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MikeEMT last won the day on November 14 2013

MikeEMT had the most liked content!

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About MikeEMT

  • Birthday 01/05/1981

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    under a bridge

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  1. This I do, I was raised with the mentality that you don't rely on the "easy way". I was raised in a carpentry family and my grandpa was a huge supporter of air powered nail guns and power tools. Before he even let me touch a nail gun or a power tool I had to hammer nails and cut wood the old fashioned way. He used to tell me that power tools will make your life easier but a hammer will never fail you. Haven't forgot that. How am I going to assess the patient? Hmmm, Are they responsive? No, then check pulse. No pulse, begin CPR. Not much more to it then that. Can I tell what rhythm the p
  2. I will take issue with you on this. I know how to use a pulse ox properly and I understand its meaning. I pride myself on doing proper patient assessments and that includes looking at patient presentation. I don't need a machine to tell me that a patient isn't getting enough oxygen. As for your argument "if the machine didn't serve a purpose, it wouldn't be created" there are plenty of devices in EMS that have been created that are not useful. The most prominent right now being the backboard. Just because something is there doesn't mean it is the end all. I have seen pulse ox be wrong on
  3. This wasn't an Overdose where Narcan would have worked. It was an Ecstasy OD combined with Sherm.
  4. We don't carry pulse Ox onboard our rigs either. Treat signs and symptoms not a machine. I have never missed a pulse ox, though it does anger some of the nurses. I do wish we carried glucometers on board. Not sure why we don't. AED should be a state requirement. That said, while AED's are effective and have lots of clinical evidence to support their use, they are no replacement for effective CPR and rapid ALS response.
  5. It is thru the roof. I drive 60 miles to go to work because of cost of living. I have been an EMT for a little over a year and have seen and done more than most veteran EMTs in other areas. I remember I brought in a patient to HMC in severe overdose and was bagging the patient. A crew from another ambulance company was there and they were awestruck by what I had. They followed me to the bed and after dropping off the patient they approached me and said they had never seen anything like that in there years of EMS. My reply to them was welcome to Seattle. Contrary to what others think, we a
  6. King County Medic One does NOT require you to be a firefighter. King County Medic One is a separate entity that partners with local fire departments. It is overseen by University of Washington which is why all training will come from UW / Harborview. Seattle Fire Medics are part of KCMO, however they hire from within. Seattle does require you to be a firefighter / EMT for three years. The requirements for admitance into the Medic One program are 3 years of field EMS service. There is no requirement that you have fire experience. King County Medic One (KCMO) will hire you directly from the
  7. A selfie? Seriously? I have been on this forum for a while and have never had a selfie nor heard it mentioned to me or any of the other numerous members who choose not to have an avatar. What someone looks like is not a concern to me. I care more about the content of what you say. I used a duty belt when I was a LEO as well. Big difference between being a LEO and being in EMS. I would be curious as to what their actual job is. I always have my suspicions on boards like this about the "whackers".
  8. Having been a LEO I never had this issue despite having a belt full of crap. What in the world are you carrying that requires a duty belt? I have never seen a Duty Belt since I have been involved in EMS, in fact the closest I have seen is the leather strap for carrying a radio, I think its called a Boston Strap or something like that. My belt has my work cell phone on it and that is it. As for gloves or any other extra equipment, thats what pants pockets are for.
  9. The best part of this job is you can never see it or know it all.
  10. We also use the Pedimate. We will also use their own carseat if they have it with them and secure the car seat to the stretcher
  11. We aren't allowed to transport dead people, unless they die en route to the hospital and that is rare on a BLS rig. It does happen occasionally though because we have contracts with the numerous air ambulances that serve the region. Very possible one of their patients will die in our rig, but we also transport the flight crew with us. We do, however, get called to babysit dead bodies on occasion. There are only 7 medic units serving the city of almost 700,000. When someone dies either in public view or in the medic unit on scene we will respond and place the body into our rig until the M
  12. The shoreline primarily is used to keep the batteries charged not to keep the ambulance warm. If an ambulance is equipped with a block heater that would be an option from the vehicle manufacturer. None of ours have block heaters. All of our ambulances are shoreline equipped but only the CCT units are plugged in. Out of our fleet about 90% of the units are ran daily. Our ambulances are all Diesel with the exception of our Bariatric units which are AEV boxes on a Chevy frame. Our fleet consists of approximately 80 BLS ambulances. About 50 are Ford type II vans and 25 or so Mercedes Sprinters
  13. We use Hospital linen for our stretchers (flat sheet, towel and bath blankets). Most of our ER's have the stuff sitting out for us to take and I keep a lot of it in my ambulance - especially towels and bath blankets. Our pillows come from the hospitals too. The only hospital that whines and won't let us take anything is Veterans Administration hospital. Our company provides wool blankets for when it is really cold out. If it is raining I will cover the patient with a blanket and then a blue paper sheet with the fluid side out to keep patient warm and dry.
  14. Anyone that has been in this field for awhile has certainly assessed their share of Peds patients. Anyone who has even a general knowledge should know that Peds patients compensate very well and then crash suddenly. I don't like relying on "news" reports to base my decisions on. What I will say is this, Pediatric patients can be very difficult to treat. There are a lot of unknowns. What were the patients vitals? Did the patient's condition deteriorate during assessment? Did the Paramedic on scene notify his Medical Control or provide a HEAR report to local ER? If so was the local ER equip
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