paramedicmike

I'd have to ask what the nature of the call was before speculating on the source of injury (and given what we know so far it's presumptuous at this point to assume there was injury cause by the intubation attempt).

What was up with the patient? Age and nature of the call?

-be safe.

I'd say if he tore the esophageal lining he wasn't close to getting the tube to begin with.

While the passing of a ETT through the vocal cords can potentially be a traumatic experience for the tissue, I don't know of any case where a laceration of the cords has happened. Doesn't mean it hasn't happened. I just haven't heard or read about it.

FWIW.

And please lock this thread, soon!!!!

-be safe.

If an EMT wants to give meds then that EMT has several options including, but not limited to, paramedic school, nursing school, medical school.

If I, as a paramedic, decide I want to be able to do more than what I can currently do those are my options. So why is this such a hard concept for others to grasp? Besides, it's horribly undignified to stomp your feet, throw a tantrum and demand to do things simply because a monkey can do it.

I don't believe EMT training covers anywhere near what is needed in order for them to be giving meds. They're not prepared to put on bandaids much less give or even assist with meds.

So, to answer ERDoc's question, no. I don't think EMTs should be giving meds. If a provider wants to do more then go back to school. If that provider offers the excuse that they just can't swing it at the moment they just don't want it badly enough.

-be safe.

Yep. You sure are missing something.

But unfortunately for you I don't think anyone here can spell it out any more clearly.

And you can continue to be a threat to every patient with whom you come into contact. Because it seems you're quite happy being a danger to the public at large.

-be safe.

glucagon IS NOT GLUCOSE.

I know exactley what glucagon does. It releases stores of GLUCLOSE in the liver, yada, yada,yada I probaly no more about glucagon now then I would ever need to know. Not necc. a bad thing, even with all the negative responses I still have to administer it if confronted with the situati

You obviously haven't read a thing anyone has posted. AZCEP gave an excellent description of glucagon and what it does. Glucagon is not glucose. Glycogen isn't glucose either. Glucagon does NOT release stores of glucose in the liver.

Go back and read it again...and again...and again...and again....and yet again. Because it's obvious to everyone here, except you, that you don't have a flippin' clue as to what you're so poorly attempting to discuss.

And I see you're still looking for that spell check button. I think it's an accurate assessment of the educational level with which the rest of us are dealing.

But still...

...-be safe.

Sounds like maybe the doc got up on the wrong side of bed and wanted to chew someone out for it.

It might have helped if you had pursued some history with your patient regarding prior joint injury or swelling. Sometimes older folks have joint swelling that's normal for them. We don't think too much about it, maybe note it in our documentation. But in cases like this it become important. And this is where getting a complete history from the patient is vital. Imagine what the doc would've done had you replied, "Doc, according to the patient the swelling at the knee is completely normal due to .......". You might've been able to end the conversation there.

Can't say for sure if what you did was right or wrong as I wasn't there. But I'm like Rid in that I'd prefer to see a reduction in the deformity resulting in a decrease in pain and quad spasms. There are orthopedic specialists out there for a reason!

Asking for the opinion of others is a good thing. Follow up on this one to see what the extent of injury was and let us know. Remember to get as complete a history as you can from the patient.

-be safe.

Come on, man! PLEASE just post the link!!! We will get it!!! PLEASE do NOT embed the document into the body of your message!!! It loads the document each and every time the thread is opened...even when attempting to post a reply. Never mind that it's been loaded/downloaded from previous readings of the thread.

Not only that but for our friends still using a dial up connection this has the potential to clog their page loading capabilities and/or freeze their connection.

I understand that you're trying to share information. I appreciate and applaud all the work and research you do to help out all of us out here. It does not go unnoticed!

But please, for the love all things holy and sacred in the EMS world, just post the URL. I'm not sure you're aware just quite how aggravating this is for many of us out here.

Again, thanks for all the info. Including this from ACEP.

Respectfully submitted:

-be safe.

Sure you paint a picture, but what picture are you painting? What you think the doc wants to hear? What is actually presenting to you with no embellishment on your part? Or something else?

And again, we'll go back to the reading comprehension issue that keeps coming up. Have you read anything that's been put out here for you? Is any of it sinking in?

And Ace:

I'll echo AZCEP's request. Please go easy on the embedded links/references! We got it man! We got it! Thanks!

-be safe.

So...why are we starting yet another thread on this? I'm just wondering when there are several out there (most recently the glucagon thread) that would be more appropriate.

Maybe it's just me.

But like ERDoc...I'm staying out.

-be safe.

No! You didn't mention that?

How's it working out for you?

See? Two can play at that game.

35 year old female and a smoker? Is she on birth control pills?

You didn't mention any trouble breathing so it's more a shot in the dark.

-be safe

um...maybe. depends on how you define "sleep"

tpbm has a secret crush on hilary clinton...(ick!)

until he realized he was in WV where they do mountain top removal mining....

and he wasn't on top anymore.

ditto Punisher.

patient's complaint?

-be safe.

And given some of her recent posts has a thing with getting naked.

TPBM likes lil debbie oatmeal creme pies...

p-shaw!

Every interview I've had to which I responded with a thank you note has resulted in a job offer. Every interview for which I have not written a thank you not has not resulted in an offer.

It may sound dumb. But it DOES work.

Get the business card of each and every person with whom you interview. Write a thank you not to each and every one of them. Want to get in good with other staff? Write one to the secretary who asks you to take a seat and wait for your appointment.

They work.

-be safe.

was it good for you?

not so fast there...

Our minimums are a little less than yours. Daytime minimums are a 500 foot ceiling with one mile visibility. Nighttime I believe is 800 feet with two mile visibility. And if you've been out there in those conditions you know that neither of the above is a lot. However, with that said, if any single team member doesn't feel comfortable then it's a no-go and the flight is either denied or aborted after lift off.

"Three to go, one to say no" is repeated at every shift change, at every pilot brief, at every mention where weather is a concern. I don't know of any negative repercussions to any flight team member for calling off a flight.

Safety first, last and always.

But damn! it's a fun job.

-be safe.

LOL.... no you'll love it when I'm on top....

I will, eh?

Damn! You'd better be a woman!

A duck walked into a pharmacy and asked the clerk for a box of condoms. The clerk turned around and asked, "Would you like to me to put them on your bill?"

The duck, horrified at the question, replied, "What kind of duck do you think I am?!"

This has been your lame attempt at humour for the day.

-be safe.

Baby, you know you love it when I'm on top.

D'oh! Wrong forum! :shock: