letmesleep

Is Mom insulin dependant? Is she breast feeding?

allergies? I understand that baby is 5 days, but does Mom know anything about this issue? question the hell out of her as best as possible to see what if anything could be causing problems for the "little one". Any meds sent home at the time of discharge?

I'll have to agree with Ruff, what is the big picture where your riding at? It isn't always "burnout" that your seeing around the station when we, you, them are bitching. It could be recent changes that are not going over so well, or just an argument with a spouse that can cause a bad day at the job. For instance my brother-in-law was having a crap day a few weeks ago because my nephew was at home sick, and he felt helpless at work....the guy's pulled him off the ambulance and put him on the pumper to get him some down time. I will say that "burnout" peaks it's ugly little head up in a number of ways tho. I have seen medics just up and leave never to be seen from again. I know one guy who turned in his 2 weeks, leave, and a year later he came back. He took the time off to get away from the job, and when he returned he was more relaxed and stronger than before. I have also seen medics just become numb to the job refereing to the "cookbook" type medicine we all hate so much. It wasn't as if they had done anything wrong they just kinda went through the motions. Bitching about crap around the station could be "burnout", but I would say it's more of a "whats going on around the station" situation. One thing I have noticed in my experience is that medics (EMTs) are very verbal and ask questions a lot (even when we may not like the answers), it is our nature, thats what we do.

Please forgive me for coming off harsh, and if I misread this post, please correct me. Is there paramedic programs available in VT? I don't understand why you would get your EMT-I and stop learning just because "the man" said so. I'm not saying that you don't try to maintain what you have, or what you are, but why not take the effort to take yourself to the next step. As in the post above me states: "It takes effort to be progressive. Most would rather not exert themselves and prefer to coast...." If all of the VT EMT-I's would get the next level of training, and become paramedics your fight would make more sense. You shouldn't sit around waiting for someone else to train you, and you should push (once you have a medic license) to increase the level of care that your "allowed" to provide. This will have to be done by proving your worth to the state, your medical director, and your communities that you serve. As far as "not" having the volume to keep your skills fresh.....thats what trainings are for, as well as spending time in the hospital setting if thats all you have. It's up to you the individual to continue your training, and maintain your license, cert, or whatever you have in VT. Get the training, and push for a higher level of training crossed the board.......... Again, I'm not trying to sound like a dick, so if I missed something here, please let me know. Also I will admit that I am nowhere near VT, and I am far from an expert on EMS in VT.

Again, it is all about common sense! I work with a large guy who has issues with his thyroid, and has for most of his life. He has continued to struggle with his weight throughout the years, but is an awesome medic with a lot to share (with his Pts and us). My point in telling this story (short as it may be) is that one of his issues that he deals with is the........how should I say this? Plummers crack, yea! He said that years ago when he was getting started in the field (doing ride-a-longs) that he was getting negative reviews about his appearance. He now purchases his own uniforms, and gets the extra long shirts to tuck them in very well so his ass doesn't hang out on calls. We all have something about us that is going to found.....less than appealing to another at some point in time. The trick is to use your common sense to maintain Pt confidence. If a Pt doesn't feel like your going to be able to help because you have tattoos hanging out of your shirt, you might want to consider some means of cover up while at work. I'm not one to judge others based on "looks" alone, but I am only me, and that is the only person I can control. Get your tats, but when you have "Dr Death" written on your forearms, don't be surprised when your Pts find issue with you. We are trained to use our heads, so use them, even when your putting on that uniform and getting ready for work.............. common sense!

Back when I was an EMT, I worked with a newer medic that often had to be sent home prior to our shift because he was still drunk from the night before. When he did get to work, I typically spent the day cleaning up after him and his mouth. He would come in hung over, and make every body else pay for his pains. It would usually take me throwing him around in the back to get him to lighten up a bit, but he always knew when he had crossed the line with me. As stated tho, we all have worked with some "sub level" human with a license. I have been quite fortunate for the past 8 years by being able to stay with my current partner. We are like family, down to getting our actual families together during our off time.

geez! What happened to the "good old days" when ambulances were stolen for the drugs, or a ride across town?

Sounds great that she is going to be fine, get some rest, kick the dog, and come back when your ready!

I would agree with that last statement, in this case with the further details given, the pacer pads would have been an excellent idea!

I can't believe my eyes, you are all poking fun at this guy's lowest moment. I am shocked that as professionals in EMS..........wait, that just answered any question I might have had........LOL! what a tard! now he'll never get to see how his ex spends his money!

For any urgent response: For chillin on the way back to the station: For Fractures:

Tease!!!!!

2 cc's of 70% alcohol? I'd agree, why not just smack them with a bat to see if they stop playing with you? Maybe you could just avoid that whole deal and transport them prone on a LBB.............just kidding, that was for Wendy, come on I'm kidding! Seriously tho, the alcohol......NO! I have done the "arm trick", doesn't always work for those who have been through it enough. I have also used the "eyelash trick", and like it. I have also done the "rolling the pen on the nail beds trick", it's ok but not 100%. I have done the "airway trick" both basic and advanced (never fully intubated), Now it's more of a threat than any thing to the obnoxious a**hole (drunk) when they are telling me they want to kill my family..... The point of the matter here is that no matter what, your going to treat what you are presented with as stated numerous times. Doing NO harm is the key, and I will agree that looking foolish for buying in to their little game is always going to be considered error in favor of the Pt down the road. We are not here to pass judgement, and punish Pts for their actions, no matter how frustrated we may get. Do the job, and let the Drs decide how to follow through with their extended care (hospitalization or psych admission).

Looking through this post again I'm guessing some possible heat related event/ dehydration. Was he working in the heat prior to the episode? how long (hours and/or days)? Clothing? The decreased HR wouldn't fit necessarily until you figure in maybe a Potassium deficiency (cramping noted on the OP), as well as the sudden onset rhythm change. I agree with the fluids as stated above, and without sounding judgemental, based on what I have read so far, I might not have "hit" him with 2 lines, but that is more of a pototo/ potato issue. Just a guess!

Can you imagine having to wake up at 0400 listening to some ass from California who is drunk dialing???????

Ok, so how did his BP respond to the challenge? At this point I too am on board with the ASA, O2, and some fluid.......... Atropine I would agree is out, and besides a CYA issue, I'm not ready to pull out the old pacer pads just yet...... I would also buy the new onset AF due to the fact that his Meds don't reflect a Hx of such........

Simply amazing, but no different (I should say worse) than the long Hx of MRSA in American hospitals.

I finally agree with trailrunner78, please delete this as, useless. I do wonder how gratifying it must be for one to pick away at the short comings of another on the Internet. Yes, spelling and even my grammar are weak for sure, but I do find it interesting that none of the questions posed to you have been answered with any thing more than your opinion, or not answered at all. Instead you feel the need to take the cheap shots at my spelling. You have brought no real FACT to this conversation other than that which I have provided with my writing skills. During this exchange you suggested that I do some research, and when I retrieved information that clearly backed up my statement, I got accusations of paraphrasing from you, but still no answers. It seems as though all you are really interested in doing here is arguing instead of have any type of conversation about the topic. Did you post your opinion in regards to the thread? Yes, but you haven't followed though with any hard core evidence to back you up other than a little "cut and paste" to attack me. You did make me laugh with your little comment about south and west side Chicago, what a badass you must be to "make it" where I'm sure no "faint hearted white boy" can. Maybe I did misread that statement, yeah, no racism there at all. As I said before, any regular Joe off the street can get a badge from Galls, and clam to be a, how did you phrase that? oh yes, "armed Private Detective Agency employee, or bounty hunter, or skipchaser, or whatever. The only exception is in the 3 states that are listed in the web description I posted which has gone unopposed. There is, as far as my ignorant and uneducated ass is concerned, NO licensure, NO regulations, NO required training that I have found, and apparently trailrunner has no time to expand on his opinion. I am done as well with this topic, this white boy is out!

THE JOB - URINE TEST (Whoever wrote this one deserves a HUGE pat on the back!) I HAVE TO PASS A URINE TEST FOR MY JOB ... SO I AGREE 100% Like a lot of folks in this state, I have a job. I work, they pay me. I pay my taxes and the government distributes my taxes as it sees fit. In order to get that paycheck, I am required to pass a random urine test with which I have no problem.. What I do have a problem with is the distribution of my taxes to people who don't have to pass a urine test. Shouldn't one have to pass a urine test to get a welfare check because I have to pass one to earn it for them? Please understand, I have no problem with helping people get back on their feet. I do, on the other hand, have a problem with helping someone sitting on their BUTT doing drugs, while I work. . . . Can you imagine how much money the state would save if people had to pass a urine test to get a public assistance check? Pass this along if you agree or simply delete if you don't. Hope you all will pass it along, though . . . Something has to change in this country -- and soon!!!!!

Well not only are you a well educated armed Private Detective Agency employee, but obviously an English teacher as well. I will concede that reading what I did today does not make me an expert, but since your so intent on NOT taking the time to educate me a little, how about something more constructive like addressing the OP. How should we as EMS providers respond to your presence on A scene after you have re-arrested a bail skip? When I did find the information, that you so graciously accused me of paraphrasing, and post it, I highlighted the area speaking about "some states". If you continue to read through the post you will find that IL is not listed as having any requirements at all, unlike the 3 (CA, LA, and TX) that are listed and KY that has no "bounty hunting". From this my question to you is: What formal training did you undergo or is required by the great state of IL? Can you explain to ME (a lessor of you) what a "Tan Card" is? I am curious, but only due to the fact that you have no time to educate ME, although you obviously have time in your busy day to take cheap shots at my spelling, and explain to me how to use the spell check. It would be nice to have a conversation with you a little about this issue, but of corse when you have the time. As far as the racial comment is concerned, I have no idea where you think that you know me, or what I'm about, so I will ask of you, not to let that crap get started!

There was a case in 2002, in St Louis that sounds very similar............. Here is what I have found, and I certainly don't have a problem hanging these predators out to dry. http://oa.mo.gov/ahc/case/Greco02-0937DH.WCR.doc

http://www.ask.com/bar?q=Bail+Enforcement&...2FBounty_hunter In the United States legal system, the 1872 U.S. Supreme Court case Taylor v. Taintor, 16 Wall (83 U.S. 366, 21 L.Ed. 287), is cited as having established that the person into whose custody an accused is remanded as part of the accused's bail has sweeping rights to recover that person (although this may have been accurate at the time the decision was reached, the portion cited was obiter dicta and has no binding precedential value). Most bounty hunters are employed by a bail bondsman: the bounty hunter is paid a portion of the bail the fugitive initially paid. If the fugitive eludes bail, the bondsman, not the bounty hunter, is responsible for the remainder of the fugitive's bail. Thus, the bounty hunter is the bail bondsman's way of ensuring his clients arrive at trial. In the United States, bounty hunters catch an estimated 31,500 bail jumpers per year, about 90% of people who jump bail.[1] Bounty hunters are also sometimes known as "bail enforcement agents" or "fugitive recovery agents," which are the preferred industry and polite terms, but in common speech (and language), they are still called "bounty hunters". Bounty hunters are sometimes called "skiptracers," but this usage can be misleading. While bounty hunters are often skiptracers as well, skiptracing generally refers to the process of searching for an individual through less direct methods than active pursuit and apprehension, such as private investigators or debt collectors. Skiptracing can also refer to searches related to a civil matter and does not always imply criminal conduct on the part of the individual being traced. In the United States of America, bounty hunters have varying levels of authority in their duties with regard to their targets, depending on the states in which they operate. As opined in Taylor v. Taintor, and barring restrictions applicable state by state, a bounty hunter can enter the fugitive's private property without a warrant in order to execute a re-arrest. In some states, bounty hunters do not undergo any formal training, and are generally unlicensed, only requiring sanction from a bail bondsman to operate. In other states, however, they are held to varying standards of training and licensure. In California, bounty hunters must undergo a background check and complete various courses that satisfy the penal code 1299 requirements.[2] In most states they are prohibited from carrying firearms without proper permits. Louisiana requires bounty hunters to wear clothing identifying them as such.[3] In Kentucky, bounty hunting is generally not allowed because the state does not have a system of bail bondsmen, and releases bailed suspects through the state's Pretrial Services division of the courts, thus there is no bondsman with the right to apprehend the fugitive. Generally, only fugitives who have fled bail on federal charges from another state where bounty hunting is legal are allowed to be hunted in Kentucky.[3] In Texas, every bounty hunter is required to be a peace officer, Level III (armed) security officer, or a private investigator.[4] State legal requirements are often imposed on out-of-state bounty hunters, meaning a suspect could temporarily escape re-arrest by entering a state in which the bail agent has limited or no jurisdiction.

Good question, so let me add to my statement.....we have 4 trucks in service 24/7 which as you know adds up to 8 employees. Even with that number there can be any number of issues in the course of a shift.

Firedoc......got one word for ya, it may be kindda harsh, but here it comes.......lazy!

Pardon me, but I, you, and any joe shmo can get a little badge from "Galls" saying "bail bounds enforcement" on it, and whammo, your a bondsmen with the same power as "DOG". There is no training necessary, you only have to go apply and get hired at any local bail bounds office. The only time there would be "training" is when you wish to carry a firearm. Maybe a little goggling should be done! As stated above, these people are simply citizens!