Jump to content

Just Plain Ruff

Elite Members
  • Content Count

    9,160
  • Joined

  • Last visited

  • Days Won

    158

Posts 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 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.  

    • Like 1
  2. On 5/2/2020 at 12:09 AM, iago said:

    I recently quit not out of fear of infection from patients, but out of fear of infection from fellow providers. We have many who seldom practice infection control measures spelled out by the agency such as masks and social distancing, especially indoors.  I won't work with people who think so little of their own lives or those of other people's. One must wonder why they work in medicine in the first place with such nihilistic worldviews.

     

    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.  

    • Like 1
  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. On 3/29/2020 at 9:26 AM, emt2359 said:

    Makes me wonder if this will drive some providers out of the field once this is all said and done.

    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.  

  6. 57 minutes ago, ehliseo88 said:

    I've noticed that telephones can once in a while be tough to get from your pocket in regular situations, and that were given me thinking that it'd probable be even tougher to do so in conditions in which your adrenaline is pumping and camera smartwatch and the entirety is taking place very fast. And I'm asking folks that paintings in rapid-paced enviornments so that I can get an accurate idea of how many humans surely revel in the hassle we are seeking to resolve.

    Huh?

  7. 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).  

  8. 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.  

  9. 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.  

     

  10. On 10/18/2019 at 4:36 PM, j.landrumlp said:

    1. alternative funding for fire and EMS organizations. While several options exist, it is important to identify which options are available for non-profit and for-profit organizations. Which alternative funding option do you feel will result in the highest return on investment? Include an option for a non-profit organization and a for-profit organization, and explain.

    2. Messages to the community are usually one of two categories: newsworthy or noteworthy. Based on your experiences, share with your class at least one example from each group. Which one had the most reaction in the community?

    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.  

  11. 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.  

  12. On 10/7/2019 at 12:37 PM, Tar said:

    An Amish woman was injected battery acid by her Amish husband right around the time this person "Timmy" asked about the affects of battery acid. The husband used a syringe and injected it up her rectum several times. She was already being poison by other products and very ill, which is why he was able to keep her still to inject it. She ended up dying from it.

    Wonder what the charge was?   but all things serious - what a evil person.  

  13. 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 brains exploding when we get called ambulance xray machine drivers?  Some of our peeps on this site (most are gone) would have a stroke and then we'd have to call the Strokulance to come get them.  

    Who will get to bill the patient - the ambulance company, the medic who reads the x-ray initially, or the radiologist who does the final reading or all three?  Is this an ALS or BLS skill?  What happens if we read it wrong and the patient refuses based upon the incorrect reading and several days down the road the patient finds out that they have a actual fracture and needs surgery?  who pays for the mis diagnoses?  Lots of issues here.  

    I vote NO

    • Like 1
  14. 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.  

  15. 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?  

  16. 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

  17. 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 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.  

  18. 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 that ambulance service and the medic with the Case resting on "what training did that medic have to rule out that I wasn't truly having a medical emergency that didn't require an ambulance transport???"  

     

    Because we all know that many ambulance services will drop that medic and not support him/her for turfing that patient off to a UBER or a taxi cab even if there was a policy or guideline or protocol that in all actuality supported the medic refusing transport but the ambulance service see's a loss of the legal case in both the court of law and the court of public appeal.  The medic is the one who is going to lose out in the end.  

     

    I'm not willing to risk my license just to turf a patient just to save my company a dollar or two policy/guideline/protocol or no and I don't think many of my colleagues will be willing to either.  

  19. 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 up sometimes will and if you lied about them on your application and they find out you lied - your job is history.  Word to the wise. 

×
×
  • Create New...