brentoli

HOLY CAPS LOCK BATMAN!

I failed. Honestly the way I invision it, would be to throw the chart out, and teach from the body out. But thats a college degree, I think its call a BSN. I think we would agree that teaching the test sets up canidates for failure however. I envision looking at the assessment as a whole, opposed to breaking it down in to it's seperate parts. Why do we care about the ABC's? Are the answers just yes yes yes? What do we need to examine with all of these parts, and how do they fit into the "care plan" we develop in the back of the ambulance. A nurse has time to look over a whole series of charts, potentially talk with an associate, and has the freedom, tools, and time to do a full body assessment of anything you can imagine. Then they develop a plan to take care of the paitent considering all of their needs. In the back of the `bolance we (usually) have a short time and focus on the immediate problems. Somewhere between the assesment a nurse learns, and the NREMT practical sheets, is a happy medium. This is why I am not an instructor yet. I haven't found it. Sorry for the hijack, I guess.

So you guys really are A-Holes in NYC?

Noun S: (n) hate, hatred (the emotion of intense dislike; a feeling of dislike so strong that it demands action) And yes, the word hate is perfectly applicable here, because I have such a strong feeling of dislike for the practice that I am demanding action. As many other people do.

I understand who makes the sheets. You don't have to memorize the sheet to pass the practical. Practicals are the things we do everyday in the field. If you know WHY you are doing what you do, you will know HOW to do it. If you know WHY you are doing a SAMPLE, a QPRST, listening to lung sounds, or taking vitals, you will know WHEN they are an important role in your assessment. When I was in my EMT course 3 years ago, I was very frustrated with my classmates, some of them just didn't GET it. You know why? They had piss poor memorization skills. Three years later I am realizing, thats all an EMT-B course is, memorization. "Here is the practial sheets, know them and you will pass." "Here are the test banks, know them and you will pass." That is what Anthony is getting at, by teaching the test, you are setting people up to pass the test, and FAIL at the real world. Life is more than a cookbook. Example: Trauma station practical: 70 year old man who fell off a ladder is unconcious. Everyone made it up just fine to the ABC's, got to C, the answer was none. 75% of the class failed that station. They said ok, no circulation? Alright, let's C-Spine, roll check for injuries blah blah blah. CPR wasn't on the practical sheet, no one thought, "Hey maybe we should do something about that."

Have you tried images.google.com or photobucket.com? Not chastising you for asking, but sometimes you can find things on there that you wouldn't ever think you would find!

I hate hate hate hate hate hate hate hate hate hate hate hate hate hate hate hate that. If I ever become an instructor, you won't see those sheets until the day of the test. Why? I protcored a practical recently, and you can tell, these students memorize the practical sheet. They are robots in that room! It shows absolutely NO learning, only memorization skills. If you know the "why's" behind what you are doing, the "how's" will come natrually.

Did I miss the name calling? Usually that stuff gets good!

This is fire based, but I think it gives a good beginning. 5. Shall be drug-free, and have no convictions for driving under the influence of drugs. 6. Shall have no more then two (2) alcohol-related violations as a minor (18-21 years of age). 7. Shall not have a conviction for operating a vehicle while intoxicated (OWI), or operating a vehicle with a blood alcohol content (BAC) in excess of 0.10% within the past 5 years, and/or 0.08% since July 2001. 8. Shall have no felony convictions. 9. Shall have no convictions for any Class A misdemeanor. (Your first OWI in Indiana, with no other circumstances, is a Class C misdemeanor.) 10. Shall have no convictions for selected Class B misdemeanors (list attached). The final decision regarding disqualification in this area will be made by the Fire Chief. The following CLASS B MISDEMEANORS may be cause for disqualification. Convictions will be evaluated by the Fire Chief on a case-by-case basis. Battery Criminal Recklessness False Crime Reporting Disorderly Conduct Unlawful Use of Police Radio Possession of a Switchblade Visiting a Common Nuisance Public Intoxication Reckless Driving Furnishing Alcohol to a Minor Speed Contest Leaving the Scene of an Accident Harassment Criminal Mischief Voyeurism Unlawful Gambling Provocation Refusal to Aid an Officer Obstructing an Emergency Medical Person Interference with Jury Service Interference with Witness Service Unlawful Use of Communication Medium Invasion of Privacy Using or seeking to use a false, counterfeit or altered handgun carrying license to obtain a handgun contrary to the provisions of Regulation 35-47-2-8.

Even the hillbilly raized Ozarkian, like me, can figure you if you pick up trash for me, the trashmen are going to be in your front yard with lead pipes. I run on a volly department, but only because there is a long term plan in place (which is being acted upon) to transition into paid. Right now we have 2 paid members on staff, and have plans to add more every year for 24/7 coverage + ALS. If I was on a hillbilly joe department with no hopes of anything, I would have been guilted out of leaving it a lonnngggg time ago.

Holy Bump, Batman!

I am hard pressed to go to the ER. I pretty much have to be forced. When I busted my ankle in July, they took me by the bo'lance. I hated it. And they crew that took me in (from another department) wanted to cut off my bunker pants and boots.

I had to pull that for a signature.

"Baby Got Back" Sir Mix Alot

Brown University Emergency Medical Services (Brown EMS) is available 24 hours per day, 365 days per year. It provides Emergency Medical coverage to the Brown University community, including Advanced Life Support pre-hospital care and transport service. Reasons to call EMS include but are not limited to: Difficulty breathing Major bleeding Obvious or suspected major injury Any injury that impairs mobility Loss of consciousness or unresponsiveness Diminished consciousness or mental confusion Severe pain - of sudden onset, of unknown cause, or of long duration Severe alcohol/other drug intoxication Brown University EMS is staffed by paid, experienced advanced life support providers and student volunteer EMT's. [hr:8dba2f8e66] So... is there any diffrence transporting to the infirmary during the daytime, when an MD is on staff?

Thats a liability waiting to happen... "Un-Commissioned Civillian Paramedic Shoots Suspect During Stand-Off" "A civillian paramedic with ___ shot a suspect during a SWAT stand off today. The medic, who has no formal police training..."

If EMS took over Fire: FF1 Place tarps over everything Drive the fire truck Hand the FF3 all of the tools Get in the way FF2 Bring the hose into the house and start flowing water Cut holes into the roof Pretend you are too good to help FF1 FF2.5 Inject foam into the hoseline Take care of everything the FF2 forgets when they are soooo excited to pull the hose in. FF3 Set the flow rates for the hose. Guide the FF1 to the fire. Take care of all the tasks back at the station while the FF1's are talking about how the single handedly put out the fire and rescued the babies.

Do they stand by with the truck or do they make dynamic entry with weapons and armor?

Honestly, until I saw a discussion on this site, I didn't know there were places that would transport anywhere except to an ER on a 911 call. So why can't the campus EMS transport to the infirmary and allow the staff nurse to make the call on the ER or not?[sup:de5bc0e312]1[/sup:de5bc0e312] [sub:de5bc0e312]1. playing devils advocate[/sub:de5bc0e312]

I used to respect you Kyle...

Source.

What about the other question in this article, I made an aside note about the physician thing when I shouldn't have. Should students be allowed to be transported to their student clinic by campus EMS? Even if the clinic doesn't have a 24 hour physician.

[web:bc0975ce79]http://www.inews3.com/topstory.php?id=447573747c446576696c[/web:bc0975ce79]

The Brown Daily Herald - Brown Univesrsity Ran accross this while looking for some EMS news stories. Without knowing the background here, the way this reads, students used to be taken to the campus health services, unless it was very bad. Apparently RI has passed a state law requiring all ambulances to transport to a physician facility. What caused them to pass this law is unknown to me right now. I'll research it a bit later. What are your thoughts on this? Does anyone work in a college town with this practice? Personally, I think if you are going to get so trashed you need medical attention, you should have to pay the price. Is there really going to be less students getting the help they need because of this?