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I have been searching the net for about a week now looking for these "flight crew car seats". I first saw one when we did a flight team transport to a local childrens hospital, they have a buckel that stretches around the cot and then has a five point restraint for the child. They are real thin like a pt mover. Does anyone know what I am talking about, or where I can find info about them? Thanks in advance.

So my question is this: Does your patients religion/spirituality affect/change your treatment/plan of care? As a brand new paramedic living in an area where we have most religions represented, should I take my patients soul into consideration? We have some Muslims (Arab and non Arab heritage), and I know there are very strict rules involving men's interaction with women. We also have Jehovah's witnesses, and they don't give or receive blood, blood products and the such for fear of it tainting their souls (and does synthetic count too?). Any thoughts or words of wisdom...

We have a SCT, Special Care Transport, truck in our service that is used to transport vent and high risk (possible care above standard ALS) adult patients to and from the leveled trauma, burn and other specility hospitals. They often get the very long distance trips as well. They are staffed with a Critical Care Medic and they carry Rock, Sux, and Diprivan for sedation and also Humalog. It is the only truck in our company, as well as this area of the state too ( I think), to carry these.

It seems to my simple mind that "they" (illegals) get more privileges and considerations in regards to the Constitution that doesn't even cover them. The Constitution, EMTALA, Medicare, Medicaid and the such should not/do not cover any who are not US citizens, that being said I believe that we should help those in need just not at the expense of everyone else. I have no problem with anyone seeking and obtaining whatever emergency care is needed (chest pain center, stroke center, leveled trauma), but I do have a problem with someone who does not contribute to society (specifically paying taxes) getting better care than my wife and kid.

Sounds like they(these type of schools) see a cash cow, and everyone else sees the truth of a walking talking lawsuit.

After being on the wrong side of Dust couple of times.... I see that

Nice shot.

Thanks for the help kinda what I was figuring... on a side note: some(most) of th ER staff was pissed that the Dr. did that. A couple of nurses put it in the Docs Lounge fridge to slow its metabolism in an attempt to keep it alive, as far as I know the effort failed.

Is there a 1-800 number one may call when you get a 9-1-1 that involves an animal? I ask because I had a call the other day where an 8 year old boy got bit by his "pet" turtle. I think it was a snapper, and I had no idea how to make the turtle let go of the kids finger. We ended up transferring the kid and the turtle to the ER, where the Doc gave it some Vecuronium, needless to say the turtle let go. It got me wondering if there was some number that I could have called to get some, or any, advice. I tried calling 4-1-1 for local and county animal control, but only got the humane society after hours; and my Internet search afterword proved equally fruitless. Any help would be great thanks in advance.

The ending to this story from the courts: http://www.freerepublic.com/focus/f-news/1...2/posts?page=51 Missouri police officer fined $18,000 for arresting firefighter on emergency call 03:59 PM MST on Friday, February 15, 2008 (KMOV) -- A police officer in Hazelwood will have to pay thousands of dollars for getting into it with a firefighter while he was trying to help an accident victim. News 4 obtained police video that shows the Hazelwood police officer arresting a fire captain while he's trying to move an injured driver. It happened on Interstate 270 back in May of 2003. Officer Todd Greeves wanted a fire truck moved to open up another lane of traffic. The Robertson Fire Protection District Captain wanted the truck there to protect emergency workers. Officer Greeves has been ordered to pay $18,000. His attorney says he's disappointed and that his client's conduct was not malicious in any way. I have been told he (the officer) was fired as well. I don't know that for sure, nor can I find anything on it doing a two min. google search, but I do know that around here in fire and ems he is hated and dogged.

Seriously: -10 for even suggesting this though. So, instead now you want officers all over the state to wonder if the unthinkable happens to them that they may not get to see their spouse or kids again in this life all because of one man's poor judgement. What about the ones that say, "Fine, don't come for us; we'll see how you like being on your own"? If I was in PD's shoes down there and someone shot their mouth off with this that would be my reaction. That trooper over-reacted with irrational behavior. He should face some disciplinary measures, in step with his actions and his jacket, set by his Chief and possibly the DA.

Common everyone you forget EVOC 101: L&S means all rules are null and void to you.

So please educate my completly ignorant American mind: The Canadian government has a monopoly on medical field companies? No other EMS company can come in and set up shop? If I am understanding this right, I think I would rather have the freedom to choose over universal health care system. I FAIL (sorry for the pun) to see how the "man" can keep a second or third service from opening up, and it be legal.

If it is like that, and everyone is that upset with status quo, why not change it? How hard would be for another EMS service to come in and set up shop. If they(the new company) offers better than what is given by them(the old company) then the old company will have to change its standards and practices or be shut down for lack of staff and/or business?

You must have forgotten about the stupid amount of pointless stress placed on those testing. It is not hard to fail, but very very easy. One simple stupid mistake and you second guess everything you did. I don't learn from that kinda crap, I second guess everything from that point on ineffect making myself useless. When was the last time you showed up on scene and only got information to questions you ask? People are always throwing (often useless) information at you as soon as you get out of your ambulance. I just took (May 16th) the NR practical and passed on my first try. IMHO the NR needs to be more "real life" and less scare the crap out of you stressful.

The Why Driven EMS book is pretty cool, I am using it myself now.

You can check out Bob Page's book that he uses to supplament his lecture. It is at http://www.multileadmedics.com/seminarhandouts.htm click the MLM 05 Master link. He explains not only how to read 12 leads, but 15 leads, and the right sided MI.

I see an Inferoir MI, and possibe J. or V. Tach. "In lead two you got no clue" Bob Page

"A prophylactic 1 amp sodium bicarbonate is given for acidosis that results from prolonged struggle" from above article I understand the reason for the bicarb, not the dose. I have been taught that the proper dose of bicarb was 1mEq/kg, and most people I meet are well above 50 kgs that the single amp treats. Is there concern of causing alkolosis with the actual dosing.

I am trying to set up the NR EMT-P practical exam in Memphis TN, and I can not figure out how to do it. I have called the contact person several times and just get a message saying his in box is full. Someone told me about a website that I can use to sign up, but I am failing at finding it. If anyone can point me in the right direction I'll be thankful.

When I was in high school, my mom found a pill in my pocket when doing the laundry. The back round goes I had a terrible headache and a friend of a friend gave me "something that will help with that" I took it, put it in my pocket, and forgot all about it. About this time my parents had just finished a divorce, and only as a male teenager can be, pissed off at the world. There were a lot of questionable things that I was doing, mostly out of anger, and in hind sight looked bad for me. Mom threatened to have me tested and I readily agreed to go, but she never did. I think she still till this day believes I was on drugs back then. In the mean time I have told her and my step father everything I had done (drink only), but still... that trust was questioned, strained, and suffered with out the test. Had we actually done the test would it have been/be different???

Sorry, but I have to ask: Where in the news article does it say that the hand suction did not work? I would tend to think that if it was empty, that would be something noted. By the same point, if he wrote in his report that he suctioned out (x) amount of whatever, then would the blame for this death have to be placed elsewhere, or prove that he lied on the trip sheet? I fail to see why everyone here makes so much speculation about what is written in these type articles, when they rarely, if ever, get all or correct information. I personally have had 3 calls make it in our local paper, and all the articles were grossly wrong. I don't see why everyone here is out to hang this poor bastard based on this less then informative report.

I am putting together a presentation to turn into my boss about either buying, or retrofitting an old rig into a bariatric ambulance. I have found all kinds of stats online about obesity, but I am now looking for information on the cost of buying verus retrofitting and I can not find it anywhere online or here on the city. I would also like to open this up a little and if you or your company has a bariatric rig: how do you like it, what kind of maintence issues do you face and what kind of cost with them, have they lowered the number/severity of back injuries, have you seen a difference in workman's comp pay-out, and anything else you can share about it. Thanks in advance. PS If you want to PM me that is fine too.

Let me clarify a little here, and apologize for the confusion. Our discussion was about the head having delivered with the cord wrapped tightly around the baby's neck. After a couple of attempts at manual manipulation the cord is still around the baby: so you have a baby who can not breath on their own due to the compression of the chest from the vagina and the strangulation due to the cord. So thats where the question comes into play: do you use your fingers to attempt to relieve pressure and "run like hell" to the hospital, or do you clamp and cut, around the neck, and pray for no more complications? It seems that there is no real pattern (ie old school vs new school) to being taught to clamp and cut. *Clamp and cut is/was talked about as a last ditch effort*

When we went over OB in class we talked about the case when the cord get wrapped around the babies head. Now comes my question, the textbook, workbook, and the notes given us all say to clamp and cut around the babies head, BEFORE the baby is fully delivered IF you can not maneuver the cord back over by manual traction, however our medical control Dr. flipped out when we showed him this saying never, ever do that. So I brought this up to several medics I work with and it seems to be 50/50 split. So I ask here what is the "true standard treatment". If I come across this in the field and bad happens which method will land me in more trouble on the stand?