armymedic571

Awesome. It is nice to see so many actually giving a crap about their bodies..... As someone said, 75-80% of this is diet......You have a diet, you don't go on a diet. Working a truck and shift work do not lend to a healthly life style. But here are a few rules that I use... 1. Brown bag. By doing this, it saves a boat load of cash. 2. Go clean....Simply, try to take as much processed crap out of your diet as possible. Processed Gluten is responsible for inflammation to the intestines which has been linked as a precurser to cancer, heart disease, diabetes, and the list goes on and on. Read for yourself.... http://robbwolf.com/ 3. Work out. It really doesn't matter what you do, as long as you like what your doing. Many people rant and rave about the next best thing......Billy Blanks, Zumba, P 90-X, Insanity, the list goes on and on. I personnally Crossfit, but the important thing is to like what you do, and have a measureable and achievable goals...... I think taking control of your body is important in our field and our "Profession". Before returning to the Army full time, I was part of a group that got our Department Director to talk the hospital into paying for gym memberships. Our hospital loves to save money, and Pre-hospital services has the worst payout in workmans comp...... But with a little research and some searching, we were able to find enough studies that proved that a little investment in fitness and diet counceling would save the hospital thousands, if not tens of thousands.... Cheers

We should add one: Your tube, your chart....... but that might be me being selfish......

Incompetent and Lazy? Maybe... Maybe Not! Ones over usage of diagnostics can be causative of many different factors.... Now that I think of it, I really had nothing intelligent to add to this conversation.

To add to Croaker, doing CPR in the back of a moving ambulance is DANGEROUS. This is FACT and I will not site the studies. Do your own research...... These studies have been out for years. It is sad that we are still debating the outcomes of them. Or the fact that people do not know about them, or refuse to learn from their findings.

Not that your assessment is not incorrect, but why whould the mainstream Pre-hosptial provider have to lower themselves to a few lazy bums that passed their exam? You live in a sad system. But you are part of the problem. You have paradigmitis. Give up, its the way its always been....... Dude, don't give in to the dark side...... Another excuse. Isn't part of your job as a provider to EDUCATE the public. Also, find the research and present it to your peers, and Medical Director. Maybe they are lazy and just don't want to do the research?

Two reasons....... 1. Medical Directors still make providers bring dead people in, so that they can determine that they are.......dead. 2. Uneducated/Under-educated or unsure providers are too wrapped up in "what if's" than science and safety....... But that's justmy anecdotal self speaking.........

ERDoc....I think I pee'd in my uniform.....hilarious......

Crap Dwayne.....this means I have to do something today........Blah..........lol

Does anyone find this ironic that in a day and age where EVERYTHING we say and do revolves around evidence based medicine, and it seems ERDoc has found one last Anecdote to debate.....I was slightly astounded, but not surprised that I could not find two pieces of evidence that confirmed each other. Not that I searched very hard mind you. But something that is used often by many fields, I would think would be easier to find. Cheers.

I would have to say that a 20 point increase in systolic and a 10 point drop in diastolic would sufice as a baseline for Blood pressure. I have always used a 20 point increase in pulse rate, but can't seem to verify that with a legitimate reference. The same goes for time......it seems that different references have different criteria, and that some some even use heart or pulse rate as an indicator.... Very interesting indeed......ERDoc, it seems I picked a good evening to log in after a long hiatus from this site.......

Not to Monday Morning Quarterback......but someitmes the most expirienced crews get caught by complacency. I would chalk this up to a learning experience. Seems your gut instinct was headed in the right direction. Cheers. K

CLS.....sure do....check your ATTRS link on AKO for dates......

Haha....right on FUNNY.....but I believe it is "if you don't stand behind our troops, please feel free to stand in front of them!" I see that there are many different opinions. Most everybody here, except for the guy who thinks gays are mentally ill.....sorry lets get back on track..... Most people agree that there shouldn't be an issue. Besides Lonestar, CHBare, and a few other, how many of you have served??????? How many have deployed to the far reaches of the earth where people really want to kill you????? I just wonder........not that I disagree with the majority, I just want to know the base of your opinions? But, to get to the point here is the...I mean MY bottom line. IT DOES NOT MATTER. Some of the best, most rugged, and most effective soldiers I know and have fought with are gay. It does not matter. I think it boils down to this, either your professional....or your not. Anywho, just my 2 cents.......peace .

Richard, this is correct. The point is depending on the time requirement, and how much time is left on the soldiers contract, it may not be an issue.

Hey, if this guy is a certified medic, treat him/her as such. Value their opinion and discuss issues. By allowing them to talk through the calls, and not interjecting your opinion or ego, will let them know that you are there for them..... Cheers

Richard, I need to apologize. I went to give you a plus one and hit the negative 1. I am very sorry, because I like your post, and as usual, it is well versed in experience. Please do not take offense to my amateur mistake. Jeff

Sorry for the late post folks. Been out of town...... To the OP. You do not know me, so let me put this into perspective for you. I have 14 yrs in service with 10 year on active duty. 4 tours, with 3 of them to Iraq. The four years I was part time guard, I worked as a civilian paramedic, and was an instructor/preceptor. I went back to active duty, and now teach 68W reclass at Ft Indaintown Gap, PA. The bottom line here is being a proficent 68W CAN make you a proficent paramedic. BUT, they are two seperate jobs, with different scopes. I would not use 68W as a means to the ends of being a Civilian Paramedic. I would recommend the reclass if you want to become an Army flight medic, or are going to re-enlist beyond your initial contract. But, by the sounds of it, I dont think that is going to happen. What ever pro's you are looking at to go 68W are over shadowed by the fact that those same traits are ones you most likely have as a soldier. Feel free to PM me if you need. To 21to68...The answers to both your questions are YES.....but why would you want to? If you have no intention on re-enlisting beyond your current contract why go through the hassel of a reclass? If your intent is to go civilian EMS, please reread the above comments...... ......CH knows what he talking about. Cheers everyone.

Phil.....cannot say I disagree with you SURVEY of the situation. I need to apolgize as the first time I read this, I thought you where attacking me. Obviously not the case, but I find it funny now........I must need another cup of coffee.......... I would further what you said by saying that transport to definitive care is the key not just in trauma, but in medical patients as well. Kiwi.....is the LATER copyrighted (haha) or can I use that. Not only do I agree and practice that concept, it should be the standard of care regardless of type of model you work in. Gents, enjoy your day.....

What do you know. I am in PA as well. Welcome to the City......

Funny because it's true. Down with the politicians:thumbsdown: . However, it is truely sad that some people are that dispicable!!!!

One could ague that the "Trimodal" trauma system plays right into the "Golden hour" as the first peak is time of injury to 1 hour. It has been argued that the trimodal system may not be valid, and can vary from system to system. There are also issues with types of trauma as the different types produce different results using the same parameters (Blunt vs. penetrating) http://www.journalacs.org/article/S1072-7515(05)00537-5/abstract. I however agree with your second point, as to how many deaths are prevented as in they did not die of wounds received, but later die from infection, organ failure, etc...... IMHO, these two concepts need to be tossed, and we need to start re-evaluating our needs.

I am not saying this is the case. BUT, most people that I know who fail the NR the first time, do so because they overthink and/or over analyze the questions. Remember, keep it simple....A, B, C's. Don't worry. Many people have failed the test and have gone on to be great providers. The question is, do you have the stones to pick your self up and give it another go? Edit- because my spelling is horrible.

Very Pausible. However, from what I recall most people like this come to the US illegilly have their children and raise them here as homegrown terrorists. The issue is that most of the kids don't want to finish what their parents started. As far as the politicians are concerned.......typical. I do know that sometimes, some members of congress cannot site their sources, because they sit on different panels which received classified briefings BUT, based off of what Ruff explained (as I did not go to the link) it sounds more like verbal diarrhea, and playing on public fear to me. Good topic Ruff.

Phil, I agree with your statement. I would just add radial pulses, and proper mentation ensuring the brain is getting enough. Not always possible I know, but good markers to go off of.

Plus 1 for humility. Good luck, and keep asking questions!