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+medic

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+medic last won the day on October 1 2010

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    New Hampshire

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    EMT Basic
  1. The sad events in Japan have had a personal impact on me over the last week. I lived in Japan for a long time while I was in the military. I became very accustomed to Japanese culture and way of life. Even after I left I returned to Japan many times and have a very personal and social stake in the well fare of Japan. When I heard the news about the earthquake, typhoon and subsequent nuclear plant problems it has me deeply concerned and nearly sent me into a state of depression. A very good friend of mine Jeff Quinlan and fellow blogger lives there I have known him for a very long time and naturally I was concerned. He writes for a Japanese Animation website and has a unique view about the Japanese people and culture. As soon as the disaster struck and he was safe he started to blog. Now since this is an EMS blog the events in Japan can serve as a vital refresher on what to do in case of a mass disaster or emergency and how we as EMS professionals can prepare for the unexpected. Day 1 Earth Quake strikes. "The shaking came out of nowhere. Usually we get a little buzzing feeling, maybe some rumbling off in the distance, before something worth concern bubbles up. Not this time. Almost instantly, my 3rd-floor apartment was shaking immensely. I was already sitting down in a safe area, so I had nothing to do but ride it out. Literally. The floors were bucking, the doors and windows were rattling loudly, light fixtures were swinging without restraint, and all my various knick-knacks and household items were finding their way to the floor. The shaking usually subsides after about 10-15 seconds, but this one just kept getting bigger and bigger!! I was beginning to panic, wondering if the building itself was going to hold up structurally. Haruhi-sama knows I had run out of things on my desk and shelves to watch fall. When the initial blow finally ended in what felt like 2 minutes later, I was able to finally stand and check things out. (ugh, even now this place is shaking like Hell's fury!! But at least I know aftershocks are never as bad as the Big Daddy.) My apartment was in a total shambles. My living room looked like a tornado came through (luckily nothing was actually broken), and my kitchen was no better. The refrigerator danced its way out from the wall probably about 20 inches, and the poor toaster oven that had been set atop was now on the floor…" In the world of EMS we are not taught very well how to deal with a once in a life time mass emergency such as natural disasters let alone a trio of them happening all at once. We are thought to call for additional resources the moment we think we need them. Sadly in a mass natural disaster they may not be available or even none existent. So often in EMS we are use to having things a certain way as most like a fine bottle of Gin. A natural disaster can mess that all up in a lot of unexpected ways. What if we don't have a hospital to go to or a large part of our needed resources are damaged or knocked out or even nonexistent. I know most governments and EMS organizations have disaster plans. But any plan is only as good as the people implementing it. In EMS we very rarely practice emergency preparedness and train for the worst case scenario. Emergency preparedness is very rarely talked about since it's something we don't think about. The most common kind of emergencies we get at my service is snow related and we have gotten use to that. But the events in Japan have me thinking how I can better prepare myself for the unexpected mass emergency or natural disaster. "Day Two, 24 hours later and supplies are running short. It's been a full 24 hours since the initial earthquake. It`s 7:22pm now as I'm writing this. My internet had been on long enough this morning to let friends and family know I was alive at that time, but as I'm learning now, Im far from out in the clear. The big concern right now are the two Fukushima Nuclear Power Plants. A reactor at the First plant in Okuma-machi had exploded this afternoon at 3:36pm. I can't understand Japanese, so I'm just basing this on what I can piece together, but it looks like the immediate area within 10kms has upgraded to forced evacuation while the area within 20kms is now on recommended-evacuation. Apparently I'm in the 20km radius since my village was mentioned in the listing, though Japanese news totally fails and did not provide an actual map or, at least one with a scale and landmarks. A plain blue and green map with two red circles tells me NOTHING!!!! I got an offer from a friend in a nearby city to stay with her, but now my phone is out and I have no idea where she actually lives. Figures. Gas is out, too, meaning I have no hot water to bathe and no range to heat up food. Figures (again!!), I lucked out at the grocery store, being able to actually complete my shopping list despite the mad rush, but now I have no way to actually COOK the food I fought for. Ah well, at least my neighbor came by with some fried rice to get me through the evening. I'm counting on her to pound down my door should the radioactive poop hit the fan. I'm really glad now that I gassed up my car on Thursday night. Though the prices only went up slightly, the lines at every station I passed were ridiculous. Convenience stores were hit just as hard." In times of mass natural disaster I have found it takes a lot of personal preparedness both mental and physical. They say you never know how you are going to act in any given situation until it happens. While this is true a lot of the time this is where emergency prep and training can help. Mass disasters and emergencies have a way of bringing out the UN expected in people both good and bad. As EMS professionals we have to prepare for them and even overcome our own fears and doubts. "Day Three EVACUATED to Shirakawa! I've evacuated my village, per order of the government, pending what will happen with the three out-of-control reactors. One has already exploded, though it seems like the radiation leakage has been minimal. I had to drive over 2.5 hours through mountainside roads in the dark, fighting a maze of road closures. My friend was nice to let me stay with her and her family. Not sure how long I'll be here... don't want to take advantage of their hospitality, though at the same time, I may not have any choices if the evacuation order lasts into the new week." I feel no matter what you do in EMS you should have a personal emergency prep plan. This is a basic idea that goes back to the notions and skills I learned as a Boy Scout. The Boy Scott Motto is "Be Prepared" it's a simple concept but applies very well to EMS. As an EMT and serving in the military I have always known I have to prepare for the worst and hope for the best. I have three bags packed and ready to go in my home should a disaster strike. All of this will come in handy should I have to leave my home for an extended period or if there are disruptions in food, water or power should a disaster or emergency situation strike. I also have basic evacuations plans for myself and family with three designated evacuation places should I have to leave my home town. Emergency Prep Bags. 1-Food and Water Bag 8 Each MREs 12 Ramen Noodles 12 power bars 2 gallons of water 2-Medical Bag Deluxe Basic BLS bag with extra ice packs, trauma supplies, rope, crowbar, flashlight and hammer. 3-Clothing Bag Basic clothing for 4 days. Soap and wash supplies for 2 weeks along with a blue tarp, working gloves and extra shoes. After a disaster or when you're in a stressful and uncertain situation such as a military situation or a natural disaster, your whole world changes in an instant and so fast it makes you head spin. People have been known to lose tract of time and even whole days. Your whole body and personality feels like it's under attack mentally and physically as is my friend goes on to say. The Japanese people have a very calm manor to them with very little panic or mass civil unrest as seen here in the USA after a natural disaster. They have been very calm and orderly even in the face of extreme hardship in the face of a once in a life time disaster. "Day Four Time has seem to of stopped I don't even know what day it is anymore. Time has stopped for me. I go to bed at weird times, I wake up at weird times, I don't have my school schedule to let me know what day it is anymore. The aftershocks keep harrassing me, making sure I never get back to normal. Helicoptors and fire engines continue to flock around everywhere I look. I am still in Shirakawa. We have electricity and internet and gas, but still no water. Now that the nuclear disaster has escalated, we're not allowed to go outside anymore. In fact, we can't use anything that would circulate air from outside into the house, meaning we can't even use our air-con heater for the rest of the week. When I packed, I only thought I'd be gone for 2 days, 3 days max, so I didn't bring enough clothes or snacks. I did bring my laptop and my external hard-drive, but now I'm worried about my apartment being ruined by the radiation." I have always been savvy about being prepared for the unexpected from my time as a boy scout and the military. I feel in EMS this is a place where we can improve. We are thought to think on our feet as EMTs we don't always have the resources need to deal with situations every day. I feel the events happening in Japan right now should serve as a red flag to our leaders and serve as catalyst and ensure we are prepared for the unexpected. Please take some time and ask your supervisors and leaders in you EMS service what plans are in place should an unexpected mass emergency happen. As for my friend Jeff who is living the mass trio of disasters he is doing well. As expected there are food and fuel shortages and very long lines for daily necessities. Japan and the United States hold a very close bond and no one should have to go through a trio of mass disasters. "Seven days later and shortages are abundant Still no sign of Godzilla yet, but the radiation scare continues. Each day, the Japanese government assures us that the levels in the air around the Tohoku area are safe, while the international media is frantically screaming that everyone who only so much has ever seen a photo of Japan is going to die. I'm not sure who to believe. The Japanese are famous for brushing away big concerns, while the Western media is renowned for blowing things out of proportion for the sake higher ratings. I would just like some honest data without the bureaucratic/capitalistic BS. I know the rest of the world has pretty much moved on from this tragedy, but for me, it's a continuing problem." You can read all of Jeff's firsthand account here- Jeff's Japan Blog In closing the world will never forget the heroic men of the Tokyo Electric Power Company, that are doing their best to control the damaged nuclear reactors. The world owes them a debt of gratitude they are protecting the world from the horror of a catastrophic melt down and toxic radiation release. Please I implore all of you to donate to the Red Cross and support the people of Japan in their time of need. To our fellow brethren in the Japanese emergency service working untold hours and enduring UN imaginable situations and hardships you have the support of this blogger. Till next time please keep the feedback coming.
  2. I was lucky to have a good EMT instructor when I took my EMT-B class. He was fantastic full man with years of experience and good morals. He’s a fair, wise, knowledgeable and an all around nice guy. Yet he had a UN canny knack of teaching us the little things a text book could not possibly print. One thing he told us was that you will get to know your partners on the truck better than your best friend or even your spouse. I work with a fantastic couple of partners at the Ambulance Service, I spend more time with them then I do with my girl friend it seems. In EMS you entrust your life to your partner for the good the bad and the crazy. People outside of EMS don’t understand this for the most part sadly. You have to work as a team to get the job done during a shift and when the crap hits the fan both of you have to be cool calm and collected. However some people are better to work with then others as life goes. You and your partner have to be in perfect communication and sink. If you’re not your heading for an accident or major risk to your life. My time in the Military thought me this well however a single EMT class does not prepare a lot of EMTs for this. One day I and my partner were doing a normal transfer and it all went wrong in the blink of an eye. I won’t go into details since I don’t want to name names or the specifics for legal reasons. The root cause of the problem was mistrust and lack of communication. Needless to say we had a major incident where my partner broke down in a very bad way that adversely affected the health and welfare of a patient and betrayed my trust. In an instant I found the training I received in my EMT class kick in like clockwork or a backup generator. Just like that I did a full head to toe trauma assessment and I was solely caring for this patient. The reason only I was caring for this patient was because I had to send my partner back to the truck to calm down and regroup since said partner was lost. In the end the patient was cared for and taken care of in a professional way. After the call and the mountain of paper work a something like this generates I sat down with my partner and talked about what went wrong. Sadly my partner was blaming the whole things on me and claimed outlandish things about me during the call to supervision. I maintained the truth and was 100 percent honest about what happened. This served me well with my co workers and supervisors in the after math and subsequent investigation. I never thought I would have a partner betray the fundamental trust we as EMS professionals have in each other. It’s a sad day when your partner who has more experience then you as an EMT lets you down in a major way. This bothered me in a major way for a long time after this call, my partner was openly joking about the call to people and was seemingly happy about what happened with made me even more UN happy. I am just glad I had the proper training and skill to provide outstanding patient care in times of extreme duress. I also learned a valuable lesson of how to properly communicate with my partner to make sure were 100 percent on the same page before, during and after any call. It’s so easy to rush and muddle though a call and just get it done but it does not always do good things for your patient. In the end my experience and EMT training served me well. It’s impressive during times of extreme duress when your training kicks in like a machine. For that I have my EMT instructor to thank many times over without you I would not be the fine EMT I am today.
  3. It's a rare day when a dream comes true on a call, EMS has a habit of throwing curve balls at you at the most unexpected times. The routine always seem to be the norm 99.9 percent of the time but that's all subject to change on a whim. We were dispatched to an assisted living facility for an older lady going in to the hospital for a routine CT scan. When we arrived the charge nurse met us at the door with a very worried look "we were worried you would not get here in time so we called 911" Normally when we pick up a patient all is well and everything is normal. Yet this time as soon as we showed up our basic transfer turned into an emergency call right before our eyes. The nurse pointed us down the hall to a room where the patient was. We rolled out stretcher into a nice and neat room to find an older senior citizen lying in bed having noticeable difficulty breathing, pale cool with purple lips and nail beds, she had a look of dread on her face. I looked at my partner who was a newer EMT and gave him a look of confidence as we both knew what we had to do. We grabbed a quick set of vital signs and basic assessment as the nurse explained her prior history of stroke, general weakness and how she has not been her normal self today. We put her on some o2 and moved her onto our stretcher. As we were wheeling her down the hall the mobile medics showed up and asked us if they were needed for the call. We kindly said no were all set since the patient was stable and well within our scope of practise not to mention the hospital was only two miles away. When we got in the back of the ambulance we did the normal secondary patient assessment, hooked up to the main o2 and made sure we had all the paperwork in order. We called the hospital on the radio to tell them what we had and how long it would be till we got there then we bucked in for the ride to the hospital. I jumped in the driver's seat and I got to do something I never done before, all though I have seen it done so many times in my life. I was about to drive the ambulance with lights and sirens on for the first time ever. I looked down at the black panel inscribed with the name Wheelen covered in dust and pressed the little red button which activated the familiar wail of sirens. I flipped on the top red light bar and side marker lights, just like that the ambulance was lit up like Times Square on New Year's Eve. I called us enroute to the hospital to dispatch then pressed on the gas and we were off and rolling. As I carefully drove at a safe speed down the street it was like a childhood dream watching the traffic part ways just to let me though. At that very moment the inner kid that has been oppressed in me for so long that has been dying to get out all these years, was set loose for that short 5 min ride. We pulled into the ER at the hospital and transferred our patient over to the skilled care of the ER. That short ride mine as well been miles long to the inner kid living inside of me all these years. After the call I was pretty happy with myself the Ambulance service I work for does not bring many people in this way. In the EMS world we normaly don't drive lights and sirens ever where we go. We are lucky if we switch them on when we stop on a busy street for a patient pick up let alone use them with sirens. That's the nature of working for a busy transport Ambulance service. On this call for the first time in my EMS career I drove with lights and sirens. I know it seems kind of corny to get all excited about this sort of thing but I'm entitled to my moment of privet excitement. One thing's for sure I will always remember this call since one of childhood dreams came true on that day and I will never forget it. It's a rare moment in one's life to have something you wanted to come true when you least expect it but I knew it would happen eventually in the world of EMS. Till next time please keep the feedback coming this blog is a work in progress......
  4. EMS is a dynamic profession with many different facets that date back to the 60's and 70's and before. Out of all the emergency services EMS is the youngest and most miss understood. To quote an old move "Any one in distress will jump in the first rig that arrives and each is worth 42.50 plus 50 cents a mile." EMS has come a long way from the old days of you call we haul. I'm a rather new EMT but not to public service, my grandfather was a fireman in a little town in western NY, My father marching in his footsteps is a fireman/EMT in NH. Lastly there's me I'm a third generation public servant and a EMT. I grew up around fire trucks, scanners and emergency equipment. I have had an interest in public service for as long as I can remember. I spent six year as an aircraft mechanic in the Air Force, I spent time in Japan, UK, Germany and did a tour in Iraq. Once out of the military I took the EMT-B class and just like that I was a EMT. I found a job with an Ambulance company that does mostly nursing home and hospital transfers. It's a small company but there equipments clean and they treat us well. We don't due many emergency calls but were plenty busy for a company our size. Now some people think being an EMT is a glamorous job and fantastic profession to be in. Most people due to watching too many movies and TV have an excited yet misguided view of how we save people, speeding everywhere lights and sirens blaring rescuing old ladies out of trees and stuff. Well maybe not rescuing old ladies from trees but you get the idea. The more I have worked as an EMT I have realized john q public does not know that much about what we do as a profession. To be blunt EMS is a lot of busy tedious work with little to no thanks involved. The work tends to be very episodic and random. We are trained to handle everything from life and death situations to the mundane little things you would never think of. Not to mention the long spouts of boredom with intermittent bits of excitement splashed in between. So I think what the heck what have I gotten myself in to? No sane person would want to do this job my best friend say you have to be a bit crazy to be a EMT. I do enjoy helping people and that's all fine and dandy. That sort of thinking can only get you so far in this job. The more I think about it the reason why I do this job is not for the money that's for sure. I do it because I feel very fulfilled working with people. However it seems you work with the rude, bad, ugly and as well as the good at times. As an EMT you see people at their best to worst and everything in between. From the routine pleasant transport of a old lady to a doctor's appointment. To a drugged up man hanging out a third story window yelling at you and your partner to help him. Just to get up there to find him drugged up on coke and drunk with only one kidney. So yea that's a snibbit about me and what's it like to be a EMT. It's not like what you see on TV or in the movies. EMS a real job that normal people tend to forget about until they dial the magic three little numbers on their phone for a ambulance or fire truck. I'm aiming this blog to be an outlet of education and enlightenment for both me and the people that read it. I hope to spread this blog around and see where it goes. I would like to dedicate this blog to my father who is a big inspiration for me as a EMT and a person. I may still be green in the world of EMS but I have a firm belief that the best thing in life you can do is help someone. It's my sincere hope that by starting this blog will help me, the normal public and fellow EMS professionals become better people and understand what it is to be in EMS. I have a deep love for EMS and the Fire Service So please keep reading my blog. Feed back is always welcome so please feel free to leave some. Till next time….
  5. Wants the Patch from F+B Ambulance comapny from Mother Jugs and Speed.

    1. tniuqs
    2. FireMedic65

      FireMedic65

      i want juggs (from back then)

  6. Dogs are also better behaved then a lot of the patients we get. Any how is service dogs are allowed in lets say Walmart they are defiantly allowed in the ambulance.
  7. MA requires two per truck we normaly keep them in the bench seat to keep the stuff down there from rattleing around since our trucks are old. Most of the patients we take have there own pillows from there home or nurseing home. I have found that most Dialysis patients we transport feel better when they have there own pillow from home. Alot of the nurseing home and dialysis centers give there patients pillows with the centers logo on them and sometimes the patients name stiched on. As for Emergency calls the patients normaly dont ask for pillows but we run very few emergencys.
  8. Orderd Mother Jugs and Speed today from Amazon.

    1. Chief1C

      Chief1C

      You should look for the VHS tape of Paramedics from the 80's. It's only on VHS, had to watch it at the station b/c I only have DVD and BLURay. There is a reason it's only on VHS. Worst movie. Ever.

    2. tniuqs

      tniuqs

      Best movie ever ! LOL.

    3. +medic

      +medic

      The Disco music is fantastic. I need to find some more you tube clips of it.

  9. I work for a BLS transfer serivce so our first in bags are a bit basic with nothing really special. Our basic bag has in it. ASA Glucose Jr and Adult Epi Pens in the side pockets B/P cuff Pen light Watch BVM with OPA's and NPA's Bulk dressings and triangle bandages Sam Splint Ice and hot packs Combi Tubes and King Airways for NH crews. Glucometer for NH crews 2 bottles of sterile water Assortment of guaze packs and band aids tramua dressings Box of Lg goves Rolled up news paper
  10. I work for a Transport company and everything we do is still on paper. We do mostly Dialysis and Hospital Discharges so our narratives tend to look the same after a while. This is a basic narrative for a tansfer from a Dialysis center to a privet home. Im so use to useing paper and pen typeing out a narrative feels a bit odd. ______________________________________________________________________________________________________________________________________ A-7 dispatched to FMC Dialysis for 60 y/o female with Hx of CRF, Hip Fx and unable to ambulate on own -----> prvt home. Upon arival crew found Pt in Gerichair ----> cot via 2 EMT lift, secured x 5. -----> A-7.Vitals taken, B/P HTN with normal pulse and resps. Pt hasn extensive Hx Cardiac with recent heart attack, CRF, unstable gait and needs medical supervision during transport. Pt apeared well today with no signs of distress or pain. Pt denies any pain or major complaints. Uneventfull plesent transport to prvt home. -----> from A-7 into home via stair chair up two flight of stairs. ------> into bed via 2 EMT lift secured rails and left Pt in care of family. A-7 Cleared 1047. ______________________________________________________________________________________________________________________________________ ----> - Moved and or transport A-7 - Ambulance 7 Hx - History Pt - Patient Fx - Fracture HTN - Hypretensive Edited for content and translation from paper to keyboard.
  11. Wow that video is full of 80's coolness. When I was in the Military they still had Ambulances that looked like the one in the video.
  12. As a new EMT it’s hard to find your first job. Even with Military experience and experience as a British EMT it took me a while to get a job. I ended up going to each Ambulance company and talked to as many hiring managers I could before one hired me. It will take some time and allot of luck to find a place that will hire you but keep at it and I’m sure you will find a job. The best advices I can offer is too get out and talk to each Ambulance Company and EMS agency you can. Make sure you look professional and have a résumé in hand with the right certs and with some luck you will find a job. The key is to get your foot into the door with a company and start to get some experience. Once you have experience more companies will want to hire you and offer you more money.
  13. Yes as I agree with you, I have done what you staited in your post many times and there still is a very large issue. Where I work we have no set partners so its like a dice roll each day when you come into work.
  14. Thanks for all the posts and good thoughts. It has helped me get my mind around this topic very well and gave me alot of info to bring back into my work place. Cheers. Long live the City.
  15. Here is a question for everyone............ AMR in the states is a union shop for the most part. What I want to know how well does the union work for Americas biggest Privet Ambulance Service? I ask this since it could be used a a base line to guage the oringinal posters question.
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