monkadelic

It's legally a patients right to terminate their own life with a DNR; physician assisted IMO is no different. It's a legal binding document. And also I for one would not want to be hooked up to a respirator and all other kinds of shit that I mentally cannot have a say so once started, and neither would my loved ones. I have seen way too many patients being kept alive by their family just to seep in the money to keep them alive rather than to have them check out with dignity; When you are an inpatient transporter, you basically have to watch these ppl slowly die on a period of time-day to day, especially on dialysis. actually had one woman a few weeks ago with terminal pancreatic cancer... 70 ish- went to the room she was already blue in the face with agonal respirations... the RT taking care of her said we weren't going down because she was sat'in at 83% with full NRB@15lpm the doctor overridded her call and sent that woman for a CT of the head. Not 1 minute after we put her on the table in CT she coded; but we couldnt call it becuase she was a DNR. there is alot of unneccessary stuff done to these ppl and instead of sending them to a Hospice they are just trying to milk the medicaid/medicare while they still can- and thats not right. Now I'm not a Dr or anything, but why in the hell would you send someone you know is going to die in the next 5-10 minutes for a test that has nothing to do with their ailment? Sorry just got to rant for a moment, because I care about these ppl and I would never have my own mother subjected to this.

@dilaudid yeah thats what the Brady Text said in my class as well @DFIB about hyperventilation, the only place we had that in the text was indicated in a brain herniation with decorticate/decerebrate posturing via BVM @ 20-22 bpm, so I haven't had the chance to get into the research yet. The new text book also mentioned O2 toxicity in the breathing/airway module; but also stated it was unlikely to occur in a pre-hospital setting within 30 minutes of transporting a patient to the ER. Granted I am very new and don't know the protocols at my EMS yet; I'm sure I'll get the crash course on them monday in orientation. One thing I do know in this area it is not in our scope of practice to put on a pulse oximeter or stick blood glucose. But I have transported many of inpatients down to xray over the years where the floor had the patients on NC blasting their eyeballs out at 10-12 LPM; but we are starting to see more inpatients on Venturi's rather than NRB now Not really sure where this thread is going and not intending for it to run off on a tangent, but just wanted throw in 2 cents. I read the article DFIB linked and I really liked this statement near the bottom of the page; "Wonder why the 2010 ECC Guidelines recommended against supplemental oxygen for chest pain patients without hypoxia? Now you know: supplemental oxygen reduces coronary blood flow and renders the vasodilators ALS providers use to treat chest pain ineffective." I'm glad I took a moment to read this, because I never would have thought about that.

No fortunately I had just pulled out of the gas station where a Deputy helped me rig my hood down with some cable ties he had in his squad car.. I was only going about 30 when it occurred, deer was on the drivers side just sitting there and decided about 50 feet away it was his time to die and darted out in front of me. I was already in the left lane so I turned into the median and clipped him on the right headlight; minimal damage to my Cutlass; probably a career ending hip injury for Bambi tho. Would have loved to have stopped and got me some venison for the next day; but the traumatizing effect of already splintering a windshield THEN hitting a deer in the same day almost dying TWICE on a holiday just made me just want to go to bed.

Rule #3: Beware of Bathrooms....

yessir! gotta love the pine belt.. I lived in hattiesburg for 5 years but i live in Tupelo now. bunch of hogs and deer on I-59 actually hit a deer going back there one year on thanksgiving right outside of Meridian, and before that happened by hood flew up on me and spiderwebbed my windshield on a bridge going 70- talk about some bad luck right there.

That's weird man... In Mississippi ( or at least through my school), to even be able to register for a date to take the NREMT on the website you had to have BOTH class accreditation and the Psychomotor exam registered at the State office. We were fortunate enough to be able to take the psychomotor exam the same day we took our finals with our instructors instead of having to go somewhere else. Also, stay ontop of that website also, it may take a few days to get a response from them. I am still waiting for a response in regard to my registration expiring on 3-31-2014 to have to take a refresher coarse when my buddy in the same class took the test in july and he got 3 years on his.. (3-31-2015). I took mine in June. Maybe it has something to do with July being the beginning of the fiscal year or something. Congrats on passing tho! It cut me off at 70 questions as well and the butterflies in your stomach and second guessing yourself until you see the results pop up sucks... edit; sorry I typed my response from the first page and did not see your update. yeah i'd call them instead of emailing them because like i said; they are slow on the response. PS- Welcome aboard! It shouldn't take that long to get your license and certificate. I took mine on a thursday at 8 am, got the results at 2 pm. had my certificate, patch, and card at my house on monday.

Hey thanks everyone for the hospitality; ArticKat I don't really do recipes; I just make things usually with what I have on hand... but i will be glad to share some stuff with you... if I make something someone loves i usually convert it out on paper then. Just let me know what you are interested in.. right now I have been on a sauce kick- making various hot sauces and bbq sauces. And I also make my own Sriracha sauce instead of buying the Huy Fong stuff.

Hi im Michael.. my friends call me Monk. I love me some George Clinton and Funkadelic which earned me the nickname Monkadelic ... I am an EMT-Basic in NE Missisippi; just passed my registry a month ago and got hired for a transfer to EMS through the Hospital I have worked at for 5 years as an inpatient transporter; so I kinda know most EMT/Medics there from seeing them everyday, so the "new guy syndrome" does not affect me as much. Before I came to healthcare i was a certified chef through apprenticeship and actually started at the hospital here as the catering chef for the CEO and Board of Directors. Heck of a career change eh? Spare time i like editing video/music and i also make 3D mapping for video games as a hobby. I start on the truck Monday as I have to work out my 2 week transfer notice/release; but I am stoked to be apart of something I love to do- interact and make a difference in peoples lives, as per I could never do that with cooking. Meh i guess I'm starting to run off on a tangent but i hope i can offer as much as I can to the site/community... see everyone around, Ive got to catch up on the new episode of breaking bad ...

Hi first post, just recently started in EMS as a basic; just clarifying on the "nurse" saying that asthma was the same as COPD made me giggle a little bit; if it was in a nursing home it was most likely an CNA that made that statment imo. I may not have worked in EMS long, but I have been in an inpatient hospital setting and a patient transport for 5 years now, and i haven't heard of asthma triggering a hypoxic drive like COPD does. I think they are using it more of a "blanket term" more than anything.