basejump

The internet was never secure to begin with,then people started voicing their opinions and getting into shit. I'm glad I don't have facebook. My opinion is if you don't like it then don't look.

Everyone wants to be "equal" but the truth is we are not. That's just how I feel.

mental,just that.

I was browsing through the online paper when I came across this video. Interested, I went on a little research party for "krokodil aka desomorphine. Seeing the drug is an opiate, here we give narcan to reverse affects (and alot of times get agitated arses). Is it the same for our friends in the UK? We of course would have some commonalities in how we treat patients who abuse substances, but are there any special considerations when dealing with these patients? I'm curious. Fill me in.

http://www.calgarysun.com/2011/11/23/gruesome-new-drug-corrodes-body

http://www.youtube.com/results?search_query=krokodil&oq=kroko&aq=0z&aqi=g-z1g9&aql=&gs_sm=c&gs_upl=24029l25891l0l28490l5l5l0l0l0l0l650l1997l2-1.2.1.1l5l0

http://www.independent.co.uk/news/world/europe/krokodil-the-drug-that-eats-junkies-2300787.html

http://en.wikipedia.org/wiki/Krokodil

http://en.wikipedia.org/wiki/Desomorphine

1. get over it.

2.seek professional help or talk to a close friend who doesnt mind listening.

3.self medicate

4.take that certification card and insert in the shredder.

those are your options

wether you'd like my stereotypical attitude or my nice,common sense knowledge it still boils down to the same answer. PD needs to assess the situation before you gallying on in unless you'd like to get an axe thrown at your head. I don't want to read about you in the paper brother,stay safe out there. cheers

There's no way they'll get that much in Canada, although they probably deserve a fair amount of compensation.

I don't get how people look for gratification in the job they are suppose to be doing,and fufilling all the requirements for that job. Example: if i work at tango at the drive thru window,should i be expecting a thanks for my coffee your doing a great job?no. Serving coffee and donuts is what i should be doing to the best of my ability. it is in the job description, this is what im trained to do. If im a paramedic in the city should I expect the public to thank me for something that im suppose to be doing or going that extra mile to make a patient feel comfortble? no. Maybe if you want people to thank you and praise you for the things you have done or the deals you have given go work at a car dealer. Someone want to iterate what the term public service means. sorry

if this post sucks,ive had a few shots tonight

;

I remember in Paramedic school, I made some kind of off-hand comment that put down some profession, with the attitude that I was superior because of my profession, and my teacher tore me a new one. As she pointed out, every job is important, and there is no job that is superior to another. If the garbage man fails to do his job, he will lose it, and his job is just as important to his family, himself, and his community as any other job.

If anything, we should thank our patients for calling us. 99% of them could get in a car and make it to the ER just fine.

i dont have aproblem with patients driving to the er

Well I could have copied and pasted that lol.....Also google starlings law and disastolic pressures. You can use google and scholar.google.com depending on how sciency your feeling. I'd love to reply more on this but im out the door for my shift. Cheers, talk soon.

Opinions are like assholes,everybody has one.

You know what's worse than a patient with an SpO2 of 79? A patient with an SpO2 of 79 who's already on supplemental oxygen. Since the patient already had a nasal cannula on, I wonder if the patient was normally on supplemental oxygen. If so, then their conduct was tantamount to malpractice. Assuming the SpO2 was accurate, how is a patient being profoundly, severely, and symptomatically hypoxic "not that serious"?

I agree with you. I probably would have stepped up to triage alot sooner and stating the patients current status.

Lucky you didn't wait longer. No clinics in your area do suturing?

A follow-up phone call is completely appropriate and professional when it is done for educational or patient relations purposes. It is not appropriate when done for a booty call.

I was curious so I had to call a friend of mine and ask. The patient is told to follow-up with there GP by the Doc who they are under the care of. I'm sure it would be perfectly OK to check on the patient after discharge,but also a tad sketchy lol. The PD are generally the ones who are called out for general well being and welfare checks,not EMS. Boundaries, I know them. Cheers Doc

My job as an Emergency Services provider is to take care of any life threatening injuries,assess,package and to transport to definitive care. After care has been transfered and we are cleared,that's it. If a phone number is obtainable,it's documented in the PCR. I'm not even sure who does follow-up care with patients after discharge and frankly it's not my concern. Professionalism people,someone needs the book throw at them.

For refrence: http://servicealberta.ca/pipa/

and http://www.servicealberta.ca/foip/

Be safe out there

Can you post the strip? Thanks.

This one's for you Rob. GBNF.

Also pray that the evil muslims in the world do not do anything stupid today.

This has nothing to do with Rob,nonetheless not all muslims are evil. Maybe you should take your medication,and not post such disrespect.

stick to the basics, that's engraved in my head.

That's the thing, there are so many BS calls in the city along with the occasional 'real' call. Resources 'per capita' if you will are just as stretched. Mind you, we have maybe 25 on the road and that's less than minimum staffing requirements. Still, a larger city with more units on the road does more bullshit.

Anyhow, flamingemt ... what about the woman who bends down to pet a kitten while walking near her apartment at night; gets scratched by said kitten and phones 911 because she has no bandaids? That's bullshit.

What about the chronic narcotic abuser who is new to the city, who 'heard from a friend' that calling 911 and telling the ambulance that their doc in another province said to call 911 if they ran out of morphine and that the ambulance would give them morphine?

What about the ever helpful drive-by caller who phones 911 in the middle of summer for a person lying on a bench near a busy street, who doesn't have time to stop to see if this person is breathing? Only to have the ambulance get there for the typical drunk guy sleeping on a bench because he's homeless and has nowhere else to sleep?

What about the person who phones 911 in the middle of the night living RIGHT BESIDE A DRUG STORE because they can't sleep and their Imovane isn't working?

What about the 18 year old male who vomitted 2 days prior to calling the ambulance, who only called because their abdomen is still "just a little bit sore" from wretching?

What about the person who calls 911 because the medication they were given is "working too well" and all their symptoms disappeared and they thought they should see a doctor about it?

What about the girl who gets a flu shot, then phones 911 because her arm is a "little bit sore" the next day? No other side effects. Just a sore arm.

I could go on for hours ... There certainly ARE bullshit calls out there. It's even more frustrating when you're sitting there on one of them hearing a cardiac arrest getting dispatched to a PRU (single member) because there are no units available. To deny that there are these types of calls is like denying one's shit doesn't stink.

I agree with you.

For everything else there is healthLINK and PADIS, they should distribute cards/pampletes for every bus in the city. What it boils down to is the EMS professionals clinical experience, and post assesment, are we able to pick out the BS calls and say to the patient follow up with healthLINK or your GP or are we just opening up the doors for litigation,possibly error,poor judgement and insufficient patient care. It does get tiring when you get a call for a drunk patient,you roll up to find a patient,post assesment appears to be healthy (no real emergency)all vitals normal etc etc etc, wanting to goto the bottle recycling depot.

Have a great weekend.

Had a call on a woman down. On arrival found an obviously dead female. INstructed my partner to snap a picture of the scene prior to my entering it. Blood all over the floor, bloody handprints on wall, smeared blood on mirror that was shattered. Woman's head nearly cut off the cut on the neck was so massive. The murder weapon was next to the woman - a shard of the mirror.

This was when I was first badged a medic and I stupidly entered the scene. The killer had left and actually had been stopped by local PD about 7 blocks away but of course stupid me didn't know that.

The picture was taken because we wanted to document the scene prior to our footprints and medical equipment being in the house.

PD rolled up just as we were leaving the house. I gave them the SD card from the camera.

Was I stupid to enter the scene before PD, yep but their ETA on our arrival was over 10 minutes so Superman here went in. Have never done that again after the Ass chewing that I got from the Sergeant. Sometimes it takes the removal of an entire butt cheek to have things sink in.

Does your PD have a forensics unit?

This is yet another great topic. It has long been the idea that providers taking pics of crash scenes and making statements to the press is some sort of violation of a law that no one can put thier thumb on except to say "HIPAA" or "FOIP". The reality is, to provide pictures of an accident to the recieving Doc is a great asset! I do, and will continue to, snap a pic with my iphone, and email it to the recieving physician at the trauma centre. Now there is a moral/ethical dilemma one must face before spreading said pic to all his friends.... but hey, we are professionals, so that should not be a problem. However, if you do not show a license plate, patient, or give a name.... it is just a smahed up car!

How will a picture alter care in the ER dept?

I haven't taken ACLS yet,but I will be in the near future. I didn't mean to be a jack-ass,but if you don't know wether you're coming or going you should probably refresh and take the course again. That would make logical sense to me,anyways. cheerss