mediccjh

VS, Rid, et al, I agree with all of yaz.

Dead is dead, and nothing we can do is going to change it. Adult or child. Case closed.

Well you see, what happen was, I was drivin' de amblance when my partner dumped his soda out the passenger side. Then the siren blasted and I was pulld ova'. Da pig walked up on the passenger side and aksed "Who was drinkin' dat soda?" My partner said it was him. Da cop said you gots it all over my car. My partner offered to wash it fo him at da station, but the PA STATE POLICE DETECTIVE said, nah, that's OK, just don't do it again.

And don't even get me started on all the idiots who insist on taking every patient to their truck before initiating care. :roll:

Some of us "Idiots" do it in the high-crime Urban areas because the back of the bus is the only safe haven we have. It's not fun working on a patient in the house when you have high/drunk/pissed family members, and PD is too busy to come and help. At least in the back of the bus, you can control who comes in and out, and if it the outside gets too hostile, take off a couple of blocks, then pull over and do your work if needed. Albeit, I ALWAYS carry all of my gear, especially the airway kit, into the house with me, and if they need treatment right there and then, they get it.

My personal way of doing things depends on where I'm working. My f/t suburbia job, the litter stays in the back of the bus until we know how we're getting the patient out, and even then, it's stairchair right through the side door of the bus and then lift or help pt over to the litter. In the city, stairchair always comes in.

I dunno. I see a lot of potential there if we consolidate some of her stances. For example, if we just allow gun owners to euthanise everybody on welfare, then feed their remains to the lizards, we solve several problems at once.

AMEN Dust!

46% Dixie. Barely in Yankeedom.

I think I'm gonna throw myself over a wall.

I average 134 jobs a month. That's enough for me.

PALS and ACLS every 2 years, PHTLS every 3. ALS Skillsfest every 6 months for the things we don't do that often.

I am suscriber to JEMS and EMS Magazine, and considering the Journal of Emergency Medicine. And I browse the Web every day.

Dead is dead.

The important thing on the scene is your attitude towards the parents. If you are calm, cool, and professional, the parents WILL remember that, and it will help in their healing process.

Where in NYC are you?

My station is literally right around the block from Dorney Park and Wildwater Kingdom in Allentown PA. Not only do you get the typical amusement park/outdoorsy injuries and illnesses, being 90 mins from Philly and NYC, not to mention down the street from Allentown, we get gang fights in the amusement park. Occasionally a stabbing too. Go figure.

Not only were the patients only trauma patients, what kind of EMS systems were studied? Big city? Suburban? Rural? The system type can skew the numbers too.

My paramedic program required 5 OR ETTs to pass.

I got 12 in 2 days, and 5 out on the street.

Out of all the tubes I've had in the field (at least 80), I've only been unable to intubate a patient twice, and I used BLS OPA as my backup (before we carried Combi-Tubes).

It's because we are putting out piss-poor medics these days.

And we're putting out piss-poor medics because EMTs are no longer taught to think. They are taught 15 L NRB, sit on scene and wait for ALS.

If you create piss-poor EMTs, they become piss-poor Paramedics.

I'll take that as a yes.

I've actually hung up on him a few times, after I told him thanks for nothing and slammed the phone so he can hear it.

F--king docs in the boxes.

Let me guess, it was Dr. Silverman????

You must be at least a paramedic to take the PALS or ACLS class. It is a prerequesite.

And that's why rubber duckies should only put out fire and lift.

I just want to say, too, that I find it unfortunate that there are a lot of people here that are equating volunteer with:

Because that's how most of them are.

I started as a volly in Eastern PA, in a county where the 911 job numbers are going up and up. I sat at the station whenever I was on duty. By myself, since everyone "responded from home". And you had 10 minutes to get a BLS unit out the door.

Nothing like sitting on scene as a paramedic, waiting for BLS to show up, because you can't transport.

Nothing like going enroute, where BLS is screaming for ALS, where not only you have an extended ETA, but the vollies think it's better to sit on scene and wait for you, as opposed to load and go to the hospital which is 2 BLOCKS AWAY.

Nothing like getting called into the office, since the same vollie crew called and bitched after you tried to turn above situation into a learning moment, telling them diplomatically that once you realize you have a patient require ALS, it's better for the patient if you load and go to the hospital.

Those who say call numbers don't justify a paid crew, there is a simple solution - REGIONALIZE. Drop the f--king egos and work together like a real team. If you're really in it to help people, do what's best.

And on top of that, if you wanna see Volunteers Gone Wild, go to Jersey, where if you're part of the NJFAC, you don't even need an EMT on a volly "squad rig" to go to a job.

If you live in one of those small pockets of America where this is not the norm, then congratulations. However, my assertion holds true in the majority of the country, and especially the urban and suburban centres. It's a shame, but it's true.

Wow, so because I work in both suburbia and 2 of the biggest/busiest systems in the nation, I'm a wannabe hose jockey?

I think I just found my calling for life!!! Thank you, Dust! :roll:

Your 4th per capita, 3rd is flint MI, 2nd Detroit, 1st Newark / Camden

Not Newark/Camden, just Newark.

120,000+ jobs last year. 13 BLS and 6 ALS, split up.

Days:

1 BLS 0630-1830

2 BLS 0700-1900

2 BLS 0800-2000

2 BLS 1200-2400

1 BLS 1400-0200

5 ALS 0700-1900

1 ALS 1200-2400

Nights:

2 BLS 1900-0700

2 BLS 2000-0800

4 ALS 1900-0700, only 2 city-wide. One covers Newark Airport and mutal aid into Elizabeth NJ, and the other covers East Orange and Orange.

So far my record is 18 in a night. Summers are known for 25 a night.

*throws on Red bandanna, rolls up left pant leg*

Word.

Youz best fix dat bandana if yous gonna be playin' in da Brick!

AND ANOTHER THING!!!

I realized I'm not done yet.

The thing that pisses me off the most about poems like this is the arrogance of them. 'I wish you could'...........

Oh yeah, I forgot, because firefighting is for the unique special gods among men who rise above us mere mortals, but alas, they are alone in their lofty atmosphere, if only we had it in us to dare dream what they can... oh the shame of it all.

Get over yourself. And if your job is that hard, quit.

Spoken like a true NYC*EMSer, about the ducks.

I'm gonna go barf now.

I wish you would know how much I can't stand seeing this f-----g poem over and over and over again. How many times has it been posted on this site?

I believe you have my stapler.

If you are going to that extreme of not transferring emergency transporting.. then get protocols to cease the resuscitation effort. Don't play !.. Either treat the patient as a emergency .. can't get worse than no pulse... or cal it in the field.. be done with it. Sorry, working my butt off doing compressions and giving medications .. bagging etc for additional 10 minutes or greater does not make sense.

Be safe,

R/r 911

Unfortunately, for whatever reason, my Regional Medical Director is against this. I tried arguing the point with him that we're doing the same thing in the streets that they are gonna do in the ER, but to no avail.

I love having the ability to cease efforts in NYC and NJ.

I don't think we need helmets in the back of a rig. Hell, we can't even see since there's no light back there, and only cargo. Cargo doesn't need treatment.

I would not wear a helmet in the back of the bus. Design safer ambulances.