rat115

THE NEXT SURVIVOR SERIES Six married men will be dropped on an island with one car and 3 kids each for six weeks. Each kid will play two sports and either take music or dance classes. There is no fast food. Eac h man must take care of his 3 kids; keep his assigned house clean, correct all homework,and complete science projects, cook, do , and pay a list of 'pretend' bills with not enough money. In addition, each man will have to budget in money for groceries each week. Each man must remember the birthdays of all their friends and relatives, and send cards out on time--no emailing. Each man must also take each child to a doctor's appointment, a dentist appointment and a haircut appointment. He must make one unscheduled and inconvenient visit per child to the Urgent Care. He must also make cookies or cupcakes for a social function. Each man will be responsible for decorating his own assigned house, planting flowers outsideand keeping it presentable at all times. The men will only have access to television when the kids are asleep and all chores are done. The men must shave their legs, wear makeup daily, adorn himself with jewelry,wear uncomfortable yet stylish shoes, keep fingernails polished and eyebrows groomed. During one of the six weeks, the men will have to endure severe abdominal cramps, back aches, and have extreme, unexplained mood swings but never once complain or slow down from other duties. They must attend weekly school meetings, church, and find time at least once to spend the afternoon at the park or a similar setting. They will need to read a book to the kids each night and in the morning, feed them, dress them, brush their teeth and comb their hair by 7:00 am. A test will be given at the end of the six weeks, and each father will be required to know all of the following information: each child's birthday, height, weight, shoe size, clothes size and doctor's name. Also the child's weight at birth, length, time of birth, and length of labor, each child's favorite color, middle name, favorite snack, favorite song, favorite drink, favorite toy, biggest fear and what they want to be when they grow up. The kids vote them off the island based on performance. The last man wins only if...he st ill has enough energy to be intimate with his spouse at a moment's notice. If the last man does win, he can play the game over and over and over again for the next 18-25 years eventually earning the right To be called Mother! After you get done laughing, send this to as many females as you think will get a kick out of it and as many men as you think can handle it. Just don't send it back to me.... I'm going to bed. Love ya, guys!

Congrats 'Zilla!!!!!!!!! :occasion5:

Prayers and condolences for family, friends and cowokers.

I learned it that the true friend was sitting beside you in the cell saying "Damn! That was fun." LOL

Here, we don't do much prehospital besides IV fluids and o2. The biggest push here is to make sure it's identified and contained because things run throught the schools here at an alarming rate.

So glad that the crew was ok! That would be a hell of a day at work. :?

You got it right. We have a garage bay that we back the ambulance into. I've seen straight winds out here clocked at 90+ MPH, so this is really nice at times. They are actually in the process of adding on to the hospital here and moving both the ER and the ambulance bay. They are going to keep the same set up because it works so well here. In case of power outage, we have a emergency release handle that can be accessed by the hospital or ambulace staff to open the door. We have more problems with idiots blocking the door with vehicles than we do getting the door open. Once we've backed in, the bay door stays open until we pull out. That makes sure the exhaust airs out (yes, we shut off the engine when we get out) and the door doesn't get stuck down. One of the crew is normally back out within 3 minutes, so it's not been a security hazard yet. (=; Yeah, I know the key word there is "yet".) We close the door when we pull out. Right now, they have part of the back part of the bay filled with crap for the remodel project, so we couldn't back all the way in even if we wanted to. Scara..... ......Yep, they got real electric power out here a while ago. We're right up town with you city slickers. LMAO

Dwayne, you made some good points. My quesiton is how do we know if someone has or has not researched something. They may not be good at putting some things down in writing. I guess I'm one who would prefer to have the same question asked by 20 different people at different times who want the answer and give them that answer than to have the question go unasked. And then, there's the gripes I've see here about people "resurect" threads that were about to delete themselves and turn around an tell a Noob to search the archives for answers. Can't have your cake and eat it too in that instance. Either you deal old threads being resurected or you deal with threads being posted that have already been answered in the past. I still stand by my questions earlier in this thread where the tone is concerned. Would you write that way to your boss, coworkers or family members? I think that's something that many of us need to think about. (And I know that I've sniped at a few people in my time too.)

LMAO......Gee! Really? They can get on their knees? :wink: Would prefer to see it the other way around. :thumbup:

Gealic and North...Good comments. I agree that there is often too much negativity. There are more constructive ways to point out short-comings and problems than bashing and name calling. That's why I don't post often even though I see a number of threads that I'd like to respond to. I'm also careful in chat about who's there because of how certain people act. I'd like to challenge the ones who are so negative. Would you say what you do on here to a coworker face to face? Would you say things the way you do to your supervisors, medical directors, ect? Would you talk to your own family the way you do to the people on here? We all have the post that we have the knee-jerk reaction of "Duh!" The nice thing about forums and chat is that you can re-read what you've typed and edit out extreme negativity and judgmentalness before you post it.......IF you want to.

Our local hospital doesn't have any key code on the ambulance entrance door. It's inside a bay, so you've got to have a garage door opener on the correct frequency to get to the door. There are cameras set there so the nurses can watch who comes and goes in that area. The hospitals we do IFTs to have a variety of codes. I've seen the variation on 911 and just about everything else, I think. Someone commented about the numbers being worn off on the key pads. I've seen the solution to that too. Some of the places we have for IFTs have gotten keypads that are lit from the inside with clear buttons. Everytime they're activated the numbers are in a different place. I just wish they'd put them higher than waste level. (Even with me only being 5'3", they are on the low side. I'd hate to see how the guys who are 6' deal with them.)

Rid.....A big thumbs up to you guys who've been working on this. I hope that other states follow suit.

A twist on the nursing home.....You only have 20 residents, BUT it's a facility that's been converted from a house. You have a hall that's wide enough to get 1 person out at a time and a door at each end. You're in a residential area. The sidewalks in the area aren't good and a number of the residents are in wheel chairs or have walkers. Also.... We have a lot of anhydrous amonia that is brought in by rail and the tracks run through town. We normally have a wind from the north during the season that this is mostly being used and the elementary school, town hall, the county courthouse (with dispatch), the hospital and most of town is south of the tracks. Our EMS director lives north (could be the crew was north of the area and can't get to the ER). The nearest ER going north is about 1 hr 30 minutes away. Nearest hospital going south is 30 minutes. Flights take 20-50 minutes for fixed wing depending on where they're originating from and 50 minutes for rotor.

We have reflective vests (nice bright yellow and orange) that we are mandated to wear on all MVAs after we had a few close calls. They say here I am, but they have decreased the number of close calls. Beyond that, we don't have anything else that's required. I keep a light jacket in my car in the summer to wear to keep debris off of me. If I'm in the vehicle and FD is playing with their toys to extricate a pt, pass me the ear protection. It doesn't keep me from hearing the pt and keeps my hearing intact. I can pull it out as I get into the ambulance and need my stethascope. If I'm in the car with cutting going on, I'm under a heavy blanket with the pt to keep most stuff off of me. I do like to grab the saftey glasses that fit over my own glasses to prevent glass getting around my glasses or damaging my lenses.

Was the edema in his legs normal? Was it even? Had he had some injury to his leg recently? Were his legs hot to the touch anywhere? Did he have any complaints besides being pulled out of the strip club and away from his drink? Why did you put him in a stair chair? To me, that says that he could not walk or could not walk correctly. Was the discomfort in his leg that bad? I'd be wondering about a blood clot if so. Not c/o chest pain is NOT indicative of not having an MI in a diabetic. One of the long term effects of the disease is neural problems which cause a decrease in feeling pain sensations.

After having done transfers in blizzard conditions where only emergency vehicles were allowed on the roads, I have to agree with everyone else. It would be a no go for a non-emergent transfer. There is no real reason to risk the lives of the patient, patient family and crew and the ambulance for a non-emergent transfer during conditions like that in my opinion.

I do know that there is a possibility that there may be a national movement to do away with the Intermediate/Advanced level of certification. My boss and I were talking the other day, and he mentioned being placed on a committee that's studying this. He's been practicing at this level for a number of years. Here, that's our highest certification level because it's impossible to get anyone to volunteer as a Paramedic. I would say that if you want to make sure not to lose this level let those in high places know. It's a level that seems to be used most often in the rural areas, and those have a tendency to be under-represented when decisions like this are made.

I have to admit that I googled this. I have had trouble with my teeth in the past and had to have a root canal at 16, so this post really got me to thinking. It turns out that I found the name is Ludwig's Angina. The pus generated by the infection forms pockets which grow and cause cellulitis in the face and neck. These pocket of pus cause the airway to close off and sufficate the person. Hence, the life threatening emergency. Now, the next question for others.....How can this type of infection develope to the point that it's life threatening?

12 is too young to be given life or a death sentence. That kid needs counseling...BIG time!!! I'd want to know how long he was alone with 10 and 17 month olds. Those ages can try anyone's nerves if left alone with them for too long.

Thanks! Can't wait for it to be offical.

This is mostly directed to the gals on the forum, but one of the guys may have the answer too. I've tried looking on the NREMT site and tried getting answers through the answering system at the NREMT. Everytime I've gotten a chance to call has been after office hours there. Does anyone know what you've got to do to get a name change enacted on your NREMT certification? I'm trying to get this rolling as soon as I can. TIA for your help.

No advice here. Good luck though.

My ink pens are well guarded. Too many people like to walk off with the things. Of course, I like the gimme pens. When they walk off, I don't lose anything.

Love it!!!!

:? The age thing makes me wonder what's up. :? I'd be willing to help with answers to questions about rural EMS. PM me with questions.