Well, I must admit that I did screw up on this call. I did in fact fill out the refusal form, and had the pt sign the form. However in doing so I made one of the officers sign as the witness and the other sign under the pts name, therefore taking responsibility of the pt. However I do know that I screwed up there. Then whenever she again decided that she wanted to go to the hospital and I did my second assessment, I did not think back to the first one where she told me that she was having neck pain. Therefore I did not place a collar on her or place her on a board. No vital signs were taken because of the way the officer had the pt handcuffed. This officer however did happen to be a paramedic and did not try and correct me in any of my doings. I talked to the pt and got her calmed down, but then something would set her off again, and she would begin to cuss, and kick at me. She was handcuffed behind her back, I attempted to get a bp, however when doing so she elbowed me in the face. While en route to the hospital, she continued to deny any pain. Upon arrival at the hospital the doctor walked over and asked her if she was having any pain at all. The pt stated and I quote directly "Yes my neck and back hurt, they have been hurting me the entire time I told this b**ch this several times and she did not listen to me. I then tried to explain to the doctor what had happened, he would not listen to me though, apparently a drunk is more trust worthy than an EMT, and the officer that rode along did not back me up at all. All in all, I learned a very important lesson from this call. Though she did not suffer any neck or back injuries, every assault victim should be placed on a long board and c-spine should be immobilized. If the person is not under the influence of drugs or alcohol and do not wish to be boarded and have a collar placed on, they can fill a refusal form out for that particular treatment. However, if they are intoxicated, they have no say in it. I guess all I can say is I got lucky that she didn't have any permeant injuries, and that she was so intoxicated she did not remember anything the next morning.

Slowly

a street corner