RichmondMedik

oxygen is not flammable in and of itself -- it supports the combustion -- makes what ever is burning burn better --- the old guys who burn their faces by smoking on oxygen try and light the lighter with the O2 up high and POOF the flame is huge Paul

EXCELLENT pic !! so yesterday I transported a 91 yr old female that I had to wait to transport because she wanted to finish her smoke -- she told me she started smoking late in life --she was 21 when she started and smokes 1ppd yes I smoke almost a pack and a half a day --- if it bothers someone I don't force it on them -- the people I get ticked off at are the rednecks here that yell at me for smoking to close to the truck as the tobacco juice is running out of their mouths I don't force it on anyone else ( i put it out if I am with people it bothers) it is my last vice so lets turn it around and ask: how many go out drinking with others and then drive home ??-- even better how many still use drugs ??? after the length of time I have been in the field that seems to be more of a problem than smoking Paul

ok so where do I fit in ??? I work for a Public utility module -- i have been doing ems for 21 yrs -- so I guess it is my career -- or where u asking if I ride a big red truck and get put on the ambulance as punishment?? end result we are professionals Paul

And ETCO2 would not be my first choice if I had a patient who I thought had an oxygenation issue. I agree wholeheartedly !! I firmly believe more education and relying on assessment is a much better tool -- I just spent last week up in Philly at the JEMS conference and one of the best seminars was with the medical directors lightning round -- the main focus was using your training and assessment tools and not all the toys that have come out -- to rely on our instincts as pre hospital care providers and an extension of the docs Paul

Your right and to get into the technical aspects of ventalations and get drawn out it probably was more beneficial to people to understand the way I wrote it --- am I misleading -- not to the uninformed because the 2 are tied into each other -- hmmmmmmm if I need to lower or raise the respiratory buffer system to maintain hemeostasis ,it also goes that the other needs to be lowered or raised I have had FF's and EMT's when I have pointed out the CO2 wave forms and #'s not have a clue on what I was trying to achieve --and would make statements as " how can this effect CO2 if I am bagging with O2" so all I was trying to point out is that you can us capnography for the management of medical patient and RR/TV and not just to see if the tube is placed correctly -- there are also N/C with CO2 detectors to use with the LP12-- work great with COPDers and pulmonary pt's Paul

it is a great tool in our toolbox-- not only for the things already listed but also for the management of medical patients that are intubated -- helps to maintain the proper ventalation rate by knowing if they need more or less O2 Paul

basically yes they pay me every 2 weeks -- Richmond Va. is a Public Utility Module -- I wear a Richmond Ambulance Authority uniform and drive an RAA vehicle -- the only way people know it is AMR is either they are familiar with the contract or we tell them Paul

We as a human race treat our animals and pets better than we do each other Paul

We have button down shirts with all the rankings and bling-bling trauma pants and steel toed boots -- blue pants and grey shirts ( we are south of themason-dixon line ) bullet proof vest are for those that want them -- Paul

Richmond Va -- think we are #9 on the 10 ten dangerous cities more psych patients per square mile than any other place I have worked Paul

I talk everything out My grandmother always told me " you didn't kiss the blarney stone -- you took a bite out of it " -- bless her Gaelic little heart Paul

usually the person is drunk/high or about to get arrested ---other than that as has been said "treat people like you would want a family member treated and it all should go fine" I go into some of the worst situations and never have to worry -- I explain what I am doing and why --- I tell my students to remember that they are being invited into the peoples homes and it is not for them to make judgments on how they live --be respectful, ask before you touch or reach for anything -- just proper respect rules -- Paul

Littman Cardiology 3 --- like the ear buds I have for them -- can hear a fly pass gas with these Paul

I am a NREMTP/CCT/FTO and a cross trained Lt.for operations Paul