paramedicmike

You're talking about a law enforcement intervention and not something EMS can force. Here's some additional reading on Virginia's Medical ECO and Medical TDO (and more on TDO). While these can be initiated by a physician it needs magistrate involvement to enact. This doesn't mean that EMS can just show up and force someone to go. I imagine many of these instances are used in the case of psych patients. Most states with which I'm familiar or in which I've worked have some form of involuntary commitment or hold and it's usually related to psych patients. These are all legal interventions and EMS is not included in the decision to detain and transport someone (although they may be drafted into helping transport after the legal process required to commit these individuals has been completed). That's quite a bit different from what the OP wrote by stating "if they absolutely need medical care then we [EMS] can force them to go".

I don't know how you can. Not when faced with something like that.

A friend of mine from grad school calls it "Jackson Juice".

There are times when pre-cardioversion sedation is appropriate. There are times when pre-cardioversion sedation takes a back seat to cardioverting.

Pretty poor form to spam blast one site to promote a competing site. And the facebook is the devil.

No. Seriously. Two hundred and thirty two pages. Read them. All of them. Before you post again in this thread. All of them. 232 pages. Get to it. We'll wait. It's ok. We've got time. But not too much time. So. You know. Don't dawdle. Just kidding.

Cancer sucks. RIP, Mr. McMillan.

Locally they use collars, LSBs and head blocks routinely. I think much of their use is driven by overzealous EMTs following protocol. When asked why the collar and board in a patient with no neck pain the EMTs simply say, "Protocol says..." and walk away. Being on the receiving end of a BLS driven 911 system has certainly been eye opening. That, however, is a different discussion entirely.

Keep your eyes open. Keep you mind open. Keep your mouth shut until the appropriate time to ask questions. If you have to go to the bathroom go. If you get hungry find some food (keep something in your pocket in case you're busy and don't get a chance to get food). Talk to the guys you're riding with at the beginning of your shift and find out what they expect from you. Have fun with it.

Hello and welcome. A: This is in no way intended to be a smart-arsed response but I just googled "Williamsport PA EMS" and got quite a bit of information. That's probably a good place to start. A: Any questions about becoming a NREMT certified EMT-B as someone here on a visa would be best answered by NREMT. The Pennsylvania Bureau of EMS would also be a good resource as it pertains to EMS in Pennsylvania. Have fun? Enjoy life? Take time to smell the roses? Weat a seat belt? Don't drink and drive? I'm sure as time goes on I'll come up with some advice that's actually useful. Anyway, welcome. If you have more questions please feel free to ask.

How long is intermediate transport to the aircraft? How long is the flight? How long is intermediate transport to the destination facility?

Welcome.

Not entirely true. Teach someone to use the internet and they'll bug you with an unending stream of forwarded emails, chain letters and "inspirational stories".

I'm lucky anymore to walk out of a patient's room and think that s/he was a nice person.

Hey. How about it? Dwayne's not dead. Welcome back. Where've you been?

RIP, Jack.

A Texan walks into a pub in Ireland and clears his voice to the crowd of drinkers. He says, "I hear you Irish are a bunch of hard drinkers. I'll give $500 American dollars to anybody in here who can drink 10 pints of Guinness back-to-back." The room is quiet and no one takes up the Texan's offer. One man even leaves. Thirty minutes later the same gentleman who left shows back up and taps the Texan on the shoulder. "Is your bet still good?", asks the Irishman. The Texan says yes and asks the bartender to line up 10 pints of Guinness. Immediately the Irishman tears into all 10 of the pint glasses drinking them all back-to-back. The other pub patrons cheer as the Texan sits in amazement. The Texan gives the Irishman the $500 and says, "If ya don't mind me askin', where did you go for that 30 minutes you were gone?" The Irishman replies, "Oh...I had to go to the pub down the street to see if I could do it first."

Welcome.

The US FDA has approved the resQCPR device for use. It's a two piece device consisting of a compression assist device and an impedance threshold device. Anybody using it? Seen it used? Seen any changes in your code results? Just curious. We don't have it around here.

Looks like an LMA. I just read two quick abstracts (and briefly read through the studies) comparing the i-gel to two different models of LMAs. One study was pro i-gel. The other was pro LMA. Having never used this device, however, I can't comment on it. As far as backup airways go I'm not a fan of the LMA in field use. I do like the King tubes. Even Combitubes are ok. (If given the choice between the two I'll take the King.) Given the way things are going it looks like these things may not be the backup airway options for much longer.

I used to love watching that. Don't know that it's on TV anymore. Haven't seen it in years.

Welcome back.

All the best with continuing your education and entry into paramedic school.

Damn.

... where no Vulcan has gone before.