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chappy last won the day on July 20 2012

chappy had the most liked content!

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About chappy

  • Birthday 09/27/1970

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    Chaplain, NREMT, Paramedic Student.
  1. For those of you who don't know me, I work for a convalescent service. Recently, I had was injured at work (a minor injury and I'm okay now. Thanks for asking!). My injury was the result of moving an obese patient. Over the last few weeks, we've had four different people go out with various injuries: Shoulder, back, etc. - all related to moving large patients. So, my question is how much is too much. When do you call for lift assist? Are there any guidelines as to when a service should provide barbaric equipment and additional crew members? What do you do if you ask for help and you're
  2. Since there is no previous cardiac history, I have to believe there is an infarct. Typically, I would followup with NTG and ASA. Yes, we were moving.
  3. Okay, I am humbly submitting myself for review - not humiliation or ridicule, but some good, constructive criticism. I've had my Paramedic card in my wallet for two years, but I work for a convo service. Our service has just started transporting ALS and well, here I am. I am proud of the fact that I am a fairly good student, but a good student is not necessarily a good practitioner. I have no experience and I am working with a Basic EMT. So, can we do a case review? I may ask for more of there In short, I feel like I missed something. So, here goes. Patient history: 58 yom, CV
  4. Please don't misunderstand. I don't mind doing my job. And, yes, as restrained my chuckles, I was compassionate to the patient. However, I am very frustrated with the staff at the sending facility. That was the point of my rant. This woman is in hospice because she is dying. She is taking numerous opiates and she may have been using some form of cocaine. To that, I say SO WHAT! I don't generally endorse drug abuse, but this lady is dying. Who cares is she is a little high or a lot high. My frustration is that an ALS unit was tied up so she could go for a pee test. What would the pee tes
  5. So, recently, I transported a pt from a hospice house to a hospital. The pt was a woman who is not quite eligible for social security, very ambulatory on hospice care for a dx of cancer in multiple systems. As I was getting my pt's history, I discovered that she was allergic to many things such as bee stings, penicillin, ASA, Advil, acetaminophen (yes, she said acetaminophen) and some others. I held back a chuckle as she recited the list of things to which she was allergic because I had the inside scoop. Since she was coming from a hospice house, I had her MAR. I could see exactly wh
  6. I still do not know why, but for some reason I managed to fail the BIAD station three times. After failing three times, I took the remediation, showed my instructor EXACTLY what I did, and he said I should have passed. So, I get my remediation letter and go test again. Guess what - I did the exact same thing again and passed (also passed my other stations). This week, I took the written, finished in 77 questions and the results were in before I got home - I passed. Now, I am just waiting for the paper. After 18 months of class and two years of stress and no life - I did it! Chap
  7. In all seriousness, I am also an amateur radio operator and when those are retuned, they are great radios for amateur use and they are extremely easy to come by. I know several hams who have those or similar radios in their cars for amateur bands.
  8. Yea, erm, I've been shopping on E-Bay and Amazon. That, plus I picked up some stuff that, erm, fell off an in-service bo-lance. Now, I have everything: lp-15 (plus a spare), lots of gauze, 'trodes, all the pharmaceuticals, IV start kits, admin sets, fluids, etc., I've even gots a red-light and a scanner in my chevette. I've been thinking about making sure I "happen upon" some calls so I can feel good about myself and tell everyone how good I am. {note sarcastic, mocking tone in voice and tongue firmly planted in cheek}
  9. 83 on my final exam for an overall final average of 88... I passed ...
  10. Well, this is it. We have completed our final skills exam and tomorrow is the final exam for my Paramedic Class. We started one year ago, with 39 people in our class. Since then, we have had all of our class time, in class skill training, 500 hours of clinical time, tears, debates, hypertensive crises, laughter, fun, frustration, testing, (ugh) mega-codes and merit badges. Now, we have 14 people taking their final exam. Please pray for us. If you have any advice, I'll be here at the computer studying.
  11. As most people have said, there are many ways of dealing with the pain and stress of someone dying. Some claim they feel nothing. I am going to say this: if you are at the point where you feel nothing when someone dies, you need some help and you probably don't need to be in EMS. Second, some resort to various anesthetics. Alcohol (and other drugs) do not help anyone deal with the pain. They are simply anesthetics. They numb the pain. The pain will continue to exist until it is dealt with. When people numb that pain with alcohol, it will come home to them. There will be a day when they
  12. Well, I wish...Here in North Carolina, many of the rescue squads even have Jr. Members, riding the ambulance, who are 13-17 years old. Anyone who can pass a reading test at a seventh grade level can take the Basic EMT course, even before the age of 18. One cannot test until the age of eighteen. Once you have your Basic EMT and HS Diploma, you are immediately eligible to take the NC Paramedic class. Our current Paramedic class will last exactly one year. We have one person in our class who just turned nineteen and we graduate in September. She's not old enough to drink, but she will be able
  13. When I was in EMS the first time, back in the late '80s - early '90s, I was 18 and on fire. I thought I was "IT." I knew everything, I knew I was all grown up, I knew I was mature, etc. In other words, I had the typical thought process for a young adult. Now, with more than twenty years of life-experience, I have somewhat of a different view of things. I see now that I was not on fire like I thought. I wasn't the uber-mature, end-all, gift to paramedicine (or the world) that I thought I was. Granted, in a lot of ways, paramedicine is a young person's sport. But is there some room to consi
  14. I have a bag with a handful of assorted gauze, some tape, a meter to check a BGL, some oral glucose, some ASA, some instant Gatoraid packets, a pair of scissors, a Sam Splint, OPA's and a cool little pocket BVM. Everything I carry fits neatly in a canvas tool bag.
  15. First, let me say that I am replying from a point of view where I weigh in excess of 300 pounds. So, I am not picking on anyone. As you said, it would be impossible to have a "one-size fits all" solution. So, that would leave us with the burden of carrying equipment to fit anyone from an infant to a morbidly obese adult. So, this would beg the question: how do we balance the need to provide for any contingency with the financial reality? With the space limitations of a modern ambulance? Let's take the example to an extreme: What do you do when the morbidly obese (>500 lbs) arrests?
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