Summit

CO: ~33% of the world is Christian.

I'd wager that at least another 1/3 of the remaining world's population has encountered a Christian missionary or other Christian proselytizer (they try pretty hard).

I do see the point you are making.

Your other posts are excellent too.

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Angelkiss, I don't question your understanding of Christianity. You are correct that you don't need a PhD to debate here, but you clearly lack a basic understanding of non-Judeo-Christian relgions.

And you meant to type "prophet" not "profit"

Speaking of economics...

Pascal's Wager.

1. One does not know whether God exists.

2. Not believing in God is bad for one's eternal soul if God does exist.

3. Believing in God is of no consequence if God does not exist.

4. Therefore it is in one's interest to believe in God.

I'm not an Athiest. Nor I am not planning on arguing my personal beliefs here because they are personal. However, for entertaining arguments' sake, this is what the athiest might respond with:

"There is a logical construct at play here. Here is a parable:"

And there goes the SAR tones.... AGAIN!!!!!!!

I WARNED YOU ALL! I WARNED YOU! YOU DIDN'T LISTEN! NOW YOU ARE SHITSLINGING. It takes two to argue. He baited the hook, you gave exactly the reaction he was expecting, then he set the hook.

OK. Now what on earth have we gained from this spat? Jack. Let this thread die.

I know too little about it to say I do or don't believe in it.

The sign of a truly intelligent person.

Oh yes...and I still challenge the 20+% people responding to this survey to explain to me why they do not believe in evolutionary theory...

And tell me you believe in Creationism theory...

Ignore this man. The subsequent argument is not worth wasting breath on either side. Not here anyway...

As a Rastafarian, I believe in.......

Guesses???

Anyone????

You are so baked you believe in anything.

Yes I believe in evolution.

I'm floored this thread has remained civil and mostly free of debate. Kudos to us.

Most places I post the profanity would have started on the first page and the thread would be 10 pages long by now.

I still don't see this thread going anywhere good...

You may check the labor laws in your state. Some states don't allow an employer to require employees to be awake all day if you do not have a "reasonable opportunity" to sleep at least 8 hours during the 24. As for me, when I am up for 48 or 72 hours straight just sleep an entire day when I am off work.

What section would I look under?

I don't even know where to begin to look in the labor regs.

Or should I check OSHA regs? What ones? National law?

Will basics be able to administer the new placebo nebs?

"What can ALS do for trauma? NOTHING!"

What BLS can do for major trauma? "Even less than ALS can."

Pretty much the way I see it.

Diesel Macro Drip

Anyway, if you are counting survivability for intubated patients, I am sure that many of them were trauma arrests, which of course rarely turn out well. This doesn't mean that intubating a patient lowers their survival chances.

I'd wager you are right about that is the reason for that statistic.

Information absent.

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On a trauma here, BLS can get a decent airway (CT) if they need that and IVs for trauma, ALS only adds chest decomp and then ET. I guess ALS can give Lido in a CHI /w intubation to help prevent ICP spikes (IIRC, not my level).

Is this study going towards the same end as showing that ALS cardiac arrests have some negligable fraction higher survival rate than BLS cardiac arrests?

Does this study really mean we should change our treatment???

I don't see how it does.

I had changed my mind back to a Litmann... but then it turned out one of our paramedics had a scope. I used it and was amazed. Two intermediates used it too. We are all going to buy Ultrascopes now.

Is there really much difference in performance?

Our service uses mostly Hudsons.

Hudson

Guedel

Berman

My PoS steth broke.

The company steths are PoS (I can't hear squat in the rig).

I remember a nurse at the clinic was raving about her Ultrascope and how she could even hear right through clothing.

Seems like a good field stethoscope to me and $75 isn't horrendous.

Anyone have any experience or opinions?

Here's the blurb:

UltraScopes are pressure sensitive stethoscopes for assessment of heart / lung sounds in patients and animals. The UltraScope head is machined from an extremely crack resistant modern plastic. The head, tubing and binaural assembly filters external noises while amplifying heart / lung sounds without batteries or electronics. Each head is completely manufactured in the United States and is individually designed, therefore no two are exactly alike. Frequency range 20-35 kHz. Adult head dimension: 2†diameter.

They also make a cheaper one called the MaxiScope, but I don't know what the difference is.

I almost always start a bag... habit. Then again most of my pt's that get an IV probably need fluids.

Probably not much since ambient CO2 is negligable (atmospheric ppCO2 0.27mmHg @ STP, ie inhaled RA). The pressure gradient of atmospheric ppCO2 is physiologically hardly different from a ppCO2 of zero, right?

ppCO2 in exhaled breaths is usually around 30mmHg.

"In conclusion, no more BVM, but 15L via pocket mask so you can give them CO2!!!!!" :wink:

You'll have to post stats score broken down by level, maybe by section...

Lots of graphs!

P+ (Rid, MedicRN)

P

I

B

and of course Pschoolers need their own column

I hate the kind of BS. We aren't allowed to sleep during the day even though we may be working not just 24s, but 48s and 72s! Where is the sense in that?

I'm going to talk with the person until I can get an idea whether or not they are impaired or ETOH or whatever. If they are OK, I'd make a mental note on it and be on my way.

If I thought their were intox or impaired, I would tell them to call in sick for however long. If this was an unusual thing I would even offer to cover for them if I could. There'd be no way I'd let them stand the chance of driving if I thought they were impaired. I care about all my EMS brothers and sisters in my service. I couldn't think of letting them endanger themselves or our friends, not to mention a patient or the public we are supposed to save.

If they really wouldn't back down and go home under my pressure and pressure of their peers, then and only then would I have to escalate it to command staff.

If it was a regular occurance and they refused to be helped, then command has to know for obvious reasons. If they then couldn't be forced to get help, then then command would obviously take appropriate actions.

Side note: We work 24s here. It is not at all unusual for people to work 48s or 72s. We have to in order to have coverage. I'm on a 72 right now. One time I worked a 96 (never again, I was a little bit insane at the end of that). Tired crews are common. We sleep when we can. Clearly lack of sleep can impair people as well, but what can you do if you are up all day and get sent on a 4 hour transfer at 2300? If someone is unable to function, they get sent to rest or sent home. They can request it or a captain order it. Once at 0400 on the last day of a 72 coming back from a 5 hour interfacility I pulled over and asked my partner to drive because I no longer felt safe to do so from lack of sleep.

ERDoc that was some great info!

Please post here more.

Heck i am only EMT but ill try it. cant hurt huh ?

+1

I hate the damned sirens.

Correct me if I am wrong, but the difficulty of a PE Dx seems irrelevant. The newspaper made it sounds like the vitals clearly showed the patient to be in unstable and deteriorating condition, that no appropriate action was taken, and that ACLS was not followed either.

You can say she got herself into trouble all you want.

That is irrelevant.

What is relevant is did the medical personell act professionally and responsibly. Did they do their damned jobs?

That newspaper makes it look like the answer to that question is NO.

The GMRS license is now up to $80.

I'm a Tech ham- KC5SAS and licensed for GMRS- WQBY447.

I also started and run the Yahoo Group, Scan Baton Rouge. I'm sitting here at my home with 4 scanners going as I type this. I also have a radio tuned to the local GMRS repeater so I can chat with a buddy who works nights sometimes.

I don't use 27MHz CB radio.

My T7200 will do GMRS repeaters but I've NEVER heard a GMRS repeater. Know where I can get a nationwide list of those?

73,

KC0SGF

I also now have General Mobile Radio Service portables, which include the FRS frequencies. Anybody have further info on GMRS, aside from needing a license from the FCC (I'm WQDC443) to use the frequencies?

Also, I'm a "Scannest", meaning I use so-called Police Scanners, and "registered" as Short Wave Listening/Monitoring Station "KNY2SC." (Unless you have purchased from CRB Communications, don't bother looking up that "call sign.")

I'm a technician class amateur license.

GMRS is illegal to use without a license (and illegal to use FRS channels 1-7 with a GMRS radio that is above 0.5W without a license) and also illegal to use as a radio for work. Again, nobody EVER gets a GMRS license and the FCC NEVER goes after anyone for not having one (unless you REALLY piss someone off repeatedly). 99% of people don't even know they need a license for their GMRS. It's silly really, it's just a $75 fee and paperwork. Why even bother? I don't. Really just FYI.

Technically illegal to use FRS in that manner. Of course, pigs would fly before you got in trouble... just remember there are a million times more FRS radios in the hands of the public than there are scanners.

i agree with resqbee. some othese replies are pretty harsh. USAF is highly knowledgable and i would say that he is at least in the 95th percentile for this site. USAF can be direct but i've never seen him try to make anyone feel stupid (unless there was already a flame war in progress). he makes very educational posts here and is a good member of this community. if you feel offended by the fact that someone knows more than you, that is your problem and you should look to fix it by adjusting your attitude AND learning more.

a coffee clinical means you have time to sit and drink coffee during your clinical shifts and it still counts as an education credit even though you didnt actually do anything

all but one of my basic clinicals was like that. pathetic. i had zero calls on my ambulance rotations. it hurt me when i then started my ambulance job. it is a good thing i learned (in the real world) fast.

we all know that the current ems education system is not nearly the standard it should be and that it is symptomatic of the ems system

if my basic class hadnt had a wilderness section attatched (which was infinately harder) i would have felt 100% unprepared to be an EMT