mediccjh

He made it shes sane again.. Well Ok as sane as he ever was to begin with.

Rid he had his Guinness at Cheers.

But Ill tell ya nothing like standing in the ocean at 30 degrees now is there?

Your welcome any time you know that.

Ha my first post in months.. Go figure.... I think I'm getting sick or something.

SHE? When did I become a SHE???

Don't make me proofread your post, Frankie.........

So if someone with multiple-personality disorder wants to RMA, do you have them sign one refusal, or one for each personality? And what if only one of the personalities wants to go the hospital, and the others don't? Can you be charged with kidnapping?

I can not believe you called me out like that dude!

What happened to the slogan of what happens in Vegas stays in Vegas???

You broke the rule!! LOL

Anyways, yes its true, depsite his continuous offerings and even buying me a few, I just dont like dark beers. I drank it but with much disdain. Then I popped open my Coronas...yumyum.

Everything else from that weeked needs to stay quiet bro.

Like I remember anything........except for trying to be picked up on the Strip.........

:roll: :roll: :roll: :roll:

mediccjh you say that like its a bad thing......

Guinness is good for you!!!!

The only thing AK can be attacked for is his dislike of Guinness. (Sorry bro, had to).

Ok Laddie, Lets hear this story and I hope thats not campbell tartan you are wearing in your Avatar!

Somedic

No, the tartan is the City of Bethlehem, PA. A gentleman from Ireland came here, opened up a nice Irish shop, and designed the tartan to reflect the Irish, Scottish, and Welsh upbringings of the Lehigh Valley.

Make it The Week From Hell.

Every night this week, I have either intubated or needed/attempted to intubate someone.

Saturday night, I had a bad fatality MVA. SHe was dead in the car, but in PEA and entrapped. We worked it. I nearly lost it in the ER. Then had a heroin OD, which was nice and easy. First one in awhile, gave him 1 mg and he woke up. I nicely read him the riot act when he woke up, and hopefully scared him straight (I doubt it).

Tonight, another pin job, with an ungrateful bitch who was more upset that we busted the glass of her car which was upside down. Gotta love the drunk drivers.

I'm lucky enough while yes I can be an asshole when the certain hospital is on divert, I do have the respect of the staff there, including the doctors, and they were more focused on my well-being than anything else. It's a comforting feeling knowing that there are people there watching your back.

Only 2.5 more hours, and I'm escaping for 2 days.

Jersey City, UMDNJ, and I believe the Hudson County BLS services pay around that now too.

UMDNJ starts EMTs at $17.50/hr and medics at $25/hr, w/ $1.50/hr night shift differential from 1900 to 0700. That's why I only work nights there.

I used them last night to break glass.

You bill your patients then you lose your not for profit status. Its been tried near me. A lot of residents despise it because for the most part they cant afford the $300-$1000+ transport.

You needed to specify that it applies in New Jersey only. However, there are companies out there, that bill and do not lose their non-profit status.

The past 24 hours have been exhausting and mentally straining of my 10 year career.

Where do I start?

Monday night, we had 2 MVAs with Rescue, pin jobs 1st was 3 blocks away from the station...my guy had busted his face, missing teeth, possible LeForte I fx...he was intubated at the hospital. That was around midnight.

Then at 6a, we get hit for another pin job. Car blew a stop sign and got T-boned by a tractor-trailer doing 55 (the speed limit on that stretch of road). The engine block was in the center console, neither driver nor passenger were wearing seatbelts. The female passenger was unconscious, and the way they were positioned she was on top of him, as if they were spooning. There was NO room to work due to the massive damage (roof intrusion, engine block in her lap, massive intrusion into passenger compartment of doors, dashboard, everything), so all I could do was manual C-Spine w/ jaw thrust since she was breathing about 4 times a minutes. After the driver was extricated, I was finally able to put a collar and O2 on, but couldn't bag her so it was just a NRB, since the roof was still in the way. Needed to extricate him first to get to her to treat her, all while I'm in the back in my Blueberry Jump Suit and helmet. Got her in the back of the bus, I tubed her and got bilateral 14s since she was hypotensive, tachycardic, cold and clammy, blah, blah, blah. She has:R cranial bleed w/ left brain shift, Pnemomediastinum, Busted ribs, Lacerated spleen,Possible L femur or tib-fib fx, and that's only what I could remember...somehow she is still alive. The car was fucking destroyed...we were only onscene for 17 minutes, 15 of that FD working to cut, which they did a kick-ass job on.

Last night, I had a preceptee til 1...not too bad.

5 am we're dispatched for an unconscious. Get there, this guy is laying on left side, tachypneic w/ dried dark blood around his mouth. He was a quadriplegic, so the stairchair was out of the question. Threw him on the Reeves, he started gurgling, so we got him out to the bus as fast as we could. I bagged him and tubed him in the bus...he had some wicked kyphosis, so it was pretty much a blind tube since all I saw was the top of the cords w/ my partner giving me cric pressure...got it on the first shot (same with the chick from the MVA).

Then at 0644, ANOTHER PIN JOB!! We get going, me muttering not again over and over, We get there, and 2 minor injuries, thank God.

The past 24 hours have been exhausnting and mentally straining. The crash at 6a was one of the worst, if not the worst, I've ever see w/ live patients. I think what's getting me is the helplessness of only being able to keep her airway open and C-Spine manually in-line due to the conditions. I know I did what I could, and if she survives this, it's a fucking miracle.

It's been a rough 24 hours, and I can't wait to escape Monday morning at 7a.

I just needed to vent.

Since everyone seems to have forgotten what the topic was:

1. Yes, there is a specialty plate in PA for EMS, that does NOT identify you as an emergency vehicle.

2. There in NO obligation to stop in the Commonwealth of PA if your vehicle has this plate.

Both of these isses were addressed in my previous post. We are talking about PA, not any other state, and the answer has already been posted. Why the fark is there still arguments about stopping????

](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,) ](*,)

The plate s/he is talking about is a personalized license plate, which has a Star of Life inside the Keystone, and instead of the state's website on the bottom of the tag, it says EMERGENCY MEDICAL SERVICES. It does NOT mean there is an obligation to stop; that's only if the tag says EMERGENCY VEHICLE.

Just doing some research on jersey ems companies......

Can you be a little more specific as to what you want to know?

Sounds like wonderful standards from a state that doesn't have a single accreditied paramedic school.

Or know how to use the letter R.

I believe in the power of chemical sedation.

Oooh! I see potential in that combination!

Although, I think I may know her. I have dated the only hott chick in Boston already.

+500 for insulting the City of Boston.

I love it!!

Further proof that cats are dumb. You would never see a dawg do that.

You know, I guess I'm kinda surprised someplaces have a problem with ALS handing off to BLS. Never thought it was such a big deal, really. If the patient is stable, the BLS crew is comfortable, and everything is on the up and up, I think its efficient use of resources.

Thank you!

I was at an EMS conference over the weekend. Ken Bouvier (past head of NAEMT, and head of New Orleans EMS) was the guest lecturer.

He talked about injuries in vehicle collisions, and did a very simple demo. He placed 4 chairs on the stage, and had 4 people sit in them. He then asked them to stand, and sit in every seat in a short amount of time, without going outsde the chairs. Of course everyone bumped into each other. That simple display is what happens during an unseatbelted roll over.

Were you up at the Pocono Conference?

HellsBells,

I'll beat everyone to the chase and keep it short. Treat the pt, not the pulse oximeter. The values obtained by SpO2 are very limited in their significance and are often over stated.

Yes, you beat me to it.

PULSE OXIMETRY HAS NO USE ON A BLS AMBULANCE!!! If they need oxygen, just give it!!!!!

That's a save! Now you can frame the paper on the wall.

www.chucknorrisfacts.com

.

PD shows up and they promptly write you because the ambulance is facing the wrong direction, then administer breathalyzer tests to the firefighters, who all fail miserably.

That's because they're from Engine 151 in Staten Island, and just got done arguing about Elvis' birthday.