MariB

BSA is an estimate. When called in I would use the words " approximately or about " i can't imagine someone taking the time to use exact measurement for burns. Time is critical here. Get them to a burn center! GCS is extremely easy to calculate just by speaking to your patient.

I was only addressing injuries incompatible with life lol In Iowa state, as weird as it sounds, a DNR prhospital only applies to a terminal illness involved with the DNR. Has to be signed by the patient and the doc. Without papers in hand we have to go for it. In the hospital itself is different. This isn't a DNR but more like an advanced directive or living will. His wishes are made clear, injuries incompatible with life would get a bvm and chest compressions to preserve what I can. .and yes, some organs can be harvested up to several hours after death. In Iowa, protocol makes us call the donor network upon death.

I would forgo the suit and interview in a nice slacks and shirt. Or, suit pants, shirt and tie. You will be the best dressed there already.. For the physical test. Wear something comfortable, like a t shirt and work out pants.

A 4 year old can usually tolerate a NRB for crying out loud. The paper cup trick? Did he want you to paint a fishy on the bottom of it too? The kid is probably used to things on his face. It isn't like he was a year old. Then blow by is a better choice.

It would definitely have me doing CPR and bvm with o2 to save his organs, that would cover me until we got to the ED, he wants his organs donated. . If I needed to put in a more advanced airway I would contact my MD.

I believe it includes dropping the bike at intersections also.

this isn't true lol, my father's Harley sounds like a Honda. Stock pipes on any motorcycle are quiet. A Honda can sound like a Harley and a Honda can sound like a Harley. The pipes need to be upgraded after purchase.

That has everything to do with this discussion. I don't use either, I'm bls

have you see crash tests on smart cars? Safer than a lot of tin cans we drive. I still wouldn't want one. The theory of louder bikes is to be heard. To a point It can work, but no matter what safety feature is in place, other drivers need to be aware

You, or whoever got the DUI endangered the life of many, many people. How many times did he do this before getting caught?

Oh he wrote it? I already said not interested lol

Hello!

I don't have any pop corn, would you like a pop tart? I read these too, usually very confused but hope I will learn something

you are 78??? You look fantastic for your age!

We don't have that problem really. Our squad has a few police as volunteers. It really helps with the whole police /ems relationship. They see what we do and know when to get out of our way. Even as a member of our team, had they pulled something like Mike EMT did, there would have been several calls and letters to the Chief of Police.

So you with held your knowledge from the EMTs that you knew he was altered and just took it into your own hands? Just taking it upon yourself to order him to er without explaining why until after the fact? I would have called your super, had my medical director do the same. You could have endangered my patient with holding what you knew

I used to live near black forest off powers. My father lives in canon city, sent pics of the smoke and glow from his deck, if it doesn't get under control soon. He will be in trouble.

Simple case of battery. If he had no altered status. Is making an informed decision to not be transported, he has every right to do so. It is up to the EMTs to document every attempt they made, have the refusals signed and witnessed, preferably by the police, and leave the poor man alone. They had no right to force medical care if he was competent.

yea, that is what I figure too. it is nifty. We start out entering patients name address etc. Click next, put in vitals, it guides you through left lung sounds, right lung sounds, left pupil, right pupil, skin, gcs, bsl , if you didn't do it, you click not done, if you did it has all the options. Paramedic level for meds, everything from time dispatched to EMT impression is on there. Every box has a place for comment. If I click I did a blood sugar I put the glucose level in comments. The only place to use our brain at all is the narrative. And we don't have to mention the signs and symptoms, pain scale, allergies or anything since we went through and did all that already in the assessment part of the software. When we print it out, it prints out extremely professional and in order. I could look at it and see every thing on the first page in 5 years and know what call it was. We print and then fax since our software may not be compatible

Congrats!

I think I should spend more time on writing out reports. This was an example of our usual. I didn't need to add pain scale, allergies, meds given etc because our software again has a place for that. Once printed, it comdd out so nice an organized. Quite dummy proof. Which is good as I am very new.. very

About half to two thirds of abruptions have pain. That's why I was making sure. Yeah, it was probably previa, but it asked you more than once? Its one question.

Could be abrupto Previa is when it is laying across the cervix. Did it say pregnancy? I know with abruption most will have pain but dysfunctional uterine bleeding is common among many women.

Noe for those of us with laptops all that stuff gets put in a different spot. With paper reports, isn't there a special spot for all the allergies, medications etc? When we print, it prints out right above the narrative. So we do not add that. I know the one and only paper one I filled out there was a separate place for all their meds. Allergies. Vitals, history etc. So it was not to be included in the narrative. I was told the narrative is a picture in words of what we saw and what we did. The other stuff is charted elsewhere

Your service should have an extra piece of paper to attach to the back for additional information??? We do on our paper ones. However we only use paper for back up. Let's give an example of mine... let's say a kid fell off a bike and hurt his arm. mari dispatched 911 for a child who fell off his bike. Upon Maris arrival EMTs found a 9 year old male laying supine on a residential sidewalk being attended to by mother. Child's faces was red, eyes swollen from crying, no noticeable injury to face. When asked what happened child stated "I fell off my bike and hit my knee " Child is noticeable favoring right knee. Permission to treat grated by mother. Patient denies any pain in c spine. No c collar applied. Vital signs taken and noted . Patients pants are cut from the ankle to the hip to look for any signs of wounds, tenderness or deformities. Some redness and swelling is noted below the right patella. Rigid splint applied. Patient lifted to cot via two EMTs . Voids are padded with pillows. Ice was not applied as child would cry every time knee was touched. Head of bed elevated for patient comfort. Mother accompanied child enroute sitting seat belted into captains chair. Detailed exam did not reveal any other injuries. No other changes enroute. Care transferred to Kristy RN at Made up Hospital. Bare with me, I'm on my phone so it isn't perfect. I'm not comfortable with abbreviations yet so I don't use them and I've only don't a few pcrs so far. I'm still new. We do ours on computer so all our vitals, history and everything else has its own place And mind you, unless on a transfer, our enroute time is like 3 minutes. I also would have stated loaded into ambulance. But yeah. I read mine like 5 times before putting it in. Now if my patient had fallen a long ways. . It would have been much longer of a report. Hand grips, rapid trauma assessment, back boarding, log rolling. Etc.