brentoli

Bunker gear with lots of pockets.... Loose cans.... Muhahahahaha

How.... How.... How do you find something like that? No offense, and I don't have much room to talk, alot of people involed with the making, searching for, and viewing of this need to get a life! :joker:

Please. See this translation of the above post. I belive it is accurate: With Glucagon it is possible to see results in five to seven minutes. Their airway becomes patent rapidly. Last Friday we used D50 IVP and in under 60 seconds he was conscious. We did end up giving him 100mg of thiamine for malnourishment though. As an instructor are you recommending the oral route for D50? I know pushing it is hard work, I can not imagine how hard it would be to drink. My thought is if you give it orally, and the patient loses his airway due to it, you will be in Federal Pound Me In The Ass Prison for a few years.

Does a helicopter really have a place for a medical call in EMS? I know we have 2 hospitals in close proximity, so it isn't an issue where I am. I just can not see where a medical call would scream CHOPPER at you. Your local facility can not STABILIZE a cardiac pt? I don't mean treat and release, but just stabilize?

[sup:488446b4f1]*Disclaimer: EMT-B poster*[/sup:488446b4f1] Why would you consider flying this pt? Reading the other posts, it seems like this pt is manageable on the ALS level with plenty of interventions available? Also, again basing my opinon off what I have read in this thread, if interventions do not work she will just end up crashing? Does your chopper take off with an arrest?

You are assuming that we work in services where we have that kind of money to spare! "911" "Yes sir can I get a pizza please?" "Excuse me?" "Last time the nice ambulance people bought us a pizza, can I get another?"

Wow... a real BAD known burglar? Came across a bomb threat? Multiple units back in service. Sounds scary....... /End Smart@$$

I just ate a pizza. Anyone wana prick me?

I can't wait to see if Dust reads this one.... Refer to my earlier post about hemmorage control. If you are resourceful you are prepared. Define "Federal Agent" CIA? FBI? US Marshal? DEA? DHS? Secret Service? US Park Police? The list goes on. Hate to tell you buddy. Working for the fed's isn't all guts and glory. If you want to shoot and be shot at join the Army. That isn't how you make it sound. OH MY GOD FEDERAL AGENT OH MY GOD CAR WRECK OH MY GOD O2 BAG OH MY GOD 9/11........... Any stocked jump kit is $75 plus from a reputable retail outlet. If you are so concered about having all of the equipment you need why won't you spend money on it? If you are rolling up on car wrecks won't you want a C-Collar? What if they aren't breathing? Won't you want high flow O2 and a BVM? Certifications are not what make you better. I am all for having what you need to get the job done. But, don't think you will be a better what ever just because your cert folder is 2 inches thick. Sigh

No one is trying to scare you away. They are trying to make the point, if you are the only provider on the scene and the online Doc tells you he is issuing a DNR for this pt, you stop efforts. If ALS is on the scene then it is their call. Until they are there, it is your scene, and if you refuse an order from your doc that falls in the standard of care (I know there is a word for it but im in hour 13 of a 16 hour dispatch shift) then YOU will be held negligent for that. If a doctor issues an order, and you refuse it, you must have just cause. Trust me, sitting in front of the jury saying "my EMT instructor taught it to us" will not be just cause. POST POST and POST some more. But realize that being new there are people here with more experience and knowledge then what you have right now. Maybe everyone doesn't use the most tactful approach here.... but everyone wants you to LEARN, thats what this site is for.

I thought it but I didn't go there, figured someone else would pick it up. Basing your EMS career on childhood ambitions: +5 points Basing your EMS career on movies that sensationalize an American tragedy: -100 points

I can't comment on Canada, but in the states, most agencies do not REQUIRE you to have any certifications before coming on board. They will train you the way they want you to be trained. It is a good and bad thing. There are two main places to get EMD instructions from, APCO and Powerphone. If you have a background with public safety that will help you more then any certifications will. When I walk in this room my EMT cert stays at the door because I am now a Powerphone EMD. Pay is very dependent on your region and who you work for. There are areas around here that pay much more generously then our agency. And areas that pay much less. A salary survey may be available in your area. I don't know if Canada has anything like NENA but if they do I would check with them.

Got a couple of towels? A Blanket? Extra shirt? Pair of gloves and 2 hands? There are a lot of ways to stop bleeding. Choose one. I don't need a box of 4x4's and 20 rolls of kerlex to do it. Easy. I will only stop for two types of calls. If I am flagged down, or if there is OBVIOUS IMMEDIATE action needing to take place. Otherwise, what is Tactical Cavalier One going to do on the scene besides light it up with my one pretty little blue light. Otherwise, I will pass by, maybe call 911 if there isn't 20 people standing around with cell phones. Knowing that someone with much more, and more appropriate, equipment is on the way. Woo hoo.. I will place myself in danger on the side of a highway to monitor vital signs and hold C-Spine on someone that will probably not even need it. Thats why I won't stop. If I am going to die doing this job, I want to die a hero, and not a zero whacker like so many people do. I know that just pissed off someone. Its true. I was working dispatch the other day, and sent a dept on a CO check with no symptoms. The CO detector was in the box for 4 months and started going off randomly, and this was related to the department. What do we hear? Screaming sirens as they go enroute. I confirm they know the details, and they answer with sirens still blazing. Getting off on a tangent here, but can you see where I am coming from at least?

With my regular keys, they are on a carabiner (a REAL one, not the convience store ca ca). If I don't have pockets it clips nicely onto what ever my clothing choice for the day is. The spring on the latch is strong enough to keep it attached. I will even clip them to the outside of the pocket on my too tight jeans and they stay in place just fine.

I don't understand why these topics always raise my blood pressure. Maybe it is the dispatcher ass catching up with me. I carry a pocket mask, and it only goes in my pocket when I am going into a place where there is a lot of people. I have a mini first aid kit in my car. But its for me and the people in my car. I promise you if I see a wreck I am not going to be running up through the puddles of gasoline and body parts screaming "I'M AN EMT I'M AN EMT!!!!" Right now, 22 years old, with a ruined credit report (thanks mom!) and a college drop out, going back isn't in the picture right now. Saving up money for a medic program is starting however. And I read everything I can get my hands on. I ask questions, I study and do what I can to learn my skill. That is obtaining education, not training. Next whacker EMT I come up on that is obnoxious and annoying, I call dibs on the first punch.

I still get ribbed at work for asking on a 911 call "where are your chest pains coming from?"

You might try your Medical Director, or check with one of your neighboring services?

Are we not allowed to reach under their armpits and grab their hands anymore? Sounds a bit safer and more controlled to me. Or, the "obesity tarp" would work well on a heavier patient as long as you could control the rate of laying them out. I just fail to see how that is an effective use of the KED. When are MASTS indicated in your protocols? The only reason we still carry them is the state requires it. We are NOT supposed to use them. They are not even in the area curriculum anymore.

I'll get my binoculars out. I prefer to just slow down and slowly overtake someone on the left in that situation with liberal use of the airhorn.

I can't belive a basic would want these. I am a basic too. And I am pretty sure I went through the same course everyone else did. And I know we didn't cover the physiology behind these medications. I know the indications and contraindications. But do we know what they do to the body as a whole? Maybe with an expanded basic curriculum with more anatomy and physiology involved, I could go for this. But right now with the training I have had, I don't want this responsiblity on my shoulders.

[web:5705b2b0cc]http://www.emsresponder.com/article/article.jsp?siteSection=1&id=5192[/web:5705b2b0cc]

No job requires lights and sirens on a POV. If you NEED those flashy lights, then you have a take home car from the department. Plain and simple. Yeah, I have a LED dash light, and LED deck light. The deck light might be over doing it, but helps. But this isn't the pot calling the kettle black. Its about responsibility.

I have had dreams lately about being the first arriving ambulance at an MCI. Knowing how I have woke up after those, I can not imagine what the real deal would be like. No MCI/MFI will go perfect. I have to say, if the response is not being critizised by the public, it could not have been to bad of a job done.

THat is the dumbest thing I have ever heard. You can't call medical control? I would be looking for a new job really fast. Almost verbatim from my protocols: DNR present at scene signed by paitents regular physician A Medic may assume a DNR notation in nursing home or home health care record is a valid medical order. the EMT-B must defer to the medic to validate complete DNR order in extended care facilities only Unanimous statement from the pt family that a DNR exists but can not be located. CPR may be with held 2-3min while rapid confirmation from the pt's physician is sought. Unanimous statement from pt family the pt has a terminal illness and expressed a desire for DNR. You may delay efforts 2 -3 min while contacting medical control for orders. Medical control at their discretion may issue a DNR order An awake alert and competene pt may refuse life saving mesaures or recind their DNR at any time. An impaired, demented or suicidal pt can not refuse resuscitation If the paramedic or EMT-B is unsure of the validity or unable to confirm or obtain a DNR then begin efforts in accordance with the appropriate protocol I made it shorter took out some legalize but did not change the meaning. Once again though, if you do not have online medical control, I would be finding a new job.

And control the airway with... My 3rd hand? The dentist doohicky? Yeah thanks for the demeaning tone. If I wanted that I would have called up a nurse. Better try next time.