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About kristo

  • Birthday 07/11/1983

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  1. Each position that has to be covered 24 hours a day means about 720 hours per month (30 x 24). A well-run business does not rely on overtime for day-to-day operations, so when calculating how many employees you need for that post, simply divide 720 with the number of hours that (in your area) constitute a full-time job without overtime. Around here, a full-time job is 8 hours a day, five days a week. In an average month, you have 22 working days, so that's 176 hours (22 x 8). This means that in my area, a post that has to be covered 24 hours a day needs 4.1 employee. Now, in the r
  2. I'd like to second the opinion previously expressed that what works in one EMS system may not be the best for another one. That being said, I noticed a few points that I happen to have an opinion on: 1. Administering nitrates prior to 12 lead EKG. This is not a good idea. Comparing this to when people take their own nitro at home without an EKG is not a just comparison because those patients have experienced something that made them call for EMS. The instructions (I hope) they received along with those pills was to take them when they experience their familiar chest pain, but have a p
  3. I saw this on TV tonight, kind of got me thinking. Basically, it shows an ambulance bringing a patient in to an ER. The ER staff takes the patient, it's all very dramatic, they roll into the hospital, everything looks like the public perceives an ER, they roll into a trauma room and trauma room, well, not up to standards. The commercial ends with text asking the viewer if it's his/her part that's missing.* A good idea for an ad, very striking. Plus, they used an actual Reykjavík FD ambulance and it's crew (I know the EMT-I (yellow background on the star of life patch) featuring in this
  4. Just noticed, Eyedown was talking about physician extenders, not actual physicians. Anyway, we don't have any such midlevels, so this is close enough.
  5. An interesting post, Eyedown. It just so happens that what you described pretty much fits this little town where I'm working this summer. This town has about 900 people, counting the farms and small villages around, it's probably about 2000 on the whole. We have a small "hospital" (actually, about 36 nursing home beds and 4 for "acute"). This hospital is not equipped for anything else than general internal medicine. A small lab for basic blood tests, X-ray, no CT or anything like that. The hospital also runs a primary care clinic staffed by two physicians. They also tend to this "hosp
  6. Add a few band-aids and an IV kit w/ normal saline (to treat hangovers) and you should be fine.
  7. Sounds like abuse of the 911 system. You could discuss the issue with the nurse, or the patient if he/she is mentally capable. Explain that this is not what 911 ambulances are for and recommend that they reconsider their request. If they don't, well, follow your stubbed-toe protocol. Maybe online medical direction would be in order. My guess would be that if the nurse insists on transporting the patient, you will probably end up transporting him/her. Set up a line en-route, oxygen, make the patient comfortable. The nursing home director will be thrilled when he/she get's the invoice f
  8. In my system, the third patient would be classified as green. The rationale is, as many have mentioned, that this patient is extremely unlikely to survive. If we have limited resources, we would like to use them where they count. Someone mentioned putting him in black ("expected"?). While that's one idea, we don't do that here, as black is reserved for people who are already dead (injuries incompatible with life/rigor mortis/etc. or pronounced dead by a physician). Other than that, I agree with most. Put the first one in yellow, and the pregnant lady in green. Green means that he wo
  9. I know it's out of context...but really, this is a very familiar approach to EMS...
  10. A recent Canadian study comes to mind, regarding the complications of intubation of the critically ill. The researchers' theory was that the risk of complications in this patient population would be significantly larger than in the usual pre-planned operations in the OR. Here's their introduction: Their results were, at least to me, stunning: Please keep in mind, this is for intubations done inside the hospital, in an ICU, by a mixed population of expert anesthesiologists and non-expert physicians, supervised by the former. There are also other studies with similar resul
  11. Hah, actually, I've never been to Baltimore. However, if I do run into you at some point, I'd be more than happy to buy you a beer. Thanks for the compliment on my English by the way, it's my second language. Anyway - anyone with comments on the lesser of two evils? Volunteers vs. combined fire/EMS?
  12. I'm from Iceland. Sorry for the confusion, I'm not used to this new EMT City yet, the old one had the location below my screen name for every post... By the way - I never did get used to the "old" EMT city, either. I miss the circa 2003 EMT City (ems-online.net, as it was called back then).
  13. Now, we've gone through numerous conversations in the past about how volunteers hurt EMS. We all agree on this. Also, it seems to be a general consensus that in order for EMS professionals to be proper healthcare workers, they should not be forced into another profession (fire fighting). Additionally, most of us agree that system-wise, the EMS side of things will often suffer when combined with fire fighting. What I'm asking for on this topic is not another debate on those things. There are a lot of threads for that. In some areas, there is not enough money to have a professional f
  14. Does anyone else think that posting pictures of one's privately owned huge "72 hour pack" is a bit whackerish? Sure, you may need one because of your status with agency X or whatever, but the comments about handling an MVC until EMS gets there, taking pictures and putting them on the Internet, buying shiny medical kits with the word "tactical" in the name, etc. scores high on my whacker-scale. At the very least, someone seems to have a touch of what we here call shiny kit syndrome.
  15. Interesting. Here, if our patients have been in a medical facility abroad in the preceding 6 months, they are quarantined and tested to find out whether they're carriers for MRSA. Once it's been confirmed by a culture from a nose swab that they are not, they are let out of the quarantine. This obviously only goes for hospitalised patients.
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