RichmondMedik
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Posts posted by RichmondMedik
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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
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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
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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
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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
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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
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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
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We as a human race treat our animals and pets better than we do each other
Paul
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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
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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
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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
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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
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Littman Cardiology 3 --- like the ear buds I have for them -- can hear a fly pass gas with these
Paul
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I am a NREMTP/CCT/FTO and a cross trained Lt.for operations
Paul
Tobacco Use
in General EMS Discussion
Posted
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