mediccjh

Head bleeds suck, bro.

Last month, I had one whose GCS dropped from 13 to 3 in about 5 minutes, the ride to the hospital. I had no help between my location and the hospital, and I couldn't tube her in the back by myself, nor would I tell my partner to pull over the bus and get in the back to help me tube her since she needed surgery.

It just sucks.

Bellevue is the only replantation center in the City of New York. Am I correct, Asys? I'm out of NYC now.

I do have a duty belt. Yes, it has a lot of crap on it.

Left side: glove pouch (5 pairs), swivel belt clip, Pam Zire 72, Mag-Lite Holster.

My BigShears are on my belt in the small of my back.

Right side: Keys, Nextel, holster. In the holster is a Mini-Mag, Leatherman, 2 pairs of shears (because there's always idiots on scene asking for them), O2 wrench, Tubex syringe, and skell pen.

I keep the Johnny-be-good gloves in my pants pocket. And if it's dark, the Johnny-be-good stick goes in. 4-cell MagLite, 3 when in Newark.

Hello, I am an Engineer at Penn State University. We are researching a device that can replicate a life-flight system. This could be similar to a UAV. Can anyone help me find statistics on the actual, or typical costs of a life flight? I have heard all sorts of numbers, and I am looking for a more concrete number.

Thank You!

Brent

Best thing you can do is call around and ask the various medical services. Centre County...I believe you can try StatMedEvac, Life Flight. Further east is PennSTAR and University MedEvac.

bmanges@gmail.com

1. Camaraderie. Good providers always have each others back, and will take care of each other when one is out. All I have to say is 10-13 party (Asys knows what I'm talking about).

2. There is no better feeling in the world than when someone thanks you for saving their life.

3. Interesting people in interesting situations. It's funny.

4. Being allowed behind the yellow tape.

5. Chicks dig medics.

Chicks dig paramedics.

Learn proper use of the apostrophe.

PARAMEDICS should be pluralized, not apostrophed. Apostrophes show possession.

1. Fire Departments trying to run EMS.

2. Edjumacashun

3. Lack of a national identity.

4. Lack of a strong National Scope of Practice.

5. Internal infighting. Can't we all just get along?

6. Stupid hoopies and wackers who make us look bad with oversized lightbars and stupid EMS T-Shirts.

Be nice to them, and for the most part they will be nice to you back.

And if you have a patient and no one will acknowledge you, jumping up and down, doing handstands screaming I HAVE A HAMSTER IN MY ARSE will usually grab their attention.

We get along great with the night shift ER staff in my neck of the woods.

The rhythm is regular, and that's measured with my trusty calipers. That rules out A-Fib.

The wide QRS can be explained by a bundle-branch block. You can see the notch in most of the leads.

The P-wave can be buried in the T, so I'm calling it Sinus Tach w/ BBB.

2.5 mg Albuterol INH

125 mg Solu-Medrol IVP or IM

2G MgSO4 IV drip over 10-20 mins

0.25 mg Terbutaline SQ

EPI if really, really bad

And there was much rejoicing! :D/

Or many reports of people turning to stone and/or losing eyesight.

How's the sandbox? Do you need a sand castle kit?

I don't think it is for abdominal pain.

The four F's that I'm familiar with:

Fat

Forty

Flatulent

Female

For cholecystitis

Hey, I lost my gallbladder, and I only had one...FAT!

I believe that the "AED Response" also brings manpower, not just an AED.

You'd probably wanna skip that...

Ok, drinky time.

PS - NOBODY on the road would have made a diagnosis of Myxedema coma. Nobody.

Au contraire. I have before, my medic preceptor looked at me like I was nuts, and ended up buying me lunch.

I bought them last year at the Fire Expo in Las Vegas, after standing in front of the booth for 20 minutes deciding whether the $100 cost was worth it.

I LOVE THEM!!! Everyone makes fun of me for having them, but when they need clothes cut, I end up doing it. Plus, they're good to break shit with.

all vollunteers are not idiots . yea you do get some people that act like that emt-b and emt-p .. just didn't know if you are refuring to all vollunteer members or just some

If you would have read his post correctly, it shows that he is referring to one person at his station, who happens to be a volunteer, whose profile fits that described by Asys.

Good one, Asys.

Per him, since we dont know, we HAVE to go code. Its a legal issue he says

Your partner is a f--king idiot.

As for finding a medical director, hospitals are better suited, since the have a staff for quality control, as to not overtax the medical director of the program. Then there is rotating expensive, sometimes rarely used medications, so that they don't expire. This is better suited for a hospital based system, so they can be rotated through pharmacy to hospital floors or to other medic units in the system that may use them more frequently. The system that is currently in place in New Jersey works. Can you imagine the cost involved when the NJ DOH OEMS tries to regulate ALS at the municipal level. Let's try to focus on something that can change things for the better instead of trying to fix something that isn't broken.

AMEN!!! =D>

For the record, I only work in Jersey part-time. My full-time job is a third-service provider who is ALS, and does 911 and transports.

This one time somone convinced a new trainee on his first overnight shift that he had to stay wide awake the whole night.

And what's wrong with that? I work nights, and I stay awake all night.

Ambman, you are correct there. I have nothing but the utmost respect for OCFD, and cant wait to get on with them. Hopefully, by that time, they will be ALS..........nah, the way our state moves, thatll never happen

lol

And nor should they be. Volunteer organizations do ALS here out in PA, and it's not always the best.

ALS should be hospital-based. The motive is more focused on patient care, not the bottom line.

I find those stupid lines on T-shirts downgrade our profession and make us look like carrot wackers.

As in the words of Sgt. Esterhaus:

"Hey! (Let's) BE CAREFUL OUT THERE!"

Godspeed, Flyboy, and come home in one piece.

I would like to reiterate Federal Law # 4532.267, or more commonly referred to as the "Anti-Third-Watch-Wannabe-Retard" law, which states "No individual who is employed in EMS, volunteer or paid, in any capacity, outside of the five boroughs of the City of New York, may refer to an ambulance, in whole or in part, as a 'bus', for any reason outside of a direct quote, theatrical production, or for sarcastic and/or humorous effect."

NYPD really does say 'bus'. I usually call it the 'Truck', because to me a Type I is a truck. Then the firefighters get annoyed because to them, a ladder company is a truck company, and therefore the ladder is a truck.

Corollary 1: Those who have worked in New York City at any time, for more than eighteen months full-time employment, are allowed to call it a bus.

everything done in 5 minutes, I find that truly hard to believe.

Are you talking about assessments primary and secondary and then any interventions you have to do? Are you counting that in the 5 minutes?

With 2 providers, it can be done in 5-10 minutes.

You will find a happy balance. I tend to get the pt to my bus quicker (scene safety folks, and I can kick anyone out of the box), and do the things before I go, unless I have a greater than 10 minute transport time.