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MedicAR

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MedicAR last won the day on February 16 2015

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  1. I had this problem with a DOA. I know that sounds ridiculous, but the deceased was the caregiver for an adult functioning at about the level of an 8 year old. My concern was whether he would be able to care for himself without anyone present once the coroner had removed the remains. He was unable to give us information on who to contact, family names, phone numbers or anything. They used a land line phone so raiding the "contacts" wasn't an option. We got law enforcement out which is standard procedure on a DOA and they spoke with him, trying to determine if he was safe being alone. We s
  2. Auto regulated through a tube in the lower abdomen. They said the pump rarely gives him problems, but it's not out of the question.
  3. I was completely unaware of this. I don't recall it being something that I saw in school and certainly haven't seen in any refreshers since. I will try to learn all I can to pull together a presentation to teach my coworkers. Your description fits better than anything I have been able to find or attribute. It was a short ride to the ER, so I am betting that the release occurred while we were with him, giving me a good CBG when I checked but allowing it to quickly crash after dropping him off. Thank you! I thought I had it in the first post, but apparently that was an earlier draft.
  4. Honestly, I don't believe the glucometers are ever calibrated.* By the same token they are usually within a point or two of the readings in the ER and the one I used is still on the rig with no other unusual readings. We did a finger stick to get the glucose level while still in the early stages of the assessment because nothing really made sense. No real history other than Type I Diabetes that he generally keeps well controlled. He and his family stated that he rarely has consciousness altering episodes and has even had fewer since getting his insulin pump. They estimated it at once a ye
  5. I had a strange call recently. Called for an unresponsive/syncopal patient. When we roll up, he is awake and looking around but not interactive even to pain. Family said he was completely unconscious when they found him and his eyes were closed. He had no seizure history, oral trauma or incontinence but for all intents and purposes, he appeared postictal. He had a diabetic history (and insulin pump) but CBG was 128. Skin was pink, warm, and dry, and pupils were equal and reactive. He was young (late 20s) and very fit, last seen normal two hours prior when he was complaining of a headach
  6. Not what I was looking for but a great read!
  7. https://www.research.net/s/EMSProviderStressPoll It's a survey. The same link is in this article: http://www.ems1.com/ems-advocacy/articles/2117096-EMS-leaders-studying-suicide-and-mental-health-in-emergency-responders/
  8. I appreciate the support and suggestions but I have been down this road, too. I started with our Employee Assistance Program which was hysterical. While their counselors might do very well for the average office or factory worker, I saw immediately that they were ill prepared for the difficulties I was seeking help for. Let's face facts, a big part of what we do in our job is reading others. Some of us study body language and the science involved while others just do it without fully understanding how it works. It becomes instinctual. I clearly made both of the counselors I tried to work
  9. Speaking from experience, there is next to no assistance available for responders. There is a new group called "Sheepdogs" that claims to be specifically set up to help first responders and veterans with PTSD, depression, anxiety or any other problem. They also reach out to perform disaster relief since their members are already trained and ready to go. I tried three times to get help from them with no response at all. I looked for PTSD groups in my area but since I am not a veteran, there are none available. My favorite questions when I am looking for assistance are "what branch did you
  10. I have spent the better part of the afternoon trying to find an article that I am certain that I read online at one of the EMS journals. It was reporting the results of a study on deaths of providers after leaving EMS. The authors of the study had been researching another topic when they came to the realization that a large number of EMS providers die within three years of leaving EMS. It didn't matter if they retired, resigned, were forced out, or whatever, a large number passed within three years of leaving the business. The article itself appeared definitely within the last six months,
  11. Really? ASK for a discount? If you pull that crap while riding with me, you will go sit i the truck for the time being and then I'll make sure you never get to go into any eating establishment while on duty again. Why, exactly, does the world owe you anything?
  12. My service ignores it. Christmas bonuses are gone. No raises for about 3 years. Employee of the month discontinued. Christmas dinner is a potluck, we have to use our uniform allowance for boots and can only do so every three years (the allowance doesn't cover a pair of proper boots), no compensation for training or recertification, no way to promote, cramped trucks (front and back), air conditioning in the trucks that works about 50% of the time, the list is almost endless. We changed from a bizarre mix of 24 and 12 hour schedules to 12 hours for most crews and 24s in the lower volume
  13. We were told it was mandatory and that the schedule for the classes had been arranged to fit into our work schedule, creating the long stretch of days that was at issue for me. So it was implied that we had to take the class through them but it would be a standard PHTLS class.
  14. That's what started the whole subject. We were told that PHTLS would be required by the company ahead of state mandates that might go into place in the next few years. Once I questioned the pay, they backed off and said that the training was suggested. You've got to know, I'm not opposed to more training, it's always a good thing. This particular class was going to put me working 9 consecutive days. It was just too much time away from home at the time it was slotted. Another subject opened by all of this was why paramedics are generally instructors for CPR, ACLS, PALS and such.
  15. I always believed that training to maintain the certifications necessary to perform our duties were required to be paid whether regular time (under 40 hours) or as overtime in addition to our regular hours worked. I know that nurses are compensated for their time in courses they are required to take (CPR, ACLS, etc.) but my employer tells me that while nursing may do it, it is not required as we need the training to perform our jobs. I've searched this site and the internet at large with no luck. I know that training required by the employer is compensable but that training required by
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