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Just Plain Ruff

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Just Plain Ruff last won the day on May 29

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About Just Plain Ruff

  • Rank
    Chump in charge of my making my family happy Officer
  • Birthday 11/26/1967

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  • AIM
    firstnetmikeruff
  • Yahoo
    ultramone@yahoo.com

Profile Information

  • Gender
    Male
  • Location
    Somewhere over the rainbow
  • Interests
    I'm interested in everything, but know nothing.

Previous Fields

  • Occupation
    Paramedic/Hospital IT Consultant/SuperDad/Super Husband

Recent Profile Visitors

120,290 profile views
  1. Hey, good research topic. our service does not do hypothermia because we are so far away from a STEMI/Cardiac center that there is a real possibility that the patient will begin the re-warming process before they get there. The only thing we even remotely do is cold packs to the axilla, groin, small of the back and behind the neck. Any further and we feel that we run the risk of doing more harm than good. Now if we have ROSC and put them in a helicopter from the scene, then we very often put cold packs in those places but thats only if the paramedic thinks of it. So to make a long story short - we do not have a permissive hypothermia protocol/guideline - it's more of a paramedic remember guideline. Does that make sense? By the way, you probably won't get much more of a response out of here, we have a very limited number of people who still post, heck I might be one of the single handful of people who come here and actively review the forum. YOu might have better luck on the facebook sites.
  2. So question, in your next service, if they practice lax infection control will you quit that service again? Not to be the negative nelly, but did you bring up your concerns to management and if you did where did it go? I have a co-worker at my other service that believes that because he is in great health he won't get Covid regardless of whether he practices infection control or not. I care if he gets it but it's on him and not me. if you practice good Infection control habits you should be ok, honestly, screw your partners, in the end, you have to go home to your family and if they don't then they don't. I would not have quit, I would have brought it to managements attention and let them deal with it, because in the end, you are the one out of a job and they still are working. But honestly, the choice was yours to make and I'm hoping you made the right decision and you have or had a job waiting for you before you quit. I wish you nothing but the best. Sometimes we have to fall on our swords to make a point.
  3. This is a dead topic, the original poster never came back and gave us more info. Cell phones on a call are a NO NO. Don't even pull em out unless they are provided by your service. Here are my reasons and I only have a couple 1. They make you look stupid - like you cannot even stay off your phone for the length of a EMS Call. 2. Your EMS Agency should be providing equipment for you to communicate to the hospitals and other agencies, NOT you. Your phone is your property not your companies - unless they want to pay part of your cell phone bill. 3. If you are on any type of crime scene call or call that could be a law enforcement issue call and you pull out your phone - the officers on scene can suspect that you are taking pictures and confiscate your phone to pull evidence even if you are NOT taking photos. The minute they do that you have effectively lost your phone until they determine it has no evidence. 4. it's just bad form to use your phone on a call unless it's for work and the public doesn't have a clue and will think you are making personal phone calls and not concentrating on the patient. JUST DON'T DO IT.
  4. So this scenario just reeks of a national registry scenario from years gone by that hasn't kept up with the times. Evidence based practice dictates that patients with Oxygen saturation of 95% and no significant LOC changes do not require supplemental oxygen therapy but the scenario says the passing criteria is applicaiton of oxygen and in the competency they even suggest Non-rebreather. You are on the right track by not wanting to put oxygen on this guy but again like any other education that we go through these days, we are taught to the test not taught to think independently. So your state examples are still being taught to the National Registry test which is honestly a dinosaur but we all have or have had to take it so until some group gets a backbone and says "NO MORE TO COOKIE CUTTER TEST SCENARIOS" we will still have emt's and medic test takers giving oxygen to patients with O2 sats of 100%. Until you pass the test, my best advice would be to study and practice to the test scenario papers you have and not try to use that beautiful 6 pound piece of gel in your head called your brain, you might just fail if you use your brain. Good luck
  5. Yes, time off, vacation, sick time, holidays all banked in one bucket.
  6. Well I hate to sound like an old crotchety medic but every one of us knows what we signed up for. We are exposed to all sorts of pathogens, we take precautions, and if you don't then it's not on your service, it's on you. These days you have to protect yourself because no-one else is going to do so. Go in on every call with the mindset that they have COVID, Sepsis, EBOLA and every other communicable disease and protect yourself. You have to protect yourself first. If you are not protected, then DO NOT GO IN TO the scene. You would not go in a fire scene if you didn't have bunker gear on right? You would not go in a TB patients room without an N95 mask on right? Today, it's on you to protect yourself because in the END, you have to go home to your family and no one is going to provide for your family other than you.
  7. When I went out due to developing a fever and was told to stay home for 14 days which was shortened to 7 days due to not having further symptoms, I was told that I could either use PHO's or not get paid. How's that for fun times.
  8. our agency has put out a "every respiratory patient has covid until proven otherwise so we better see you wearing your PPE's" I had a exposure last monday, got a fever thursday and was sent home for 2 weeks of quarantine. got called yesterday and asked if I had any symptoms after 3 days of being home, said no. was told if still no symptoms after 7 days they will put me back on the schedule this friday so I get to go back to work. This is based on CDC guidelines for exposure and return to work but when I return to work I get to wear a mask for the remainder of the 2 weeks of my quarantine time which they are determining if it's based on date of exposure or date of symptom presentation. That's where the disconnect is. I work 24 hour shifts so I will only have to wear the mask for a maximum of 3 shifts but maybe only 2. I was not tested on the day I had symptoms because they said I was "LOW" risk. I got a week off for having a fever for 8 hours. not sure if that's overkill or if it's doing the right thing. I'd rather be working. but I'd rather do the right thing than not and infect other people. thank god for Doordash food delivery and a great friend at work who delivered some food staples (milk, bread, diet pepsi and trash bags to us yesterday).
  9. You need a sit down with your supervisor to find out just what he means by "being compassionate". if he thinks that you are spending too much time talking to them and being their buddy or does he think you are being too compassionate to the drunks? Either or you need more clarification.
  10. Hey Macktheknife, Do not let the number of members fool ya, there are about 10 if not less active members on this site now. We used to have more, a lot more. Maybe we will get a influx of new blood but with facebook and all it's groups, this site is not very popular anymore. I'm one of the old guard, been here a very long time.
  11. Hi Emma, I'd be happy to discuss with you what questions you have. Email me at ruffems@gmail.com and we can set up a time to discuss. I've been a paramedic for nearly 30 years and I am happy to answer your questions. I'll be at work tomorrow for a 24 hour shift so if you want to do the call tomorrow that would be fine. Michael
  12. look up a EMS group on face book called the EMS Experience and ask there. I know the owner of the group. If you still cannot find a buddy, let me know. I'm a medic but I'll help you out if you want. You can study and bounce questions off me and I'll help ya out.
  13. One more thing, our new ambulance we are getting is gonna cost 235K, if you want to put an X-ray on that new ambulance the cost just went up to maybe 300K, no hospital or ambulance service will justify that cost.
  14. So what are you asking us? is this one of those "Our instructor gave us these two topics and we need to write a paper and I want you guys to write my paper for me" or what are you wanting from us? Yes we have had those people come here with just such a request. give us more info please in what you are asking.
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