crazyemt5150

As the ducks were getting ready for the mission, one duck said ah quack I hope this is the right plane!!!

Props to afk calling the news room, that's awesome I would of done the same thing. If someone wants attention just ask for it, C'mon people fake that you died or you got in a injury

wow that's crazy, That unit is really lucky that they didn't catch an edge and then flip over. If that was me I would of had to change my pants for sure/

Just to clarify crazy: You respond to a construction site where a worker has accidentally shot a staple into his index finger. Bleeding is under control, and all vitals are stable, he will probably need a tetanus shot, but no stitches. You are on an ALS ambulance. Do you transport him or not ? If he is willing to let a coworker drive him to his doctor or local doc-in-a-box, do you tell him that he shouldnt and beg him to let you transport ? If not, do you still get him to sign AMA ?

In that scenario, I would check everything out and if vitals are stable gcs of 15 , and he doesn't want us to take him to the hospital, I can't force him to go that's kidnapping. Since he is injured I would have him sign an ama, If he wanted to go with us, I wouldn't try to convince him not to go. Its easier just to transport and take whomever to the hospital that it is to convince someone not to go and have them sign an ama. You will have the same paperwork regardless

hey congrats on the pass woot woot

Here In bakersfield we don't have any turnouts what so ever. If the pt is pinned in. Either the medic or I will get in the car to help with pt care, or a firefighter will get in to hold c-spine. If we do get in the car and they need to extricate, fire is normally pretty nice and will drape a jacket over us. I really believe we need turnouts for rescues, but that is just me

So I work in Lamont California which the majority of the people are hispanic, due to the farm land. A majority of the calls that we get for febrile seizures, the family takes rubbing alcohol and poors it all over the baby. We try to explain to them that when the rubbing alcohol evaportates it will increase the febrile seizure. Might I also say that they don't just use it on kids they use it on everything and anyone with a sickness. I researched into the reason why, the use rubbing alcohol, and I guess in mexico and other foreign places. The doctors down their give them rubbing alcohol for different types of reasons.

yes, do you understand the difference between moteling and lividity ? Apparantly the poster did.

Yeah the mottleing in the leg was the starting of lividity, or the correct term Livor mortis or postmortem lividity or hypostasis (Latin: livor—bluish color, mortis—of death), one of the signs of death, is a settling of the blood in the lower (dependent) portion of the body, causing a purplish red discoloration of the skin: which looked more like mottleing to me crotchity, I forgot to tell you guys that the pt was last scene at 0430 and was 64yrs old when the heart is no longer agitating the blood, heavy red blood cells sink through the serum by action of gravity.

Tones go off we get a call for a cardiac arrest, arrived on scene to be greeted by a person saying his uncle passed away, he drank himself to death. As we are pulling out the gurney He said we won't be needing that, but we grabbed it anyway. We walked inside to find our pt, supine and pale. I assessed for a pulse no pulse, no breathing. I checked for rigor, there is no rigor. The pt brother arrives on scene and says I don't want anything done for him, Your not going to take him and do cpr. So My partner talks to him. The pt has no dnr and the brother doesn't have power of attorney. I put the monitor on and its asystole in all three leads. The pt is warm to the touch. My partner and I roll the pt to check for lividity, there is a tiny tiny amount starting between his shoulder blades, and some minor mottleing, on his leg that was hanging off his bed. His brother insists that we don't do cpr and we are not to take him. We made contact with a MD just to confirm what we are doing and get in on record. I really can't think of anything else we could of done. Would you guys work him or do the same thing

congrats on the baby boy guys

I agree with tnuiqs, it sounds like she might of already had a seizure. Another thing if you take anti convulsion medications your not supposed to drink alcohol. That could be effecting her as well. Another thing that kind of strikes as weird, Is that she went to her car and was out for about three hours and doesn't remember a thing. Normally when someone has a seizure, they are postictal for a while but i don't think for that long. With the pupils being blown like that and you get no response with a pen light or what not, maybe there might of been a little drug use that the pt wasn't talking about or it could be an adrenal response. As for treatment pt requires als, at the time maybe some o2 via nasal canula, start a line tko, just incase the pt does have a seizure you can push meds. monitor and a d-stick for sure.

Where I work we can not legally tell a pt, that they do not need to go to the hospital and or need an ambulance, If they ask us if they need to go, In our professional medical opinion we think they should go. If they say I will just go to my doctor we say ok. But we will have them sign an ama form. They called for a reason there for something is wrong. I have rarely ran into calls were they don't have a complaint, and if they don't we will just cancel as no medical aid needed

They can't prevent you from going to medic school. But my company provides full sponsorship and full pay, during the time your in class. They buy books uniforms supplies, and when you in class, you get paid, who doesn't want that. Everybody does or At least i do. Its great.

As for working as an emt b on an als rig. I worked with a paramedic for 1.5 years. which I have learned a lot from the calls that we have ran. I don't just go to work to drive. I go to work to learn. I always ask question about certain calls, and the medic that I work with loves to teach and explain. So I'm not sure about other people that work on als rigs running 911 with a paramedic, If you haven't learned anything maybe you should think about another career

I honestly think age is just a number, but what it honestly comes down to is the maturity level of the person who is a medic. As in with being a rookie with time and experience you blossom into a seasoned salty employee and continue up the steps. Our company has 21 age limit to get hired and a min, of 1 year of 911 als field time, before they will let you go to medic school.

i wish for bacon

hahah britt thats funny seriously though why can't people just read a post and not get mad, and why do people purposely make post that they know will make people mad, GROW UP PEEPS

Apparently my last post was missed.

Old news someone already posted that thanks though

dude are you serious???? you think you know everything and know everyone. Its people like you that keep guys who prefer guys out of ems. Look at the poll you did, people are pretty honest on this site and on their post. Don't use other people to cover up your fears and problems.

I remember the first time that I got assigned to work with a flaming male homosexual partner. I am not a homophobe by any means, and had always thought of myself as tolerant (had an uncle and a nephew who were homosexual).

If you weren't you wouldn't of brought up this subject, and yes it illegal any where to discriminate so how about a post on race

I totally agree with dust. There is a particular person that works at my station, that doesn't wash the rig when he comes on duty. I will set up little things to see if he did. He always gets pissed when he comes on and I'm washing the unit for him because he won't wash it

See thats how we run, I am used to running a ca with more than 2 people we will either have a firefighter go with us or if we are running a three man crew. As you said people should be rotated often for good cpr, i don't think transporting a ca and doing cpr en route is bad but having someone that is tired doing compressions is bad

our company doesn't count posting at street corners and so forth as calls. we are at 90,000 maybe more we wont' break 100,000 but on structure standby's swat, football and other stuff does count damn 300,000 thats alot i thought we were busy

wow man video gave me chills

I really don't think that our lovely ems system will suffer from whats going on its a thing called MEDICAL and MEDICARE

Ok so I'm all for denying pt's transportation when its not needed but will your protocol save your ass when you make the wrong field impression. I don't know if you guys heard of the crew that responded to a call and arrived on scene and determined that the pt was just suffering from heart burn, told the pt to take some tums and go to sleep that all his vitals were normal. Guess what a couple of hours later the guy died from a massive heart attack. The crew is now being sewed for neglect and a failure to perform duties. I honestly think that it is easier to go ahead and just transport a pt to the hospital you will have the same paper work no matter what. Cause i don't know about you guys but i don't feel like loosing my license anytime soon