EMSLuke134

we had a party with it and other drinks from other patients. we even did some crack we took off a crackhead....lol actually i think we just left it on scene.

I would transport. keeps the legalities at bay, even though there wouldnt be any successful legal actions taken, for refusal to transport, why bother with the hassle? if the person wants a $500 taxi ride, let him have it, its not my $500.

I run with a BLS service. we were dispatched to a drunk. we found a 30ish y/o male seated on a stoop, slumped over. pt unresponsive initially, but with some rousing, was found to be alert to pain. pt had no signs of trauma, and had a beer can in his hand, unopened. so we get he on the stretcher, and he wasnt breathing so hot. Get him in the truck, get a nasal airway in. partner starts to get vitals. i realize this guy is breathing slow, and shallow. I decide to assist ventilations with bvm. guy is tachycardiac with pinpoint pupils, to me sounds like an opiate od. heres the weird part,. we get to the ER, and upon the nurses assesment, the pt is breathing adequately, and indeed he was doing fine now on an nrb, still unconcious.the question is this, what could possibly cause such an improvement so rapidly? did we stimulate his depressed respiratory system? or was i just being overcautious with the bvm? obviously, i`d rather be not sure and assist ventilations than not bag someone who needs it, but he was definitely shallow and slow, and definetly improved in the ER. now, i left on another job, and didnt see if they hit him up with narcan or not. any input is welcome. Lucas Simko-Bednarski NREMT-B/NJ EMT-B

I do alot of outdoors stuff, like out in the country, where the vollies have 45 min response times and the hospitals are far away. Just want to have basic supplies to help my family and friends should something go awry.

Bad ALS= DEAD PATIENT Good ALS= More skill and knowledge present. A good provider will know not to sit onscene. Bad BLS=DEAD PATIENT Good BLS= good chance for pt CONCLUSION BAD AND STUPID EMS PROVIDERS KILL PATIENTS. Of course, a good emt is better than a bad medic. but a good medic does more than a good emt. This whole trauma study is pointless. good care provides best outcomes. bad care kills. ON ANY LEVEL, BLS OR ALS.

Points well taken guys. i let the whacker in me get out. i am ordering my bag W/O O2. thanks for pointing me in the right direction.

Does anyone know the regulations on EMTs in New Jersey having O2 in their personal kits? How about glucose? These are substances that can given via offline medical direction, when working in an EMS system. Technically, if you stop at a scene of lets say an MVC while off duty, are you still in that system? do you need a liscense to have your own O2?

Thank you everyone for youre input. i was thinking about the situation the wrong way. Even if you successfully defib somebody who is in arrest with an airway obstruction their still toast, because the obstruction is what caused the arrest, so that must be fixed before you can even worry about treating the arrest. simple concept, somehow i missed it when i pondered this situation. thanks for all the help guys.

I have a protocol question that has been bothering me. This is from a BLS standpoint. We all know that speaking from protocols the priority of actions in a cardiac arrest are as follows. Airway Breathing Circulation Defibrillation All that is ever drilled into us is the idea of "stop and fix". If there is a problem with A you fix it before going on to B etc. Of course this is the ideal world of textbooks. We all know that in practicality the streets are far from ideal. Keeping what i have said so far in mind, help me with the following case. A pt is in cardiac arrest, caused by asphyxia due to an airway obstruction by a forgien body. Technically, we cannot assess circulation and determine that the pt has arrested, because we still have not corrected Airway. Heck, on a BLS level we may not ever successfully treat the obstruction until ALS arrives or the pt arrives at definative care. We also know that the chance of successful defibrillation (especially BLS/AED) dramatically decreases with each minute that passes. What is the proper way to handle this situation? do we continue with ABCDs once we realize Airway will take some time to fix? I know that the person needs a defib ASAP, but do we check for a pulse and start CPR and AED while working on airway simultanouesly? Is there any use, because after some time we will just be circulating de oxygenated blood. Any and All input would be greatly appriciated.

I graduated from Jcmc/Meadowlands Emt-B class. Very good class. I highly recommend it. its nowhere near the PATH, but i suspect it is commutable by train to a bus. theres a bus stop nearby. Check out NJ Transit to look for a bus

exactly, different responses to different situations.for example, personally i get more nervous when being questioned by a teacher than by actually doing whatever the action is on a call. im better with the actual patient than a theoretical situation. you`re prob nervous too. i think you`ll be fine

Hey, Here is a poem i wrote that i thought you guys would like The Men in Blue I sit in bed I am all alone I feel a sudden sharpness I reach for the phone With fear I suddenly know It is my time to go I watch from above the bed In reality, I know that I am dead Suddenly, I see Men in blue have appeared next to me I watch from my ceiling perch As they do all they can To give me life once again I see the fear in their eyes As they themselves experience my demise They push, they blow They tell me so calmly That they won’t let me go They Shock and Shock My heart lies still As they race against the clock With the movement of feet, We move out to the street They pull me up, and in I’m placed We speed away, with much haste Lights flashing as I watch, Sirens wailing They will not settle with failing Another shock, another jolt Our movement has come to a halt Suddenly, I am no longer up high I breathe, I blink, and I open my eye Ten minutes ago, I knew I had died I can never thank those Men in Blue enough Without hesitation, They gave me my life These Men in Blue, They would do the same for you