island emt

It did occur in florida, perfectly normal down there in brain trust land.:-}

Phil: Only problem is that you will have to draw pictures for the yanks. Translate rooting to doing the nasty

Boundtree first responder bag cost 45.00 list, 33.00 with our discount. I just bought three of them a month ago for new crew members. They will hold all that you need as a first responder. We stock them from in house supplies. We don't have a wally world either Spenac. Don't miss it at all!

Why would anyone pay 25k plus for an anchor produced by a company that has been under a consent order from the FDA for three years and may not be in business next year???

Actually Pheneregn is being removed and replaced with Zofran for N/V. Much less dangerous to the cellular tissues.. Can't remember where ,but I recently read that phenergen is being taken off market by manufacturer.

Ford would love to get a deal with Cummins. However Dodge already has them signed to an exclusive contract in this engine class. Same with Allison which is owned by daimler Rumor on the street in commercial truck market has is that Ford is developing their own in house diesel engine to meet the new emissions requirements ,but it's not going to be ready in time for the 2010 model year. Ford took a real beating on warrantee issues with the navistar 6.0 and thats why they filed suit to get them to cover some of the cost involved.

Hey Herbie : Tell us how you really feel about EMS & life in general :-} Sounds like you finally have reached the point of needing to hand out a few bitch slaps. Don't let it get to ya!! Trust me it's not worth it.

Okay Children: Lets have a little history lesson on the progression of ambulance chassis over the last 35 years or so. In the beginning we were running converted hearses made by cadillac or pontiac, raised rear roofs and not much room to do more than bag and drag. Some of them even advertised on the side that they were oxygen equipped or radio dispatched. These were equipped with huge gas engine in the 500 cubic in. + category. lots of motor very little brakes. Then in the early 70's the first type II van conversions were introduced The first ones were done on the econoline chassis without a raised roof. All of a sudden we had room to actually provide care to our pt's and haul enough equipment to get our jobs done. Along came the dodge and chevy van conversions. About 1975 the first hi-top conversions were introduced to give us a little more head room. All of these trucks came with large gasoline engines and would go like the hammered hinges of hell. Ford used the 460, chevy had the 427 and dodge had the 373 mopar. A 460 ford could spin the back tires of a fully loaded 1 ton ambulance on acceleration. The problem with the big gassers was overheating and vapor lock issues, along with a some really nasty fires. The the feds decided that gassers would be banned from ambulance conversions and mandated diesel power. From a fleet management angle this was both good & bad. Good in the longevity and lower operating cost of the diesels, but bad in the added cost to purchase and the emissions produced. the manufacturers had to build a beefier chassis with higher GVW ratings to support the added weight of the diesels. This gave us bigger and stiffer riding trucks but more able to carry all the additional equipment our professions required. Then in the mid eighties the first type 1 & type III modulars boxes were introduced. All of a sudden we had room for multiple patients and more supplies than ever before. This took large displacement hi torque diesels to move them down the road. Ford went to the international Harvester 6.9 liter normally aspirated engine which was a real powerful slug of a motor. Slow off the line but could pull a house of the foundation. Chevy went to a bastardized version of the 350 gas motor and with a change of heads & pistons made it into a diesel. Best boat anchor ever produced. Couldn't give them away to the scrap dealers. Dodge pulled out of the market as they didn't have a diesel. Ford moved on to the 7.3 liter IH powerstroke which hands down was a tremendous engine in HP , torque & reliability. I drove several of these trucks to more than 500,000 miles with the engines still strong. This was done in by the feds and emissions levels requirements , which got us the infamous 6.0 Navistar produced engine. There have been multiple lawsuits over this engine and both Ford & Navistar have been slapped hard by the judge in Court. Chevy in the meantime in conjunction with Isuzu from Japan took a 6.2 liter japanese design and enlarged it to 6.6 liters and is the current GM power plant. There have been almost as many issues with this engine as the ford/navistar 6.0. They seem to have worked out most of the major issues. They do have more torque & get a slight advantage in that. Unfortunately GM hasn't got a type III cut a way chassis with the same GVW rating as the Ford E450. The 4500 & 5500 conventional cab chassis is designed as a dump truck chassis and when converted into ambulances, they ride just like a dump truck. Even with full air ride they are not comfortable for us or our patients. Dodge offers the Cummins diesel in the type 1 chassis. Great powerplant but the rest of the truck is pure junk. bad brakes, weak transmissions and shipped from the factory with rust already starting to eat the body. I know the choices were hard to make , but Ford has decided to get away from the Navistar headache and thats why they are bringing the triton v-10 into the ambulance chassis specs. Just as a side note , the majority of class C motor-homes are built on the E-450 chassis with the V-10 which has been very reliable and reasonably cost effective in millions of miles of use. From someone who started out in the back of a miller meteor cadillac ambulance, We've come a long way but nothing will ever give the comfort or ride of those babies.

As Doc has stated based on the unreliability factor of the pt, [ changing story on remembering the incident] he would not be able to be cleared by using Our Maine protocol or the Nexus algorithm . Thus he should be immobilized. Air bag deployment does not indicate immobilization any more than mechanism .

If you plan to work in hartford spanish won't do you much good. You need to speak rican, somalian ,botswanian, korean, lithuanian, farsi, and occasionally english. I started my career on the streets of hartford back in the early 70's and it was a real eye opener. Don't miss it one bit!

Sorry for your loss Firedoc: Grandmothers are often a very special person in our lives. Our prayers are with her and your family.

Never seen an ambulance without an AED or SAED. At least not since the late 80's In the five states I've worked in all ambulances are required to have at a minimum and aed

Emerson,Lake & Palmer: Pictures at an exhibition or greatest hits Frampton comes alive Eric Clapton : greatest hits live On reel to reel I have an amazing archive copy of the Who with the london symphony playing back up.: the rock operaTommy I made hundreds or RtoR's while stationed overseas in the early 70's

This whole thing is wrong in so many ways. First off the fact that the redneck texas school athletic commission decided that a school full of handicapped kids has to compete in the same league with "normal" kids Next the Fact that a "christian " school coach , families and the entire team felt it was necessary to rub the "retards'" noses in it by blowing the score up to 100 to nada. Then the "christians magically got religion " a couple days later when they realized all the bad press they were getting and decided to apologize & ask for a forfeit. SHAME on them! The losing team were on a morning national tv show today with their coach. I give them and their coach a loud round of applause for keeping their dignity and team spirit . They are truly happy to be allowed to play sports and compete even though they don't have a rats arse chance of beating anyone. They don't have the capacity to know why everyone is making a fuss over them but can't wait to play and lose their next game. The losing school has 8 female students to make up the team. As Paul Harvey would say : And thats the rest of the story

OK : lets see if I can figure this out. You want to get hired at a FIRE DEPARTMENT. Yet you have no qualifications as a FF or EMT. Now you want the city council to change the requirements so they will hire a wannabe with no qualifications. GET a LIFE!

Never heard of Apgar. Most state laws require the removal of red forward warning lights and this can be accomplished by changing out the lenses to amber. I know of many folks who use older ambulances for campers ,trades vans and service trucks. When looking for used, look for older small volume volunteer service owned trucks. I know of one that will be coming up for sale in the spring thats a 1995 with only 45,000 original miles,always been ford dealer maintained and kept in a nice warm fire station all it's life. It has always been maintained and will be a dependable truck for someone, it's just getting too old for use in 911 service.

Lets see 5'7 ish ---540 pounds ,diabetic = around 100 lbs per foot!!! Guess what you fat f@ck your going to die real soon and obviously haven't done anything to help yourself except eat. Somebody want to call a flatbed wrecker for this one. Thats a reality check! like it or not the cardiologist probably figured the odds of this slob surviving the trip to the cath lab or OR and decided that it was better to try medication. Can you imagine trying to get through the rolls of fat to try and find a femoral artery. It would take four people and several rolls of duct tape to corral all that adipose. The thought scares me from here & I'm 2 thousand miles away. :roll: Imagine the size of the coffin and vault that will be needed to make this guy worm food

Author unknown THE GREAT NEW MEXICO CHILI COOK OFF If you can read this whole story without laughing, then there's no hope for you. I was crying by the end. This is an actual account as relayed to paramedics at a chili cook-off in New Mexico . Note: Please take time to read this slowly. If you pay attention to the first two judges, the reaction of the third judge is even better. For those of you who have lived in New Mexico , you know how true this is. They actually have a Chile Cook-off about the time Halloween comes around. It takes up a major portion of a parking lot at the Santa Fe Plaza . Judge #3 was an inexperienced Chile taster named Frank, who was visiting from Springfield , IL . Frank: 'Recently, I was honored to be selected as a judge at a chili cook-off. The original person called in sick at the last moment and I Happened to be standing there at the judge's table, asking for directions to the Beer truck, when the call came in. I was assured by the Other two judges (Native New Mexicans; from Hatch, NM no doubt) that the chili wouldn't be all that spicy; and, besides, they told me I could have free beer during the tasting, so I accepted and became Judge 3.' Here are the scorecard notes from the event: CHILE # 1 - MIKE'S MANIAC MONSTER CHILE Judge # 1 -- A little too heavy on the tomato. Amusing kick. Judge # 2 -- Nice, smooth tomato flavor. Very mild. Judge # 3 (Frank) -- Holy crap, what the hell is this stuff? You could remove dried paint from your driveway. Took me two beers to put the flames out. I hope that's the worst one. These New Mexicans freaking are crazy. CHILE # 2 - EL RANCHO'S AFTERBURNER CHILE Judge # 1 -- Smoky, with a hint of pork. Slight jalapeno tang. Judge # 2 -- Exciting BBQ flavor, needs more peppers to be taken seriously. Judge # 3 -- Keep this out of the reach of children. I'm not sure what I'm supposed to taste besides pain. I had to wave off two people who wanted to give me the Heimlich maneuver. They had to rush in more beer when they saw the look on my face. CHILE # 3 - ALFREDO'S FAMOUS BURN DOWN THE BARN CHILE Judge # 1 -- Excellent firehouse chili. Great kick. Judge # 2 -- A bit salty, good use of peppers. Judge # 3 -- Call the EPA. I've located a uranium spill. My nose feels like I have been snorting Drano. Everyone knows the routine by now. Get Me more beer before I ignite. Barmaid pounded me on the back, now my backbone is in the front part of my chest. I'm getting sh*t-faced from all Of the beer. CHILI # 4 - BUBBA'S BLACK MAGIC Judge # 1 -- Black bean chili with almost no spice. Disappointing. Judge # 2 -- Hint of lime in the black beans. Good side dish for fish or other mild foods, not much of a Chile. Judge # 3 -- I felt something scraping across my tongue, but was unable to taste it. Is it possible to burn out taste buds? Sally, the beer maid, was standing behind me with fresh refills. This 300 lb.woman is starting to look HOT .. Just like this nuclear waste I'm eating! Is Chile an aphrodisiac? CHILE # 5 - SIMON'S SCREAMING SENSATION CHILI Judge # 1 -- Meaty, strong chili. Jalapeno peppers freshly ground, adding considerable kick. Very impressive. Judge # 2 -- Chile using shredded beef, could use more tomato. Must admit the jalapeno peppers make a strong statement. Judge # 3 -- My ears are ringing, sweat is pouring off my forehead and I can no longer focus my eyes. I farted, and four people behind me needed paramedics. The contestant seemed offended when I told her that her Chile had given me brain damage. Sally saved my tongue from bleeding by pouring beer directly on it from the pitcher. I wonder if I'm burning my lips off. It really ticks me off that the other judges asked me to stop screaming. Screw them. CHILE # 6 - VARGAS'S VERY VEGETARIAN VARIETY Judge # 1 -- Thin yet bold vegetarian variety chili. Good balance of spices and peppers. Judge # 2 -- The best yet. Aggressive use of peppers, onions, garlic. Superb. Judge # 3 -- My intestines are now a straight pipe filled with gaseous, sulfuric flames. I crapped on myself when I farted, and I'm worried it will eat through the chair. No one seems inclined to stand behind me except that Sally. Can't feel my lips anymore. I need to wipe my butt with a snow cone. CHILE # 7 - LISA'S LEGAL LIP REMOVER Judge # 1 -- A mediocre chili with too much reliance on canned peppers. Judge # 2 -- Ho hum, tastes as if the chef literally threw in a can of chile peppers at the last moment. **I should take note that I am worried about judge number 3. He appears to be in a bit of distress as he is cursing uncontrollably. Judge # 3 -- You could put a grenade in my mouth, pull the pin, and I wouldn't feel a thing. I've lost sight in one eye, and the world sounds like it is made of rushing water. My shirt is covered with chile, which slid unnoticed out of my mouth. My pants are full of lava to match my shirt. At least during the autopsy, they'll know what killed me. I've decided to stop breathing. It's too painful. Screw it; I'm not getting any oxygen anyway. If I need air, I'll just suck it in through the 4-inch hole in my stomach. CHILE # 8 - BIG TOM'S TOENAIL CURLING CHILE Judge # 1 -- The perfect ending, this is a nice blend chili. Not too bold but spicy enough to declare its existence. Judge # 2 -- This final entry is a good, balanced chile. Neither mild nor hot. Sorry to see that most of it was lost when Judge #3 farted, passed out, fell over and pulled the chile pot down on top of himself. Not sure if he's going to make it. Poor feller, wonder how he'd have reacted to really hot chile? Judge # 3 -- No further report.

I don't think it's limited to EMS . All public safety providers seem to have a higher than "normal" divorce rate. It can be linked to the hours we work and the stressors of our jobs. What I've seen is that relationships tend to take a back seat to our jobs and we are sometimes unable to leave work at the "office". Whether it's police, fire, EMS, or military we tend to be type A personalities which don't always play well with loved ones. It definatly needs to have a layer of unquestioned trust between you & your spouse in order for it to survive the rigors of the job. My wife & I have been married for 34 years through thick & thin days and always managed to believe in each other. We have both been in EMS for the entire time and I was military for 8 years early on in our marriage. I guess ya just have to work at remaining friends first and partners next. I won't comment on why some folks marriages don't make it , but I do know many that have tried multiple times and don't seem to find the "right mate. Sorry to hear your having issues. Is it a mutual thing or one sided? It does take two to make it work.

The beemer driver is in custody.

CB brings up a very important point about close contact contaminating any physical evidence left behind by the perp. Sometimes something as small as a hair can mean the difference between finding the perp or not. We try to wrap the pt. up with a sheet to preserve this trace evidence and unless there are injuries needing immediate medical intervention don't try to touch any more than required. What we can do is provide supportive care and an open ear & mind to give the pt our full attention. Some will want to talk , most will still be in the denial or shock stage of what has happened to them. Always explain everything you do prior to doing it and tell the pt that medical and counseling help will be available at the hospital for them. Many victims will feel they are "responsible" for allowing the rape to happen. Do not try amateur psychology on the pt unless you are properly trained , you can do more harm than good. Just ask them what you can do to help them and provide necessary supportive care. Another thought to remember is not ALL rape victims are female. I've dealt with both genders as pt's.

I don't get whats so special about this call Fat truck driver with HTN niddm & past MI hx that just choked down a truck stop 6000 calorie chicken fried steak bomb dinner with a quart of blood thicking sludge poured over it. Time to start ordering a casket fat man. :roll:

We've got peoples driveways that take more than 15 minutes to travel down & then between 30 minutes and an hour transport to the hospital This type of spot testing for cardiac indicators could potentially make a big difference in survivability of non atypical MI's

An excellent point you bring up about hypothermia for both the pt's and the providers. assume that if they have been out in sub freezing temps for any length of time that it's a serious possibility. Frostbite also becomes a problem with exposure. Cardiac irritability is another problem to be concerned about with hypothermia & prolonged exposure to low temps.

Having spent most of my career working in New England winters, I've found that starting with a cotton poly turtleneck as a base layer and flannel lined pants will keep me warm without overdoing it. Now that I'm in Maine I keep a down vest along with my outer shell coat in the truck, if I need to be outside for more than a few minutes. A good synthetic touque to pull down over your ears and when needed for bitter artic winds a face mask. For gloves I buy low cost leather work gloves 5-10 $ / pair with the fleece lining. If they get spooged up just toss them out. A good outer shell wind/rain coat is always good to keep handy for those snow turning to rain storms that happen frequently along the north shore. Ours are fluorescent lime with reflexite trim and have lots of velcro pockets. When temps drop down into the teens or lower I have an insulated jumpsuit which is okay if your going to be outside for extended lengths of time ,but Way too much for going in & out of buildings where you will overheat & get sweat soaked quickly. Do your self a favor and buy a good pair of waterproof boots 8 or 10" tall with a midlevel traction sole. if it gets icy pull on a pair of ice grippers {about $20] for the really slippery storms with rain freezing to ice. I also put a pair of insulated socks in my bag for when your feet get wet. Nothing feels as good as a pair of dry socks to change into. The company you will be working for is a pretty good outfit. good luck and enjoy learning from your partners. P.S Thinsulate is your friend. warm & lightweight.