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Just Plain Ruff

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Everything posted by Just Plain Ruff

  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 m
  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
  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
  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.
  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
  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 quaran
  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.
  15. 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.
  16. Wonder what the charge was? but all things serious - what a evil person.
  17. 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
  18. 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.
  19. 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?
  20. no - continue on to the h ospital - the AED can be put on while you are enroute to the hospital.
  21. Your best bet is to call the registry and ask them. They can tell you the best answer of all. Otherwise I would put it down under Ambulance Safety or Crew Resource Management. The worst they can say is that it's mis-categorized and they can let you know where it needs to go come relicensure time. You should get credit none-the-less but best bet is to contact them and ask them. Ruff
  22. Hey Defiant1 - if you are willing to move - our service is hiring EMT's, probably pays more than what you are making now. If you get in medic school you could easily pull in around 65000 a year and that's a conservative estimate after you get out of medic school. We are in a rural area of missouri - 55 miles south of Kansas city - running about 2000 calls a year. If you can get your missouri license and willing to move we can always use a good EMT who has aspirations to go to medic school. Hey Defiant1 - if you are willing to move - our service is hiring EMT's, probably
  23. Problem is, we've been told over and over that we are not doctors and the only way to determine if someone is truly having a medical emergency is to transport them to the ER for evaluation. Every medic I know is not willing to risk their licensure in order to buck the system and tell a patient that they don't qualify for a ambulance and they need to find another way to the hospital. They not in a million years want to be the test case for a patient who truly didn't need an ambulance yet that patient felt they needed one for that stubbed toe or small laceration or what not and the patient sue
  24. So, here's a thought, one that you might want to think about. I have a Misdemeanor conviction from 1986. I plead guilty, paid fine, went on my merry way. Was told that it didn't show up anymore after 15 or more years. So color me surprised when.... about 4 years ago, had a job that I really wanted, they did a background check, and guess what showed up. Yeppers, that conviction. Thank goodness I put down the info about the conviction otherwise I would have lost out on the job. Just be careful about not telling an employer about convictions that you don't think will show
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