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Just Plain Ruff

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Everything posted by Just Plain Ruff

  1. Hypothetical or not - this is a terrible idea - plain and simple. No matter how many times we run the same addict, we still took an oath and it's part of the job - we go to help the person. We don't put the same parameters on the person who is 400 pounds (due to very poor diet) who we go get every week or 3 x a week at home and transport to the hospital We don't put the same parameters on the elderly person who is living at home who pushes the button on their medic alert device We don't put the same parameters on the drunk who continues to fall down and passes out do we
  2. Yeah, I think you dodged a bulllet on this one. Keep on keeping on.
  3. Seems like they are trying to get a batch of people into their network without having to get the required items required for FEMA. You would think they would do it the other way around but what do I know, seems strange. I don't think I would want to work for a group that I don't know when I'm going to get the call for a job and then have such a short window of time to get the req's complete. What if I get a job notice that I could accept but don't have the time on that specific date to get all that stuff done. I'd be skeptical of this group.
  4. Not really, I hate typing on my phone and prefer to type on my computer. But I would check in more often. But maybe I would be more active. By all means get the app.
  5. 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 m
  6. 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
  7. 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
  8. 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.
  9. Yes, time off, vacation, sick time, holidays all banked in one bucket.
  10. 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
  11. 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.
  12. 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 quaran
  13. 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.
  14. 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.
  15. 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
  16. 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.
  17. 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.
  18. 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.
  19. There is no guarantee he will continue on and get his EMT license. Maybe he's just doing this for class time or some other reason. I would take Off Label's advice and complete the course and mind your side of things. These things have a way of working their way out.
  20. Wonder what the charge was? but all things serious - what a evil person.
  21. Hey XRayMan, I hear where you are coming from but I'm not of the school of thought that we should have these in the ambulance. My reason, it's more stuff to put on a already overworked medic. Splint the injury as found, transport the patient to the hospital and let the hospital sort it out. I already have enough to do and enough to learn to not have to add X-ray tech/reader to my list of certs. Plus this will add a new level of billing and expertise that EMS is NOT equipped to tackle at this time. Heck we have enough time dealing with being called ambulance drivers, can you imagine our br
  22. Any new blood to this site would be helpful. I'm not sure how much of a response you will get but please post away to your heart's content. I'm looking forward to what you have. But please don't get discouraged at the lack of response to your posts as this site is not the same as it was 5 or so years ago.
  23. Hi Laurknee13 - I've seen that you have posted a couple of basic questions that honestly should have been answered in your EMT class. But since you are asking no - you should open the oxygen up to 15lpm for the BVM. Have you asked your instructor these questions?
  24. no - continue on to the h ospital - the AED can be put on while you are enroute to the hospital.
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