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NYCEMS9115

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Posts posted by NYCEMS9115

    Discrimination Against Gays

    in Archives

    Posted

    Just a tad off topic but relevant. LGBTs who suck face and grope each other in front of children gets a punch in the face(s) but watching this in the library, where children do congregate, on the computer is protected by the Constitution. If you're inappropriate, you need to be spoken with. Inappropriate behaviors are not limited to just LGBTs. We can all behave inappropriately but civilized beings talk out frustrations. They do not punch one another in the face because one didn't like what one did. Violence is reserved for self, including love one's, defense and preservation. Not unless you're the U.S. Government or some members of society and on the City. Of course this is all just conjecture...

    Rapture

    in Archives

    Posted · Edited by NYCEMS9115

    All who died on Saturday 5/21/11 were saved. Guess all who I know were not saved, were not wanted by God. I had a SCA in the tombs (jail); we worked him up and the MD agreed with us to pronounce in tombs. The patient was in there for rape and murder with a previous conviction of manslaughter.

    Are you telling me, this guy was saved?!? Saved from rotting in a cell...

    Edited for grammar....

    The Guys who give all emts a bad name

    in General EMS Discussion

    Posted

    It is tough for the student to know what he/she should do. Many of us are saying to report it to the Instructor and I agree but we have to remember how it was when we were in school. I've been an EMT since 95 and a Paramedic since 98; so no one can intimidate me. Not to say I am not humble and can not accept criticism. Because I can. However, insult and disrespect will not fly...

    Do you document the race of your patient ?

    in General EMS Discussion

    Posted

    Race doesn't change your treatment but outside EMS/PHC, it is important to note the race. Noting not necessarily documenting.

    We as Practitioners ask and document many things that may seem inappropriate. We ask for reason of Emergency Activation. A big Why, What, When, Where, & How. Past Medical, Social, & Surgical Histories. We even include a Working, Family, & Educational History. Medications current and past with compliance habits. Last solid and fluid intake. Events leading to. Recent illness. Travel outside the Country. Names of Physicians. Last Hospitalizations and Diagnosis. Recurrence of symptoms. Over the counter remedies. Illicit drug use. Use of Erectile Dysfunction medications. Physical level of activity. Last bowel movement and how was it. Plus, anything else that may be bothersome. We ask all this to formulate a Diagnosis with the help of Physical Examination and Tests. We all do this but no one questions this method of assessment. The reason why we ask is to get a better understanding so the right health plan regiment can be introduced. Race and Ethnic Culture are part of this assessment not racism and discrimination. As some have stated it is when documenting one's race...

    • Like 1

    Benzo for Dizziness

    in Patient Care

    Posted

    Would like to know why you guys there treat dizziness or is it a nausea and vomiting Protocol? Why Benzodiazepines? Upstate NY/Lower Hudson Valley we give Phenergan for the nausea associated with ACS. We can give it for just GI and CNS N/V. Phergan is a Medical control Option for us.

    Hello from a New England

    in Meet and Greet

    Posted

    It's never too late to start another career. 39 isn't old. We all have to work until 67 (it will be 69 soon), so you'll have to work another 28 to 30 years. EMS (EMT-B/I/P) is a great Profession and the Degree route you're taking is a good route. Are you close to Bawston (Damn you Pats, Celtics, and Sox)? Correspond with Boston EMS; they can guide you to the direction to the Bachelor's in Paramedics/Emergency Management. Also, they have a very good EMS, if you wanted to work there or do ride-alongs. Plus, with your long Law Enforcement background; with the B.S. and the Paramedic, you can be a Director of a City OEM or one on the State and Federal Level. There is so many options. Of course the EMT-B is just the first step of the many floors of the Emergency Services Industry... Good Luck...

    Vollie Non Emerg Ambos Vs Paid State Staff

    in General EMS Discussion

    Posted

    We have similar issues in NYC. Private vs Municipal 911 vs Hospital 911 vs Private 911. All this started in 1999/2000; where a Private Ambulance Service was grant permission to run 911 in NYC through Hospitals who at the time did not have EMS Ambulances but these Hospitals had a contractual agreement with this certain Private Ambulance. Plus, the Owner/CEO of this certain Private Ambulance Service was a voting member in NYC REMSCO, the governing body with oversees EMS with the confines of NYC; where the NYS EMS allocated EMS Coordinator is the Chief of FDNY EMS, who is the NYC REMSCO Liaison to NYS EMS. The Private Ambulance CEO was a large campaign contributor to the NYC Mayor, America's Mayor after 9/11, and to many of the NYC Council Members. The CEO was the Member at Large of the American Ambulance Association. This certain Private Ambulance allow provided these Hospitals who did not have EMS; free Ambulances with the Hospital's Logo on the Ambulances, where there was promises of patient steering to their Hospital. Lastly, this certain Private Ambulance had merged with a larger Private Ambulance Service in 2002/2003 which is own by a big Banking Corporation.

    So, NYC EMS is technically privatized even though FDNY runs EMS in NYC and NYC REMSCO oversees EMS in NYC; this is all on paper because it must be run by a non for profit organization but who's profiting on this?

    Of course this is a paraphrase of the truth. I do have intimate knowledge of all this.

    Do you document the race of your patient ?

    in General EMS Discussion

    Posted

    If you choose to document the race, it's fine. If you choose not to document the race, it's fine too.

    The only reason race is pertinent in the healthcare setting is that certain race are prone to certain diseases. Response to certain care or social interactions may vary. Believe and behavior systems are different. If the NYS PCRs had more room to document, some can document more of what they find on scene without using a Continuation Form.

    Unlike many other healthcare studies, EMT does go into health differences in cultures. If it's just a class lecture, the EMS Provider would be lucky. In Nursing, it is a semester class and it is very interesting. Things we do in American culture is not appropriate in other cultures. It shows you to understand and appreciate other culture's similarity and differences from your's.

    Of course this is all just conjecture...

    administering epi in infant/neonate arrests

    in Patient Care

    Posted

    In NYC, they're proposing big changes in our Pediatric Protocols. As for difficulties in drawing the right amount for pediatrics and neonates, it can be difficult unless you round it up to the nearest whole number and/or to the nearest 5 or 0. If you want to accurately dose the patient; you need to use a IV Pump.

    Vollie Non Emerg Ambos Vs Paid State Staff

    in General EMS Discussion

    Posted

    http://www.aremt.com.au/Index.php

    http://www.iarcedu.com/default.aspx

    http://www.acpet.edu.au/

    It seems like it's a growing organization. It has affiliations with 14 Countries including the UK, Germany, Saudi Arabia, and South Korea. Can I judge on the validity of this organization or what Penthrox says? I can't. I've never heard of AREMT nor am I familiar with EMS outside my Lower Hudson Valley of NY and NYC. That's why I ask, share, and research. Of course this is all conjecture...

    Vollie Non Emerg Ambos Vs Paid State Staff

    in General EMS Discussion

    Posted

    Hi,

    I am a volunteer Paramedic here in Australia and volunteer for a group here. My paramedic level is recognised by AREMT and is an Advanced Diploma, the state run ambulance service which responds to 000 (aussie equiv to 911) run Ambulance Officers (equiv to EMT - B) all the way upto Extended Care Paramedics. I was working a motocross on the weekend where a rider came off his bike at 70mph subsequently fracturing his wrist in the process. I was not first crew to him, the first crew consisted of an EMT - B and an EMT - I. The patient's helmet was cracked in several places, on lookers state he was 'asleep and awake' during the time it took for response to him. The patient did complain of loss of feeling in the lower limbs and pins and needles also. Naturally the crew assumed it was spinal and stabilsed the head and neck with a c collar. The patient was haemodynamically stable at the time of primary, for pain the patient was given methoxyflurane (self administered analgesic) which had minimal effect. We do not carry any other medications for pain relief. We called the state ambulance service for transport and a higher level of pain relief. All this was relayed to the comms room of the state ambulance service and they dispatched a crew. During the time it took for them to arrive he because shocky, flucuating bp and nauseous. I made the call to cannulate the patient and administer fluids and an antiemetic medication. To administer the antiemetic medication I need permission from the state run ambulance service according to our drug protocols, so I contacted the clinician of the state service and was given permission.

    I administered the medication and started fluids, he once again stabilised although his pain was still a 10/10. The state service arrived and insider were to ambulance officers (emt -B) who could not administer opiate medications. I also had the patient cannulated and they are not allowed to transport cannulated patients. After explaining to the crew what was wrong with the patient I was talked down to by one of them and he made the statement 'what would you know you are just a wannabe' to which I replied 'I am actually a paramedic and a anaesthetic nursing specialist mate so alot more than you!' which didnt go down all that well. The first thing the state crew did was pat slide the patient to their strectcher although he was on scoop stretcher. They insisted on sliding him across, so we let them. The kicker is the very next thing the ambulance officer does is RAISE THE HEAD END OF THE STRETCHER after he has been told of suspected cervicle injuries. Immediately I lowered it and phoned the clinician at their comms centre. During the time I was on the phone the ambulance officer had stopped the IV which is not qualified to do and removed the cannula, loaded the patient into their ambulance and drove off code 1 (lights and sirens). Gobsmacked I lodged and official complaint and that is the last I have heard.

    It just goes to show although there are private cowboys out there, there are also state run cowboys who think they know it all. I felt so bad for the patient and I hope he is ok.

    My rant for the day.

    Thanks for reading.

    Such a complex service...

    EMT-B to EMT-P

    in Education and Training

    Posted

    Either way. You want to work as an EMT before taking the Paramedic or jump right into the Paramedic with no experience.

    Most will tell you to wait. I think you should work for a year or two; then take the Paramedic.

    http://everydayemstips.com/EverydayEMSTipsEdition1.pdf

    There's so much you have not accomplished or experienced. The Paramedic is not the next step from EMT; it's not even a few steps, it's more like many floors apart. It would be like saying the MD is just a step from Paramedic. Well it's not. The requirements for EMT is very small in comparison to the Paramedic. Not to burst your bubble but the way you're going at things; it seems like you think it's a walk in the park. Good luck.

    Advanced Training Question

    in Education and Training

    Posted

    Ask your Instructor. Get the EMT. Get some experience and speak with your co-workers and supervisors about this. Get accepted to a Paramedic Course. You'll know what alphabet certs will be included. Many courses vary. Then get a job. Maybe your employer will pay for the other alphabet courses; depending on the type of service. Ask someone you see over in LV, that is familiar with this process. Good luck.

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