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fakingpatience last won the day on May 6 2013

fakingpatience had the most liked content!

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  1. I'm moving to California, and trying to puzzle through all the required documents to apply to work at AMR. I received my state california card through reciprocity, but to apply for work I need * CA Drivers’ License * H-6 DMV Print out of Driving Record (Online printout not acceptable) * Ambulance Driver’s License * Medical Examiner’s Card Getting a regular CA driver's license I assume will be a fairly straight forward process, just turning in my other state's license. For the Ambulance driver's license, it says I need to take a test... Does any have information on what is tested? Is there a book available, like there is for regular permit tests to study from? Also, it says a medical examination report is required... Is there only 1 of these, or is there a separate medical examiner's card I need to get also? Thanks in advance for any advice!
  2. fakingpatience

    Funny EMS Picts

    Not toe pain but transported a patient for gum pain x4 months, already seen a dentist for it, no new changes. Oh and it was 0200 and she was a block from the ER
  3. fakingpatience


    Does anyone on here work EMS in Israel?
  4. fakingpatience

    Differentiating AVNRT from really regular Af + use of adenosine

    Our protocols specifically said that if you aren't certain if it is SVT or other rapid atrial rhythm to give a trial dose of 6mg adenosine, to slow the rhythm down for diagnostic purposes. Personally the a-fib RVR pt's I've had have been fairly irregular rates, so it wasn't needed, however I did have a pt in a regular a-flutter (1:1 conduction) undecernable to SVT at the rate. Gave 6mg of adenosine, and the rhythm slowed for ~10 seconds, long enough to see the flutter waves and determine a calcium channel blocker was needed (didn't carry cardizem there so opted to not treat and wait till we reached the ER as pt was stable).
  5. fakingpatience

    EMS CT scanner?

    I honestly don't know what training they are planning on doing. While it would be nice to say that the hospitals will trust our interpretation, honestly just like 12 leads they probably will not and will still do their own exams. For us it would be useful in destination decisions, and if a patient needs to be flown to the big city. Also at a recent training I learned that the ultra sound can be used to determine if the patient is hypotensive due to low volume, or poor cardiac output (helping determine if pressers or fluids should be given).
  6. fakingpatience

    New Partners

    Sorry I have been absent from this thread for so long, but glad for the discussion it has generated. Believe me, I am fully aware that the problem is me, not my partner; its not his fault that he is new, he can't change that and he does want to learn, but it is my fault that I am impatient. I have many faults, both as a person and a medic, and before was lucky to have understanding partners who helped me "mask" them at work. Thank you all for the various advice. To answer some questions, I am a new medic (less then a year), and new to the company (just a few months), but was a full time EMT at another agency for 3 years prior, so I'm not brand new to the field. I agree with what some of you said about it being a partnership, not the medic "in charge." I don't like being "the boss" on the truck, am used to working more in partnership with my partners, but up till this point I was spoilt with really good, experienced partners who I could trust (both as an EMT and as a person), and whom I just clicked well with. I didn't need to worry about simple things like even them knowing how to park the ambulance... I've always (including before I got my medic) disliked the saying "An EMT saves the medic," I think that a good partner saves their partner, regardless of the skill level of either. My partner and I had it out after our last call, both spoke our minds and pointed out quite bluntly some of the problems that we were having with one another. Hopefully having it out in the open now will help us both to be more mindful and work together better, I suppose only time will tell. I know for my part I am going to be more conscience of how I speak to my partner on calls, and trying to take time before and after calls to explain things.
  7. fakingpatience

    Transporting patient possesions

    Perhaps you could tie 8' strap/ backboard straps to the ends of the seatbelt on the bench-seat, to make it longer. Or if that won't work (if the end you need to click it into is flush so you can't tie anything onto it and isn't compatible with the backboard straps) use the backboard straps to tie it to the side of the stretcher, so it can't go anywhere. For better or worse, I think that it is human nature for us to go more out of our way/ try harder to help those who are nice to us and/or acutely ill. Another way to look at it is perhaps not being able to get his wheelchair to the hospital in the ambulance would be a deterrent to him abusing EMS and hospital resources. Does your town have a public bus? If it does then to be ADA compliant they need to have a way to transport wheelchair users also, maybe he'd rather go to a homeless shelter that is on the bus route then part with his wheelchair to go to the hospital just for a bed/ meal. Has your agency looked into contacting any social services resources to work with him?
  8. fakingpatience

    EMS CT scanner?

    Different techniques, but using the same machine though correct?
  9. fakingpatience

    Transporting patient possesions

    Can the wheelchair fold? What problem did you see when trying to get it to fit into the ambulance?
  10. fakingpatience

    EMS CT scanner?

    So, I found studies showing the use of transcranial doppler ultrasound to evaluate intercerebral blood flow. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2659960/ And from JEMS: http://www.jems.com/ultrasound-in-stroke http://www.hearthealthywomen.org/tests-diagnosis/index-tests/transcranial-ultrasound.html
  11. fakingpatience

    EMS CT scanner?

    Hmmm... I heard that behind the ear (where the scull is thinner I guess?) it was able to, of course this is all just what I was told. I'll do some research and see if I can find anything
  12. fakingpatience

    EMS CT scanner?

    We were looking at getting a small portable ultrasound machine for the ambulances; I've heard that it can be used also for detecting ischemic or hemorrhagic strokes, not sure the details about it though.
  13. fakingpatience


    We usually exchange linens at the hospital. Problem comes when the hospitals are out of blankets (or the one that kept them locked away so EMS couldn't take them). Due to that we'd stock a couple extra blankets at the hospitals that had them. We have laundry facilities at the station, but we are told that under most circumstances we are to leave dirty linen at the hospital and exchange them for clean ones there.
  14. fakingpatience

    Transporting patient possesions

    I have typically folded the wheelchairs and placed them by the captains chair or between the bench seat and the stretcher (buckled in). I realize this is probably the "wrong" answer, but in all honestly, in this situation, I simply wouldn't take the wheelchair, and would not go out of my way to arrange transport for the wheelchair after the pt had become physically and verbally abusive towards me. I also know that the director of my company would support me in this decision (especially with the frequent flyer we have that I'm thinking of). We will take him if he wants to go, but if we cannot transport the wheelchair then he will have to go without it, or stay home. Was he acutely ill? Why did he want the wheelchair this time, when the walker has sufficed in the past?