rat115

:thumbright: Thanks!

Happy birthday!!!! :occasion5:

8) Sponge Bob....lol

Seen it before, but it's still a good one.

LMAO....This is why I drink at home.

And it works both ways.

I know that in Colorado a vehicle can't do that unless they have emergency lights and follow saftey precautions. I found this out becuse of a conversation about the van from the local prison doing just that.

Don't forget to take a deep breath and relax yourself. If your tense, it increases the chance of you having problems. Dust, you are so right. I have to admit that this is the attitude that the service I work with has. That's why I'm still working on getting my 5 sticks. Everyone looks at it that we can have the pt at the hospital in 2-3 minutes ni most cases, so why take a couple of extra minutes on scene to put in the IV. Makes it tough to certify, but I like the fact that we're getting the pt into the hospital quickly.

Sounds to me like you've worked thourgh your feelings there. That's great. I went through this myself after my first MCI. Mine was due to blizzard conditions and I was really glad that the driver was my EMS director becuase I didn't feel that I had to question any judgement calls that had to be made about transport. Remember that being able to focus on your pt is great and if you can keep a sense of major things going on around you at the same time that's best. I'm not talking about who's doing what. I'm talking about vehicle movement and if there are others working that you've got to be careful not to trip over, step on, or get in the way of. Good luck. :thumbright:

lmao

Nate...you mentioned pediatric trauma and I thought of Hermann not Texas Children's. It's been a few years since I've been down there. Unfortunatly, with what flight-lp said, not much has changed since I left there in 1992. Here we have one hospital. No choices. If the pt needs cath, we usually fly them to Denver or CO Springs.

he he Those are good.

Good one, Andy! :thumbright:

I didn't really consider oxygen, but one of my FRs did. That's why I noted it. She's working on passing her NREMTB, and is still a bit unsure of herself. :dontknow: As for padding the pt on a long board or laying her some way other than supine. I thought about it, but the pt had been moving her head and back before we got there according to her family that beat us to the scene by a couple of minutes.

I have to admit that I've not been on any like those last two yet.

I have a question about using a c-collar with long board on a elderly pt with cruvature of the spine. Here's the info on the call. Called to the scene of a 90y/o Fe who lives alone and used a "panic" button to call for help. Arrived on scene to find her laying supine. On the floor there are spots of blood so you can see that the she had origanally fallen on her left side. She had an approx. 1" gash on the left side of her head and a small scrape on the bridge of her nose. She said that she had been turning on the heating pad that she has on her bed to warm it up before she got ready for bed and remembers tripping over the extention cord. She then said that she thought that she hit her head on the door next to her. She is lying between a dresser and a door. Checked for tenderness of the spine. First time, pt denied any pain. Second time, she said that her neck hurt as well as her head. C-collared her and was going to put her on a long board, but noticed that she has a signifcant curving of her upper back. I made the call that if there was any injury to her upper back forcing her back onto a long board would only make it worse, so we had one person hold c-spine while 2 of us helped her up off the floor and onto the cot. Took vitals. SPO2 96% RA, Pulse 64 and irregular, BP 164/90, Resp 18 and normal. She was complaining of both nausea and dizziness which she said she had not been feeling before she fell and hit her head. Loaded her into the ambulance. She didn't want a NC or NRB placed on her. Since her SPO2 was at 96%, we opted not to put her on oxygen. By the time I finished typing her report, her doc had already removed the c-collar (approx 10-15 minutes) and decided that she would be staying at least overnight. Please comment and let me know what you think.

Here, we have 12-hour oncall shifts. We don't spend our time at the shed unless we're on a run, doing cleanup, or training. Some of the county commisioners are talking about having 12 on duty shifts for 2 people day and I don't know what they're wanting to do nights, but our director is fighting that because we can often go a week without a single call. I've been told that in years past the call volume averaged at about 550 runs a year including transports into the cities. Last year we had just a few more than 600. This year everyone is amazed at how busy we are because we're already over 100 calls and we haven't had anything major out on the interstate yet this year. (But of course, spring breakers start coming through here in a couple of weeks, so who knows how long that will last.)

LMAO...don't forget the other option for the phone call...That's to have someone there to call for you and make sure that your hair still looks nice.

Don't forget that a lot of the time they use anhydrous ammonia. This is a fertilizer that can cause a freeze burn if it gets on you and is highly explosive.

Was listening to a call on our service earlier tonight. The EMT-I was speaking very quickly while giving a report over the radio. "Hospital, XXXXXX1, we are in route to your facility with a 86 y/o fe who's chief complaint is rectal breathing. ETA is 2 min." :oops: He ment to say rectal bleeding...

Sounds like you did your best today. My feeling on the subject would be to write the person who takes care of scheduling clinicals and thank the person who worked with you so well. Let the person in charge know that this was big positive in a day of negatives. This way you show what you saw that was good and let the ER dept know that you were unhappy with your clinical in a positive way. Hope you other clinical times are better. :thumbright:

I trained in martial arts before I ever decided to get into EMS. I have never had any reason to use this knowledge to defend myself. One of the first things taught in martial arts is how to spot a possible problem and either avoid it or find another way to deal with the situation. As for what others do, I don't know. My service protocalls state that if a pt is violent and is attempting to injur others we ask a LEO on scene to cuff them if Kurlex won't do the job and then have the LEO ride with us to the hospital. This mostly negates the danger to the EMTs. HTH.

When your boss lets you take off the job for a call and continues paying you while you work your "other" job. When everyone in the area knows that if a vehicle has it's hazard lights going they need to get out of the way and all of the out of towners look at you wierd and you just laugh.

:thumbright: LOL