FireMedic65

what happened to my post?

Travel defiantly is a big thing. I travel about an hour each way 3 days a week JUST to class. Clinical I am all over the place. But usually no more than an hours drive. With these gas prices... it's crappy

whats with the dubin reference??

ok, i didnt read everyone's post... but the general conclusion seems to be the same as mine. control the airway. I wouldn't give narcan unless after intubation (right placement of course) and the pt wasnt showing any signs of improvement, even then, only small increments. i dont know these pt's from a hill of beans. blasting them with narcan, as well all know takes away their high... and they get pissed. smaller dose.. keep em alive.

My EMT-B course was $50 plus the book which was $40 that I had gotten online. Medic school, on the other hand was a little more expensive. Being that it is a college program, and I get credits for it. But I'm not complaining. Anyway, tuition is roughly around $6500, plus cost of books, which again I had gotten all online because it was cheaper. Books cost about $600 I think, for all the paramedic books (5 total + work books for each). A BTLS book, ACLS book, PALS, and NRP.

thankfully the half life is only what... 6 seconds? and hopefully that rhythm goes away after that 6 seconds:)

Ok, i see your point.... but really... administrating a med is not that hard to do.... you can stop putting on the 12 lead that takes 10 seconds to put on and use another 3 seconds to tell the pt to chew on the tablets or open wide, lift up your tongue. Have we really become that lazy? Yea, giving a pt a med is not hard at all by any means.... the doses are easy. but i wont let anyone but myself or someone equally trained/higher to give a med. its my ass on the line, not yours. what if the person get all excited and gives the pt 4 nitros to chew on by accident? i have been on several calls... as a student... and the emt on the ALS ambulance was asked to get a med from the bag.. JUST get the med... that was all.. not draw it from the vile/ampule or anything.... and i was handed the wrong med. so yea... If you want to allow someone to give the pt a med, and they are allowed to do so per protocol/medical direction... go for it.... but remember... its all about pt care... ill take the extra seconds to give the pt the RIGHT med at the RIGHT dose.

pics damnit! without pics she isnt real!! jk dude, happy for you. congratz

its a touchy subject... to carry or not to carry. if we lived in a society where we didnt need to worry about being mugged, beat up, raped, etc etc... i could see. i would carry for my own protection. thats it. i doubt i would actually shoot, let alone actually kill someone. i guess it just makes these people feel more safe. i dont necessarily agree with the law though. it just gives people more of an excuse and immunity to shoot someone.

i acquired that list from a friend. i will double check next time i am there

i wish we could live in a society where we wouldnt need to protect ourselves or even think of needing to

good idea... i should get one made up that says jedi master or porn star and wear it at work

if im required to carry/wear a badge... i will. but until then, i dont need or want the attention of having one. whackers wear badges... people who want to be noticed for what they do. LOOK AT MEEEEEEEE. yea.. whatever i say

once in awhile we get crap for taking linen... but the hospital doesn't own the linen.. they rent it or something from a supplier. and its some what shared... i bring in pt that i got linen from one hospital.. i take them to another... they dont wash that linen and send it back to them... they use it. but yea... that is odd the doc gave you crap for taking a sheet... but oh well.. you did the right thing. no biggie.

yea... i cant figure that out either.... you are required by the state to have that stuff stocked all the time, i dont recall off hand.. but you need a significant amount of extra linen. if you leave your station not stocked... its your fault.. not the crew before you.. no blaming them for not restocking.. yea they should.. but its your responsibility. i wouldnt leave unless i had all my supplies. thats like leaving without my lp12 or my meds. who would do that? either you need to do a better job, or your employee needs to get off their ass and do something. bc you are in violation of licensure.

(4) Adenosine 6 mg/2ml vials (6) Albuterol (Proventil) 2.5 mg single dose vials (1 bottle) Aspirin (Chewable) 80-81 mg tablets (6) Atropine Sulfate 0.1 mg/ml in 10 cc or 5 cc syringes (1) Calcium Chloride 1 g in 10 ml prefilled syringe; 100 mg/ml in 10 cc syringe (3) Bretylium Tosylate 10 ml ampules (500 mg) (2) 50% Dextrose 25g in 50 ml prefilled syringes (1) 25% Dextrose 2.5 g in 10 cc prefilled syringes (2) Diphenhydramine HCl (Benedryl) 50 mg/ml vials (2) Epinephrine (1:1,000) 1mg/ml vials or ampules (10) Epinephrine (1:10,000) 10 ml prefilled syringes (1.0 mg/ml) (200 mg) Furosemide (Lasix) 10 mg/ml in various size vials (2) Glucagon 1 mg powder reconstituted in 1 ml vial diluent (1) Dopamine (Intropin) 200 mg in 5 ml vials, ampules or prefilled syringes; 400 mg in 5ml vials (5) Lidocaine 100 mg in 10 ml prefilled syringes (6) Naloxone HCl (Narcan) 0.4 mg in 1 ml ampules or 1 mg/ml in 2 mg vials (any combination not to exceed 12 mg per vehicle) (1 bottle) Nitroglycerin 0.4 mg (1/150 grain) (2) Promethazine (Phenergan) 25 mg/ml 2 ml vials (1) Sodium Bicarbonate 44.6 mEq or 50mEq in 50 ml prefilled syringes (2) Verapamil 5 mg in 2 ml (2.5 mg/ml) ampule; also 2, 4, or 5 ml vials Narcotics: (40 mg) Diazepam (Valium) 10 mg in 2 ml prefilled syringes; 5 mg/ml in 5 or 10 ml syringes or vials (40 mg) Midazolam HCl (Versed) 5 mg/ml in 1 or 2 ml vials (40 mg) Morphine Sulfate 10 mg/ml in 1 ml tubex Fluid: (3) D5W or NSS 250 cc bags (4) D5W or NSS 100 cc bags (Minimum 3000 - Maximum 12000) Lactated Ringers Size bags divided at the discretion of the ALS service (Minimum 3000 - Maximum 12000) 0.9% Saline Solution Size bags divided at the discretion of the ALS service Optional: (1) D5 ¼ Normal Saline 250 cc Buretrol

i thought it was narrowing pulse pressure?

well... not exactly new... they are actually quite old. but still fun if you have nothing better to do. i recommend motas thats hours of being pissed off

agreed cjh. no need for that at all. there probably wasn't a need to even tackle the guy to the ground.. the FF did reach past one person to grab the guy.... but meh... who knows

looks like FD provoked it... but hen again there was no sound... so who knows what they were yelling about

alright, wow.. lots if people writing a lot in this post.. I'll admit it.. I didn't read most of it. so spare me the firing squad if someone already said this. ok, here it goes.. who cares.. an emt-b is trained to do what they can do, same with a medic. Some medics have higher training to do certain things other medics cannot. does that mean these other medics can't perform these things? YES.. thats exactly what it means. Get the training for the skill... and use it. I'm sure someone will jump on m case for this too.. but yea.. a volunteer BLS squad.. runs lets say 300 calls a year. Having several members "trained" to perform certain skills higher than your general emt-b. Ok.. so one day this "skill" is required.. and UH OH.. they haven't done that in months.. they are confident in doing it now.... what do they do?? OMG here is what.. they wait for ALS to get there? sure.. why not. but now people are going to have an issue with these people having this training, and when it comes time to use it.. they aren't able to for whatever reason. Now that leaves a grey area. They are trained.. but haven't done it for so long.. they can't perform it... I guess I'm not making sense.. sorry.. I thought I was at first.. then i started to ramble..

problems i have come across with my o2 was.. in extreme heat on a full cylinder.. was when at night the weather cooled off.. the gauge would read a little lower each night. which we all know why that happens. and where i live, it gets pretty cold, the only problem i have ever had in cold weather was the o-rings becoming damaged from the seal. i recommend leaving the regulator off until you want to use it. or.. just take the bag into your house, station whatever in these conditions. not that hard to carry a bag out the door with you:)

they actually did teach us some self defense in my medic class.. very basic, just to protect yourself enough to get your ass out of there

heh.. yea i have seen that one before. some of the blurbs on that packets are funny though. but yea.. come up with some stupid saying.. and make money off of it... damn i love america

so whats the big deal then? ems cant break glass.. but fire can? pfft