PRPGfirerescuetech

:roll: :roll:

We had a medic in my area that worked for local EMS. he went to cut pant leg on a patient,and produced a very nice size laceration to Pt's leg. My suggestion is to leave the knife at home or in your vehicle. But again ,just my suggestion

HAAAAAAAAAAAAAHAAAAAAAAAAAAAAAAAAAAA.....whatever happened to Russ, is he still a card holding potart?

Robot

You are 100% Rational, 28% Extroverted, 42% Brutal, and 42% Arrogant.

You are the Robot! You are characterized by your rationality. In fact, this is really ALL you are characterized by. Like a cold, heartless machine, you are so logical and unemotional that you scarcely seem human. For instance, you are very humble and don't bother thinking of your own interests, you are very gentle and lack emotion, and you are also very introverted and introspective. You may have noticed that these traits are just as applicable to your laptop as they are to a human being. You are not like the robots they show in the movies. Movie robots are make-believe, because they always get all personable and likeable after being struck by lightning, or they are cold, cruel killing machines. In all reality, though, you are much more boring than all that. Real robots just sit there, doing their stupid jobs, and doing little else. If you get struck by lightning, you won't develop a winning personality and heart of gold. (Robots don't have hearts, silly, and if they did, they would probably be made of steel, not gold.) You also won't be likely to terrorize humanity by becoming an ultra-violent killing machine sent into the past to kill the mother of a child who will lead a rebellion against machines, because that movie was dumb as hell, and because real robots don't kill--they horribly maim at best, and they don't even do that on purpose. Real robots are boringly kind and all too rarely try to kill people. In all my years, my laptop has only attacked me once, and that was only because my brother threw it at me. In short, your personality defect is that you don't really HAVE a personality. You are one of those annoying, super-logical people that never gets upset or flustered. Unless, of course, you short circuit. Or if someone throws a pie at you. Pies sure are delicious.

To put it less negatively:

1. You are more RATIONAL than intuitive.

2. You are more INTROVERTED than extroverted.

3. You are more GENTLE than brutal.

4. You are more HUMBLE than arrogant.

Compatibility:

Your exact opposite is the Class Clown.

Other personalities you would probably get along with are the Hand-Raiser, the Emo Kid, and the Haughty Intellectual.

*

*

If you scored near fifty percent for a certain trait (42%-58%), you could very well go either way. For example, someone with 42% Extroversion is slightly leaning towards being an introvert, but is close enough to being an extrovert to be classified that way as well. Below is a list of the other personality types so that you can determine which other possible categories you may fill if you scored near fifty percent for certain traits.

PRPGfirerescuetech I have nothing but respect for you, but I disagree with you that these posts are pointless and fruitless.

I my basic academy we reviewed dozens pics of accident scenes, trauma etc. an ran through "what ifs" and I would imagine we will do scads more in paramedic school.

I can't think of a single educational venue that doesn't use pics to educate. How do you replace them with text?

Viewing pics forces us to develop mental scenarios and resolve them. I believe it is an absolutely valid way of learning.

I don't believe it becomes invalid because a few people get their panties in a bunch...if we invalidated every thread that stirred someone up the City might as well close it's doors.

It seems to me the attitude in the City is shifting (yet I'm prepared to be proven wrong...again). People used to be wary of whining about things that hurt their feeling if they couldn't back up those feeling with valid facts. Now it seems that being politically correct is trumping education....

Are we to lose the wisdom of you, Dust, Rid, asys, and a few dozen others because they neglect to wrap their posts in velvet?

Perhaps I am just stumbling on threads that are not indicative of the City as a whole...I hope so...for putting education above all else is what separates the City from all the "wanna be's" out there.

I thank everyone for their thoughts....even if I don't like them...

Please...let's get back to focusing on facts...and education...even if it stings sometimes...

Dwayne

1. The attitude of the city is shifting yes. Not in a good direction either.

2. Exercises like this without a synopsis of the call is simply monday morning quarterbacking without all the information. If you want to quarterback a callk for educational value, post a call synopsis and let the vultures tear it up. To try to identify issues froma 1 dimentional photo has too little information to accurately depict the situation.

We can certainly disagree of the educational value this exercise. I respect your opinion, and appreciate your respect of mine.

3. Wisdom can be passed down in a myriad of ways, and tearing people apart is certainly one of them. The difficult part of that is to do so in a productive manner with fact backing your stance, instead of walking into a discussion with simple opinion that is loosely based in anything distinguishable in fact. Many times, from an educators stance, burying people in information without a sarcastic tone can be just as effective, if not moreso in passing along information.

4. Your incredible potential is nice to see, especially as you begin to realize the said potential in your agressive walk towards being a competent field provider. Your agressive nature in education is heartwarming to see, especially while wading through so many potarts lately in the EMS education cycle.

5. Potart: noun, defined as someone of feeble intelligence with no desire to improve that status.

6. Thank you for the compliment.

Ok, im done. Now back to your previously scheduled debate.

PRPG

it looks to me that i am beat, thanks prpg for pointing that out to me, my arguments have no grounds, it is OK to ridicule other countries EMS or the fact that things are not done as well as all the things you can find on google.

I think it was intended as an educational tool...i think. Otherwise, your right.

just some points

1. people say that the trendeluberg is redundant....then why is it still taught, no matter how many reports people put up here it is still part fo EMT training.

Because ems education is ions behind and other education in medicine

2. all the things that are quoted are the first ambulance on scene duty, if anyone here has been to an MCI they will tell you that nothing goes to plan, there are never enough resources.

Very true.

3. in a terrorist event there are other circumstances to consider..is the event over...other agencies to ferry cas's from the area to keep resources flowing.

That is a law enforcement consideration, not EMS. When operating a MCI with a terroristic basis, unified command structure should be used, putting you right next to the law enforcement head honcho who can tell you if theres more to worry about.

4. the pic itself....we do not know where this Pt came in the triage sort.. the Pt could have been through three or four stages of the sieve and could have been downgraded but still require transport

Certainly true.

in my opinion it is unprofessional to put up a pic and ask what is wrong with it, people do things that some may see are wrong in their eyes, it is very easy to pick out what you deem are mistakes when you are not involved or do not know the history..i my eyes it is also bad taste

I also 100% agree. Monday morning quarterbacking can never turn out well. Especially not having all the details.

as for my spelling and gramme, i don't really care for your opinion, at the end of the day i do my job come here to chill and talk to friends, i do not have to try and prove myself to anyone here

Speak like your dumb and you will be regarded that way. Just a thought.

if i learn something well and good but if i see something that i feel is wrong i will speak out...even if if it is misspelled, i have experience of terrorist events and of MCI's, i have seen things go belly up and you can only stick to your own personal standards..that does not say you do not make mistakes and i don't think there are many here who do not make mistakes...they just do not talk about them here

Your right. Hence why exercises like this one are pointless and fruitless.

jpinfv,

i really do think that you should go away and get some experience, by your profile you state that you are a student, study up on MIMMS, if you had any experience of terrerist incidents you may not be so cocky.

these incidents are an entirely different thing to an MCI, an MCI could be any incident with more then the number of Pts that the usual resources service, add to this unwarned use of explosives and its a nightmare for EMS, the usual scene safety goes out the window, other services come into play, EOD, specielist fire, hazchem the works are working around you......i say again working around you, its chaos and takes a while to organise but its still chaos.

picture the first triage from the first Veh on scene or the second, bringing priority Pts away form the area, you seem to think its funny to have one pic to redicule, how do you know when where that pic was taken.

unlike you i have had experience in this, and as a few ppl on this site have as well, i honestly dont think you can even see how silly your arguements and comments are, i did not want to say this as i thought you would have the maturity to leave this be, ppl read your signature and your profile and can see that you probably do not have the experience to actually comment on this, your just a bored student googling for pics...grow up this is not an arguement that i wish to have, even after i left the links you still come back like a petulent child.

Jmac,

Like every undereducated individual who has run out of educated arguements, you leave the discussion throwing poorly spelled barbs filled with ignorance towards your opponent.

I absolutely have disagreed with JP's positions before, but your being the potart today. Regardless of the nature of any incident, number of patients, the ideaology is always the same.

Establish command, MCI protocols, establish resources....blah blah....blah.

Doesnt matter the reason behind the MCI.

Side note: When your ready to finish the discussion like a big kid, feel free. Till then, keep your derogatory comments to yourself.

I work in an ambulance. Sometimes I work in a bus or a squad.

Depends on my mood really....

I agree. I suppose I misstated what I meant. I was basing my opinion on time, not distance. With the transport lasting "20-30 minutes," aeromed wouldn't have saved any time once you factor in response, evaluation time, loading and unloading, etc... Helicopter crews have an uncanny knack of dragging things way out. In my experience, most ground crews would have made the half hour trip long before the flight crew would have even taken off.

That ill give you.

A 20 to 30 minute trip is a ground run.

a 20 to thirty mile trip is a toss up.

Good points dust.

Meh... I don't see any automatic indication for aeromed in this situation. ALS? Definitely. But not flight. Not enough distance to be a time saver.

eh, thats not an absolute....

30 miles ground rural, suburban, or urban? Weather? Dispatch to arrival time for the flight? How far are they based from the pickup pointe?

Too many variables to make that statement an absolute.

Example.

I flew a patient to a trauma center 10 miles away just 2 weeks ago.

Flight time call to hospital, 20 minutes. At 6pm in that area, a ground run would have been 45 minutes.

Today, i took a 20 mile trip to a trauma center, by ground. Less than 30 minutes.

More info to decide your pointe.,...

Umm, I am a basic and there are a lot of basics that have a holier then thou complex because they are basics. I'm comparing and contrasting my [apparently wrong] interpetation of itku2er's posts.

-5 for not understanding the concept of using of similar examples to illustrate a point.

-5 for thinking that examining the level of training and the amount of critical thinking that a lot of basics use is considered a "hit" or bash. The truth might be ugly, but it is still the truth.

The post I highlighted with a off handed smartass remark, without basis or fact presented with it.

Therefore corroborating my "hit against basics" theory.

I dont disagree with your point, but lets rise above the stupidity you were battling against.

:shock: :roll: :roll: :roll: :shock:

You do realize that I'm not attacking all SNFs, so I have to ask, why are you protecting the idiots that you work with? I don't go around protecting dumbass EMTs that can't seem to do their job correctly, and I understand why most medical directors are hesitant to allow BLS crews do do anything but the most BASIC care that can be described as advanced first aid. :roll: :roll: :roll:

-1 for off topic hit on basics

why not get rid of all nursing homes and let people take care of their families at home the way it should be? Instead of putting them in nursing homes for US to take care of and YOU to have to come pick up? Seems to me that this whole problem could be solved if people would just take care of their own at home........but oh wait......then that would mean that people would actually have to have a heart and show love and compassion for some one besides their selves wouldnt it? oh silly me to think that would actually happen :roll: :roll: :roll:

So your response isn't to support the obvious issues of care deficiencies in nursing homes, but to suggest people walk away from their livelyhoods to supply full time uneduated nursing care at home in an enviroment that will kill them for general inadequacies.

Seems to me if you fix the issues at nursing homes, people can still make a livelihood and get appropriate care for their families in their golden years, and everyone would be happier.Hmmmmm, progressive thinking for a positive outcome....but oh silly me for actually thinking that would happen :roll:

I love EMS. Don't get me wrong. But I am tired of seeing how EMS professionals are treated and regarded as "white trash" or "red-necks with stupid lights all over their trucks"

and of course "uneducated idiots." The hospital based 911 service that I used to work for (and I still live here) the CEO of the hospital was caught referring to his EMS employees as "rednecks."

That my friends is NOT respect.

To be professionals we need to act like professionals AND be educated. Something needs to be done with EMS and my views are very liberal to you newcomers who are just now starting a basic class. I have 8 years total, 4 as a medic.

EMS will always be a dead-end job if we continue to allow it. Look at firefighting, THAT is a immature. Look at nursing, THAT is a career. Look at Police officers, That is a career. Now look at EMS. We are the bastard child of emergency service. We need strong leaders who have a strong educational background to lead us to this.

If every EMS service was part of the fire department, then this would be a mute issue. As a FF/Medic you get respect, pay, retirement, etc. But the sad truth is we are not always part of the Fire Department. Hospitals own us and treat the nurses with 150% more respect, better pay, less hours, better incentives, and better employee retention. Why? Nursing is a PROFESSIONAL organization and career. Private EMS services are sometimes worse and sometimes better, it just depends where you live.

I'm looking at the big picture. Some of you are too immature to see this. If you like living paycheck to paycheck, trying to feed your family when you NEVER see your family, watching your relationship with your loved-one go down the drain, then the current EMS is for you. I have no doubt that if you spend any amount of time working in EMS and dealing with these issues you will have the same views as I have.

If I really wanted to tick you people off I would express my views about volunteer EMS.. Why pay someone to do it when someone will do it for free?

Your taking your experience in a small sliver of the country as being the baseline for the entire country.

The fire service is the worst thing to ever happen to EMS, period.

You had me til then.

Other than that, check out www.capem.org and the forums it mentions. Seems you might be interested in the information there.

STOP OVERTHINKING the ANSWERS!

I know, but just looking at your post, thats what you did. First answer is usually the right one, and do the best you can.

Take a refresher, and good luck.

PRPG

According to City rules, PM would be the correct forum.

Ahh. I guess your the correct person to tell him that? We have forum mods for a reason, the least of which is for us to see you prance across the boards playing "forum police"

As members, we have a responsibility to follow the rules, not enforce them. Maybe next time, you can let the administration do their job.

Minus five for posting in the wrong forum. :wink:

...what would the correct forum be?

Amen brother, I'm with you 100%.

This I dont disagree with.

But they also dont create games in poor taste after those incidents. 9/11 was a massive change in the direction of this country, and now we come across a game where the objective is to shoot americans out of the sky (because lets be frank, the planes arent flying themselves)

No ones wallowing, grow up. Theres a huge difference between wallowing and a disrespect for the dead.

http://www.ebaumsworld.com/games/new-york-defender.html

WTF?

toronto, ohio?

I would fair to guess the toronto canada team is a bit more competitive....just a thought.

The main tours end at 0600....powers shifts are variant, but 0600 is the standard for the 24 hour shift.

So they most likely look at their number of full timers, multiply it by three, and subtract it from 14.

EG: 3 full time, at 3 shifts each is 9 shifts. 14 shifts in a week leaves 5 open.

So they take the total free shifts, let their part time staff free reign and fill in the full time from there.

Strikes me that their stroking the part timers to keep them around...or the benefits are so good they know the full timers arent leaving.

Either way, seems they are making things considerably more difficult for themselves.

Are ya kidding me fellas? Nice to see were running a warm hearted board of kumbyyah bs...

nice to see were looking out for the future of the site. Amazing.

aussiephil, one question:

How is treating anything possible without first deciding what the problem is, or diagnosing it?

How can you do a field diagnosis without using results from tests you dont have access to. You treat off the most likely from the combinationof symptoms.

Be careful when using diagnosis.

HEY DON'T CRY I'M SORRY I NEW TO THIS

FOR THE LOVE OF ALL THINGS HOLY THANK YOU

No problem. Also, all CAPS for your posts are difficult to read. Try to keep it to normal capitalization and punctuation of the english language. We want to read what you write, so make it easier for us.

Again, welcome to EMTcity

Anti-depressant and a sedative...

Monitor cardiac, iv lock and low oxygen, bloods for baseline labs...

Treat symptoms as they develop and drive to some sort of ER type place...

i'm with dust here- unless the wait for the ALS unit is 'worth it' ( very prolonged transport time with a short resonse time for ALS)

asa riht pondian i find it odd that people consider a basic / para or even an Int/ Para crew 'limited' in terms of ALS - given the UK default crew on NHS vehicles is tech/ para

There no waitfor ALS...dust missed the thread and its point.

Limited MICU comes from the principal that MICU should contain 2 ALS providers, and nothing less. Anything less is thuis limited.