Just Plain Ruff

I cannot believe no one has said Leaving sharps on the floor after a code or a bad call. They have sharps containers for that. For those who have been stuck you know what I mean. Also fast driving not stopping at intersections and stop signs no restocking the units instructors having relations with students supervisors having relations with the supervised not being able to read a map and get me to where I want to go GRAMMAR AND SPELLING especially on patient run reports. Drug Errors inappropriate statements made around patients. "We only drop people on thursday" silly Lying to Patients those are a few that I have Oh one other not taking responsibility for your actions. "I didn't do it"

Quoted from Mamam We do have an agency around here that sounds an awful lot like this Medic One unit. We call them the "God squad" because that is what they think they are. Just recently given the powers for MFI (last year) they have had to had to cric 5 people in the past 7 months alone. Never mind that they should have done this, but SHOULD they have done this? Not being on the scend, I cannot clearly say. But seems to me that you should be able to ascertain if you are going to be able to get a tube before ya'll go and paralyze someone!! Ok what does MFI mean? and Cric 5 people in the past 7 months. That seems high but since you weren't on the scene you cannot judge what should have or should not have been done. As for the statement that you should be able to get a tube before you paralyze someone, there are times when RSI is clearly indicated and there have been times when even then you cannot get the tube. Before you go off blasting people you should walk at least a baby step in their shoes. But in all defense, even though you clearly say you are a lowly baby EMT-cc don't cut yourself short. Keep learning and never never never stop asking questions.

Jake that is true but once the instructor puts himself in that compromising position of having any type of romantic relationship with a student this could happen: Said student breaks up with said instructor, gets a failing or poor grade or is cut from the class due to poor performance so the instructor says. She files complaint, or worse sues the educational entity for being cut after she broke up with said instructor. WINS the case, school stops class. This has happened countless times where an instructor and the student get together and BAD things happen. I don't see how anyone here can be defending this if it happens. To me it's black and white. There are just too many bad things that can come out of a relationship between the instructor and the student. Then we get in to the arena where all the students know that instructor A is banging student A. Student A is getting great grades, better than anyone in class is. They file complaints because they foresee either cheating or extra help(cheating) and it gets ugly. I speak from experience since this happened in our class. The worst student proven by her first 3 tests of 65%, 50% and 70% started a relationship with the instructor. She miraculously jumped to 98% and above on all subsequent tests. We went to the instructor and he told us it was not our business what he did with anyone. We then went to the director of the class and both instructor and student were removed from the class.

new onset seizure Any fever? no evidence of trauma but could have a bleed from a bump on the hear a day or so earlier and then it manifested at work. I'd say no on the drug overdose but who knows

ok, what are we supposed to answer now. IV, O2, monitor, give 5mg valium(or whatever antiseizure meds you have) and transport. There's not much more to do with this guy. Unless he codes There has to be more to this than what you posted but not sure what you want us to do with this.

I get paid 45 per hour but then again that's in Consulting I was paid 42K as a medic in my last job

It is absolutely inappropriate for any instructor, be in college, high school, church sunday school, ems, nursing to be in a relationship with a student. There is absolutely no excuse for it. The ethics and moral's of this are self explanatory. I would not tolerate it if it was my school Supervisors and managers should also not be involved with employees.

Let's not forget our favorite Levophed or just Leavemdead

ANY course that emphasizes spelling and grammar. Spanish Healthcare organizational behaviour Math Any class that teaches or focuses on critical thinking Negotiation classes and my favorite "How to deal with difficult people" type classes.

no supervisor/preceptor should ever even think about getting involved in a relationship wiht student. END OF STORY If so they should be terminated. These students are impressionable and vulnerable due to the stress that is put on them. Work stress is different but theyshould have that extra stress on them. Student and student relationships - what ever floats their boats.

well the 2nd most important man in the US (some would argue that point) who has a significant medical history deserves to have a medical team near him. they don't want him to suffer the 30 minutes from ALS syndrome. I definately do not have a problem with him having a medical team with him 24 hours if needed. Seems only logical. The person who broke the news from the Corpus Christi News Collar or some tipsheet paper like that said and I try to quote "I was just sitting at my desk waiting for some news to come in and I got the call of a lifetime" "I heard the story and immediately knew I needed to start transcribing" She sounded like a truly green reporter but in a town the size of corpus christi I think that when important news like that breaks she becomes the hero. Really the only people trying to spin this and make it into a scandal is the media.

well here's my 2 cents Give em water if they can protect their airway. Give em water if they are not going to the OR or on a fluid restriction My first foley placement was on a 78 year old man with a penile implant - wierd I've placed more foleys that I can remember and count. Straight cath em if you can. Foley placement is easy on a guy, ONE hole. Just getting over the male touching male thing that was the hardest thing for me.

I agree with some of what you are saying but when you say you do not like fanatical beliefs to extend to your hand unfortunately, and I say this not to discount nor to be argumentative but it is a two way street. You cannot extend your fanatical beliefs to others either. I do believe that with you having no beliefs and are a self professed atheist that your beliefs in and among themselves are fanatical. Not trying to put your views down but I do believe that Atheism is a fanatical belief. I don't know what went on in your life to get you to that point and I respect your views of atheism but that is not what I believe. I consider myself a religious moderate, I would never shove my beliefs down anyones throat and I expect that the same courtesy is extended to me. There are too many crackpots out there that take both ends to the extreme. As long as we can have a healthy debate along this subject then all is well and good but the moment it gets to be too intense then we step back and in the immortal words of R.K. "Can't we all just get along" I don't understand the current uproar of the muslim world about these cartoons but then again I'm not muslim. It all comes back to tolerance but some people are not tolerant towards anyone but themselves. I've got a headache so I'll close here yet if you want we can debate this more later either in PM's or via chat or IM I'm always on in Yahoo IM ultramone@yahoo.com

Benanzo, I don't agree with you. Sure we have free will. Sure it's god's will that things happen. Not sure exactly what you believe but I considered working in EMS as my god given talent and I always knew that no matter what I did, The final authority was God's, IF I saved some guy then it was thru god's grace that I did, If I did not then it was that person's time to go. I'm not defying God's will, he is the one who guides my hand. I do believe one thing you said, it's not our place to minister to someone in the ambulance unless that patient asks me to pray with them. I will do that. I did carry a bible with me on the ambulance. I worked with my pastor to highlight certain books and versus that would be relevant to injury and illness. But it does not make them look silly or stupid if they do minister to patients. Your opinion of course but not mine.

On the subject of treating people from different religious beliefs. In palestine, the pallestinean ambulance authority treats everyone that needs help. The Israeli ambulance service also treats everyone that needs it. So if those two diametrically opposed religions can treat each other in a crisis then I can't imagine why we are discussing this in our forums. For two religious groups to be so vehemently opposed to each other yet treat the enemy should be a basis on how we do our work. Michael

ok, heres another screw up, at the time of this incident I'd been a medic for 10 years from big huge services down to small 1 ambulance shops 32 year old female pregnant patient eclamptic - transfer from small hospital USA to big teaching hospital. She seizes half way thru the transfer, already had orders (precautionary) for valium if seized. she did, I grabbed the valium and pushed 5 - seizure stopped, yet she stopped breathing Get her to the hospital, she's breathing now Get back the unit, my partner said, "Hey buddy, what did you give Morphine for?" You guessed it, I grabbed the wrong syringe. Ran in told the doctor, he said no big deal, "I wondered why her pupils were pinpoint" He said it happens and at least I admitted it to him. He was so cool that he even called my supervisor and explained that there was no harm done to the patient except give her a free high. I was so distraught cause I thought I had hurt the baby. I keep in touch with the mom and her baby. He's now 9 years old and smart as a tack.

I just saw the episode it was great. She's a hero, you can just see the fear in her eyes and she stays there. I don't think the doctor was out of line either.

Does spelling and grammatical errors in patient run reports indicate shoddy or poor patient care? Please discuss! this is bound to get some heated responses but it's something Dust and I have been discussing via private messages.

my understanding is that it takes a while to knock the respiratory drive out. But I am sure others can shed light on that. I also remember that if the patient is not a true copd patient that you can't knock it out. Again maybe others have info I might have forgotten. Ive transported a "COPD" patient for 40 minutes to the nearest ER on high flow and not a twinge of knocking their resp drive out happened. Patient kept breathin

that was one of the things that jumped out at me. I mean it's one thing to treat and street a laceration on the leg or so but another thing to not transport that lady. Case in point. Had a lady original call was for chest pain. On our arrival patient with absolutely no symptoms. Had a high suspicion on this one but I could have let her refuse. I didn't and I transported. We were driving down the road just off her driveway and she coded, I said Holy crap batman. worked her got her back. Took her to the ER and she coded 3 more times. We flew her to the cardiac center and she was having a right wall/posterior MI. they cathed her. I called her house hoping to talk to her husband 5 days later and guess what She answered the phone. what a feeling

http://jems.com/Columnists/emslaw/articles/15830/ This made me think. It's a two parter so make sure you read both.

Limbstruck that was funny sort of like the video I saw of a halloween video. there is a huge hulking black guy walking up the stairs with his friend, he goes to the door and off to the side is what looks like a scarecrow on a chair. The scarecrow stands up scaring the bejeezers out of the two guys and the big hulking guy decks the scarecrow and knocks him out. that was funny Suicide is the cowards way out of a situation. The only one who it's easy on is the one who is dead. they leave a family and loved ones to greive and also to feel the feelings of guilt as if they could have done something. I don't have much sympathy for someone who either attempts suicide or is successful. I had a friend who told me this story. his friend was a deputy for a small county, got a call to stop this semi truck. he also was told to call dispatch and he did. He was told that someone jumped in front of the semi and got hit and was plastered on the front grill of the semi. he stopped the truck, told the driver to remain inside the truck, checked out the front and indeed there was a recently deceased guy. He told the driver to step out and come to the back of the truck. The trucker was getting more frustrated by the minute. He finally demanded to know what was going on and he was finally told. the trucker didn't believe it and ran to the front of the truck. Saw the dead guy and promptly passed out. He has not driven since. so if you opt ot kill yourself then I have the option to call you a coward.

since this thread is still going strong here is what I do to get rid of the smell. I was talking to a coroner in Jackson county and a CSI guy also and they gave me this piece of advice. Carry vicks but make sure you use it prior to gettin in the nastyness. Once you have smelled the decomp the odor molecules will stick to your nose hairs. sounds far fetched but it's true. once they are there it is near impossible to get them off except to wait. The advice I got is once you get done with the call and change clothes and stuff, you need to sniff a little bit of water so it washes off the molecules. i tried it and it worked. Very minimal smell left but I could continue to work. This works on almost any nasty odor.

Actually Irregardless is mentioned in the American heritage Dictionary. So according to the American Heritage Dictionary online version it is a word. Not a word that the bright people out there should use but it's used in language so it must be a word. here's the link http://www.bartleby.com/61/84/I0238400.html Here's another source http://www.worldwidewords.org/qa/qa-irr1.htm

If the big one hits, no-one is going to be able to handle it. Bring in all the resources you need but the fact is, if you dont' have the infrastructure or facilities or equipment to handle it you will NOT handle it. You just do the best you can with what you have. it's a common theme in America to throw money at something and it will get better. That doesn't work. I wrote a paper on mass casualty situation with a WMD and got an A on it in my master's level health management class.. I'll try to post it here in a link. We need to look at the overall picture like a post earlier said, if you put all your resources into a MCI and then you have 1 or 2 people not involved needing an ambulance or a house catches on fire and you cannot respond then those people are not served well. larger cities are better prepared cause there are more resources there, more hospitals, more resources a shorter distance but take the small county I used to work in. We covered 800 square miles with 3 ambulances but only 2 crews, sure we could staff the other ambulance but it would be tough. get a incident with 30 patients or in my paper 400 patients and you see the problems.