Just Plain Ruff

provide me with your email and I'll send you a list of about 900 chief complaints.

Playing armchair quarterback here, did you notify your service that you were answering questions regarding possibly confidential patient information? I would have referred the troopers to your service and let them get you with the troopers and then you could answer their questions. It would have made the troopers mad or unhappy but you should have told your service you were answering call related questions.

Be careful of HIPPA!!!!!!!!!!!!!!!!! Unless this is for your work and it is going to be housed at work then putting personal information on your computer like that is just asking for trouble. Be careful on this one guys

Try this: Where can I find EMT courses, refresher courses or other continuing education programs throughout the state? EMS courses are submitted and approved through the Regional EMS Offices. Contact the Regional EMS Program Director or EMS Training Specialist for your area for further information on related courses or programs. You may also locate information on courses by contacting a technical college within your area. A listing of Technical Colleges can be located at www.dtae.org. www.dtae.org Took 5 seconds in a google search

http://www.emsresponder.com/article/articl...n=1&id=3040 from the EMSresponder newsletter. I hope they come out all right.

Depends on the laws in your state. Usually you get covered under the good samaritan laws of your state. Anyone can sue for anything so it's not out of the realm that he would get sued but unlikely. An attorney if he's worried can tell him and usually for free for the first consultation.

I cannot believe the state EMS burueau granted a waiver on clinical time. Be wary of these claims. If they are false and you pass the class and get your license the state may do a audit and require you to go back and do clinical time. The state may also take a look at your paperwork and say, where's your clinical hours checklists? "What do you mean you didn't do any" "Go back and find a service to ride with and come back when you get those hours done" When you are thinking you are done, you might just not be. Call the state and ask for confirmation and if they say yes we granted them a waiver then ask the tough question, why did you grant them a waiver that deviated from the National Standard? I know that in my paramedic class we were given a credit for working for a service with a certain number of calls above 10000 calls a year. They called it work experience. Made a lot of people angry in the class that they had to do more since they worked for rural services running 300 or so calls a year. I for one spent every day not in class either in the hospital or on the Ambulance. I had more than a thousand hours in the hospital total and more than 500 hours in the ambulance. I rode with one medic mainly at a very busy service and he taught me so much. Good luck on this I hope you get the answers you are looking for.

This is really getting good. Great arguments on both sides.

Nate are you speaking from Experience ha ha IF this is a witness for a call you made then you better tell your service that you were subpoened(sic) They should be the ones providing you with counsel on what to say and what not to. Just the facts like Joe Friday always said, you say something you are not sure of or only on a hunch then you are gonna be grilled. Talk to your service toot sweet if it involves a call you ran?

I'd hate to have to explain the fact that I didn't decon a patient to a lawyer and my bosses just because the patient was too critical and it caused the loss of some significant equipment helicopter, ambulance, ER rooms, Supplies and eqipment in the ER rooms and a complete remodel of the ER to replace the contaminated fixtures. I say do you do Payroll deduction?

Well here's another issue we have you have a hot patient, you put them in the Ambulance - HOt ambulance/helicopter now. Take them down the road to the local 12 bed ED and put them in the "trauma" room - Hot trauma room, hot hallway and hot ambulance bay. What happens next, EPA or DOT or whoever comes out, declares your ambulance/helicopter, ambulance bay, hallway to the trauma room and the trauma bay a Haz mat scene and they shut those areas off. Everything that is in that part of the facility that is considered HOT is either going to have to be decontaminated or if it is determined it's too hot to decon then they will take it out somewhere and either incinerate it or bury it. Let's count up the cost 1/3 of the ED and equipment out of service and having to be replaced - 200K - 500K or more 1 ambulance and equipment - 100K (this might be the only ambulance that the service has) or the helicopter out of service - 500K This is a very very very costly mistake. Should have been decon'd but I love playing armchair QB You did right for your patient you never did say what the outcome was for the two yahoo's who burned themselves Dead or alive???

GOOGLE By far above and better than Yahoo. Repeat after me - I will not use Yahoo, I will use google.com

When is this due??? When was it assigned? Give us a idea of what you have thought of already. We can surely help you with some of the work but you have to show us you are willing to do most if not all of the work. WE can critique your scenarios and give suggestions but this is not the forum to get your work done for you. I look forward to hearing what you've come up with so far.

Mike, I pointed that out in a previous posting from Fatterson Again, I will probably make some people either angry or miffed but............................................ Laziness and such is what this is all about. Oh, we need a new ambulance, maybe I'll ask the guys on EMT City and they will give me all the links that I need in order to save me some time. Well it takes all of 45 seconds to type in a google search "ambulance manufacturers" this will return at least 10 pages and the very first link is a list of manufacturers and their websites. How much more difficult can it be to do some simple research before posting here. I have seen at least 4 posts in the last week that someone has asked a similar question that could have easily been found on a simple and I mean SIMPLE google search. I mean if you have never gotten on the internet before you have an excuse but almost everyone who posts here has at least a minimal knowledge base so there really isn't an excuse. Remember www.google.com and do a search before posting obvious questions here.

www.google.com put in needle tracks for the search term http://www.flickr.com/photos/icequeen057/6106754/ But this link is the best http://deep6inc.com/previewher06.html look at the other pages on the above site and they give more pictures. It's quite an informative site.

The cucumber thing is too funny you just knew what it was gonna be from that dispatcher. No more words were necessary

No clinical time - bah that's bunk. your county is trying to pull the wool over your eyes. You need to contact your ems state agency and lodge a complaint. I think they might be breaking the law.

well it's not a tirade of posts but more of a level of frustration about the real lack of initiative. Here is what I mean, I need information on where to find the NREMT sheets. Ok, the person says in their post that they are lazy. That's a given. The most obvious thought to find that information would be to go to the national registry site. A simple 10 second search would have given him/her the NREMT web site. The other example is the national registry patch question last week that someone posted where could they find the information. I'm not blasting the poster about wanting the information as any question is better than no question and there is no such thing as a stupid question, I'm blasting the poster for not doing a search for more than a couple minutes.

I agree. I'm about to make some friends and influence people here but there sure seems to be a lack of initiative to a lot of the posters when they ask for help here. It seems that many posters here are just plain lazy or expect others to do the work for them. That is not the way to get thru life guys. Be a little more proactive and think before you post. www.google.com is your friend. I have found that many times if I have a question that I need answered I will put that question in the search pane of google and it will return many hits of similar or exact sites I need. Please at least do a google search or msn or yahoo search before coming here asking for help. Some things cannot be found but of the last 30 or so requests for help finding something online I have done a search and found it within a minute or two. I agree with the previous poster, lack of initiative in finding the national registry sheets might translate to lack of initiative in patient or other job duties.

medic Easier said than done. What if they are the only fire team in the area? Case in point, had a wreck on the county line of my county and another. it was just outside the city limits of windsor mo. The Windsor FD had nothing in terms of extrication equipment. We needed to get a critical patient out of the car before he coded. No way to get him out with out cutting him out. he was cocooned. We requested windsor call another fire service with the equipment we needed. They refused said this was their incident. I finally called the Sedalia fire department on my cell phone and they responded since it was half in their county and half in ours. Finally they rolled up and went to work. Got him out. There were major repurcussions over my calling via cell phone to get this kid out. So sometimes its not that easy to call another company. Plus I believe that the thought of a meth lab was one made after the incident was completed.

Your haz mat team cannot be any worse than one of my previous jobs Emergency Management leader He rolled up on a rollover of a chemical trailer. It was leaking. He drove up and parked about 20 feet from the leak. He's lucky it was just CO2 and not ammonia or something of that nature. I had another safety officer at a facility I worked at who cut his finger off in a table saw accident. Safety Safety Safety

my first day after map study and orientation to the company I got pulled on a unit without a preceptor and we drove to a pediatric code blue. That was my first call as an EMT.. Went on that day to run a mva with 2 class 1 patients and then to end the day, ran a adult code. Jumped right into the fire.

I have a medic friend was was also a medic in Vietnam. The rule I was told by him was this - If you wake me up make sure you are at least 10 feet away from me as I will wake up coming up and swinging due to my time in Nam. He gave me fair warning. I took that advice and heeded it well cause every time I had to wake him for a call he did just that, came up swinging and grabbing.

I've been on both sides of the clinicals issue. I've precepted in the ED And also been a student. It definately helps to show that you are not only interested in the good stuff but also interested in cleaning up after granny who has C-diff or the little kid who just puked up 2 cups of activated charcoal. I can say that I always looked more highly on the student willing to help me clean up my rooms instead of the student who miraculously vanished when I needed some extra help. You can guess who got to see the good stuff. We used to practice intubation on codes that were brought in and called. you can bet that the student who was involved in all aspects of patient care were the ones who were brought in for special extras like that. I actually had a student tell me "I don't change bed linens or clean up puke" I said in reply "are you serious" he replied "Yes, I don't do that crap" I then asked to see his evaluation - I marked all 1's and said "well then, you can't be a student here, you can go home" He was really really pissed. He was my 32nd student that month.

i agree with Rid doesn't sound like a big emergency to me. Heck, that's how I felt with demerol and phenergan. Running hot for a 5-7 minute transport time - I don't agree with especially at 2am in the morning. LIttle traffic but I'll say this I was not on the call, I was not teching and I don't have a video of the patient nor their actions. But I'm one who didn't run hot back to the ER with a code at 2am in the morning with a 8 minute transport time - we saved the guy and I got my rear end reamed for not running hot. There was nothing that the ER did that I did not do except have 12 extra nurses and 3 docs there to argue about what to do with the patient.