Just Plain Ruff

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Everything posted by Just Plain Ruff

  1. So we have people joining even today, the last thread post was Feb 22. What can we do to get more posting and activity to this site? I don't really know.
  2. NREMT Test

    congrats to you. and NEVER NEVER NEVER Let your national registry lapse for any period of time. I did and I regret it to this day. No way is this old fart going to go back and retake it, and thank god Missouri doesn't require grandfathered in medics to go back and get registry. I can still work in missouri at least until they get a wild hare and decide to make us all go and take the registry if grandfathered in. That will be the end of my having a missouri medic license.
  3. The aggressive methamphetamine patient

    I remember being able to go to the local pharmacy, tell em you needed Novahistine with codeine and they would sell you a bottle. I could do it on a daily basis if I watned to back when but I think the last time I was able to do that was in the early 1980's if not the 1970's. My parents would tell me to go get a bottle of novahistine and bring it home. I also remember a pharmacist at the local Bruce Smith Drugs who gave me 90 days worth of all my medications instead of just the script amount. To say it was not well regulated or watch-dogged is an understatement.
  4. I did a couple of stand by's at junior high and High school football games, Was asked several times if I would give the return to play authorization and I refused. I told them that I was no where near qualfied to make that level of decision. Pissed the coaches off to no end and they usually would call the parent of the player down on the field and the parent would make the decision. Needless to say, they didn't come to me after I refused the 5th time. Not putting my license in jeopardy when that type of decision is WAY the hell out of my scope. The liability is just too great and any EMS system making these types of decisions are taking a HUGE risk. I know of a ems system that was stand by at a rodeo. A young boy was hit pretty hard by a medium sized bull, the medics said he should not be riding anymore and needed to get checked out but he and his parents just took him back to the trailer and had him lay down and rest. The family left him alone and went back to the rodeo. When they returned the young boy had died and I believe it was ruled as closed head injury or maybe a bleed.
  5. Bariatric Patients

    To add a little more into the mix, there were 2 of the most respected physicians(one was the patients own physician) on scene with us, they left their offices to come help us. And let me tell you, they were really big helps. (hope you read the sarcasm) Competing orders, trying to sign papers to get him transferred directly up to the city so those big city docs could take care of him but we weren't about to transport this guy to the city on a flatbed. In the end, he spent 3 miserable days in the ICU at our facility and finally passed.
  6. Bariatric Patients

    Yeah, there is that. But they said it was Sepsis that killed him but he was in no condition to fight that infection.
  7. New To Site and Thanks for Allowing Me

    good to have you here 556Nato. I bet your user name has some pretty significant things behind it. It's good to have a RRT on board - been a while since we had one here. And we welcome most anyone with your type of experience. You can probably teach us a few tricks. Later gater
  8. Bariatric Patients

    We had to remove about a 10x10 part of a patients wall because not only was his family the proud owner of a bariatric patient but they were also hoarders and we had ZERO ability to get the guy out from his back room Parents enabled this guy and would go out and buy him thousands of calories per meal and not do anything about helping him address an issue that he had been educated on - overeating. He was proud of his 735 pounds and had plans of getting larger. He even had a girlfriend who was half his size. One day he didn't eat anything and his sugar bottomed out, even though he took his insulin and lantus, metformin and Victoza that morning which didn't help us in getting his sugar up. He also had a horribly infected foot caused by an ingrown toenail which thus caused him to get beginnings of sepsis. So we could not get this guy out of his room through his door, the window was a 4x5 window which didn't help. So we just cut a huge hole in his room wall, backed up a flatbed trailer to the hole and took 11 of us with a tarp to get the guy to the flatbed. Same amount at the hospital to get him off the flatbed. It was the longest 10 minute ride to the hospital I ever had. so embarassing for the patient, we tried to give him dignity during the transfer but by the time we had cut the hole in the wall it seemed like the entire town was there to watch. sadly, 3 days after admission he passed due to sepsis from the infected foot.
  9. Bariatric Patients

    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.
  10. Paramedic vs. Firefighter/Paramedic

    don't you mean for most departments - DEMOTION or punishment.
  11. Paramedic vs. Firefighter/Paramedic

    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
  12. EMT City 2nd sort of annual reunion

    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
  13. Tapatalk?

    Gotcha, probly so Sent from my SM-G955U using Tapatalk
  14. Tapatalk?

    ok, it's there now. Trending articles show up front but their dates are from 2015. not sure if that's just a quirk or what.
  15. Tapatalk?

    Just tried, I searched but nothing came up, screen of forums is blank.
  16. EMT City 2nd sort of annual reunion

    Absolutely agree Anthony,
  17. Old folks Still here?

    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?
  18. EMT City 2nd sort of annual reunion

    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.
  19. EMT City 2nd sort of annual reunion

    Ok, two weeks into this, NO interest. Someone else will have to spearhead this. Closing out the offer.
  20. Tapatalk?

    Richard, my prayers to your family, You are one of those who I always think about when things on my end get tough. I mean I don't say in my head "what would Richard do" but I think, at times, that you've been through some tough times, I can get through mine. That sounds cheesy but it's true. My obesity, I've got a Fire Captain recliner chair gut, has really hit my lower back hard. Plus all those years with the Ferno cot without the battery lift assist. Plus all those lifting those patients out of bathtubs, car wrecks, tight spaces and every where else we lifted them out of, has taken it's toll. No offense to any fire captain ok. Take care my friend, good tidings and merry christmas.
  21. Tapatalk?

    way back when you were a new provider, it's been a long time. Richard, how have you been? If I remember right, the last time you really posted, your mom was affected quite a bit by the east coast hurricane or something along that course of problems. Hoping you have been well.
  22. Tapatalk?

    They had to try 3 times to remember you as well, who is this guy that calls himself Brentoli?
  23. EMT City 2nd sort of annual reunion

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

    Not me, I consider myself one of the most active users if not the most active user on this site at this particular time period and I don't have any more time to devote to posting or using this site. If I start seeing more people on this site, I mean more new people then maybe I'd start using it but for now, I think we need more traffic. but on the flip side, maybe if you did set it up we would see more people using this site.
  25. EMT City 2nd sort of annual reunion

    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.