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fireflightmedic1

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Posts posted by fireflightmedic1

  1. Hey my fellow Corspman. I am an HMC now in the reserves. I am truely sorry for your LPO not getting the things done in a timely manner for you. Here are some quick questions first.

    1) Are you National Reg.?

    2) While on deployment did you do any type of training?

    3) if so what? Besides hand to hand and weapons training.......

    4) Where you able to keep up your basic stuff, cpr, acls, stuff like that.?

    5) How many hours was the emt basic recert time...?

    Now here are some options contact the National Reg you can take the test which is now computer based. I don't know how long it has been since you certed. To recert. You can also when you talk to national reg. speak to the military spec. They are great.

    Welcome home SAILOR. Sorry you are having such a time if you need anything contact me

    @ fireflightmedic1@gmail.com

    HAROLD PEACE

  2. SZ pt light was a standard PD light unknown if led, xenon, or incandecent. From stories light was used for merly seconds. To establish an IV line. Veinascopes are great but are not standard on the 911 units that I know of in GA.

  3. Real quick guys. I have a really quick question. I have heard, been taught, seen and used flashlights as a useful tool in establishing an IV. Here is the question I pose.

    Is this a taught standard in is it in a book?

    Reason I ask is there seems to be discussion about this concerning a pediatric patient that received burns to the palms of the hands and soles of the feet. I would like to read up on some lituature on this as this concerns me as a father and a paramedic. Any thoughts and help would be great.

  4. I debated as to whether or not to post anything here, but oh well.

    On November 1, my nephew/godson was killed in Afghanistan. His platoon was returning from a patrol when a suicide bomber rode up on a motorcycle and detonated an IED, killing Andy and his buddy Jonathon. Apparently they took the brunt of the explosion, so although the rest of his platoon was also badly injured, they all should survive. Andy was 21 and he was my sister's only child. He arrives back home from Dover AFB tomorrow, wake is Wednesday, funeral Thursday. I will be a mess for the next few days.

    Please say a prayer for all the soldiers who have made the ultimate sacrifice, and those still in harms way.

    Hey man sorry for your loss. Your nephew was a great guy and we should all look to him as a hero in our life. Standing out on the front line away from your friends and family to out your life on the line for people who you don't even know for our freedom. May I be th first to say thank you to you and your family for allowing him to serve but also let me say that I am deeply sorry for your loss. May he guard heavens gates with all our other brother and sisters who went before. May god bless you and your family in your time of sorrow. My wife and I are praying to give y'all stength and guidence.

    Harold Peace

    Ps need anything let me know will see what we can do.

    • Like 1
  5. Brother and Sisters of EMS, it is with a heavy heart that I inform you all of the passing of one of the most kind hearted and honorable people who worked for our agency. Here are the details and news article concerning the death. It was a senseless act of murder and should NOT of happened. Please send prayers our way as we are a very large, but very tight knit agency where everyone knows everyone and some are taking it very hard. I worked with her about 3 weeks ago and was one of my prefered people to work with if I had a choice. Please go home tonight and hug your significant other and children and make sure they know they're loved. Because you'll never know if its your last day on this planet.

    God Bless you All

    Fred Jackson Aka NiftyMedi911

    Credit to NBC-2 News and its afilliates.

    http://www.nbc-2.com/global/story.asp?s=13096387

    Please express our love and sorrow for the loss. May justice come swift to those at fault. Love Harold and Melissa Peace

  6. I was recently named Director of a small rural 911 hospital based service, with the directive of turning around our abysmal collection rates. I understand when/why Medicare pays and does not pay. However, alot of the staff here does not. I was wondering if you guys/gals know of a QA form that deals with Medicare/caid requirements? If you dont I would still be interested in any QA forms you might be willing to allow me to use...

    Thanks

    Scott "swn919"

    Firest off congrats on the premotion. I am a current GA PMDC at Grady and my wife is a EMT and Disp supervisor let me run some stuff by her. She is the Kaiser compliance and QA perosn. See if I might be able to help. What state are you in it will make a difference.

  7. Hi and welcome. I am a current paramedic in Georgia at Grady. I have been in EMS for going on 16 years and have been in almost every aspect. I started out while in high school. I still love it. Some of us do burn out it happens. We see some of the worse of the worse and stupid of the stupid. At on minute we can be sitting still then screaming across town to a stubbed toe or worse yet a child in cardiac arrest. We have to remember that we got into this for the peolp. Oh and also we don't get paid that much. But seeing that one person who was dead literally then we walk thru the door and start our job and they turn around and start talking to us after treatment. Now about family life kinda depends on what your significant other does. I met my wife in EMS. So she understands the holdovers or early mornings. Soo its just having to understand that sometimes we don't want to talk or we want just to just scream.

    Now if you are still interested I have my cardiac strip books at home and I will be more tbhan happy to print some from my everyday encounters. Just email me fireflightmedic1@gmail.com

  8. Hi all-

    I'm thinking about taking the plunge into an EMS career and have a few questions. I'm working as a graphic designer now, but am not passionate about art & design, which incidentally makes this career seem unappealing in the longterm. When I chose to get my degree in graphic design (as a beer-drinking college student) I thought it would be "fun" and "easy". It is both of those things, but entirely meaningless as an adult!

    Some of the desires I think I would satisfy by working in EMS are: I want to feel like I'm making an impact in my community. I want to be challenged physically, mentally & emotionally. I would enjoy navigating chaos with a team while everyone else is running away. I want my work to feel "real," which is really a relative term to the work I'm doing now, which certainly does not feel "real" to me.

    So a few questions for the seasoned EMS workers around here…

    1. What aspects of being an EMT/Paramedic are you most passionate about? Are they the same things you THOUGHT you'd be passionate about when you started?

    2. If you changed careers- do you regret leaving your "stable" job for something more tumultuous? Was working in EMS as rewarding as you had hoped it would be?

    3. Do a lot of people burn out?

    4. For the married folk out there- how has working in EMS challenged or strengthened your marriage? My husband and I are not trying to have kids anytime soon, but I imagine things will still change if I'm switching into such a demanding line of work.

    5. Am I crazy?

    Thanks for your help!!!

    Alex

  9. Hey all,

    I have been a member here for sometime. I don't say much but I do try to read the fourms a bit here in there. My last year of life has been extremly busy with either work or school. I am a EMT soon hoping to be a Paramedic. I am taking my skills test this weekend and am feeling a bit nervous. Just thought I would say hi and try to write my nerves out. I will keep you all posted on when I get my medic.

    If anyone has advice on how to get rid of these nerves that would be great, and no I don't want to take any pills lol. I have studied a lot and feel ready for the most part but knowing that all you have to do is miss one thing and you fail really makes me worried. I plan on giving it my best, and hope to be contributing more to the fourms as a Paramedic soon.

    Thanks All

    Nathan Johnson

    Good luck. It is not as hard as you or your mind makes it out to be. Just remember your training. and if all else fails remember the basics BSI/PPE, SCENE SAFE... yada yaa yada. But in the statics remember your rules to determine your rhythm and be sure. the ones i had was v-tach with a pulse, aystole, brady, and wpw.. and they had put my statices in with my dynamic. don't over think you orals boards they are easy they really are, don't add anything into them. Use your differential diagnosis and remember to treat stuff pretty quick be fairly aggressive in treatments. Good luck let me know how you did..

    fireflightmedic1@gmail.com

    Tony Peace

  10. call me the dumb American but can we explain the levels of care and scope of practice for each up there. I am a current NREMT-I99 and GA cardiac Tech. To explain cardiac tech i went thru paramedic school but tested out after cardio. so i am about 250 hrs short of my full blown medic. in fact i am one of the last ct's here. But please do explain My fiance' is from Maine up around the border and we might actually move up that far and if i can figure out if i have some sort of reciprocity after paramedic school to Canada to work. Heard great things about the system up there.

    Thanks

  11. which O were you refering? yours in the SOAP or mine at the end. Mine stands for out come post tx but everyone has a different way of writing. My fiance is a CCEMTP and writes like a nursing chart format. And another FP-C paramedic wirtes in the CHART method

    any way good luck to you in your class

  12. sorry more in deatail

    S 8114 disp to the above address on a person down unknown nature. Upon ems arrival Fulton fire and PD onscene. Pt found lying supine on the ground w/what apperars to me vomitus next to him. Per Bystanders on scene "He was ridning his bike and he just fell over and started twitching." Per fire "we found him in an active seizure with blood coming from his mouth. We have attempted and IV no luck yet. He just had stopped seizing" Unknown Hx unknown meds unknown allergies

    A approx 31 y/o male found lying on the ground blood coming from mouth. HEENT normocephelic. pupils constricted at 2mm reactive to light. Airway patent resp 18 nl =cr/cf sao2 98%RA Pulse 134 rrr sinus tach on mon. no ectopy. Blood coming from pt's mouth from poss. biting of oral pharyanx. BP 134/86

    TX IV NS KVO 18g L AC: 18g INT R AC o2 2lpm via nc transp to closest hosp.

    O while enroute pt began to have another seizure gave pt 5mg diazapam IVP per DR Gilts @ SFMC via med radio and Fulton County Seizure protocol. Gave thru L IV Cont V/S CK every 5-10.

    EKG NS rate of 100bpm. POst Diazapam pt became post ictal and slowly became A/O x 3

    Pt care transported to SFMC w/o incident enroute. Pt care transferrred over to Nurse smith with out incident.

    Waste 5 mg diazapam wit. by ____________

    Ordered by DR Gilts __________

  13. S=Subjective what you are told how the scene looks

    O=Objective what you find how you found your pt

    A=Assesment v/s ekg

    P=treatment and outcome

    I personally do not use this i use S A TX O

    SUBJective and objective combined and the my assesment my treatment and then outcome if tx it flows like a story from beginning to end.

  14. I work as the system status manger for a large ems company in Atlanta GA. and we do SSM on a 24/48 sch. we have a dynamic plan where certin zones must be covered unitl we reach 3 ambulances then we go to a post closest and easiest access to the interstate. We post out of Firestations for our 24 hr units and for the 3 12 hr units we have they are mobile for placement. Coming from the trucks up to here it is horriable for the 12 hr units and units at not demand posts. Always moving just to get turned around and sent somewhere elase just to catch a call in the area you were just in.

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