celticcare

Crotchity, I am plainly disgusted that you are promoting this stuff and using a race card to get your way. You are a poster in these forums who pushes for education and that everyone should strive for their own knowledge and skills etc, and yet you are the first one to cry "I'm black and was a slave for hundreds of years I can't read or write massa". There were some well looked after slaves that their white "owners" actually treated them as equals and tuaght them to read and write, so that whole excuse of "every black slave couldnt read or write" is out the window, some white owners put their "slaves" to school and university. Every human being is born with the same size brain, its down to whether some want to use it and get out of the slum that they are in. As I said in my previous post, everyone has a story in their family tree of poverty or maltreatment, yet all of us here have some form of education under us and want to suceed in advancement of prehospital emergency care. I cannot actually look at any of your posts the same any more because you have now contraindicated yourself in that the pushing for higher education yet you claim special treatment because of your skin colour or your race's overall history. It is the 21st century, and as Lone said, if we had standards for white people only, there would be up and arms war because we are wanting the same rights for our kids as you want for yours. How about EQUALITY regardless of sex, race, colour, creed, reliegion and sexual orientation? Dust please dont hate all firefigthers, alot of places worldwide don't have the same policies, its one fire department.

its 1 am, I am in my flat trying to keep quiet cause my room mate is going to be on parade for ANZAC day tomorrow and I am stifling laughter so much from this story, thanks for posting lol.

Wow, I was going to originally post a smart assed comment when I saw the title of the thread but wow, its always sad to loose a fellow medic, be it pre or post registry still a medic.

Whilst obviously being on the other side of the planet, we have similar race issues happening here with the "indiginous" people of New Zealand, who have lowered rates of health care, higher poverty standards and higher rates of drug and alcohol abuse and many are happy to blame the "pakeha (which is their name for us which translates to white pig) for this. The natives were a stone age culture that had not invented the wheel yet and now the radicals are fighting against us for control of the seabeds and foreshore and wanted control of the airwaves because its something they wanted under their sacred rights..... but hang on they didnt exist back then even for Europeans. I am over the race card, I've seen it in every job I've had, from retail to health care, in that special allowences have to paid out to individuals based on skin colour or ethnicity. Human beings are human beings and excuses run thin. I have many black friends who have moved from the USA and lived here and had children here, and their kids are Kiwis, not African Kiwis, not African American Kiwis, they are Kiwis and my friends have become New Zealand citizens so are Kiwis also. Saying that "slavery did this" is a poor excuse, and "I didn't have a chance at school" well I'm sorry, but there is such a thing as night school, and services to enhance. Like Annies story, all of us have something in our pasts "I have Moriori blood who were the first people to New zealand but the Maoris "the current ones" murdered many, ate most and took the rest of my people into slavery". Do I use that as an excuse???? HELL NO, do I hate Maoris because of it HELL NO. I am individual with the same size brain as you, and I chose to use mine and learn and strive, Crotchity, you are a paramedic with a wealth of knowledge, so are you now wanting to contradict that and say "oh sorry I'm black I don't actually know what I'm saying"? Because your post suggested that black people are undereducated and because of being held back with "slavery" are 200 years behind etc, so that means you are still using roots and herbs instead of defibrillators and midazalam. This is not aimed to be racist, this is pure and honest truth and if you are standing by what you posted in your post crotchity, then you are implying that you yourself are 200 years behind us. Give me a break. Scotty

We had a whacker like that in our unit, along with the two lovely examples I listed previous page, and this guy, worked for a local security firm, and had scanners of every type. Heard of an RTC on the expressway and instead of doing his job with the security firm, he rushed to the scene, put on a johnno's vest and started pulling people out of the car yelling "I'm an advanced paramedic "equivalent to EMT-P or MICA* and when real ALS arrived, tried to boss them around..... He got suspended but not kicked out, because the service wants to hold on to as many vollies as it can. This guy also has epilepsy, admitted to not taking his meds, has had seizures and yet they let him do a driving course??????? Timbo, I shake my head with you, drop me a PM, I have been doing some reasearch to help ya out, plus need to catch up with you on a couple things, neighbour to neighbour. Scotty

I put the narcan out there mainly with the pupils and also the rr was writen as 16, nothing on depth, regularity or actual effort to breathe, always handy to have up the back pocket.

Granted but you would have to wedge between terri and myself. I wish the rain would be decent heavy rain not this drizzle we are getting....

:bonk: My little eyes are all now cross eyed

THANK YOU, we make differential diagnosis and that is it, even as RN's we are not allowed to diagnose but can form differential diagnosis. And even our DD's can be more correct than the doc and as conditions change so does the original diagnosis. The arguement of dont diagnose in the field is getting old, and perhaps those making the judgement are ones who have been proven wrong one too many times. We can formulate a provisional diagnosis and a field one as come on we need one to dictate our treatement and what regime to go down, treating symptoms is long gone, treating the condition is here.

Even squinting I can't see it and we are inserting modern pacemakers in patients here and even if they are demand or rate controlled pacers, they still show spikes on lead 2 most of the time or V1. I can't see anything, is there anyway you can put a circle on the pacing spike for us?

Granted but then you miss out on many chances that presented because of doing things better. I wish terris hand had been superglued to my butt

Granted but Richard ends up president of Zimbabwae. I wish I could give Terri a huge hug.

Cool, well if its helping the kids, I'll see what else I can find, sure I can dig out a co-responder patch also.

Forgive my ignorance, but what is the shriners? I'll try score an EMD patch also, i have the primary care patches here, but will try get one of the new EMD ones too.

Reaching a climactic peak and then pop and then whittling down to semi heamostasis in regards to the BP, pulse, resps. Only problem now, is that he has blown his cerebral cortex and is now reliant on his primate brain to function, which wont be for much longer. I would have gone down the same path as Mobey, ascertain vitals, check for response potentially to narcan, intubate, two IVL, transport to CT scanner. The alcohol and substance abuse for years whittled down the arterioles and veins until climactically BOOOM. Hope that last drink was worth it. Thanks NYCEMS, I was thinking along CVA, postdictal from withdrawl seizure, trauma or meningitis type symptoms.

Oh lay off the guy for a simple spelling error, its the essense of the message is what he is meaning. There are some great medics and Techs out there without degrees and there are some medics who should have hung up their scope long ago. Are you saying the hospital trained nurses are stupid because they dont have degrees, remember Bachelor of Nursing is only about 15-20 years old and there are nurses who have nursed longer than that and have great knowledge, because they lived it and learnt it, same as there are some great medics and Techs who have lived it, learnt it, strove for knowledge off their own back and perhaps, have actually supportive hospitals and medical staff to guide them. This deviation is for another thread, not to take over rat's one on the issues of what this patient presented with and what the complaint could be with the patient. Rat did you find anything out from chatting to the hubby?

We are installing MDT's in each truck which when complete, will have the data that we take as EMD's during the call and will be able to be dropped into their screens, any key information such as for private alarms "the key is in the letter box under the front step" etc and any changes such as a collapse to then upgrade to a cardiac arrest etc. I will try find out the models of the unit. with PCR's, it is still handwritten at the moment, but I think, and have chatted to some medics, that the computer models will be coming, its just down to that almighty dollar when the crews are still fighting for double crewing so that wil have to take a back seat at the time being. The MDT's in the units will also have an equivalent to NAVMAN built into them with routes available to travel. Here's hoping they are more reliable than the NAVMAN's themselves. Personally I use a TOMTOM unit, but see what happens. I start in Comms in one month so will update as I learn more about the CAD programs and the MDT's. Scotty

Hey there and welcome from your New Zealand neighbour. How are you finding the program, I was doing the Vic Uni one and enjoyed the study involved with the Australian models of care. Anything that we can do here on the city to help, let us know. Scotty

Thank you CHBare, its good to hear it in the plain and simples also, I can see it on a screen, I can understand it plainly, but you've given that extra help also. Kinda the little light clicked, so from one nurse to another, thank you. Just a question too, in patients who have undergone CABG, I know I have pathological changes that remain like ST elevation and Q waves etc, in patients with heart transplants, what sort of changes would I expect? We don't exactly get many heart transplants here and haven't care for one yet, cared for them pre transplant but never saw them again post transplantation. Many thanks again.

There is p waves, no pacing spike, p wave = sinus if qrs follows in normal sync

Heya Timbo, I hear you on these and I think this furthers onto the converation we had one night. St John internationally has standards of Practice and also maintains a high standard (well aims to) of uniform, dress, hygiene and these are the same across australaisa and derive from Britian. I used to do the training and maintance programs of the unit I was attached to, and we had two women, one was morbidly obese and had had carpal tunnel syndrome and assosicated surgeries, she could not perform a simple CPR test and took two members to get her back off the floor because of her weight and her knees. I failed her and recomended a non clinical role for her, but because she had been in St John for 30 odd years and was a unit leader *yes a unit leader but of penguins, ya know the ones that are 5-8 years old til they could join youth*. so they let her stay and another was a member who was of large waist status *a current trend in this org* and refused to OPA for airway reval and did not go with the new standards of resus (30 compressions, compressions before AED and trying to find a way to override the AED* and I wouldnt pass her, but again, 40 years in the instution etc *and a youth unit leader blah blah* she got through, I had enough and would put hours into trying to get these people into standard and like yourself, tried to bring people into the service (nurses, doctors, students etc) and they took one look and in two sharp words told me what they thought of it. I left not long after as, like yourself more than likely, the members had an attitude, "you're young what would you know" and then start a war story campaign. I even brought in fitness tests but they weasled out of it. Don't give in like I did. But make sure you have backing from senior members and also the policy team as that was my downfall, the leaders of the unit would bitch and moan about these same members, but would do nothing when I approached and tried to fix it and the team. In regards to this member, have a look through the founding documents of the original primary care units *as we call them here and first response groups* and checklist where this member does not stand up to standard. Here he wouldnt be allowed his radios and scanners as the frequency is set and non official radios can be used to communicate on those channels. If he is desperate to be part of it, then create a new role, maybe equipment manager, or other avenues with st john. He sounds like many I have worked with, I have faith in ya though mate, stick to your guns, talk to the state headquarters with request for advice, I will try dig out what I can Good luck Scotty

Changes in leads 2,3 and avf suggesting inferior infarct, RBBB, slight axial deviation, oh yes and squinting hard enough 1st degree AV block, some beautiful Q waves there too, not so sure on J tach though, This is good one FL

Doc, just another way for people to build up their post numbers

It was turning into the starts of an ALS and BLS debate for the mere facts of people placing the "do not diagnose and you are only a basic" concept within their posts. There was an undercurrent of BLS vs ALS or paragod syndrome in some posts. Some people practice at EMT-B yet are in training for ILS or ALS also, so does the thought and mindset of trying to think with their new gained knowledge mean nothing. Perhaps it is different in different countries or areas, but here you are encouraged to think and learn, apart from when you get partnered up with ol wol who doesnt think A&P knowledge is essential in the prehospital arena. Do you need a hug fiznet?

Thank you for your post there NYCEMS, and no need to apologise in any essence, stick to your guns ad be true to what you hold dear, patient care, not rank or fence posts. Scotty