Arkymedic
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Posts posted by Arkymedic
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Table top exercises! Get out (I'm serious here) some matchbox cars/trucks/whatever and set up a scene. Practice like you play. Get the radios, set up a formal command structure, etc. etc. It's the only efficient way to do it. Also, if you really want to get cool about it, don't know where you are, but if in the U.SA., get in contact with Border Patrol, see if they have any confiscated cars they would donate to your department. You typically have to pick them up, but hey, they're free, right? Really good for multi-agency drills, stage the cars in ways to be realistic (without having a person crash them...). From there, have patients inside, who can act their part. Moulage them and run that as a drill. Not as economical as the table top exercise, but more fun. Hope this helps!
Table tops are excellent resources when conducted correctly. One of the downsides is that people do not understand developing exercises, and usually confuse what type of exercise to run and when to do it. We use them frequently in emergency management and they are a great tool. There are also a few computer simulations and there is a program called Code3D where you can create a scenario, timeline, the whole works. I learned a phrase a long time ago that is absolutely true "Prior Planning Prevents Piss Poor Performance".
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We had and used aloe vera plants too but I had never seen anyone drink aloe vera juice until last year.
Growing up we gad aloe vera all the time. My mother even had her own plants. But I can say for minor burns, skin rashes, sun burn, it helps a lot. Guess I didn't mention it because it seemed normal to me and didn't consider it anusual treatment.
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We have a considerable Hispanic population here and a trend I have noticed is the use of aloe vera juice. I know aloe vera plants have a lot of healing power, but what I have seen is when a serious or life threatening injury/illness occurs, they drink gallons of aloe vera juice instead of calling us or going to the ER.
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That is what super glue was originally made for. Many mechanics or technical type people will put electrical tape over them after using super glue.
I've seen quite a few of the ones already mentioned, The rubbing alcohol and the coining I've also seen the root on the chest although I can not remember its name. I have also seen cupping. That's where they took the cups and created a suction on the person's back. Needless to say it generated a call to child services, but I found out it is a common Eastern Practice to "suck out" the toxins. I have also seen people super glue lacs prior to our arrival. -
The book Incident Management For the Street Smart Fire Officer by John "Skip" Coleman is outstanding as well. It is mostly geared towards FD BUT, there are strong ICS lessons for everyone. We used this book for a few different courses in my EAM bachelors program and I highly recommend it.
Well, to quote Dust, "FAIL"! Not a personal fail, but a fail for scene control. As one who, when I was with the FD, would run on what was euphemistically called a "bean spill" (a vehicle FULL of undocumented aliens--no, the ones from south of the boarder--that has rolled, on average with 10+ people) about every other month or so-take it from me, the worst thing to happen is to not have control of the scene. The fly medic should have taken command, with the thought that the next due unit would initiate START triage (what is used in Southern AZ). Then...sort out your patients and send them off as appropriate. Honestly (this is not a ding on you or your crew...so please don't take it that way) but the way we ran things was the first transport in was the last one out. The thought on this was because our manpower was limited, the first transport (from our department) would take the Triage Officer position, and coordinate with the staging folks to get other units into the scene. Actually, it worked very nicely, obviously, the "reds" would be the first off the scene. And to top it off, (aside from the 20 mile stretch of part of the I-10, which is one of the deadliest parts--no not from providers :twisted: --we also have a railroad which as AMTRAK as an occasional user running through the district) so we would also run training scenarios where the AMTRAK train derailed and had 100+ people as patients.
Here is a link for the ICS=100 course through NIMS: http://training.fema.gov/EMIWeb/IS/IS100a.asp
There are several if you want to take them, they are free and decent knowledge. If you REALLY want good ICS stuff, check this book out: http://books.google.com/books?id=T9Gz2Vnr6...=result#PPP1,M1
(should be Alan Brunacini's IMS book)
I know a LOT of people here are against fire doing EMS stuff (can't say I disagree) but, Alan Brunacini is the retired chief of Phoenix Fire, and he literally wrote the book on which the national stuff is based on. The cool thing is, IMS (incident management system) along with NIMS stuff can and should be used for any event, which requires a multitude of responders. The only difference in them is the sectors/divisions/groups (whichever is appropriate for local terms). Other than that, they are all the same. Hope this helps!
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Doc, Thank you for reminding us that sometimes there really is something going on, and that we should not forget to treat the pt. Merry Christmas.
Don't forget that sometimes the defibrillator is going off for a reason. It might not always be a good idea to turn it off. -
I know but we talk about how "dumbed" down the program has become, and how we would like to see it be a year long or so, and here is someone making it 14 days now...
Actually for basic does not scare me. All basic course is first aid. You are taught skills no real education behind it. Sorry no offense to basics intended. -
Thanks Dust I appreciate you fixing it for me. I hit ctrl and v to paste at the time I was typing the period after chance and it went to the end of the link.
FAIL! Never put a period on the end of a web link. :wink:
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I'm with the family today getting ready to have Christmas and while trying to get on the city, I was redirected to this:
http://www.unitekeducation.com/index.php option=com_content&task=view&id=127&Itemid=131
Now, I do not know about ya'll but a 14 day basic class scares the shit out of me. This is almost as scary as 3-6 mo paramedic courses...
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Richard, most often when one says pedi-mate it is usually one of these http://www.quadmed.com/product.php?productid=611. You guys might call it something different though. This is a good example of how to use one if you never have had the chance http://www.youtube.com/watch?v=BUI2vxORaT8.
Time to stop and explain to me, again: What is/are a "Pedimate"? I don't recall ever hearing that one before. Something new, or I might know under a different name? -
I cannot believe that we have allowed him to lead us down 6 pgs worth of posts over his stupidity and arrogance...
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Some departments are "volunteer" paid on call and receive anywhere from $5-40/ per call they respond on
Just a foreign concept, I'm not aware of anyone paying per call.. however, He is a volunteer why should he be keeping track of the patient number if there is no pay check ? -
there too?? lmao
When I lived in northern MI there were a few guys on the Fire Dept. that had $2000 on $200 POV's. It was rather embarrassing. -
absolutely priceless!!
That is JakeEMTP's vehicle above with the radios ! He makes the wife ride in back. :twisted:Here is his house. Seen 'em both with my own eyes.
Click on image for larger and better view !
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lol. Look at the next one there on elightbar that reasons he can break the law in PA due to his dad being a police officer and helping them.
Wow. Just wow.
When is a fire truck not a fire truck? When it's got nothing to do with a fire service. (Not a great punch line)
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http://www.projectresponder.com/
So a quick google search to make fun of that flashlight created a monster. I'm finding that looking at whacker pics is both horribly disturbing and hilarious at the same time. So rather than totally jack the thread I decided to start another one.So let's see the worst of the worst!
[web:7f5e503f52]
[/web:7f5e503f52] -
In the story I mentioned in this thread earlier, we did not have a magnet initially, but the guy had a junkyard for a yard so we went and found a five pound speaker and used that. It was the best I could think of never dealing with one before and not having a magnet on hand.
If you have a stereo speaker in the truck that has a magnet in it ... but you never heard that from me, no, never, ever .8)
Cheers
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I wonder how many pics of POVs belonging to site members you are about to get...
So a quick google search to make fun of that flashlight created a monster. I'm finding that looking at whacker pics is both horribly disturbing and hilarious at the same time. So rather than totally jack the thread I decided to start another one.So let's see the worst of the worst!
[web:e4ec8b33a7]
[/web:e4ec8b33a7] -
LMFAO. Thank you Dust I needed that.
It's not a question of need. It's a question of what you can afford on an EMT salary, and still have money to pay for beer and whacker lights. -
Hey guys, I'm trying to find somewhere or someone that has a downloadable mp3 version of O Come O Come Emmanuel in Gregorian chant style. Any help would be greatly appreciated.
Veni, veni Emmanuel;
Captivum solve Israel,
Qui gemit in exilio,
Privatus Dei Filio.
Refrain
Gaude! Gaude! Emmanuel,
Nascetur pro te, Israel!
Veni, veni, O Oriens;
Solare nos adveniens,
Noctis depelle nebulas,
Dirasque noctis tenebras.
Refrain
Veni, Clavis Davidica!
Regna reclude caelica;
Fac iter tutum superum,
Et claude vias inferum.
Refrain
Veni, veni Adonai!
Qui populo in Sinai,
Legem dedisti vertice,
In maiestate gloriae.
Refrain
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Wow, that is a serious amount of resources and manpower. This will be a fantastic test and use of the Incident Command System.
I don't think requirments to work with the first aid team will be overly stringent since BC Ambulance Service is still the recognized EMS provider for the games. BCAS has commited to providing 55 additional ambulances, a dedicated air ambulance, and ALS at each of the venues.
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Crotchity, I cannot get a really good answer and since I do not have a Medical Director to discuss this issue with further, I will just digress on this one.
So if you responded to a scene where the patient was decapitated, do you have to work that patient ? Obvious death is obvious death, whether it is a cardiac patient that is not responding to ACLS, or it is a trauma patient that has been squished by an 18-wheeler. If you are in a rural setting, I imagine you probably dont have alot of ambulances to spare, so working a dead body for two hours doesnt make sense. Your Medical Director should be able to write a policy that allows you to stop CPR when it is appropriate to do so. You are not pronouncing them dead (thats the coroners job), you are just using your resources wisely. -
I had my first experience with one last year. We were dispatched to a pt that was continuously being shocked. I had never dealt with one and was not taught anything about them in paramedic school. The guy told me what needed to be done and every time he moved his arm, he was shocked by his implant. When I called MedCtrl and the emergency # listed on the card, all they told me was to hurry up and get to the hospital. When I arrived, MedTronic had a guy there in the ER with his machine ready to adjust it. He gave me some basic info, taught me what to do, showed me why it was going off, and gave us a magnet for future use. After that I had three more in one month. Long story short, there is one on my old truck at the service I use to work for but no protocol.
Does anyone out there carry magnets for defibrillators and pacemakers?I had a patient tonight that his implantable defib went off 5 times while I was treating him. NO precurser - sinus rhythm throughout.
Does any out there carry the doughnut magnets on their trucks?
If you do do you have protocols to use them? If you do have protocols is it possible for me to get a copy of your protocol.
Are T-shirts a Professional Uniform
in General EMS Discussion
Posted
I thought it was suppose to be a dark black or blue tshirt for CAP. I once was in trouble for wearing an EMT shirt underneath by BDUs. I know I seen quite a few changes to 39-1 between my time in CAP between 1994-2004.