Just Plain Ruff

2 hours ago, CCMEDIC said:

Dust you are full of shit...you come off as the all knowing medical guru...If I am right your profile says retired...and with your statements about EMT-P's, I have serious doubts about your claim to be a retired one. A civilian medic would smoke a so called military medic even in trauma. They do it everyday day in and day out. As for medical knowledge...I want to challenge you to take a written or skills test against me. I bet I smoke your ass. People like you spout generalized blather about topics but have no real credible sources. You get off on making people think that you are the expert concerning any issue by talking negatively about others. Dust is correct, between the ears!

 

 

Dustdevil, he's been dead for years but even in death, he can still really really really piss someone off.

DUDE, I bet you didn't realize Dust died a number of years ago,but we won't hold that against you, I'm sure you had no idea.

But,  I'll bet you he can't make it to your little pissing match unless you want to go meet him where he is which would be quite unadvisable.  

But seriously, you angry bro?

Way to resurrect a 10 year old thread.  At least you did it in Style.  

18 hours ago, Spock said:

Glad to see humor has not disappeared from the City.  I did not intend to imply that c-collars would or should go away, only that they really do not restrict very much motion.  Collars will always be used as long as lawyers chase ambulances.  

Spock

lawyers don't need to chase em anymore,  they just throw on a gps tracking device and go from there. or use a drone.  

3 hours ago, Off Label said:

They'd have found a week old summer catfish in their boots...at the very least...gross.

well, the last time a crew left me a nasty thing like that, I made them scrub the pants.  They may have also found something in their locker.  Maybe a week old can of tuna or something along that line.  

Did you find any info out on that KYEMP program other than what I posted?  

13 hours ago, Off Label said:

I think with the evolving understanding of crystalloid volume resuscitation and permissive hypotension in trauma, the MAST should get a second look, imo.....

just make sure that unlike some of the services that I used to work at, have a strict policy that after use, the mast dont just get folded up and put back in the bag or box, they get a thorough cleaning.  Ever opened a mast pants box after a couple of weeks in a hot outer compartment of your ambulance and the last crew who used them on a bloody trauma didn't clean them correctly????  I mean you had to use them on this critical patient but Jeesh, they really stunk.  

7 hours ago, paramedicmike said:

The manufacturers will survive.  We use them frequently in the ER.  People walk in after their MVC complaining of neck pain and someone in triage throws a collar on them.

I know.  I know.  Anecdote will get me nowhere.  Spock is right, though.  The worst spinal injuries I've seen have all walked, or limped, into the ER.

Like the guy who walked in after a mountain bike accident.  "My neck's a little stiff."  C4/5 fracture/subluxation. 

Or the little old lady who took a header into her basement floor while bending over to pick up laundry.  Type III Dens fracture.

For the time being, unless someone can be clinically cleared (e.g. Nexus), collars will still be used until someone can be cleared radiographically.

yeah, I was just being sarcastic, bad day at work leads to sarcasm on forum.  Bad ruff, bad bad.  smacks nose with rolled up printer paper.  

Just think of how much money the C-collar manufacturers stand to lose if we go away completely from C-collars.  

a quick google search got me this

http://www.topix.com/forum/city/lexington-ky/TLA4LPF8NNJJ3LOHG

and here

http://www.topix.com/forum/city/lexington-ky/TV3VGA574GCFD66UC

But some of the comments are written by what I consider, people who didn't go there.  

Take with grain of salt. 

that's a fine line,  I need to think more on that, not dodging the question, but needing to think more on that poignant question.  

that info I posted before you posted your response was in NO way directed at you my friend.  It was sort of a cautionary tale to anyone who reads it.  

I also wanted to add,  it seems also that everyone takes offense at something.  

Someone who I listen to on the radio quite frequently often says,  You don't have the RIGHT to be offended, you can dislike what I say but my right to say what I say does not give you the right to be offended at what I say.  You can dislike what I say but I have the right to say it.  You have absolutely ZERO constitutional right to be offended.  

There are people out there who are saying that the constitution does not protect against hate speech, well, that's exactly what the constitution protects.  And that statement comes from someone that I mainly disagree with, Bill Maher.  

So remember, facebook is everywhere, camerphones are everywhere and big brother is everywhere.  

This is a prime time to go over one more thing,  What you post on facebook regarding your work or your activity outside of work, it can and often does come back to hurt you and often it comes back to get you fired.  NO patient info, no call information and definately nothing that would identify a patient.  If you do post that on the internet even in a private forum, don't cry about it when it comes back to get you.  

yes, the internet, the thing that remembers forever even if you don't.  

Facebook wasn't a thing when I was in college, thankfully so. 

I said plenty of stupid and mean things but would be hard pressed to prove I said them unless you could find the witnesses to them.  

But now, you gotta watch your tongue in whatever you say, wherever you say it because everyone of us has a phone and you NEVER Know who is watching. 

some of my friends have lost out of jobs or were fired because of what they posted on the internet.  

did you call the service's that you rode with during your classes?  Why didn't you get the 2 patient observations prior to taking your test, I thought that was a requirement before taking your test? maybe not.  but Call those services you rode with and see if you can get one more shift.  

why are you asking?  There has to be a reason.  There are really only a couple of reasons why people with 0 posts come here and ask this question

1.  you had it happen to you

2.  You had it happen to you

3.  you had it happen to a friend or a loved one

4.  1 or 2 or 3 happened and something bad happened as an outcome and you are here to get our expert opinion so you can now call an attorney and sue the hell out of that ambulance service 

5.  None of the above and you are just curious or starting out in EMS and you have an enquiring mind.  

My bet is on #4  so I'm not saying anything that will help you until you tell us more about why you are asking.  

I mean Doc, aren't you supposed to treat all pain with 2.0 mg Dilaudid er I mean Dilaupid until proven otherwise?

don't forget Ebola and a isolated stubbed toe injury that had turned gangrenous that you won't find until the scenario is over and that gangrene ends up killing the patient because you didn't transport to one of the only two hospitals in your region that can take care of Ebola and isolated gangrenous stubbed toe syndrome.  

So in essence,  NO SOUP FOR YOU!! 

But seriously,  I think you are making a mountain out of a molehill, but then again, maybe you will get a scenario with a plane crash into a molehill.  

Our 1998 braun had the same set up.  We transported 3 patients 4 patients out of one wreck, 1 hanging, one on the bench, and one on the cot.  adn finally one on the captains chair.  

And his hazard lights.  It looks like he was having a lot of fun.  

that scene is a great one from The Jerk,  what a great movie, they don't make em like that anymore.  

And when he walks through the shit and just keeps on going, that's classic.  

Ok, so the night is over,  so what happened.  

Nah, Mike doesn't know Poop from Shinola.  

Dang, how do we get this discussion posted out to as many people as we can and not just in our own little EMT City world.  We aren't as big as we used to be.  

Bkelley, this is awesome that we are discussing this, especially someone at a national level, hopefully more will come into this discussion.  

So who's on your group?  Do you have field providers in your group, not to be contentious, but you know the people who are actually in the trenches who deal with this every single day and are forced to improvise and often are left to pick up the pieces when their improvisation turn tragic.  

Without the proper tools and when we are forced to improvise, when something goes wrong, we are the ones who are hung out to dry because we are not given the tools to properly do our jobs.  

So are their field providers in your group?  and if NOT, why NOT? and not that is not meant to be argumentative, but just a SMH moment if true. 

1 hour ago, scubanurse said:

I'm really curious how 3 adults on backboards fit in the back of an ambulance...

 

On the topic at hand, I've been the scared mother riding with her infant in the back of an ambulance and I was not a happy camper with how she was secured.  If I had any other option, I would have done that but seeing as she was seizing, I was limited in my options.  A lot of the EMS crews in my area strap the car seat to the pram using the seat belts and tighten down so the car seat won't budge and then put kiddo in the seat.  This works if the seat hasn't been in an accident and if it has and you have no other way to transport a kiddo, then I guess it would work too.  The problem comes with transporting a critically sick kiddo who isn't stable enough to be in a car seat.  The way my daughter was transported was not safe as the harness they slipped over the pram wasn't designed for an infant her size and had we been in an accident, it could have been catastrophic. 

Might have been one of those hanging stretcher ambucab setups that somehow still exist out there.  

Brandon, you are bringing a welcome bit of education to this forum sir, please continue to do so.  Pediatric transport and care is something that is woefully undertaught and underdone in our industry imho.  Please continue to provide insight and education, this is really good stuff.  

thank you 

Actually, this tidbit of information does not surprise me in the least.  

Let me ask one question, if you put a car seat on a ambulance stretcher, secure it to the stretcher, does that qualify as providing a car seat in the ambulance? Do you provide the same level of securitysafe transport to that pediatric patient compared to a properly secured/installed car seat in a automobile?