Summit

35-40% women on our service.

so you are telling me i can make disaster happen with my utterance of a word? I AM THE ALMIGHTY AND POWERFULL SUMMIT! PAY TRIBUTE OR I'LL MAKE SHIT HAPPEN!

(i always thought that the real way to make things happen was to order something to eat or put food in the oven or microwave)

bump for further

and i meand to type I's and P's can take WALS

WEMT blows OEC out of the water.

OEC is an 80 hour course that is like an in depth FR course with some emphasis on wilderness and a whole lot of emphasis on pt packaging (put em in the sled and go). OEC cannot compare to WEMT, a course thats at least another 60 hours that fully emphasizes wildneress medicine, wilderness protocols, and improvisation, on top of a full EMTB course with clinicals /w clinicals etc.

If you are an EMT, take the wilderness transition course (usually a five day course). You'll find OEC to be mostly review.

On their own, I think Wildnerness First Responder (also 80 hours) is a better wilderness medicine course than OEC unless your goal is to be a ski patroller. In fact, as a WFR, you can pay an OEC course fee and just take the practical and written without attending the course (or at least they used to).

www.desertmountainmedicine.com is a great place to take WFR or WEMT

NOLS also offers these courses.

I's and B's can take the WEMT course and the WALS course from NOLS. There are Wilderness Paramedic programs out there too.

Apart from the FCC and other databases, your local freqs are pobably on the local scanner club's website as well.

Ambulance uses high VHF (150-160Mhz) repeaters and simplex, and UHF repeaters.

SAR & Dive rescue use high VHF repeaters and simplex.

Primary SAR tac: MRA1 MRA2

Primary Dive tac: Marine 16 & Marine 68

All untrunked analog.

They are putting in digital trunked 800. Everyone hates this plan. This is the stupidest idea ever for the mountains where 800 range sucks, hates terrain, and we don't have the traffic to need digital trunking. Not to mention the cost...

I like both of punks ideas. Have an international crimes against humanity tribunal, or accidently let him out of custody in Times Square and let him have some NYC street justice.

That's just taking PCness too far... that's not the context the word is being used it. There is nothing wrong with the word monkey....

Consider the context.

Except that he's equating EMS proffesionals with monkeys... I'd like to think that I rate as something slightly more evolved... perhaps a great ape?

shorthairedpunk has some sort of hardon for monkeys and their skills...

like i told ya before- blow me

you dont have jack for training, cardio tech, and RT?, monkey jobs

Our basics have been intubating for over a decade now, its a monkey skill, I dont understand why people make such a big deal about this. The majority of the intubations in this system are done by BLS providers with equivalent success rates to ALS only intubation systems.

...its yet another monkey skill with the potential to save a life, once our B's get the glucagon, our diabetics will have a better shot at signing our refusals.

Be realistic and let the basics do all the monkey skills that dont hurt...

Twofer here:

no, its amonkey skill, a trained monkey could essentially do it(not literally)

Watchout! Sometimes us monkeys get all flustered and start flinging poo around...

Waaaaaaaaait a minute! That sounds like what someone has been doing all around this board... and we are sick of it! Give it a rest shorthair!

Daaaang USAF. That's a story!

tunnelrat watch out those 13ers are daaaaaaaaangerous mothas

Yes EMS shows would be great but I would really like to see some firefighting shows that aren't fake.....

I'd imagine it's hard to send the cameraman into a burning building... and then the pictures aren't so good.

We were the pilot system for first responder AED

Novell... broundbreaking...

:roll:

we will be pushing for BLS glucagon

Cool.

we are in the process of getting the B's the option of performing 12 leads to better make transport and intercept decisions.

I assume you mean they will be trained how to hook up the 12 lead and run the strip so its ready for the I/P, not that the B will be interpreting 12 lead?

IVs have a minimal infection isk

Yes, they do. However, the infection risk is easily mitigated with 5 minutes of training.

From what I understand, our first responders will be intubating soon as well, and I believe they have already gotten combitube protocols, but dont quote me on that.

Too late :wink:

If your local gang members know where the backboards are kept on your ambulance. (Don't ask....long story from when I was in Maryland)

At least they weren't shooting at you.

Sometimes I sit on my butt.

I also ski with my friends.

Even when there is no snow.

I also like photography.

I'm paid and volunteer.

Around here they are volunteer or paid volunteer (/w residents).

The ambulance service I work for covers 1870sqmi. If you include the three mutual response zones (both counties respond and whoever gets there first...) it's well in excess of 2000sqmi. There are 4 stations, one of which covers more than half of that area (1100sqmi)!

SAR covers 650sqmi (75% is national forest) and responds for mutual aid regularly to all surounding counties and statewide.

Dive Rescue officially covers 650sqmi, but because there are no other dive teams nearby, all the other counties call us so we actually cover something like 5000sqmi.

What the heck are those?

Extrication + Fire + Wildland = vFD

EMS = EMS

Rope rescue = SAR, Water Rescue, vFD

When:

You respond to more snowmobile accidents than car accidents...

All your MCIs involve kids on sleds...

So are the O2 Bars mainly located in place of high altitude? I was actually put on O2 in NM for a severe headache and it seemed to help. I wonder if you can (seriously) become addicted to it?

Yes.

I'm sure one can become psychologically addicted to O2.

Around here the O2 bars hire EMTs so that they can legally give O2.

You only get 100% on a demand valve, or a positive pressure device like a CPAP mask.

I think you can get 100% with a BVM + reservoir @ 15LPM with a good seal.

usafmedic45?

Local:

The EMS service I work for covers a huge county, almost 2000sqmi, and rural, with a population density of only about 6/sqmi. It is a mountainous playground for the tourists and locals. Our coverage area is over 2000 when a mutual response zones in three neighboring counties is considered.

Our EMS response time is usually under 25 minutes (most of the time under 15) if all four districts are optimally staffed.

We have three little clinics, one of them only open 0800-1700. They have 2, 3, and 4 bed "EDs" staffed by a family practice MD or DO (the 4 bed is almost always a DO). These are *usually* within 50 minutes or less of most of our service area in good weather.

Ground:

A real hospital with a ICU or real OR and an emergency medicine doc and CT scanner is 90-140min minutes away (depending where you are) Code 3 in good weather climbing over either an 11000ft or 11400ft high mountain pass. It could be as bad as four hours in heavy snow and heavy traffic.

We have E450 double transport rig with two stryker stretchers and a third pt can be put on the bench seat (also two monitors) so we can move all those 10-50 + ski injuries without losing two ambulances and crews for 4hr roundtrips. They are beasts on the switchbacks.

Trauma:

On the far end on one side of the county you can get to a small level III trauma center in 75 minutes by going over two passes (not that a level III is really much of a trauma center) otherwise its usually 120 minutes to a Level II.

Air:

There is a helicopter that is based about a 30 minute flight away during the day. During the night (or when the nearby helo is unavailable) they have to come from the city, a 50+ minute flight away. They will land at heliports at night, but not on scene. They won't fly in bad weather (which is always in the mountains).

We sometimes call in fixed wing air ambulances. We have two airstrips in the county. One of them has IAP and night lighting.

----

Those are some pretty hefty times and obstacles, but we are far from the worst!

Of course, if you count SAR missions, it can take 14 hours to respond and evacuate a broken leg off of a 14er...

What my signature says in the Colorado rockies.

When the local ED has 2 beds and closes at 5PM.

When you have to check which mountain passes aren't closed by avalanches before leaving on an interfacility.

When the skibums try to hitch a ride on your ambulance.

When 1/3 of your fleet is out for animal strikes at any given time.

When the paramedic responds to the scene on his snowmobile.