crotchitymedic1986

If this sounds smart-ass or arrogant, I am not intending it that way; but the answer to your question is the same answer you would give to a woman who asks, "why do all my boyfriends beat me up ?" The answer is that she is attracted to bad boys who beat her, and will continue to date men who beat her (her issue is usually lack of self-esteem). We are all attracted to something that draws us to certain people. You have not dated different people, you have been dating the same woman over and over, ones that treat you like crap. Whatever the reason, you find women who treat you like shit attractive. If you were to walk into a room of 100 women, you probably wouldnt pay attention to more than 1-3. Those are the three you should avoid from now on, as those 3 are the women you have been dating over and over again. Its time to shake things up, next time you walk in that room full of 100 women, pay attention to the other 97.

that I can agree with you on Crotch.

I think the muslims are just better at it than their counterparts. They've had more practice and they have access to better bombs.

But there are terrorist orgs in every country, muslim and non muslim. they all need to be rooted out and destroyed and condemned by the public and those who they say they represent.

It's like an infection, you get rid of the offending organism and you can cure the infection. A simple analysis but one that is partially true.

Every time I get on a plane, I wonder, is this the day that that lone idiot terrorist has figured out a way to detonate a sock bomb or a mp3 player bomb.

It's scary but I don't give it any more thought than "not this time"

I can honestly say that planes will not be the next weapon of mass destruction, I think it will be the water supply or a local nuclear powerplant.

We really aren't too far apart on our thoughts Crotch which you know, we never really have been.

We are very close in thought. There has always been terrorists, and there will always be terrorists, it is just Muslims are the flavor of the decade(s) for now. There are all types of religous fanatics (in ALL religions), and all kinds of generalized nuts, but right now the Muslims are doing more damage.

It rained in my backyard today, therefore it must have rained in yours ? I do not have any stray dogs in my yard right now, so there must not be any strays anymore ? I am glad that you can cite some statistics from two small areas of the country, but I promise you that the national prison statistics on race are anything but equal. I imagine that the cops in Alaska dont pull over too many black folks either (probably because both the black people in Alaska are already in jail). But back to the original question that I asked, why is driving legally in an area that your race is not the majority, a reason to pull you over ?

I am sorry, the vast majority of deadly attacks have been at the hands of muslims. And funny thing is, you never see any "good muslims" denouncing their evil counterparts.

Essentially the only thing this law does is reiterate what has already been established. Penalties for employers are spelled out, procedures for reporting companies who employ illegals, penalties for human trafficking of illegals, etc. And yes, there are provisions for establishing probable cause for stopping and questioning a suspected illegal. Traffic violation means they can stop someone and ask for identification. If the person is illegal, then obviously, unless they have already established a new identity, they cannot produce a drivers license, proof of insurance, etc. They can be detained.

Profiling is part of being a cop. Behavioral patterns, physical traits, location, and yes, things like race and gender are part of that profile. Racial profiling means the only reason someone is detained or targeted is their race/ethnicity. The law does NOT allow that.

Here's the deal- I have been profiled- at the time I was in my mid to late 30's. One day, when I was working in the ghetto, I was on my way to pick up my paycheck, when I was stopped by the police. Since I was probably the only white male within 5 miles of where I was- an area known for drugs, violence, prostitution, and gangs and I fit the profile of someone looking for some dope or looking for a quickie. When I produced my ID, explained who I was, and why I was in the area, the officers apologized, but the reason they stopped me was because I did not belong in that area. So does that mean I was guilty of DWW in the ghetto? (Driving While White)

Yep, and I deserved to be pulled over.

Why did you deserve to be pulled over, just because you were driving in area that your race is not popular in ? Yes, you might have been up to trouble, but if they did not see you committing a crime, there is no legitimate reason to pull you over. But I am glad you got a taste of our life.

What it says, and what it is in reality is two different things. Its like your Policy and Procedure book at work; it says one thing, individual medics choose to do the opposite every day.

WRONG WRONG WRONG WRONG WRONG AGAIN

Not all terrorists are muslim. That was the dumbest statement of all in this thread.

Really, please correct me; how many terrorists attacks can you name since 2000 that were not conducted by Muslims ? But to make you happy, I will edit my original response: Since Timothy McVeigh, all terrorists have been muslims.

Really, please correct me; how many terrorists attacks can you name since 2000 that were not conducted by Muslims ? But to make you happy, I will edit my original response: Since Timothy McVeigh, all terrorists have been muslims.

Here is a list of recent attacks, tell me how many were not conducted by Muslims:

1995

April 19, Oklahoma City: car bomb exploded outside federal office building, collapsing wall and floors. 168 people were killed, including 19 children and 1 person who died in rescue effort. Over 220 buildings sustained damage. Timothy McVeigh and Terry Nichols later convicted in the antigovernment plot to avenge the Branch Davidian standoff in Waco, Tex., exactly 2 years earlier. (See Miscellaneous Disasters.)

Nov. 13, Riyadh, Saudi Arabia: car bomb exploded at U.S. military headquarters, killing 5 U.S. military servicemen.

1996

June 25, Dhahran, Saudi Arabia: truck bomb exploded outside Khobar Towers military complex, killing 19 American servicemen and injuring hundreds of others. 13 Saudis and a Lebanese, all alleged members of Islamic militant group Hezbollah, were indicted on charges relating to the attack in June 2001.

1998

Aug. 7, Nairobi, Kenya, and Dar es Salaam, Tanzania: truck bombs exploded almost simultaneously near 2 U.S. embassies, killing 224 (213 in Kenya and 11 in Tanzania) and injuring about 4,500. 4 men connected with al-Qaeda 2 of whom had received training at al-Qaeda camps inside Afghanistan, were convicted of the killings in May 2001 and later sentenced to life in prison. A federal grand jury had indicted 22 men in connection with the attacks, including Saudi dissident Osama bin Laden, who remained at large.

2000

Oct. 12, Aden, Yemen: U.S. Navy destroyer USS Cole heavily damaged when a small boat loaded with explosives blew up alongside it. 17 sailors killed. Linked to Osama bin Laden, or members of al-Qaeda terrorist network.

2001

Sept. 11, New York City, Arlington, Va., and Shanksville, Pa.: hijackers crashed 2 commercial jets into twin towers of World Trade Center; 2 more hijacked jets were crashed into the Pentagon and a field in rural Pa. Total dead and missing numbered 2,9921: 2,749 in New York City, 184 at the Pentagon, 40 in Pa., and 19 hijackers. Islamic al-Qaeda terrorist group blamed. (See September 11, 2001: Timeline of Terrorism.)

2002

June 14, Karachi, Pakistan: bomb explodes outside American consulate in Karachi, Pakistan, killing 12. Linked to al-Qaeda.

2003 1

May 12, Riyadh, Saudi Arabia: suicide bombers kill 34, including 8 Americans, at housing compounds for Westerners. Al-Qaeda suspected.

2004

May 29–31, Riyadh, Saudi Arabia: terrorists attack the offices of a Saudi oil company in Khobar, Saudi Arabia, take foreign oil workers hostage in a nearby residential compound, leaving 22 people dead including one American.

June 11–19, Riyadh, Saudi Arabia: terrorists kidnap and execute Paul Johnson Jr., an American, in Riyadh, Saudi Arabia. 2 other Americans and BBC cameraman killed by gun attacks.

Dec. 6, Jeddah, Saudi Arabia: terrorists storm the U.S. consulate, killing 5 consulate employees. 4 terrorists were killed by Saudi security.

2005

Nov. 9, Amman, Jordan: suicide bombers hit 3 American hotels, Radisson, Grand Hyatt, and Days Inn, in Amman, Jordan, killing 57. Al-Qaeda claimed responsibility.

2006

Sept. 13, Damascus, Syria: an attack by four gunman on the American embassy is foiled.

2007

Jan. 12, Athens, Greece: the U.S. embassy is fired on by an anti-tank missile causing damage but no injuries.

Dec. 11, Algeria: more than 60 people are killed, including 11 United Nations staff members, when Al Qaeda terrorists detonate two car bombs near Algeria's Constitutional Council and the United Nations offices.

2008

May 26, Iraq: a suicide bomber on a motorcycle kills six U.S. soldiers and wounds 18 others in Tarmiya.

June 24, Iraq: a suicide bomber kills at least 20 people, including three U.S. Marines, at a meeting between sheiks and Americans in Karmah, a town west of Baghdad.

June 12, Afghanistan: four American servicemen are killed when a roadside bomb explodes near a U.S. military vehicle in Farah Province.

July 13, Afghanistan: nine U.S.soldiers and at least 15 NATO troops die when Taliban militants boldly attack an American base in Kunar Province, which borders Pakistan. It's the most deadly against U.S. troops in three years.

Aug. 18 and 19, Afghanistan: as many as 15 suicide bombers backed by about 30 militants attack a U.S. military base, Camp Salerno, in Bamiyan. Fighting between U.S. troops and members of the Taliban rages overnight. No U.S. troops are killed.

Sept. 16, Yemen: a car bomb and a rocket strike the U.S. embassy in Yemen as staff arrived to work, killing 16 people, including 4 civilians. At least 25 suspected al-Qaeda militants are arrested for the attack.

Nov. 26, India: in a series of attacks on several of Mumbai's landmarks and commercial hubs that are popular with Americans and other foreign tourists, including at least two five-star hotels, a hospital, a train station, and a cinema. About 300 people are wounded and nearly 190 people die, including at least 5 Americans.

2009

Feb. 9, Iraq: a suicide bomber kills four American soldiers and their Iraqi translator near a police checkpoint.

April 10, Iraq: a suicide attack kills five American soldiers and two Iraqi policemen.

Dec. 30, Iraq: a suicide bomber kills eight Americans civilians, seven of them CIA agents, at a base in Afghanistan. It's the deadliest attack on the agency since 9/11. The attacker is reportedly a double agent from Jordan who was acting on behalf of al-Qaeda.

Same list, stated a differnt way:

http://www.infoplease.com/ipa/A0884893.html

Do beat yourself up a little, then learn from your mistake, and go on to be a paragod. Acutually there are several studies regarding the elderly and head trauma from ground level falls, I will see if I can dig some up. Throw a little arthritis and osteoporosis in the mix, and you have the potential for fractures (not to mention that most nursing homes and senior living centers have concrete floors covered with linoleum or tile (their hips break pretty easy from a ground level fall, why wouldnt any other bone). What you may or may not know is that the human brain shrinks as we age, which leaves pockets between the brain and skull. When an elderly person has a brain bleed, the signs and symptoms may not show for hours (because the blood fills the "spaces" and does not compress the brain right away). Until you have a CT or MRI machine on your truck, transport all elderly patients who have fallen.

Not all muslims are terrorists ! BUT ALL TERRORISTS ARE MUSLIMS !

Its a racist law, luckily this time it is against the other brown people. Anyone who has been pulled over for DWB (driving while black) knows that the police do not need a real reason to harass you. With that being said, I feel Arizona's pain and understand why they have decided to take action due to the Federal Governments inaction. These people are just trying to find a better life, why is that so wrong. And for all of you who say that illegals take american's jobs = the unemployment rate has been high for two years and i still dont see any unemployed americans doing landscaping or harvesting crops for a living.

Lets change the scenario just a bit, and see if anyone has a different attitude. You are on a cruise to some 3rd world country, you dock, and start enjoying the many amenities and activities that are available. You and your child decide to rent some jet skis, and are having the time of your life when another jetskier (drunk) collides with your jet ski and gives your child a serious head injury. The local hospital is a shack, with no advanced capabilities. There are no neurosurgeons, MRI's, or CT scanners. There is a world renowned Neuro Surgeon from the States on your cruise ship (a passenger like you, on vacation), but he refuses to even look at your child, because he is not covered by his malpractice insurance to treat people in foreign countries, and he lacks the tools that he is accustomed to (so he cant do any good). How do you feel then ?

It could be a violation depending upon how you handle the situation. If you are in the US and divulge confidential information about that patient to someone else not involved in their care, then you have violated HIPPA. Here is how I see it:

You have three patients in back of the ambulance and you ask them about their history. They answer on their own accord in front of the others, you have not violated the law.

But if one of the patients told you they had AIDs confidentially, and then you mentioned that in your radio/phone report to the hospital, in front of the other patients, then you have violated HIPPA.

Could be the plastic wrapping from the grape bag. I remember working the ER, had a toddler came in with constant drooling, been to 2 ERs and Pediatrician, x-rays negative. When they scoped her, found the top piece of plastic wrapping that goes on cigarette box.

Look them in the eye, tell them you scrubbed the curb with tire, looked at the wheel, but didnt see the damage, so you didnt report it. Apologize, offer to pay for the damage, if they fire you, you are probably better off. None of us are perfect, and if they can afford to fire good employees for unintentional minor mistakes, then I wish them good luck. But if the precedent has been set, and they have fired others for the same, then you probably are screwed. Read the policy, see if there are any loopholes. Last ditch, do you know anyone else who did this, but was not fired -- maybe a supervisor, or the company slut ? If they have let others get away with it, but fire you, you have reason to appeal through HR. Last last ditch, if you know you are about to be fired, ask if they will allow you to resign if you think you can get another job quickly. If it will be hard to get a job, take your termination and collect your unemployment benefits.

Easier Method: write the blocks in order, and write CICI in order beside it (think CICI's Pizza)

1st degree C

2nd Type 1 I

2nd Type 2 C

3rd I

The C stands for consistent, the I for inconsistent. Now look at your PR interval, if it is consistent, your block must be 1st degree or 2nd type II. More than one p-wave makes it 2nd type II.

If your PR interval is Inconsistent, then you either have Wenkebach, or 3rd degree. If the PR gets longer until a QRS is dropped you know what you have. If the opposite is true, you know what you have.

First and foremost, remember that it is never as bad as people make any new thing out to be. The sun rose this morning, and will rise again, despite all the claims of the pending armegedon. This debate is much like that of the "fair tax" issue. People who are against the fair tax claim it is bad because everyone would have to pay a new huge tax on top of consumables that they buy; what they don't understand is that you are currently paying that tax now when you buy something, it is just embeded. For instance, if you buy a loaf of bread for $2.00, the cost of taxes paid by the farmer, the bread company, and the transportation company (and any other assoicated cost you can think of is in that $2.00/loaf price.

The same is true of healthcare. We are all paying the price for the uninsured through higher fees and premiums. Thats why an aspirin cost $10.00 in the hospital, because you (who are insured) are paying for all the free aspirin that was given to others. If they can get everyone to buy insurance, all of our rates will come down.

I don't understand why you do not understand why they were punished:

1. They were on-duty. Being hospital-based employees, I imagine they fall under the hospital's policies and procedures, which probably clearly state that you can not "play" on the computer while you are at work (especially if it was the hospital's computers). If the clerk in the billing office can not surf facebook while she is on-duty, then the EMS employees can not either.

2. They used images of the hospital property and their uniforms in the pics. Big NO-NO. And I seriously doubt that their posts on the internet were very professional, or painted the hospital in a professional light.

3. When you are at work, you should be at work. I applaud those departments who do not let you carry a cellphone or personal laptop while on-duty. Play on your own time, be a professional at work.

I honestly don't know the statistics. I just know that we get a story posted about it several times a year. It raises some very serious questions, like:

1. Why the Hell are we being used to transport people who need no medical services that we offer? What's wrong with a police car?

Because most police departments will only do one run per day, and hospitals wont wait and house these patients for that long (regular hospital)

2. Do not the cops have both the authority and the responsibility to take these people?

They have the authority but not the responsibility

3. Do we not have the right to refuse the cops and/or ERs request to transport them?

not if you want to keep your job

4. Why is any medic allowing this to happen without the patient being properly restrained and accompanied?

good question, people who do these transports should use buckle guards so patients can not unbuckle

5. What laws and/or policies are hindering us in dealing with this problem?

none

6. What lack of laws and/or policies is hindering us in dealing with this problem?

none

7. Would you personally physically engage a patient to prevent him from taking a dive out of a fast moving ambulance?

i wouldnt let the patient get unrestrained

Come on guys, time to pay them back. Everyone go to your politicians and explain to them how much cheaper their Fire Department could be run, if it were run by the EMS Department. Show them that only 20% of their call volume is fire calls, and that about 12 of every 24 hours paid to the firemonkeys is for them to sit on the couch, scratch their balls, and fart on each other.

hey ruralghetto, are the rumors about the intimidation of employees that is going on true ? Is it as bad as it sounds down there ?

If you truly are living in a rented room, eating ramen, and getting clothes from the salvation army (which I doubt), then you need to reassess your budget. How much is your vehicle payment, how much are you spending on cigarettes/alcohol/eating out, what percentage of your paycheck are you "saving" ? We all want more than we have, but you cant blame your employer for not having those things. You are where you are, wherever that is, because of your actions or inactions.

I think respect of profession, ability to make a difference, and the ability to do a job that many can not, ranks higher than pay any day.

Just look long before you leap. All EMS jobs have some negative to them, or else we would all be working at the same perfect provider. Even if the job is better, the location may have its drawbacks. The job market has tightened significantly, and if a department has alot of openings right now, it may signal a problem.

I am not saying you should abandon all technology, but at the same time you have to know the technology's limit. Without googling or dragging out your glucometer's trusty handbook, tell me at least 6 medical conditions that can cause a false high or low on a glucometer (not even going to go into the fact that most EMS glucometers are not properly cleaned/maintained, and glucometer controls are usually ran monthly at best (if at all, after the controls machine and strips are housed in ambulances that are too cold or hot per manufacturer recommendations). I imagine many of you can, but I imagine the vast majority can not; and there lies the problem. The medic who will push or not push D50 based on a glucometer reading ALONE, is just as dangerous as a medic who gives NTG tabs to a patient who has chest pain, because they just struck their chest on a steering wheel in an MVC.

Croaker hit the nail on the head, "TREAT THE PATIENT, NOT THE MACHINE". But don't feel bad, this is a common problem throughout healthcare. Just find a labtech who is over age 50, and ask them their opinion of today's doctors who can not make a diagnosis without a minimum of 7 labtests. As we become more technologically advanced, many in our profession rely on that technology way to much.