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brentoli

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Posts posted by brentoli

  1. We installed GPS in our units. Most of our members know our response area pretty well, but we find them useful for the Mutual Aid responses in the neighboring districts.

    This.

    Our neighboring county makes no sense with their house numbers.

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  2. You might search around the interwebs, see what you can find posted out there. Email the person who owns the site/image and tell them what you want to use it for. I have had good expeiences with that. Usually if you tell them you are using it for inhouse training and theres no revenue from it. Now if you will make money off the images, thats another story.

  3. Divert to the nearest ER for emergency c-section. Standard of care to monitor FHR frequently on a high risk OB transport.

    I assume your transporting from outlying hospitals to the big city? Makes sense.

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  4. This mysterious piece of equipment...

    Does it offer you a dataset that will change the course of treatment?

    If the answer is yes:

    Can the dataset change the course of treatment in a way that if the data is wrong, by machine error or human error, has any possibility of doing harm to your patient?

    If the answer is yes:

    Don't use your own equipment.

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  5. The true answer to the ordeal would be states to pass specific laws delegating authority to the prison warden or an "executioner" (iv, meds, death certificate) and leave licensed professions out of it.

    Of course that brings about the ordeal of a legislature discussing the penalty which many don't want to do, as its a damned if you do damned if you don't topic.

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  6. Hope everybody has a good thanksgiving day. Eat lots of turkey cranberry and pumpkin pie. If you're not in the states I still hope you have a good day, but you have no excuse to be a glutton.

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  7. I don't think patient condition should be any buisness of the drivers. There is a reason helicopter pilots as a general rule aren't medically trained and kept out of the patient condition loop.... it clouds judgement.

    Seal the driving compartment off... hire a professional driver who doesn't know anything but CPR, and put the two crewmembers in back, with 100% seatbelt useage.

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  8. That argument can be made for any collision when using lights and sirens. If you're going 10 MPH and using the legal exemptions allowed by the use of lights and sirens, you're going too fast.

    Yes. However, a low speed L&S crash brings about much less negative emotions than an excessively high speed crash of any type.

    A witness always adds 20mph when you turn your lights on anyway.

    Google "David Bisard IMPD" and see what attention high speed L&S crash gets you. Ignore the fact he was drunk, I've watched the case from the beginning and that only added fuel to an already raging fire.

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  9. I just want to point out here one thing:

    You may think 95mph is needed/acceptable. Your partner may think 95mph is needed/acceptable. Your patient may think 95mph is needed/acceptable. But your eventual victims lawyer will think 95mph is a few million in the bank.

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  10. Sent from my Droid using Tapatalk

    I've never been to a "bigger system" but don't forget.... often times the dispatcher can only give you the information relayed to them by the caller.

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  11. It seems we push forward with content only to have a segment of the EMS community push back. I wish I had a nickel for every time I've heard. "Just give us a book that will get us through the test." Interestingly, I've never heard that phrase in the world of medicine.

    Seems to be the new culture of people my generation and younger. You know something is broken somewhere when you are an "outcast" for wanting to learn and progress, while everyone else is content in the status quo.

  12. I'm sure that there's some clause in the employee handbook stating that the phone lines and radio is recorded. Now whether or not most employees read the fine print of their employee handbook is their own problem.

    PA law is coded kinda odd like... but it looks like communication centers are exempt from the recording laws. Its like that in most states.

  13. Does anyone have experience with the Actar D-fib® CPR/AED Manikin http://www.armstrongmedical.com/index.cfm/go/product.detail/sec/2/ssec/11/cat/26/fam/366/ and the associated AED trainer, Actar AED Trainer™ http://www.armstrongmedical.com/index.cfm/go/product.detail/sec/2/ssec/11/cat/26/fam/481 ?

    How does it hold up in classroom useage? How is it for both responser, and layperson classes?

    If you don't have experience with this model, is there one you would reccomend?

  14. However during an interview Thursday afternoon with 7News, the sheriff said, "the fire department was in the building first, the ambulance [team] was in the building second."

    Quit trying to spin the article and ignore the parts that don't agree with what you are saying.

    I still don't understand how you keep missing the part where THE AMBULANCE CREW REQUESTED ASSISTANCE FROM THE FIRE DEPARTMENT ON SCENE.

  15. If you have a sufficent number of Ambulance Officers treating the patient, what use can a bunch of Firefighters standing around doing nothing be???

    From the article:

    The two other fire crew members left the scene after they were threatened with jail, too.

    The ambulance crew eventually transported the woman to the local hospital, but not before calling back the two firefighters for assistance

    • Like 1
  16. Large EMS systems need to have their own Collections Agency. Time to get what's owed.

    Every EMS system does. And every EMS system needs to charge. Period. By not charging you give ammo to lower reimbursment rates from both public and private insurance. By not collectuing you encourage the taxi-cab mentality.

    • Like 2
  17. Good to see you have conceded & accept these Tezzaa, I of course assume you wrote these from personal experience.

    She wrote this down about 5 years ago... just kept forgetting where she left the list at.

  18. We as supervisors also have some tricks up our sleeve by randomly placing luggage tags on the oil dip stick or in a compartment/bag advising the crew to turn it into the supervisor. It seems to work well knowing the oil is checked daily, the suction unit is actually opened to see if it is charged, or the IO Gun case has been open to see if all items are in it. We tried "Tagging" the bags closed but thats where we ran into a satelite division not checking bags and on a spot check the bag was found to have about 15 meds out of date by about 15 days. We tracked back all crews working those 15 days and they received a write-up for not checking there gear.

    Damn!

    Those are some balsy supervisors. How does stuff like that go over with the crews? Do you have good relations?

  19. Exactly Dust..........can you trust that person that sealed that cabinet and "checked" it?

    I got burnt one time.

    The check log said the truck was OK. Hadn't turned a wheel the shift prior. Got on a run and there was something missing.

    Guess who's ass got handed to them?

    It wasn't the person who had checked the truck before me.

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