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mediccjh

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Posts posted by mediccjh

  1. I haven't been here in over a year, but this post made me come back when I read it.

    I never met Rob personally, but we've had plenty of side conversations while on the Forum, and he was always a great man to talk to. Even when we didn't agree on things, there was still a mutual respect.

    Rest in Peace brother, we'll take it from here.

  2. bunch of pu**ies ------- you realize how many of you would have never known your grandpa if it wasnt for the bomb -- do you realize how many of you panzies would have never been born

    While I agree with the underlying message, I don't agree with its delivery.

    I did a paper on Truman's decision to drop the bomb in high school. If we would not have dropped the bombs, the war probably would have lasted at least another year or two, costing about 1 million American lives.

    The right decision was made.

  3. I would have to say no.

    Chances are that the bystander who felt the pulse felt their own.

    The reason he's in PEA is because chances are there is no blood left to go through the heart; the electrical system just hasn't realized it.

    However, if you have a hostile/unruly crowd, you're probably better off working it, just scooping and running. I've had to do that a couple of times in Newark due to hostile crowds and not enough po-lice.

  4. So getting somewhat back on topic, does the FDNY directly hire paramedics often? Or are they mainly recruiting out of their pool of EMT's? I know there's a hiring freeze right now, but was wondering.

    Do you already have your NY State card? If you do, then you have to take the REMAC exam; go to nycremsco.org for more info.

    Once you have your NYC REMAC card, you can call the number on the website.

  5. Can someone please explain to me how this thread started from a simple question about FDNY*EMS to the typical BLS vs. ALS vs. Education argument, AGAIN??!!!

    I've been on this site for almost 5 years now, and I'm sick and tired of seeing the same shit.

    Grow up, people.

    To the OP: Listen to Richard B; he's been at NYC*EMS longer than most of us have been alive.

  6. That looking back at all of my posts since April 2005 (and even before that), I've become an older, angrier person. It's not always pretty.

    That I used to be really passionate about this profession; now it's just a job, but I still take care of my patients and try to improve myself.

    I've learned that some of the people coming out of school now scare me.

    I've learned that I act more like an old-school EMSer than my age allows.

  7. Let's see how long it takes community leaders to find a way to git 'er done. I bet it's not long! Until then, they made their bed. Let them lay in it.

    See video at link.

    http://www.kbtx.com/home/headlines/42367002.html

    Local Cities Will Be Without Ambulance Service Next Week

    Posted: 9:37 PM Apr 2, 2009

    Last Updated: 11:11 PM Apr 2, 2009

    Reporter:
    Steve Fullhart

    Email Address:
    fullhart@kbtx.com

    Beginning Tuesday, unless stop gap solutions materialize, thousands in northeast Leon County will be without ambulance service for the coming weeks, if not months.

    The longtime providers of emergency medical service, a company based out of Palestine, can no longer cover the costs after years of service in the Buffalo-Flo-Oakwood area. Their deal -- one that was essentially a free service to the area -- ends Tuesday.

    Now, it will be at least May -- when an election item is voted on -- until ambulances can answer calls to the thousands of residents and tens of thousands of drivers passing through.

    For Buffalo Fire Chief Shaine Reeder, there's only so much he's trained to do when an accident happens on area roads.

    "We have the jaws of life," Reeder said. "We can cut them out of it, but we've got no way of transporting them and be able to give them patient care that they need."

    I-45 brings tens of thousands of cars north and south each day. Though the population of Leon County may be small, there are plenty of people first responders are obligated to serve.

    Now, prayer might be the only option for those who live or come through northeast Leon County.

    There's no emergency service district, or ESD, for that portion of the county, and that's step one in contracting with EMS.
    Nearby Jewett, which is in a separate ESD, can't respond without a contract, or else they risk legal issues in their area.

    "From the bottom of my heart, I apologize that we can't come over here and help," said David Nobles with Jewett EMS speaking to concerned Buffalo citizens Thursday. "It's a very difficult thing for us to have to do."

    As for medical helicopter service, legal and logistical issues stand in the way. Some days aren't clear enough for the choppers of Air Evac EMS to fly. Some patients can't be reached safely by the crews.

    "Our company cannot be viewed as the first responder for Buffalo," added Steve James with Air Evac, speaking to Buffalo residents.

    Twice before this decade, northeast Leon County voters have had the opportunity to enact an ESD for their area, but twice, when the votes were tallied, it was voted down, including by just 13 votes a couple years ago.

    Those against it have cited an increase in taxes as the reason for their votes. In May, voters have the option to approve an increase of 10 cents per $100 valuation on property taxes that would allow EMS service to return. That's $100 for every $100,000 of property value that would be paid each year.

    It's the price the majority must be willing to pay, or else thousands will have no one to call for help, a thought that shakes Chief Reeder.

    "They could sit right there and die in front of us, and there's nothing we can do with it," he said.

    There will be multiple meetings in those affected Leon County communities before election day to discuss the item on the ballot.

    As for now, residents are in search of stop-gap solutions to their ambulance issue, though there are some who believe they'll get an answer to their 911 calls regardless.

    All because they wanted to save less than $2/ week.

    Those fucking morons. They got what they deserved.

  8. Thanks all. It was a rough week, and I needed to vent.

    I know I need a break off the box, but I can't do it just yet. I'm waiting to hear from another job opportunity; it tests in June and is something I've always wanted to try.

    I spent the weekend with the woman. We went into the mosh pit together at a Dropkick Murphys concert (Yes, I was in kilt), and got some aggression out. It helps.

    It helps having a support system here. Like I said, I'm going through a rough spot; however, I'm still going to treat my patients with respect and do the right thing.

  9. I'm done with this so-called "profession."

    I'm sick and tired of fucking retarded providers dragging us down, and keeping us from advancing.

    I'm sick and tired of managers, supervisors, and administrators who treat the crews like shit, blame everything on us, but won't get rid of the dead weight.

    I'm sick and tired of managers, supervisors, and administrators always treating the dead weight with preference, while shitting on the great providers and workers.

    I'm sick and tired of busting my ass, doing the right thing, and treating my patients well, only to be dumped on and treated like shit.

    I'm sick and tired of hearing the same excuses, saying that the dead weight can't be dropped, "because people need to be on the truck."

    I'm sick and tired of the people who can't grow the fuck up, come in, and do their fucking job. It's not that hard, people. They call 911, we pick them up, treat them with respect, take them to the hospital, and maybe do things once in awhile to make them feel better.

    I'm sick and tired of backstabbers.

    I'm sick and tired of the immaturity.

    I'm sick and tired of society being a bunch of fucking pussies, expecting everything to be done for them. Get up off your fucking ass and do some fucking work. You'll feel better.

    People wonder why this "profession" is treated like shit. Read above; there's the answer staring us in the face.

    I'm still going to do my job to the best of my ability.

    I'm still going to treat my patients and their families/friends with respect.

    I'm looking for an out.

  10. Okay I'll be more specific:

    1. Do you routinely determine the mean QRS Axis and can you apply that information practically?

    2. Are you aware of the Sgarbossa Criteria and have you used it before?

    3. Do you routinely check for Cor (or P) Pulmonale?

    4. Do you look for LVH, BER, and BBB on every STEMI?

    5. Do you systematically interpret every 12 lead you read in the same order every time?

    6. How familiar are you with syndromes like Brugada, Pericarditis, Wellen's, WPW, hyper/hypo K, and long QT?

    Others....?

    1. No; I don't know how.

    2. No.

    3. No

    4. LVH, yes. I have difficulites with BBB at times.

    5. Yes

    6. Pericarditis, WPW, Hyper K+ and long QT I am familiar with.

  11. Cenrtalized dispatch seems to be a good idea. In fact the crap that is EMS in Jersey they actually have a centralized dispatch. Might be the only good example you can find in Jersey. Something has to happen. I have seen way to often the hospitals call one after the other until one agrees to fly in bad conditions. Plus you see subtle bribes in little gifts left with the nurses and with EMS so they hope you will call them first. Changes must happen. Helicoptors are not needed in probably more than 50% of the calls they fly much like ground ambulances are actually not needed in 90% of the calls they run. This goes back to the need to do away with the you call we haul mentality.

    Yes, that is the only bright spot in NJ. REMCS (operated by UMDNJ in Newark) dispatches ALL helicopters in the State of New Jersey.

  12. Topic may be in the wrong thread, but I see this as a management problem, so I placed it here. As I was reading an old post, I was struck by someone who was asking whether or not they should hire a medic because he/she didnt make a great first impression. The poster was more or less saying, if we werent so desperate, I wouldnt even consider him/her.

    That raises alot of questions, at all levels of EMS.

    1. Do you work at a desperate service ? If so, how does hiring warm bodies effect the care your service delivers ? How do you like working with someone who is a below average employee ?

    2. If you do not work at such a service, why is your service different ? What does your service do to attract and keep the "best" ? Is it money, benefits, equipment, schedule, call volume, management, none or all of these things ?

    3. Does your service fire everyone that should be fired, or does it take an act of congress to get rid of the bad apples ? If so, is that because of the shortage ?

    4. What does it feel like when you walk into your service, as an outsider ?

    1. It feels like it. It's driving me nuts.

    2. N/A

    3. I wish they did. I have my list ready.

    4. If you walk in as an outsider, and see me, I will be pleasant, friendly, yadda, yadda, yadda. I am an FTO for my company, so I will work with you to make you a productive employee. However, if you bring with you the IKE attitude, I will have you crying by the end of the shift.

  13. The best thing I can tell you to do on a clusterf--k (or any MCI, for that matter) is to grab your patient, get out of there, and do everything on the way to the hospital.

    MCIs suck, especially when they're not controlled. Having PD and FD running around like chickens with their head cut off doesn't help either.

    Always remember to keep cool (or at least look it) in front of your patient.

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