mediccjh

It was in the episode when he was having flashbacks about his wife dying; it aired in 1979.

Wrong. His first name was Abraham.

UMDNJ-EMS has the only hospital-based Rescue in the nation. We do all sorts of rescue, as long as it doesn't involved SCBA. We are employed by the State of NJ: The state runs the University, the University runs the Hospital, the Hospital runs EMS.

If you were professional, you would know how to spell P-R-O-T-C-O-L-S.

I started a thread on this last year when I took ACLS, but I can't seem to find it.

But do you know what his first name was?

I always bring in my Airway bag, which has O2, ETT kit, airway supplies, B/P cuff, C-collar (to protect that tube), and bandage stuff. I always bring in a carrying device, whether a stairchair, or a Reeves for the unconscious or arrest. Breathing problems, O2. Anything else, monitor and med bag go in. I prefer to bring my patient out to the truck first, since I do work in a dangerous area, unless it is an immediate life threat. If I start care inside my truck, it's only who I want allowed inside the box, no one else.

Here is a sample one of what I do. This is NOT a real patient. 911 dispatch to above location for an unknown medical emergency. Responded from (insert station here). Arrived on scene, found pt sitting on couch CAO x 4, in extreme pain. Chief Complaint: "I have a cucumber in my ass!!" HPI: Pt states he and his wife were experiencing foreplay when object was inserted in his rectum. PE: 35 y/o male CAO x 4. Skin: Warm/dry/pink. HEENT: atraumatic. PEARL, no facial droop, no JVD, trachea M/L. Chest: symmetrical w/ = expansion, no chest pain. Lungs: CTA (clear through auscultation) x 4, no SOB. ABD: SNT (soft non-tender), no palpable masses. Extremities: atraumatic. (+) PMS x 4, no edema or cyanosis. Back: atraumatic. Pt c/o rectal pain; cucumber noted protruding from pt's rectum). RxTx: as in flow chart. Pt tx to (insert hospital here) ER secured laying on left side on litter; pain diminishing after treatment. Report given, care transferred upon arrival at ER. At this point, there would be a flow chart, which lists vitals, treatment modalities, and a comment section for changes.

Honestly, I haven't met too many JeffSTAT EMS graduates that I've been impressed with, so stick with MontCo.

I may not that be old of an old-timer like Rid, and Dust, but I think my 12 years speaks for me, most of them in very high call-volume systems. I will only reply to the original poster's topic, and nothing more. So far. Every time I have a new EMT partner, I give them the getting-to-know you speech. I sit them down in the back of the box, and tell them exactly what I expect of them. I give them my simple rules to follow: 1. Deer have antlers. Sweeties are made of sugar. Honeys have bees buzzing around them. Everyone is a "sir" or "ma'am." 2. If you don't know how to do something I ask you, tell me. I will either show you right there, or after the job. Usually, I swipe an ETT from the ER and show them how to do it, and let them keep it. That's how I learned to spike an IV bag 12 years ago, and I still have that bag. 3. If you have a question about why I'm doing something, wait until after the job is over. My explanation is simple: if you question me in front of the patient or family, then it makes us BOTH look bad. 3a. However, if you see something that needs my attention, whistle at me. I tend to use the Hawkeye Pierce whistle from the M*A*S*H movie. I love to teach, and I tell my newbies and rookies that. I explain to them that just because I'm a medic doesn't mean I won't learn something from them; however, give me the I-know-everything attitude, my job will be to make you cry by the end of the shift. I have made grown men cry before. Long story short, if the provider is doing something that you know will kill the patient, speak up then and there, in a non-confrontational matter. Otherwise, wait until the job is done.

Depends on the trajectory of the bullet. If the airway is intact, place a trauma dressing and use a C-Collar to hold direct pressure. Keep the patient sitting up to keep the airway clear, and stick a suction catheter in his mouth in case he needs it. If the airway is not intact, what would our options be for a surgical airway? Once again, depends on the trajectory. As chbare said about hematomatoes, I think a surgical airway would be the best. You can still use a collar to control bleeding once the airway is secure; that's why they have the cut out in the front.

That's why I'm glad I also work in Pennsylvania. I, as a Paramedic, can close a highway, and the State Troopers can do NOTHING about it.

I'll be the QA officer and grammar Nazi. I would go with ePCR. This way, individual stats can be collected while a copy can still be left at the ER.

And that is why all ambulances should have the Kussmaul systems installed as a standard. For those who don't know what it is, you flip a switch, which lets you keep the truck running without the keys in the ignition. If anyone steps on the brake without the keys in, the engine shuts off.

Sure Doc, schedule it the weekend of the Celtic Classic in Bethlehem, PA, where I get to celebrate drublic punkenness in my kilt.

Yes, this post was easier on my eyes. I was ball-busting about the Ironbound, nothing meant to be harmful. Come here for feedback, and don't be afraid to question us evil medics.....just do it after the job. And don't call my bus a rig. :twisted:

Armrests and cupholders are required!!!!

First off, use proper grammar. I know Newark public schools stink, and English is not the first language in the Ironbound section, but they do teach that. Also, try using sentences. My eyes are bleeding from trying to read that. If I were on MIC-5 that shift (I know what ib31 stands for ), Remove from plane, evaluate somewhere where I can do my 12-lead with privacy. What medications are the patient on? What was their build? If their pressure is normally 80/systolic, they are probably an athlete with a small build. Depending on the elevation of the flight, a small pneumothorax is possible. What side of the chest did the pain radiate to-left or right? You did not mention this. Keep them on O2, and run them nice and easy to the U.

Spend the time, spend the money, go to Northeastern University. Their medic students come down to Newark, Jersey City (minor league AAA ball) and NYC (minor league AA ball) to do their ride time. NOTE: Just busting balls to the JCMC and NYC guys. But we're still better. :twisted:

Great class. I highly recommend it.

I'll bring my kilt.

I still have those pictures......

Yes, it was a great time, right Flyboy???

You might be a Lancaster County Paramedic if you've managed to use the word heifer on an EMS forum, and not refer to the patient.

If she fell, and is complaining of neck pain, she is getting a board and collar.