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brentoli

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Posts posted by brentoli

  1. Don't forget the great state of Indiana. Our house democrats fleed to Ill. to prevent a Right to Work vote.

    I see no reason why I pay $250 a year to one of the major Detroit unions, in my dispatching job. But what do I know? I could tell you lots of stories about the union failing to do anything for the worker, in my short 5 years of FT employment. And don't even get me started on the discipline grivance process. Lowest common denominator?

    In answer to Kt's question... In California when there were the large scale nursing strikes, many agencies brought nurses in that were willing to cross picket lines. And paid them a good preimium for doing so. Do you know if the hospital arranged something on those lines?

  2. I know you are all waiting with baited breath to hear how this event turned out...so here I am with all the fantastic details! Well, to be honest, nothing happened which is just fine with me.

    The three handlers actually told me that, if bitten, they would take a few minutes to determine if it was serious enough to call me in. Fine. I told them that I don't work on 'em until they give me the high sign. They each had been bitten several times before and knew exactly what to do and when to get EMS involved. Go figure.

    Now, a little twist in the conversation for you. I'd heard this last year but it didn't really sink in until today. Did you know they no longer manufacture an anti-venin for coral snakes? It's too expensive and no manufacturer will step up to do it. Now, how's that for those of us in coral snake territory?

    Never knew it was anti-venin. Learneded me something new!

    Coral snakes act on the nervous system, I wonder if that is why the product is more complicated?

    Whats the saying? Red on Black, you're dead, Jack. Red on Yellow, you're a lucky fellow? Its been a few years since boy scouts, I can't remember for sure.

  3. You guys are funny.

    So...to answer the question about the standby event...it's a documentary being filmed on rattle snakes. Kinda interesting.

    Better you than me.

    Did you find out any info, if they will have anti-venom on site or corrdinate with any doctors?

  4. Notwithstanding the increased risk of rollover, it just seems like it would better to be higher than the bumper of the unit that nails you in a side impact. You might toast your leg and/or hip, but I think you have a better survival chance in a full size truck/suv.

    Lest we forget, bumpers have struts and springs built in to absorb/distribute impact better. I would rather have the bumper hit me than the grill.

  5. I thank you for correcting me there. However, that does not take away from the point I was trying to make. We are only as good as the information we have, and if the info we get is incorrect, it doesn't matter much about the technology. A lot of people can save everyone a lot of grief just by knowing where their address.

    I completely agree. Just being a full time dispatcher, I felt the need to correct some information.

    I am lucky, I live in a fairly suburban county, with good addressing and good infrastructure. However, I grew up in the boondocks of Missouri, so I can empathize with your problem.

    Do you have major events or festivals in your area? Your idea for magnets is a good one, I would corrdinate with other agencies in your county (all PD, Fire, and EMS districts) and even try to get corprate sponsors, to help defray the costs of the materials. Figure out the # of households in your county (available by census data) get a couple of sponsors on board to place their logo on a 3x5 magnet with the information, and do a mass mailing of them. With the sponsors you could cut down on much, or even all of the cost. You might check into it, but they may even be able to work that in as a tax write off for their company.

    EDIT: I just saw you are from Canadia. But I am sure there are still aspects of this that will work for you, and this idea is good for anyone in the US as well. Just make sure my name is on the magnets. ;)

  6. Huh? Sorry, man, I wouldn't know. I'm just an ambulance driver. You might try a firefighter forum, they'd probably be more helpful in answering your fire-related questions.

    I don't know his motivation in asking, but in his defense, Florida is a very heavy Fire-Medic state. Because of that I considered it a valid question, if not clear.

  7. I'd like the same info as I'm the Training Officer for a new start-up fire department in Eastern Arizona. We have EMS assistance available from neighboring communities but response time can vary from 20 minutes to >1 hr, depending on weather conditions. It is also possible that during severe snow storms we may be the only responders who can get to our mountain cabin dwellers. This could require some level of medical assistance/stabilization until we can get the victims to a passable road or waiting ambulance.

    Any and all suggestions will be appreciated.

    Holy bump!

    Your first step needs to be contacting your certifying agency with your state. Diffrent states have diffrent rules. Here in Indiana "BLS Non-Transport" vehicles are required to have a state certification and have specific equipment they need to carry. Check with Arizona, see what their requirements are and that will give you a better idea of the direction to head.

  8. I am familiar with a doctor, a PA, and several nurses who became Paramedics after their original education. For the doctor, it was to get a better feel of what his medics go through (he is a med director). I don't know why the PA did. The nurses all have varying reasons for it.

    I see nothing wrong with cross-training yourself. If you have done the research to know what it takes to get yourself into medical school, then follow what you are called to do, as long as it assists you in meeting your goals.

    • Like 1
  9. I just want to point out two errors.

    First if the e911 system is not correct, whoever handles 911 for your area needs to get with their ANI/ALI provider. That is their responsiblity to keep correct, and when errors are found they should be fowarded to them.

    Secondly, there are several modes of GPS on cell phones.

    All new phones can transmit exact satellite based lat/lon to the 911 node. The only error in those coordinates would be on par with error in your GPS in your car.

    Some phones/carriers can triangulate positions. That also comes with a decent rate of reliability. Also 911 centers can contact cell phone companies to get subscribers name and addresses in cases with extigent circumstances.

    Finally, old cell phones send the tower location to the 911 center.

    Just wanted to clarify some statements you made.

    • Like 1
  10. It is important to remember that people control their own destiny. This is something I try to keep in mind whenever I am faced with a situation I cannot understand.

    Some people have such a strong desire for independance that they are to the point of self destruction. It sounds like this lady may be headed on that path. Sadly as long as she is aware of what she is doing, we can't put up a roadblock. You took the right steps in speaking to the family and also the proper authorities, even if they cannot address the problem directly they will have the file for her.

    I have contacted MC a few times in situations like these, and their hands are tied just as tightly as ours.

    You just have to get the student to belive in thinking outside the box. Its a difficult skill to learn, I have been in EMS 6 years now and I still struggle sometimes. What I would do is take the incident and throw "what ifs" into it as you discuss it and develop the critical thinking skills where they can relate it to the real world. Those sorts of learning moments have always impacted me more than just the RRR's.

  11. My stock was ok, we switched from Combi to King in January, we had to wait about 3 weeks to get the new stock of King's in due to a back order.

    I also got a new recall notice today, a hardness issue in some tubes causing flexing and crimping during insertion, I don't know the specifics as I wasn't included in that one either so I discarded the letter.

  12. Do it.

    Take it from me, I wish I would have continued my education before I decided to start my life. Now with a wife and a baby (and a bun in the oven) to think about, I can't just up and leave my job to start the next medic class I find. I have to make a very consious decision, and will probably have to wait a few more years solely due to the budgetary aspect of the deal.

    School will give you the means to put food on the table, but school won't give you the food while you're in it.

    If ya know what I mean there.

  13. Like I said brent... it depends on the snake. Best to contact an expert. Some venom will cause the tissue necrosis if it is constricted.

    I completely agree. And I didn't think about poison control, my first call would probably be to the ER.

    I haven't read much about snakebites for sometime, so I don't know how old and what the basis is for the lymph constriction.

    I also remeber, and I have no refrences for this other than some Discovery Health program or other such nonsense, that many "rapid deaths" from snakebites occur because the snake injects directly into a vein or artery.

    I know there is some nut job (I say that because I HATE snakes) out in my territory somewhere with a spitting cobra or other silly thing that I will probably get called to someday. And I will pee myself all the way there.

    We may not be able to answer the OP's question directly, but at least there is a flow of knowledge here to assist us in knowing what we really don't know.

    I've treated a snake bite. Irrigate, dress and wrap w/ either an elastic bandage or cohesive bandage...

    Don't forget to make sure the snake is secure!

    We have no protocol for snake bites, however, there is a con-ed class for them b/c of the interface of gas drilling companies and going into the mountains where man normally wouldn't be.

    I honestly did not even know what venomous snakes are native to Indiana before this thread, now that I have looked, I can rest in relative peace knowing my area is void of venomous snakes at ttime time. Of course when I lived in Missouri, we were void of armadillos for centuries until tthe early 2000's. :D

  14. This isn't covered in our protocols locally. Interesting though the last I knew was to use a loose constricting band. The thought being to allow blood flow but constrict the lymph, since that's how most venom travels.

    Sent from my Droid using Tapatalk

  15. The moment you come to expect it as a given, it will not be given.

    Never expect to get anything for free or discounted due to your work any social status you might hold and when you do get something for free you can be extra surprised.

    So don't abuse the privelidge or it likely will get taken away.

    Ruff I edited this quote a touch, because it is applicable to so many more things than just PC.

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