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mediccjh

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Posts posted by mediccjh

  1. He never had a first name. In one episode they showed a business card that read R. Quincy. Even when he got married he was referred to as Quincy. The woman that he married played his dead wife in a flashback in an earlier episode (coincidence?). Jack Klugman was asked what Quicny's first name was and he always replied, "Doctor."

    Wrong. His first name was Abraham.

  2. [/font:6889f3dc70] On the most part in New Jersey the fire side does the vehicle extrication. But there are a few that the BLS provider for the municipality does do rescue work. Probably one of the biggest and impressive I know of in the state would be UMDNJ-Newark does the heavy rescue work for the area. They are career, but they are BLS and ALS providers for the city not the fire department.

    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.

  3. ya know your malicious remarks are not constructive i merely asked a question did not ask to be bashed. I am a professional EMT with 10 years experience the last of which as training officer, I work with some really great people paramedics and basics, if you don't have something constructive to add please refrain from replying to my posts.

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

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. What kind of ajenda are you guys thinking? Perhaps there is someone here *wink wink, nudge nudge* that could get Dr. Bledsoe to do some sort of speach.

    Give me enough notice and, if possible, I'll be there. Consider EMStock for an EMT City meeting.

    Bryan Bledsoe

    Fajardo, Puerto Rico

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

  10. Mediccjh, I hope this grammar is easier on your eyes than the grammar in my previous post. My previous post was written while I was half asleep. I do appreciate pointing our my lack of proper grammar, however it was due to inattention and exhaustion and not ignorance. 8)

    I applaud you, you figured my username out. lol I am not trying to hide that I am indeed from Ironbound. I appreciate the input that you have provided. I am seeking feedback, which is why I posted this case on here. I am here to learn, to become better at what I do. The patient in question was a female in her forties. I would not classify her as athletic, but she was small in stature. She was on singulair for asthma, and a medication that I cannot recall that was prescribed due to gastrointestinal problems related to Gallbladder removal. The pain seemed to originate at the level of the zyphoid process in a "band" of sorts, across the thorax. This pain radiated directly superiorly, moving pretty much across the entire chest, not necessarily to one side or the other. As you advised, this patient was placed on o2 and transported nice and easy with ALS to the hospital. Perhaps it was a small Pneumo, as you have suggested. Perhaps it was something else. Thank you for your input, like I said, I am here to learn, for that is one thing we never should stop doing.

    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:

  11. FYI, I AM A BLS PROVIDER THEREFORE THIS IS FROM A BLS PERSPECTIVE....you are dispatched for a chest pain on an airliner. upon your arrival yo find a 45 y/o female seated in airplane seat in no visible distress c/o chest pain. pain is currently minor, 2 or 3 out of ten. Patient states she developed severe chest pain during the flight three seperate times. pain is described first as a pressure but later described as a sharp pain/pressure, originating from area of zyphiod process, laterally along the thorax, and radiating up into the chest. when asked if pain was worsened by inspiration pt states she couldnt take a deep breath during episode. upon palpation of chest, pain was not worsened, it was not reproducible. three seperate episodes occurred, and family states pt "passed out" after each of three episodes, a few minutes after pain became severe.pt hx of hypotension, asthma and unknown stomach issues, claustrophobia and gallbladder removal. pt did not believe symptoms were related to claustrophobia, and has flown before without a problem. v/s hr 64 rr 16 b/p 100/70. pt states normal bp is 80 sys. additional sets of v/s were similar, and as we were pulling into the er the pressure was 80/35, which pt states is about normal. take it from here, als and bls providers please.

    btw, flight was about a 4 hour flight

    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 :lol: ), 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.

  12. Hey all

    Had my EMT-B since October and have planned all along to make the leap to medic. Would have done it sooner but I'm getting married in June and the thought of being in medic school and trying to deal with the bride was a bit too much.

    So I am looking for a program here in Mass starting in the fall.

    I know what programs there are out there, I want to know your thoughts on what the good ones and the bad ones are, and why.

    I plan on visiting the ones I've heard good things about to do some hands on research, and even take a con-ed class with each to see just how they really are as teachers.

    But any other input would be much appreaciated.

    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:

  13. REMEMBER EVERYBODY!

    If you go to this meet-up, you'll only have 3 months to save up for airfare to get to my wedding in June. I wouldn't want you to miss that! :lol:

    I'll bring my kilt.

  14. Ok, now I will add my two cents.

    Some of the older members may remember but we did a city meet up in '05 I think it was. We met in Vegas then as well.

    However we timed the event to coincide with the EMS Expo which allowed us to get CMEs as well. The other benefit to going during an EMS event was those of us that itemize our taxes were able to deduct the trip as we were there strictly for acquiring necessary CMEs to keep our certs and our jobs.

    We did have a blast and I would love to see this happen again. The pictures are priceless!

    I still have those pictures......

  15. Actually this would be the 2'nd event of this caliber. The first occurred a couple of years ago in Las Vegas. Unfortunately, I was unable to attend but received several unusual phone calls... :lol: .. Apparently, there were some great times and friendships....

    R/r 911

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

  16. The county just north of us was pretty rural and behind the times, until recently.

    It was not uncommon to hear a call dispatched to "Jakey's House", the township and complaint. When units would sign on, they would get the additional. "Go up the road to the old church. Turn right, and go aways. It's the fifth driveway past the barn that used to be there."

    I was waiting for the dispatcher to say: "turn right at the rock that looks like a bear", or "ask the heifers at the gate for directions", but that never happened.

    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.

  17. LOL!

    Well, I have to admit that lots of R-rated responses came to my mind when I read that subject line too!

    I do use "rig" sometimes though. I NEVER use "bus".

    I use "Bus". A bus takes you from one place and drops you off elsewhere, therefore it applies in my world. And after all, it is a short bus, where most of our patients belong or rode at one point in time.

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