air.stump

I thought this stuff was common knowledge? They didn't need to pay anyone for this info.

Thanks for the help and direction folks.

I have been looking at the rehab protocols that we use and was wondering what everyone else does. I work in a high humidity environment and this time of year, we are busy with this type of patient. We have been entertaining the use of a misting system along with a fan to increase evaporation. Does anyone use anything like this? Any info would be great.

I could post tons of these...... From Spies Like Us Austin: I gotta take a leak. You should go too. Emmett: What are you my mother? Don't you think I'm capable of determining my own time to go to the bathroom? Austin: So, isn't now one of those times? Emmett: No. Austin: You mean you don't feel a certain degree of urgent pressure on the inner wall of your bladder, now, right at this moment? Emmett: No, I'm fine! Austin: Well... wouldn't you feel more comfortable being fully relieved of any excess fluids that might be building up immediately, now? Emmett: I gotta take a wizz? Austin: (Nods head yes.) From Raising Arizona Son, you got a panty on your head. From O' Brother, Where Art Though Pappy O'Daniel: Shake a leg Junior! Thank God your mammy died givin' birth. If she'd have seen you, she'd have died o' shame. From Bull Durham Skip: You guys. You lollygag the ball around the infield. You lollygag your way down to first. You lollygag in and out of the dugout. You know what that makes you? Larry! Larry: Lollygaggers! Skip: Lollygaggers.

I would say take it. I took it before I started paramedic school and it jelled the basic skills and made the advanced stuff easier to grasp when I got it in school. I have also had ITLS. I found PHTLS gave a bit more rational as to the why are we doing this or that skill. ITLS seemed to miss this. Enjoy.

Ruff, Iron Ball McGinness is the maria guy from The Jerk. Steve Martin Kicked him in the cods and found out why he was named that. The shooter picked out Navin R from the phone book kinda random. Welcome Tech217. Just remember not to buy into the drama of the call, it's their emergency not yours.

Wonder if he is all blue like a smurf?

Try A Little Tenderness - Otis Redding I Your Captain / Closer To Home (Live) - Grand Funk

Paid.

Looks like the way I danced at the club I used to go to before I was thrown out and banned for dancing like that. Whew!

Dude.....continuing education and upgrading skills is just part of the profession. No matter where you are or what you do. Suck it up and do it.

CO poisoning? Did they do a carboxyhemaglobin in the ER?

I get that firedoc but why would that require a specialized crew and unit? Couldn't they spend their money on better things like paying paramedics more?

WHY??

I have a few different coping methods because nothing ever works 100% everytime. I have a few drinks, fish, run, work with my lab(dog), garden, work on my truck, yell at the squirrels, throw rocks at a tree, talk with my friends, confide in my wife, camp, yell, ........... What ever works is what works.?! Nothing works best for me.

Hey Michael, Flight medic school is four weeks at beautiful Ft. Rucker, Alabama. This is a hour north of Pensacola. It consists of aeromed physiology, ACLS, PALS or PEPP, and ITLS(the old BTLS). My flight partner is there now and I go in August. As for getting a slot, you start by finding one. The next step is to get a flight physical. This is where it gets a bit dicey because nothing usually happens till the physical is finished. Most units won't look at you till the physical is done. Once this is done, then, you can get into the school. Last time I looked at the grad class list, the majority of the class was E-4 to E-6. Don't quote me but the web page for the school says something to the effect of E-5 and below for active and E-whatever for the Guard. As for the MOS, Dust is right in that all of them are 68W. There is no ASI for the school. What you do get is a SQI of F for flight. I go to school this August but have had a F for the last three years, go figure. Hope this helps. PM me if you have other questions or post them here.

I did leave EMS for a year and dealt blackjack. It was cool and a lot of my players were past patients but I missed the truck. If I didn't do EMS I would say I would: 1. The engineering guy that gets to shoot the "chicken cannon" at airplane windshields. 2. Teach philosophy or american literature anywhere. 3. A private distiller. 4. The cannon operator that shoots the snow banks to prevent avalanches from happening.

I have spent a bit of time reading the thread this morning. I have enjoyed the sarcasm. I have to re-ask, what about CISD? Where do pier groups come into play? I worked in a busy pediatric ER and we had these things. The social workers organized these groups and monitored them. I attended them occasionally and they helped. It is calming in a way to know that someone else is experiencing the same things. It helps just to listen. Antidepressants are fine as long as they go hand in hand with counseling. For the EMSer that is popping them to stave off burn out then I say, "Don't let the door hit you in the arse on the way out." Find another profession. On the other hand, if the person has taken the time to go to a counselor and has been placed on them by a healthcare professional AND is monitored while on them then, fine, jump in hang on............

When I started in this business, a nurse taught everyone in my course to treat everyone like their own parents regardless of race, sex, blah blah blah. I thought this was good advice until a guy in the back of the room said, "I hate my parents." You could hear a pin drop in the room. She dropped her head. I treat everyone like a friend I haven't seen in years no matter if they are happy to see me or not. It's my way. I don't think that a prejudiced person can put it all aside, maybe most but not all. IMHO, most prejudiced persons look at who ever in a way that justifies their belief. It seems to me that they look for a reason to treat people differently. Once they are given that reason, they seem to be vindicated in their views.

When ever something new in prehospital treatment comes around, the EMS community embraces it and goes about training crews and making sure they know how to use it. At the same time, the area EMS councils meet resistance from the area hospitals and their staff. As the hospital staff becomes familiar with the new technology or procedures, they are more comfortable with it and are accepting of it more. When we initiated 12 leads, we would run them, interrupt them and then get the QA guys to compare them with what the hospital saw when they ran theirs. It was an effective tool that got us past the transmitting stage and showed that we could knew our job. Good luck and don't let it get you down. It isn't personal.

I would not stake my reputation on the assumption that most EMS persons have the same understanding as I do. I do feel that they have the ability to learn and come to the understanding of what it is, what it looks like and how to competently treat it.

You hit the mark Dust except you forgot one thing, Money. Money from the FD because they lose engines. Money from the homeowner because of increased insurance rates. Money from the politician that proposed the cuts that caused the increased rates because he gets voted out of office. No one likes to give up their Money and because of this, change, however desperately needed, won't happen until more Money is at stake.

Jmac, I'm with you on this one. I understand the pathophysiology of meningitis and can understand the need for field AB. Under what other circumstances do you guys start field AB therapy?

I was sent to call for abd pain and was advised to stage at the corner so PD could clear the scene. I was puzzled at this point but followed instructions. When we were cleared forward, I was met at the door by one of the officers on the scene. He said that the reason for all the staging and stuff was that they, the PD, had had problems with the resident at this address. My partner and I looked at each other, nodded, and went in. The patient was laying in bed with a sheet pulled up to his chest. An officer was in the room with him and we were joined by the other officer. I began my assessment with this guys permission. All is good up to this point. When I pulled the sheet back, I was instantly between two officers and drawn weapons and a 1911 Colt .45 that was between this guys legs, kind of tucked under his, uh, parts. The handle was clearly visible. To make a long one short, nothing happened. One of the officers came forward and secured the weapon, the patient apologized profusely and I lost more hair. The officers also apologized. I learned a lesson. Never take anything for granted. If the scene is pronounced safe, verify it as you move through it. "Read" the scene, so to speak.

EMS and ER's have become societies safety net for medical issues. For years, private companies have allowed ambulances to be used for transporting patients to doctors appointments and dialysis visits because the money was there. Only recently, when the insurance companies began to cut and deny fees for these transports, have wheel chair vans and non medical transport sprung up to fill the void. But that doesn't cover the frequent flyers...... They know they have a ride regardless, for whatever reason because 911 can't say no. AND thanks to EMTLA, when an ambulance transports a patient to a hospital, they have to see him regardless of the complaint. An interesting side note is that EMTLA covers a hospitals duty to evaluate and stabilize a patient but only makes provision for ambulances if they belong to the hospital, interesting. Could better refusal protocols be the answer to frequent flyers? I am glad to say that that one is above my pay grade. The future is bleak for this type of abuse also. I think the next presidental election will bring us a president that socializes medicine to some degree. Ask the many Canadians on this forum about socialized medicine, listen to them and hear some of their stories.