paraloco

See kids, you really need to listen to the voice in your head that says don't transfer an unstable patient. You may get a lot of grief/retaliation from your supervisor. Might even get fired when the ER director calls your company's owner. There are other EMS jobs down the road. The crew could have insisted a neonate nurse and a respiratory therapist accompany them. Maybe they were a young crew, just glad to be there. It's not worth it.

Great idea! Last night we were discussing strategies to pay for her to go to Sam Houston. I brought up going into the military. Didn't even think of Nat. Guard. Thanks Dust.

I recently began taking a class with my daughter. She'll be going off to college soon, and I wanted her to have a little self-defense know-how. The instructor told us that we'd have to do about a thousand reps to get the moves into muscle memory, and then do them frequently after that. The stuff we are learning is awesome, perfect for a soft & slow dad. It's not meant for extended altercations, but to end it in about 30 seconds or less. Its a mix of martial arts moves that the instructor came up with. I really want to buy my daughter a gun, but I think 21 is the age for CHL in Texas. Might have to settle for a taser, definitely a knife. She's learning situational awareness, de-escalation, and common sense measures to take to avoid dangerous situations. I've been able to tell her about patients I've taken care of who would have avoided injury with more awareness of their surroundings.

Arm yourself. There's no government anymore to help you. Consider those post-apocalyptic movies as training films. Standard of care goes out the window. Grab every canned good you can find. EMS is a luxury your brave new world can't afford. The street gangs, police and anybody else wanting a ride will be hunting down those antique car collectors, and relieving them of ownership, in short order. Your priorities need to be water, food, and ammunition. All those 1.5 million folks (the survivors, that is) will be leaving their unsustainable city, and come looking for food.

It was a small nuclear detonation, which produced an electromagnetic pulse. This killed anything with solid state electronics, which is dang near everything now. The 60's era cars did not have electronic ignition. That came in the mid 70's. Time to think START triage on a large scale. You unfortunately are too close to the problem to do much. Everyone who can needs to bug out and not look back, in an upwind direction. This is a job for Homeland Security and FEMA. Tell everyone who will listen as you are LEAVING by horse, dogsled, sedan chair, etc. Elbows and @ssholes headed for the horizon

Yeah, the one I'm doing now. Gotta renew my NR by exam again, didn't get enough CE hours. Go to Prenhall.com/emtachieve I think it cost 32 dollars. There are 4 tests that you can take as many times as you want, plus quizzes from different sub-scales. I was in a bind 2 years ago, and an instructor friend of mine told me about this site. Keep taking the tests until you score about 85 consistently.

Hi Toni, the more Texans the better.

BioShield 2 Chemical Agent Wash Bioshield a Division of Forensic Products, Inc. Raleigh, NC 27624 (800) 572-4603 www.faurotforensics.com

We have a product called bioshield which dissolves the pepper oil. You spray it on the affected area, including the eyeballs, and blot it off with a towel. When I go back to work on Sat., I'll look at a bottle and see if there is contact info for the company. We've been using it for years with good results. The police mostly use the taser now, and we have to respond to remove the barbs.

When we used paper run reports, I used the SOAP format. I hate the way the ePCr's print out. On the old reports, there was a box for the CC. I'd write the first thing the patient said after I asked what was wrong. "My babydaddymomma hit me with a baseball bat" or "I'm in danger" The way the report was laid out, it was easy to follow every step of the assessment and treatment. I have to use the comments section frequently now to correct erroneous charting from the drop down menus. There is no option for cataracts or missing eyes. There is no child or infant GCS scale. When I have an infant for a patient, I have to chart gcs 15, then in comments I write 'appropriate for age'. I do have to admit that the epcr alleviates the problem of poor penmanship. I'm told our collection rate has improved.

To hell with cake, let's have a birthday beer!

Heck, it seems like our dispatchers try to solicit a cp or sob complaint from everyone. I wish I had 5 dollars for every time I was dispatched to chest pain to find it was (insert type ) pain for a week.

I just got back to Texas from a family trip to Walt Disney World. Out of curiosity, I looked into who provides EMS there. I saw that Reedy Creek uses FF/Paramedics on their ambulances, and 40-hour paramedics who respond in the parks on golf carts. (They call them MARC units). So I am curious how that works out. How much do they pay their 40 hour guys? Are they the red-headed stepchildren, just waiting for an opportunity to get on the med unit? Do they get enough OT to lived on? Would it be a good retirement job, or is it better for a youngster? I looked at job descriptions for workers in the theme parks. Most were between $8 and $10 per hour.

The old Soviet Union required internal passports for travel. hmmm

LaPorte would be a good fit for ex-military folks. They like shiny badges, collar brass, and polished shoes. Go across the Fred Hartman bridge into Baytown, and its much more laid back, and better paid. (At least when I was there)

Look at the directions to make your own on youtube. My daughter moved out, and does not have cable. I made the antenna per the directions. Turns out, she comes back home almost every day to use the internet. So I gave it to my father-in-law who lives out in a rural area. Next time I saw him he said, " It looks just like a satellite picture, I swear to God!" Its ugly, but it does work.

Back in the 80s I worked for a guy named Steve Diamond in Port Arthur, Texas. He had a large collection of professionally restored (I mean to brand new) antique ambulances. I think he lives in Austin now, used to own MetroCare. I bet he'd know where to find stuff for your project.

We add notes in the dispatch screen on the mdc without generating a report #. Notes such as: resident inadvertently activated lifeline device, Residence/vehicle unoccupied-driver fled on foot per bystanders, resident requests assistance to potty chair, PD matter, etc. It shows we actually checked into what the situation was, but did not initiate care.

S.E. Texas pm me if you want to know specifically.

Doubt it. One of our medics was there when he came back from Iraq. His new wife was from there. Marriage tanked and he headed back west. He said he was making 10 dollars an hour in a busy 911 system. I work an extra 12 hours maybe every other pay period. (26 pay periods) I'll bust 75 k this year.Cost of living is higher in Raleigh/Durham than here, from what my friend tells me.

I'll pass the woed about Dale. Need to pass the word about one of my co-workers. His name is Rusty, and he was barely out of the classroom and doing his FTO time when he became septic. He has ulcerative colitis, and it ruptured. He was on a vent in ICU for a long time, is still in the hospital, and will not likely work again. We did a link sale, and there's a 4-man scramble coming up soon.

I've never seen anything remotely like this list. I have seen posted at the station a Heads-Up type notice about a patient in our area that was on a Flo-Lan drip, and what to do if we responded to that person. I've also seen face sheets for frequent flyers in the desk, for when they don't have their ID or insurance cards. This is probably some kind of violation.

If there is no chance of there being human patients on the scene, why not help? Made a fire stand-by in a trailer park. It was confirmed that nobody was home. FD found a pit bull under a bed, unconscious. It had inhaled alot of thick smoke. We were out of service anyway on the stand-by. We administered blow-by O2 with a NRB mask. The dog started to regain consciousness. Animal Control transported to the doggie ER. No harm done. Goodwill done.

Harris County ESD 1 is good place to work. Montgomery County Hospital District is too. Depends how far you want to drive. Baytown and LaPorte have 3rd service EMS. Pasadena uses a contractor for 911, but they are "mother, may I?" about everything. You wanna use your skills? Try one of the services around Houston. You are close enough to bypass the local hospitals and take trauma straight downtown. Houston is notorious about the little services that pop up like cockroaches. A friend of mine worked for the state. He was made to back off enforcement of some of these little services " Because that's their livelihood"

anyone in here a recent past or present employee at Calhoun County? if so PM me.