Just Plain Ruff

AHA recognized courses or other type?

I have a couple of people in my home state of Missouri that do this.  they do not do AHA CPR courses because of the need to be attached to a recognized training site.  They do a generic style first aid and CPR course which are all over the place.  

I think you need to determine which groups courses  you want to teach before you go any further.  

I wish you luck but it seems that you would already face some stiff competition with all the EMT training centers already out there in California.  

well I'm not really working in EMS - I'm actually trying to get a Trauma Analyst position so hopefully will get good news soon. 

but I know that many of the agencies in my area have dedicated Bariatric units.  For transfers especially they will send the bariatric unit as well as a fire truck to help with lifting.  

As for on scene (non hosp), the responding unit will get there and determine if it's bariatric and they will call for the bariatric unit.  I think KC MO has 3 Bariatric ambulances so the response time isn't terrible unless all bariatric trucks are already on calls.  

As for smaller services who cannot afford to purchase or man a designated bariatric truck,  hope fully they have a network of fire departments/first responders who can help out.  

That's what I know.  I do have a couple of friends on different departments in the KC area that would probably be willing to chat with you if you have further questions.  

7 hours ago, Arctickat said:

I've been a firefighter, and I've been a paramedic, and solely a paramedic for over 30 years now. No complaints here. I seriously can't understand how being moved off an ambulance and onto a fire truck could be considered a promotion.

don't you mean for most departments - DEMOTION or punishment.  

4 hours ago, Van said:

I made an account just to say this; are you friggen crazy?

I can't think of ONE PERSON who "wants" to be a paramedic. Trust me. After 3 years of bullshit calls and a thankless horrid "career" you'll be furious that you are forced to do the majority of the work while the guys on the truck get to enjoy sleeping all night and playing ping pong all day.

 

This job is so lopsided it's not even remotely funny. It's a job full of buddy fuckers one minute and then there's a circle jerk going on the next.

 

If you truly wish to be a paramedic, prepare for a life 20 years shorter than you would have had and expect to be miserable for the entirety of your underpaid career.

First Troll post of the year from VAN, the winner of the most irrelevant post of the year so far. 

You made a post just to say that paramedic is worthless.  You are a troll and have no idea what you are talking about.  "Buddy fuckers and the like", that's rich.  did it take you all day or a week to put that one together.   Go away until you have something of worth to tell us.  

such negativity, makes me wonder if you wanted to be one of those zero to heros and were turned down based on your facebook posts.  

Go away

has no-one here done any grant writing?

I'm working on opening a Youth Center in a area of my metro and I'm looking for anyone who has written grant applications that might be able to help me?  I"m having a bear of a time finding grants on grants.gov and maybe someone has tips and tricks on how to search this behemoth of a grant site.  

I'm needing about 300K(maybe more, maybe less) to start this center and open in June.  

ruff

ruffems@gmail.com

On 12/16/2017 at 5:37 PM, AnthonyM83 said:

I'd like to think this place started it all, though. The idea of EMS people coming to a place to not only bond, but also to mentor to provide advice from an academic perspective, instead of the ricky rescue perspective. It was the #1 largest influence in my EMS career, as it set up my foundation.

Absolutely agree Anthony, 

3 hours ago, dgmedic said:

How funny ruff - perhaps we have crossed paths before and didn’t know it. I was a medic at St. John’s (now called Mercy). I worked on the ground and flew for Life Line. I am back there now and yeah both Mercy and Cox are Level 1....and they are only about 1 mile from one another. Both places are still ridiculously busy. Go figure- build it and they will come. We do get a lot of area referrals though. 

 

Bob Page, the 12 lead master - you know i still read 12 leads as a physician the same way he taught me as a medic....it works.   

 

And my god the good ol lake of the ozarks. LOL that place is wild. My fiancé is from there. I remember back in the day when MEMSA would hold the combined clinical conference there at tan tar a. What a party. LOL. 

Crap I think I posted in the wrong thread....oh well. Freaking mobile phones. 

You did not post in the wrong thread,  when did you fly for lifeline?  I was in Clinton Mo from 1992-1997, 2007 and then again in 2010

lake of the ozarks amb - 1994 or so

MEMSA about 5 times but since my parents own a lake home at the ozarks, I was able to stay at their house and then drive to the conference, it was only a 35-40 minute drive from their lake house to Tan Tar A or I would just take their boat and park in a boat slip.  

so much fun, I so miss it a lot, but I'm mostly retired from EMS now.  

do you guys use Cerner or some other application for the EMR?

10 hours ago, medicgirl05 said:

Thanks for the effort. I was hoping it would come together. I'm not sure it's realistic for me to make plans that far out, but I was optimistic that once y'all had it worked out I could find a way to go. I miss this place. I wish it was like it used to be. I learned SO much here.

I have the feeling that this place will never be like it was 2 years ago.  We're lucky if we get 3 new posts a week and most people posting post on previous threads.  

Facebook has really hit this place hard.  

Ok, two weeks into this,  NO interest.  Someone else will have to spearhead this.  

Closing out the offer.  

This post is 4 days old and not a single response.  I think the interest in a reunion might be zero.  

Sorry but I'm still doing CPR as it's not a legal document.  Simple as that.  

I think that if a person is going to have this tattooed on their chest then they better have a DNR in paper on their person at all times.  I know that's a big requirement but if you want me to honor the ink, you better show me the paper.  

One thing, if only 5 or so people agree to a reunion it's going to have to be Kansas city or it won't be worth the effort honestly.  

not trying to be a debbie downer but the effort to put something like this on is tremendous and takes a masters degree in event planning.  

Ok, so the title is a misnomer,  it's more of a 2nd bi-decade EMT City reunion.  

I'm going to be putting out a couple of suggested locations, only one of the locations I'm able to coordinate and also a couple of months for the reunion.  I can pick the places we meet depending on the months we decide to meet and the food but of course only if this is in Kansas City.  Nashville and or Colorado springs or elsewhere needs to be coordinated by someone else.  

This is simply the beginning of a discussion and there is no guarantee this will get off the ground, we already tried this one time 5 or so years ago and it flopped.  So Respond back with three answers here see the end of the post for the questions:

Locations(locations not all the way to the coast and one smack in the middle of the country)

1.  Kansas City MO (this is the location I can coordinate)

2.  Nashville, TN

3.  Colorado Springs, CO

Dates: (I'm out for June too much crap for work)

February 2018

April 2018

July 2018

Questions to answer

1.  Could you make it to a reunion and are you interested in something like this?

2. Which of the three cities is more preferable to you.  

3.  Which month is more palatable?

Answer these three questions - I will keep this post open for a month or so to gauge interest.  And then if enough interest is there then we can move on to step 2 - which is pick the city and the date and begin determining the cost.  

Private questions can be sent to ruffems@gmail.com

I have so much stuff going on with work that someone else would really have to do the arrangements.  I'm willing to travel somewhere for this.  But I'm also willing to set up partially the reunion but someone else needs to help with arrangements and deposits for venues and places and food.  

It can be done but I just cannot do it all.  

12 hours ago, MedicNorth said:

Haha, you poor old fart.... the ancient and debilitating Half Century! I wish I could go back to that and realize how great an age it was! , incidentally, would be very interested in Reunion 2.0 if there are enough of us old farts left still above ground. Any takers?

I'm interested but it would have to be within driving distance of the metro area of KC MO.  I'm getting pretty poor in my old age and I'm just not able to afford any long trips anymore.  A 1 day drive one way, then a day for the reunion, then an overnight and then drive back would be about the extent of what I could afford. 

My days of having crap loads of frequent flyer miles are over, it's back to poor civilian life for me.   

On 11/25/2017 at 5:47 AM, akflightmedic said:

Talked with Dust's mom recently via FB...was purging some old picture folders and I ran across a bunch from the FIRST and ONLY EMT City Meet Up in Orlando...she had never seen them so I shared with her.

Blog time?

Hey everyone...

If you care to share those pictures I'd love to have some of them.  Being one of the charter members of that group, I'd like to have some of those memories.  Damn that weekend was fun.  

AK, Dust, Dwayne, Mateo, mateo's mightily pretty cousin, AK's ever accomodating wife, AK's exceedingly polite and really really smart kids, and the clubhouse we took over and spent many hours playing pool, trading stories and the picture to end all pictures that AK shared.  

I'll never forget it.  AK, one of the few great EMS God's that still remain.  

There will never be another EMT City reunion in my lifetime and I just turned 50, so I don't have that many years left.  

9 hours ago, akflightmedic said:

Ahhhh, as a businessman/entrepreneur, I always find it fascinating when people are 30 steps ahead of step 1. Your business is pre-destined for failure currently. A basic business plan would have included the need for a MD, how much to pay one and where to find one. The fact you have none of this, come online asking where to find one, indicates while your spirit may be true, your plan is not.

Advice--Go back to the drawing board. Start all over and do the BP proper, from the beginning and quite seriously unless you have a financier, independent wealth or several top dollar contracts signed (pre-start-up? which is weird)....you are going to bankrupt in 6-12 months and that is me being very generous with time. 

You are going to need at least 500K of free flowing capital to scrape by...this is AFTER all your other expenses, start up costs, etc.  

AK, how the heck have you been?  it's been like 2 years or so since I've seen you here.  I hope all is well.  And I tried to tell the person that they needed a doc straight away, but doesn't seem like they liked any of our answers so far.  

On 11/18/2017 at 1:33 PM, dgmedic said:

Just finished residency this last year....graduated in June. I am now an EM doc at a level 1 trauma center in Southwest MO. It is actually the same place I was a ground medic and flight medic. It was like a homecoming of sorts. Every time I have interactions with the EMS crews here it is like we fall back into our old routines, ribbing each other in some sophomoric banter, etc. But better yet, I am yet another EMS advocating physician for our area. Would trust our medics with my life. 

 

-dg 

I didn't know that there were Level 1 trauma centers in Springfield MO,  Cox or St John's?  I used to work down at one of the Lake of the Ozarks amb services which sent you guys a lot of customers via helicopters and transfers from Lake Regional.  

Bob Page taught some of my EMS courses out of that area.  

Good group of people down there.  

take care

Ruff

2 hours ago, BushyFromOz said:

Married was never a problem... the demanding 3year old changed things though.

Or demanding 15 year old, 8 year old, and 6 year old.  Not a moments freaking peace.  haven't had a disturbance in the force in I don't k now how long.  

11 hours ago, BushyFromOz said:

I told my wife about this convo. She said she would stab me with a pen if I asked for sympathy nookie

I didn't have to ask for it, my GF just gave it.  Thats the difference I guess between being married and single.  It's given by the girlfriend and obligated by the married.  ha ha 

1 hour ago, BushyFromOz said:

In that case, I don’t feel sorry for you at all! 

Hell no brother, but I did get a lot of ribbing from my co-workers saying it was a rookie mistake, problem was, I was still kind of a rookie.  

17 hours ago, BushyFromOz said:

Geeze mate, sorry to hear that. While i have never been stabbed ive been threatened with knives a couple of time (sometimes i think the wife could stab me though, probably while im mleeping)

 

I do know a guy who was assaulted by a man who was high on meth. Unfortunately the paramedic he picked the fight with is an amateur MMA fighter and promptly got knocked out.

 

It was also his first RSI... 

Well to be honest, I did give her the means and the opportunity, so lessons learned.  But once the docs realized that my wound was not through into the chest cavity, they cancelled the activation, they sutured my wound and gave me 10 days of Vicodin, keflex and a tetanus shot.  

The police were no freakin help, around where I come from, psych patients who try to kill you don't get charged.  

but I did get a bunch of sympathy nookie from the girlfriend at the time.  That's a TOTAL win.  

On 11/12/2017 at 1:16 AM, BushyFromOz said:

I wonder whatever happened to Greshmedic?

 

I remember years ago there was a discussion about patients being dropped of stretchers. He said something like

"I have only ever dropped 1 patient.... bitch shouldn't have tried to stab me"

 

Gee i laughed...

You know, I've only dropped one patient too, The one patient who asked if she could keep my pen, Old bic pin,  she was going in for a medication check,  I said sure, you can have my pen, I then walked in front of her, my partner in back of me.  She took the pen and proceeded to imbed the pen in my jacket and then 1/2 inch into the flesh of my back.  That was the only patient I ever dropped with a left hook to the right temple.  And then my partner and I sat on her until the police got to us.  I have a nice little round permanent puncture wound to my right scapula area, blood was everywhere.    

Got treated as a trauma patient until they could rule out whether the pen punctured my chest wall.  DAMN that pen hurt when it went in my back.  Patient was deemed a mental case and was never charged.  

Yeah yeah yeah,  before you say it, I learned a couple of valuable lessons,  

1.  Coats don't stop bic pens

2.  Don't walk in front of your patients, EVER

3.  Don't ever give your patients your pen

4.  Trauma activations are NOT Fun, Really doc(trauma resident), you want to do a rectal for sphincter tone - nah I'll pass(do you have something to tell me Dr. Takei).  He reluctantly agreed.  

5.  If you need a couple of days off, let your patients stab you with the bic pens you let them have.  

6.  Make sure your patient  stabs  you and then you knock them down and make sure it's on video.  She claimed I hit her and then she stabbed me.  Thank God it was on video in the Hospital ambulance bay and the security guards were watching us bring her inside.  We had a few witnesses.  

7.  Don't pull the pen out, if you do, you get a trauma activation, had we have left it in, they would have know it was only in a half inch.  

3 hours ago, dgmedic said:

How weird that this is an ongoing topic and I ran across it; although it was started back in 2015 lol.  I was active about 10 years ago - dgmedic. I had also ran another site medictutor.com. Stopped that a long time ago too. I ended up going to medical school, EM residency, and am now an emergency medicine doc!

It is good to see the site still up and going. And paramedicmike.......good to see you are still here too. Wasn’t there a RichmondMedic or something like that too?  

~dg

dgmedic, congrats, one of our own did good.  way to go.