crotchitymedic1986

Ambulance Accidents Jan- July : 117 EMS Personnel Injured: 111 EMS Personnel Killed: 1 Patient Injured: 23 Patient Killed: 5 Passenger in Amb injured 2 Passenger in Amb killed: 2 Other Vehicle Injured: 63 Other Vehicle Killed: 13 Pedestrian Injured: 2 Pedestrian Killed: 1

Yes, please resort to name-calling when you have no historical knowlege to back up your liberal views. The reason we lost in Vietnam, have been in Iraq twice, and are currently in Afghanistan for probably the next 10 years is because we do not have the "will" to fight wars as they should be fought. War is war, and civilians do die in war. If we had carpet-bombed (not nuclear bombs) Iraq back in the early 90s, and fought the war like WW1 and WW2 were fought, we would not have the problems we have today with Pakistan, Afghanistan, North Korea, and IRAN. You will note that the muslim terrorists do not have any sympathy for civilian life. We have shown up at a gun fight with a knife.

bunch of pu**ies ------- you realize how many of you would have never known your grandpa if it wasnt for the bomb -- do you realize how many of you panzies would have never been born

2nd degree type 2

Back to the original problem ................ your boss is being unprofessional by discussing counseling issues with other employees. I would file a grievance with your HR department or whoever is above him (other chief, county administrator, or whoever controls his budget) --- unless he is the owner of a private service, he has a boss he has to answer to. You should quit and find a more professional place to work.

I dont remember which service did it, but i read it about in JEMS. There was a service that created HomeCare Instructions like the ER has to give out at calls when someone refuses. It was only on the major topics that usually resulted in a refusal: ETOH, Diabetic, Seizure, MVC, Headache, Sprain, Minor Fracture, Suturable / Non suturable laceration, Chest Pain, etc..... I imagine they had a blank/generic that they medic could fill out at the scene for any "rare" things that needed education. The instructions were preprinted on a single page, and told the patient what they should do, when and why they should call 911 again, and served as proof that you educated the patient about their current illness. I believe they were kept in one of those portfolio folders in the truck, the crew would just pick out the one that was needed. Then I think part of the refusal form stated something like "I have received my Homecare Instructions for my current illness or injury. Someone who has a jems account could probably find it in the archives. As mentioned before, since most of our industry's refusals are Paramedic refusals (you dont need to ride in the ambulance) instead of truly patient refusals (I refuse to go AMA), then the more documentation that can have, the better.

You have to factor all costs in and not just hourly/yearly wage. For instance, you can easily make $70k in California or Hawaii, but a 2 bedroom shack will cost you 1/2 a million dollars, and all other costs will be higher: taxes, groceries, etc... Typically, the cost of living in the south is much cheaper, so you have to consider that in your thinking. I know that North Carolina used to have a large volunteer base in their EMS industry, so it wouldnt surprise me if wages are supressed. I have a friend who works in Atlanta, and he claims there are atleast two employers who start medics in the low 50s to high 60s as their base pay, so obviously overtime would easily put you over 70. Second piece of advice : Dont work EMS jobs for 80-100 hours per week. You could get a job providing sex to supermodels, but if you did it 100 hours per week, you would get tired of it. Same is true for EMS. Look for something different on your off days, even if it is still medical (ER tech).

I would love to see how any medic from any school or employer is going to determine whether or not someone is sufferring from a sickle cell attack ? It can not be done in the absence of labwork. This patient has a legitimate medical condition, and he is not the first to figure out that going to the ER by ambulance usually results in a shorter wait time. Where is the crime in that ?

As dust stated, it varies place to place, but if you wonder why, check this out: http://www.naemsp.org/documents/characteri...ancecrashes.pdf It is an 11 year study of fatal ambulance crashes, that pretty much proves if you have alot of violations you are more likely to be involved in a serious accident. As far as not hiring due to driving record, I turned down several over the years --- My thoughts are that if you can not follow traffic law, then you will probably not follow my laws (policy & procedure) --- and of course, studies have already proved that these people would probably wreck my ambulances at some point. And of course, I would never hire someone with a DUI. ** As far as your specific record, with that much on your record, most good private companies will not be able to hire you, because their insurance will not write you. Obvioulsy as a Paramedic, you could be hired as a non-driver. Your best bet is to probably go with a municipality, as most governments are self-insured, or have insurance companies that are more liberal. I would suggest taking a defensive driving course, as most of the insurance companies that might consider you will demand it anyway. And it might help to improve your driving skills (3 accidents and 2 tickets in a two year period is not bad luck, it is bad driving).

petechia rash, most likely malaria, but could be any infection (or blood disorder from an infection) from a third world country ---- put on the yellow suit, mask, gloves --- ABCs, IV, get to hospital where antibiotics could be started --- decon the hell out of your truck. Dont lick the open sores.

I agree that it is dry, but it is essential. Once you have worked a few disasters you will appreciate how much better it is when everyone is on the same page, versus just cowboying thier way through it. Sadly, since so few departments actually have disaster drills, most of this will be forgotten when the next disaster occurs. JCAHO mandates that hospitals have disaster drills, too bad there isnt an EMS authority that could mandate the same.

Also consider electrolyte imbalances ---- a diabetic who has a dstick of 260, is probably not being very compliant.

Key points that I have not seen addressed --- There is the level of EMT-B that you do not want to do. This level is primarily used by volunteers and fire departments, you will have a very limited scope of practice and opportunities for a job at this level. EMTI is the level that you should start at, but even then job opportunities are limited. As far as going straight through to Paramedic, I am normally against it, as that is alot of time to invest only to find out at the end that you do not like the job --- but it is getting harder and harder for EMTs to find jobs, so I could not fault you if you chose to go straight through. Some employers will help you go from EMT to Pmdc, but many do not. Regardless of which level you choose, there are "transport services", services that do 911 and Non emergent, and those that are strictly 911 (private, county, hospital owned). Then there are specialty transport services like MICU for peds and adults, and helicopter services. More hospitals are using medic as techs, and many corporations and prisons utilize us for first-aid. So you can start on the easier end and then work your way to whatever you like. I would suggest visiting several of your local providers, to see if the chief will allow you to ride third for a week or so (some will, some wont since you are not in school). That way you can get a taste for it and see if it is for you before you invest your dollars.

Even deer are turning white (and note how they treat the brown deers) --LOL http://www.pbs.org/wgbh/pages/frontline/vi...inwi10s22a3q81f

For gods sake wake up and smell the coffee. This country is facing the toughest economic situation since the Great Depression, and there are still folks out there who are demanding raises. And Unions wonder why they so often fail ? Those folks should be greatful that they have a full-time job with benefits, and should be offerring to take cuts in pay, not payraises. But all you folks keep paying those public safety union dues, the union will do the same thing to you that they did to the automotive and manufacturing industry in this country.

Anyone doing this or heard anything about it: http://soundmedicine.iu.edu/segment.php4?seg=1936 http://en.wikipedia.org/wiki/Induced_hypothermia http://circ.ahajournals.org/cgi/content/full/108/1/118 http://www.childrenshospital.org/views/feb...ypothermia.html

I disagree with adding your name to it, unless you do it with the State and they ensure your anonymity. This person has already been suspended once for similar problems, if he/she adds their name to the complaint it will be Strike 2, as their employer is obviously more worried about keeping their contract than ensuring proper patient care. AND YOU KNOW I DO HAVE TO ASK: WAS THE PATIENT BLACK ? And before you jump on the "here he goes again" bandwagon, if you will study your refusals/no transports you will see that blacks have a far higher statistic than whites, considering they are only 1/17th-20th of the population. But I will grant you that most of those are not due to racism, but are more likely due to lower socio economic groups using EMS as their Doctor or atleast triage nurse. And most professional corporations have an anonymous avenue to complain, in case it is the manager who is doing wrong; most call it corporate compliance. I agree with the posters who are for investigating all complaints. I may not give an anonymous complaint the same importance or speed than I would for someone who calls or shows up and will go on record, but you should investigate all. The quickest way to get a JCAHO, State, or Political Investigation is to ignore a complaint. It is better to say, yes we investigated it, but had no way to follow up since it was anonymous -- there is usually some truth to what they are whining about.

Would love to hear more about Ferno versus Stryker, instead of power versus manual. Those of you who demo'd both, can you say why you chose one over the other ?

If it fails it is all on us --- we can no longer blame you. If we choose to spend it on rims, weaves, and drugs, then that is our fault.

I need to do a little more research before I name the equipment, because that could result in instant lawsuits if I am not absolutely sure I can prove my claims. Everything I have read has been anectdotal internet stories, and we all know how reliable that is. I am about 90% sure the info I have is reliable. P.S. glad to see you think deaths and injuries in our business is a laughing matter.

Thats some good suggestions, it wouldnt all have to be in cash. Some housing and education credits would be useful. Maybe a new home (that would spur the economy as we spent that money). But that would be reasonable, originally we were promised 40 acres and a mule, not cash. As far as when you would get your money back, as soon as you pay those tribal leaders, you can sue to try to get compensated for your losses. It is not that I have no sympathy for your cause, but at this time, I am fighting for my people, I hope you will do the same. Anytime one race enslaves another, they should pay --- doesnt matter what color they are. Just think, if your ancestors would have been smart enough to do the 40 acres and a mule thing 150 years ago, I would have nothing to gripe about today.

I am researching some industry death and injury statistics and may have stumbled upon something very troubling. I have strung together various news stories that show we do have a problem. If I told you that one piece of equipment on the ambulance was responsible for over 120 injuries and 20 deaths in the past year, would it concern you ? Or would you say, that is a reasonable number based on the thousands that work every day in this profession ? And what if I told you that upon telling the manufacturer of this product of the problem, that their only response was "our product is safe, and we do not see the need for a recall" ? What would you say ?

I would make an appointment with your local hospital's respiratory department head/employees to ask their opinion of whether that cost is reasonable, and whether or not your state will recognize it ?

no joke, i am serious --- what value do you place on ruining a race of people -- and thanks for reminding me, reparations should be paid to Native Americans, and to Asian Americans that were mistreated during WW2 When American corporations have been found to cause death and injury from their products, they have paid out hundreds of millions of dollars, and it is usually only a handful of people who were damaged. These are whole races, and or generations that have been damaged.