mediccjh

If I had my way, I would have given him 0.25mg/kg diltiazem, but I knew there was no way I was going to convince telemetry of what was going on.

What's wrong, you didn't want to talk to Dr. Silverman so he can ask for your full patient presentation and start off with "Well, I think this patient needs.... instead of ...."?

If one person dies because of a job action, you can kiss your union and your jobs good-bye. The public outcry would be ferocious.

Treat your patient, not the protocols.

This pisses my Education Director off.

You gotta love how 2 people can work an arrest without a problem out of the hospital, and 5 people in the hospital can f--k it up.

Stupid duckies.

I've written a couple of pieces on NJ EMS and their related shenanigans. It seems now many towns are starting to get on board with the idea of paid municpal EMS... BLS only now, because of the certifcate of need crap, but who knows, give it a couple of years and New Jersey Townships may actually have paid professional ALS response.

All towns have paid ALS response. ALS in New Jersey is only done by the hospitals, because it's the law. It's not like PA where there are volly ALS agencies. All the ALS projects in NJ are busy because there aren't a lot spread across the state; the list is on the NJ OEMS website. NJ medics are some of the busiest per capita in the nation because of the spread.

This is a good idea but I think that the emergency personnel are gonna have to get in line behind me and my other fellow passengers. You see I fly every week, monday morning and then coming home thursday night. I talk to my fellow passengers and not one of them has expressed any doubts about taking a terrorist out even if it meant killing themselves.

I think the sky's are safer than they were before 9/11 as I have flown about 500K miles since 09/11 and I've seen people taken off planes for making stupid statements, saying they have a bomb and what not. There's not many people who would not hesitate to gang up on a terrorist and take them out, they all remember what the consequences were when they were not taken out.

If I see some dipshit mixing some type of liquid together then that 1400 dollar laptop I got from work will be a 1400 battering ram or club and I'll take the guy out, and then take lumps for it later.

someone tries to storm the cockpit then I'm there leading the charge and disarming or taking him out, Air marshall or not.

Amen! =D>

We live in a wonderful country. We have this great and wonderful Constitution that gives ALL of us the RIGHT to free speech. You can say whatever you want without fear of being arrested or placed in "house arrest" until you agree to stop saying what the government or religious leaders want you to.

Never forget that.

You have the right to disagree with the game.

You have the right to agree with the game.

You have the right to make the game.

You have the right to play the game.

You have the right to ignore the game.

You have the right to talk about the game in a forum site without fear of punishment.

Rock on, my friends. Continue with your opinions whether you agree or disagree. But continue to give your opinions and NEVER let anyone take that wonderful RIGHT away from you!

Well put. That just about sums it all up.

Further proof that monkeys can't do our job.

And I still don't trust my automatic B/P cuff.

I wasn't aware we were arguing here but some things need corrected. To reiterate what ACE wrote, versed is a benzodiazepine and has amnestic qualities but has absolutely no analgesic properties. Fentanyl is a synthetic opioid analgesic and is effective as an anesthetic only at high doses (around 1000mcg).

RSI is a process with many steps and efficient performance usually requires more than one person. That's just the way it is. If you can't multitask then you get help or you don't do it.

Now I think I'll go back up to my Ivory Tower just as soon as I take a shower and wash the mud off from the call I was just on where I had to tube the patient with only lidocaine, versed and fentanyl because PA doesn't allow etomidate or suxs.

Live long and prosper.

Spock

PA does allow Etomidate (it's on the State list); it's just up to the regional councils to approve.

If it works, there should be no problem. Damn American bureaucracy.

I stick sick kids, ie dehydrated, AMS, or s/p febrile sz w/ high heart rates and other signs of poor perfusion, ie cap refill. I stick about 5 kids a month.

The excuse of not sticking a sick kid b/c it's a kid is bullsh-t. You treat your patients, no matter what your age. I

If you need to hug your kids when you go home, there is absolutely nothing wrong with that. We're all human.

For the record, my first pediatric arrest was on Mother's Day 2002, an 8 d/o. And that was after spending all day w/ my 8 m/o niece. Needless to say, kids don't bother me anymore, and I'd rather treat a kid than some adults.

Do you REALLY want to open up the can of worms?

:roll: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead: :banghead:

If they're struggling, sink a NPA and BVM them. That's a good holdover until CPAP.

Welcome to da City.

Your a mess fella. I mean really...optimus prime? Who thinks of these things?

Count me in for a mark in the "god doesnt exist" column.

You realize that if you don't belive in God, then you don't believe in yourself, and PRPG as we know it DOES NOT EXIST!!!!

For a patient being monitored by SpO2, it takes over 2 minutes of apnea before the SpO2 starts to drop. EtCO2 is almost instantaneous.

This was proven when we were being inserviced at my company for EtCO2 detectors. Since then, I rarely put my patients on SpO2.

So in other words, no one has a f--king clue as to whether pre-hospital intubation is good.

Do you have this patient's dispo and diagnoses, if any? I'm sure that will help you decide whether or not you made the right decision.

In my neck of the woods, if you can go by ground in 20 minutes or less, you go by ground. I usually stretch it to 25, unless the patient is really FUBAR or I don't have an airway.

Well, stcommodore, you said that the PA BLS Protocols state that we can clear C-Spine in the field, yet you have not shown us where in the protocols it says so.

Do me a favor and don't practice EMS in my neck of PA.

First time, EAP (Employee Assistance Program). If there is a relapse, terminate them.

It's simple.

There is NO reason to have porn in the station.

It's OK to watch an R-rated movie, as long as everyone agrees to it.

You've gotta be f--king kidding me!

The medic doesn't see anything wrong with stopping and dropping them off, WITH A PATIENT ONBOARD?

No surprise that the Union Boss thinks it's OK.

F--king morons.

For the most part I can tell the seekers from the needers.

My philosophy is simple:

If you're having chest pain due to an MI or something not of your own origins, you get pain medication.

If you're having chest pain because you just smoked 2 rocks of crack, you can suffer.

Geez, where do I start?

First off, from what you are saying and based on your assessment Jan, it sounds like LMS (Lazy Medic Syndrome). Both patients sounded like they needed the full ALS work-up (IV, EKG, 12-Lead, Blood sugars).

Don't know how you talked to the medic after the jobs, all I can hope is that it was diplomatic. Last thing you want, if you want to progress your career, is to be known as it know-it-all EMT, even if you truly are not.

Late jobs and extended work hours are no excuse for shoddy patient care and LMS.

Please post where in the PA BLS protocols they are.