Flasurfbum

Well, it certainly has been a while since I have been around. Ironically, the other day, as I was riding backwards on Engine 23, I thought about Rob, and how I haven't talked to him in quite some time, and how I needed to get in contact with him, let him know how I was, and find out about him. This kinda stings, because I never did. As one of the "firemonkeys" that often enraged him, I also learned from him, and am a better provider for it. Thanks buddy for lighting the fire (and then throwing gasoline on it to amuse yourself) under my ass to make me a better medic. I'll see ya on the otherside.

Does the pt still have pain?

Ding ding ding!! I love the ones the obey the 3ft rule... they ride 3 ft from a curb, and expect traffic to stay 3ft away from them, AND avoid getting in a head on collision. Whatever happened to natural selection?

Thanks everyone! Although I am a Fireman, and working for a FD based EMS system, I don't forget why I do this, and I treat my pt, not the monitor, a protocol, or make decisions that are not in the best interest of my pt. AK, I think we have worked in the same areas, and may have crossed paths. Are you in Brevard atm? I'm in Satellite until Sunday.

I drove in Jersey, Fla is a piece o cake!

Right next to each other. Right now, no idea. 5 weeks of orienting at HCFR HQ on Hanna Ave, then onto a Rescue to be evaluated as a 3rd. I am hoping for Rescue 14 or 74, by USF, but we will see....

Hillsborough. You still down here?

Assess and secure airway via most appropriate device Establish IV access 20mg Lasix 0.4mg NTG SL q5min, up to 3 times. Call medical control. Often times we will get orders for 1in NTG paste, SL NTG PRN, PRN orders for Etomidate, Versed and intubation, PRN orders for CPAP if we haven't used it already, and occasionally 20mg more Lasix. God Bless NJ MICU.....

After doing my time in Hell (aka NJ), I got hired with a County Fire Dept in Fla, starting June 21st. I know many look down upon Fla Fire Depts, and those that work for them, but this is a huge chance for me to actually be a medic, a fireman, and actually use my judgement during patient care, not a Dr many miles away, who I talk to over the phone.

I might be a fireman, but I am also a pt advocate.

Obviously, someone is lacking the skills needed in order to communicate with their pts.....

How are you able to retain your certification in the State of NJ? Does NJ OEMS know of your conviction?

Welcome from Cape/Atlantic MICU.

No offense, but you obviously have never dealt with Jersey.

If you plan on coming to Jersey, bring patience, and lots of it. You need your NREMTP, and then you need a project to sponsor you. You get that, and since you are coming from Fla, they will place you in the MICU as a 3rd "Medic in Training", despite the face you already have Fla and NREMT-P. You will be doing a minimum of 100 hrs as a MIT, paid, but not to the full Medic level, and higher then EMT pay. You then wait, and wait and wait for the State to get, process, and send back your paperwork. You then get assigned a "T" or Temp number. You have 6 month "Trial" period where you can work as a 2nd, but not do certain things, like RSI or work with another T#. If your project wants to keep you, you drop the "T" before your number, and you are then MICP 3###. The pay and experience are pretty damn good up here (STAY AWAY FROM MONOC UNDER ALL CIRCUMSTANCES!!!!), but unless you work for UMDNJ, you will have crappy retirement and hospital benefits. Why, might I ask, are you so set on coming up here? I completed my Medic in Fla in Sept of 08, moved up here, and didn't even get approved to become a MIT until Dec of 08, and wasn't assigned my T# until Feb of 09. I am now trying as hard as I can to get a FF/Medic job in Fla. Look at the Carolinas, or anywhere that has their EMS squared away. I am not going to even touch the BLS/ALS wars that happen, the idiocy of the furst grade counsil, the lack of MICUs, the restrictions placed on medics..... you get the point. Do it for a year or two, get the best experince almost anywhere, and run. Have and questions, feel to PM me, I am still in Hell. Errr, Jersey. AJ, NJ MICP #3247

I like this concept. Definitely NOT for the everyday medic.

Woops. Thought he was talking about the shoulder straps WE have, not the ones on the cot. Percs and posting.... not a good mix.

All new ambulances being purchased by AtlantiCare Regional Medical Center have 5 point harnesses on the bench seat. They are far from impractical. Design tweaking needed? Sure. But they WORK.

I was involved in an on duty MVC, while treating a pt. I will not be delving far into this topic. I am alive, banged, bruised, sore but lucky to be alive. If you are new, been here a while, or a crusty ol medic, heres a few things to reinforce. Secure your equipment. If it can get loose and fly, it will. No RL&S unless they are dying. Secure yourself! I would LOVE to see a mandate for all new ambulances to have attendent seat harnesses. I am not fond of playing pinball, when I am the pinball. Be safe guys. This has been a very sobering experience.

How is their BLS training and QI process? From what I have been told by an oldtimer or two, a South Jersey MICU project was based on KCM1, down to the equipment and all. As for its valididty.... However, much of the same happens here in Jersey. We go on ALS level calls only (in theory ), and can get cancelled by BLS en route, or before pt contact. Its once we make pt contact that all similarities seem to disappear.

Doc, you haven't had a run of a particular type of patient? Sometimes you attract all the codes, MIs, ODs, psychs, etc? If it were any other Trooper that this had happened to, I think that this would barely have made the news, let alone attract our attention. My concerns are that the Trooper starts really thinking "how will this look in the media" before he acts, rather then relying on his training to keep him, his partner(s), and the public safe, and a perp will take advantage of it.