flight-lp

Why he hasn't gone to his Urologist! Any recent trauma, lifting, turning or twisting? Has he recently pissed mama off and got kicked in the whowho's? Inquire about sexual history. Has his member been somewhere it shouldn't have been? Burning, itching, discharge, ask all of the fun std questions. Examine the nut. Is it blue (literally)? If so, you have blood in it. Any recent tearing sensation in his back or chest? Any family (or personal) history of an Aortic Aneurysm? If its not trauma related (i.e. torsion or inguinal hernia) or sexually related, i'd be thinking about an aneurysm or Fournier's gangrene. O2 based on pt. condition Vitals Blood draw and NS lock Monitor with 12 lead acquisition consider pain control as allowed Off to the ER

Crocs has a line specifically for healthcare workers that addresses this issue...............

1. Taxation 2. Effective Billing 3. Consider contracting with a private for profit service All can enable a paid ALS staff I would also recommend separation from any VFD. Or at least separate the budgets........

84 MPH on a blind hill on one of the most winding roads in the state of Missouri. With no woo woo lights even. I'm glad he's getting locked up, hope he has some time to reflect on his own stupidity......................................... :x

It's actually quite simple, pain is exactly what the patient tells you it is. You are not the "morals police" and have no right discriminating against your patients because you believe they may or may not be lying to you. You'll get burned one of these days, watch and see. Hope you have a side gig, you'll eventually need it! Hope the $.50 vial of medicine was worth losing a career over..............................

Nope, many rely on over-adrenalined whackers to continue to provide the services and associated costs for free. Whats really sad is most do not even use those expenditures to their advantage come tax time........................

I wear them, they are comfortable, casual, and easy to clean. Actually have several pairs in different styles.................. I enjoyed the link that you supplied, it really reinstated my belief in the stupidity of society..............

Nope, always have enough help to prevent needless injuries from obese patients.............

Most newer models will synchronize without issue. In the case it isn't possible, then deliver unsynchronized shocks. I have cardioverted many unstable irregular tachydysrhythmias over the years and have only had to defibrillate twice due to this issue.

Pre-exisiting Hypercalcemia????? Personally, I never give Ca+ to a pt. unless I can establish a baseline level or they are in arrest. Bicarb, great, Albuterol, sure, D50 and Insulin, wonderful. But just having peaked T's, no chance I would risk the acute potential by giving Ca+. I figure this is one of 4 causes. 1. Excessive load possibly from the K+ supplement. Perhaps rhabdo should be considered, look for trauma and don't keep the tourniquet on for too long when starting your line. 2. A redistribution issue. Is it the Dig, is she acidotic, is she lacking Insulin production? 3. An excretion issue. Acute renal failure?? 4. A lab screw up! Oh wait, those never happen! Besides the EKG is a prime indicator so we can scratch this one............. I would also inquire about recent surgeries, especially those requiring general anesthesia (i.e. paralytics). Interesting that no one suggested Mg+ for the possible Digoxin issue. It would be a little safer in my mind compared to Ca+. Interesting presentation Doc!

Touche`

I'd be interested in knowing what your beef with Hermann Life Flight is. Shoot me a PM.......

Maybe he's just taking her out for a soda........................ Why else would he be dating her???????

@Traumaking - We also don't know about the drunk until on scene either, so your comparison holds no correlation. This discussion pertains to EMS use of L/S, not what the fire department does. @Ventmedic - I absolutely believe you have sound justification to challenge the experience and qualifications of your transfer crew if they are wooin' everywhere they go. An educated critical care team provides a calm, collaborative effort, one that rarely need extra illumination on the road. My agency rarely utilizes emergency response to the hospital. The few pts. that do include our trauma's that go downtown, our CVA with confirmed onset of less than three hours, AMI's (direct to Cath Lab, current time of 911 cal to revascularization is under 90 minutes), and post resuscitations. Just about everything else can be handled proficiently going non-emergency.

This is my train of thought also. I'll usually turn around once traffic starts backing up. No point in contributing to ozone depletion by sitting stuck in traffic! It's all about the environment man.............

Wouldn't be my first recommendation, but still funny to say the least.........

EMS within the city of Houston is solely run by HFD, so yes you would need to be a firefighter. Very few outlying services are fire based (thank god) and most "ambulances" you see are mom and pop dialysis companies. As a new EMT, you have a slim to none chance of getting on a 911 unit unless you received your EMT training through that agency (i.e. Cypress Creek EMS). Houston is way oversaturated with horizontal taxi units that do nothing more than rip off the federal governement. Because of this, there is always a need for EMT's. A smart EMT would not waste their time putting their certification on the line every day for money grubbing company owners and would go directly into a Paramedic program. There are several in the Houston area that have already been mentioned, but please for the love of god, do not waste your time and more importantly, a lot of money by going to A-M for their 3 month program. It is not complete, not remotely thorough, and is completely under organized. Your clinical exposure in College Station is acceptable at best. The biggest aspect of pt. care that you will learn is how to get a patient to Houston as quickly as possible! PM me for more specific info if you wish..............Good Luck to you!

Yes I am allergic to EMT's..................... oh wait, that wasn't the question, my bad............

Maybe I'm just dumb, but why would you put a needle in someone's throat? Are you referring to a needle cric? A procedure out of favor for more than a decade? Get with the time's man. "Dart"? That's a British pub sport, not something you do to a patient. Besides, as previously stated, a chest tube is the appropriate intervention. Either do it right, or get the pt. to someone who will. Perhaps the reason the nurses are looking at you "with three heads" is because of your piss poor attitude and inability to even properly describe the apprpriate "cool" advanced treatments. Needle in the throat and "dart". Ha, that just made my day. Don't come in her i with a firemonkey attitude and make a VERY poor attempt at disrespecting a very valued member of this community. Go roll some 5" instead...................

Yea its not that big of a deal. Many states offer a written test as a recert option. As AK said, if you can't pass it after 2 years of experience, then there are some major issues at hand. Lets not start a conspiracy theory, if they come that it is required, then so be it. There are bigger things in EMS to worry about than an entry level test.........

These "schools" are nothing more than the clinical training departments of the various branch offices. Most of their offerings are for the usual alphabet soup courses. Fortunately, Houston does not offer the Paramedic level. The EMT's and EMT-I's that I have seen come through the program have traditionally worked for AMR, usually because no one else would hire them. The program here is a joke to say the least. Both clinically and operationally. They have only retained one major transfer contract here and run ZERO 911. Hopefully it is better at other locations. If not I would be hesitant to remotely use the term "EMS professional" in any association with an AMR training program.

Valid point about education levels, but there are plenty of RN's performing those procedures. Look at most Flight Nurses (and Flight Paramedics for that matter).

2 thoughts.......... 1. A Zoll monitor usually can slow a patient down if they attack. 2. Chemical sedation is always beneficial, especially if you use Succinylcholine.

See this is where I disagree. AMR is a private for profit business. Of course it has to make its sharholder's happy. Thats basic corporation economics. Medics who take the time to educate themselves about their career providers know this information. They cans see the big picture beyond the ambulance. If an employee is working for a company that does not satisfy their basic heirarchy of needs, then they need to change their environment. If they CHOOSE not to, then they only have themselves to blame......

No big screen for you huh! EMS..........give us an inch and we take a mile! If your not happy with your current situation, try to change it. If management won't budge, then leave. There is no need to bring unecessary union involvement to this industry. They can't fix our problems, only we can..................................