mediccjh

Stony Brook is a great place to go. Paul Werfel still teaching there?

Follow Dust's advice. Get a degree. Take the classes.

And stay out of the NYC politics.

ALS coming from the opposite direction of the hospital?

Load and go.

The day you stop treating the little old lady who is nice to you nice back is the day it is time to walk away.

It was indeed a bystander that filmed it, not an EMS member.

Needless to say, I watch my surroundings even more now when I'm working in that area.

They were both BLS units. How both of them ended up there, beats the hell outta me.

MONOC, whose middle name is O NO!!!!

And don't get me started on EVMTS.....

I have a pair of gloves that are made of Kevlar. I mostly use them when carrying the stairchair or Reeves...makes a better grip for me without hurting my fingers. I also use them when I'm rescue work.

You never know when a skell is gonna try and pull something. PD on scenes is a pipe dream in some urban areas.

Im going to disagree with the crowd and consensus on this one.

I wear this belt. Yes I am a whacker, but a whacker with a well educated head on his neck.

You are in an urban enviroment, as I am. When poking around in the ghetto, I wear...

-Flashlight (i refuse to use those giant 20 lb maglights)

-Glovecase (i dont always wear gloves, because you dont always need them)

-bandage shears (i hate hunting for shears)

-Multi-tool

-leather gloves (hand protection for extrication / combative drunken goobers / your local Mc-Dopey)

Cell Phone

Radio

Pager.

Only a few pounds, and everything you need.

Well said. I wear a belt also. I have my glove pouch, radio holster, Palm Pilot holster, Mag-Lite holder, my Big Shears in the small of my back, and my holster with a pair of shears (for the idiot on scene who doesn't have any), a Multi-tool (I use it at least once a shift), a metal O2 key ring (we only have plastic) in the holster.

I use what works for me in my ghetto setting where we're lucky if PD show up, let alone anything else.

This is a BLS job.

What is ALS going to do for this patient? Even if it's AMS, we are not going to be able to fix it unless it's due to hypoxia, opoid analgesics, other drugs, or hypoglycemia.

What would I have done as a medic? a 12-Lead, a physical exam, and check the sugar. And then release back to BLS.

I read Ambulance Driver's blog every morning. A good read.

The compilation blog was a great idea. It's good to see everyone's perspective on the same job.

If your Spidey senses are uncomfortable with a tube, you're better off pulling it.

It's better to walk into the ED with BLS airway management than with a tube in the belly.

It would have to be the ones where you do the hand-holding, but definitely the ones where you help bring someone back and they thank you.

I've had 2 cardiac arrest saves. The first one was someone in cardiology, and he didn't believe us until we showed him the strip. He looked for us at the station for 2 weeks to thank us for saving his life.

Little old ladies and war vets are the ones I'm suckers for. While working in Newark, and I was precepting, we were called out for a CVA. As I'm doing my assessment, I see a picture of a WWII soldier in the room. I ask his wife if that's him. She explains that he was a part of the Red Ball Express. At that moment, my crew and I stood up, saluted him, and shook his hand. While he was having a CVA, you can see that he was at ease with us.

Just Friday night, my partner and I got dispatched for chest pain. While the 12-Lead didn't show a STEMI, I felt something was wrong. My partner and I sat with her for a half-hour to convince her to go to the hospital. She gave in, went with us, and couldn't thank my parter and I enough for helping her, and our bedside manner.

I would rather take care of a little old lady any night, than someone who has gotten shot, stabbed, or crashed. The little old ladies seem a lot more appreciative.

Long story short: be nice to your patients, even in the big-bad city. It will help them feel better, and will not burn you out in this field.

There's a reason why yours is number 2, since we all know where Number 1 is.......

It is not unusual to still administer NTG post arrest. Coronary arteries are still occluded and ischemia can still occur. Of course now, we would rule out the possibility of inferior wall involvement. I still see it used on post arrest until cathed or those that are not eligible to be fibro or cathed.

Actually, I do not see any major "problems" with this video rather I see poor editing. Editing can be seen from the oxygen mask then BVM then back to oxygen mask which can be misleading. I have been on Paramedics and other similar shows, which can paint a poor presentation. ASA might have been given, but not displayed such as the I.V. and possible other med.'s

R/r 911

Thank you bro!!

Which goes back to my original question...vs, why are you bugging on a video made 10 years ago? If you're that bored, I'm sure there are other things you can look at on the Internet. Like porn.

The only times I prefer transporting a patient lights and sirens:

CVA with <6hr onset (per the UMDNJ Brain Attack Team Guidelines)

Trauma (only a surgeon can save them)

AMI (They need a cath lab ASAP..I may be able to control the pain, but I can't Roto-Rooter their vessels)

Failed/Uncontrollable Airway

First off, as you said, 10 years ago. ACLS has changed how many times since then?

He still having CP? Maybe it was before they put ASA on the trucks in Nashville.

And why are we discussing a video from 10 years ago???!!!

They answer to a Higher Authority.

Make the medic pay the bills. His screwup and carelessness resulted in you getting stuck.

OraSure makes the Rapid HIV test. It is produced in Bethlehem, PA.

I'd be more worried about Hep C.

Good luck bro.

If he has an extremity fracture, why the f#@! does he need the pulse ox?

That is why I tend to break BLS pulse oximeters.

Before you all jump on the crew, how about you all research what the FDNY EMS Command policy is.

Here, I have it for you, since I worked in the system. Those who currently do can back me up.

If you have a stable or potentially unstable patient in your truck, and are flagged down while enroute to the hospital, you stop and render care. If you have an unstable or critical patient, you call the job in and continue on your way.

I never said that I would have cardioverted, or even given Adenosine to sinus tach. It might help to read back on what has already been posted, over the last 4 pages, and see the discussion that took place about determination of the rhythm and use of the drug - as endorsed by our regular docs here - for a diagnostic purpose.

Thank you though, for your grandiose - albit repetitive and late - restatement of all that has already been said.

[CONTENT REMOVED - ADMIN ]

(No disrespect intended to those that cross-dress and do both jobs well.)

You just love to start trouble, don't you?

http://www.emtcity.com/phpBB2/viewtopic.php?t=4896

http://www.emtcity.com/phpBB2/viewtopic.php?t=6707

http://www.emtcity.com/phpBB2/viewtopic.php?t=4388

http://www.emtcity.com/phpBB2/viewtopic.php?t=792

... among others.

OWNED!!!!

TCA OD.

Bicarb, bicarb, bicarb!!!

fiznat,

The fact that you brought it to us for our discussion, and your willingness to learn, shows that The Force is strong with you.

Your patient is septic. 220-age=highest sinus tachycardia possible.

If it was an SVT, chances are your patient woulda been cool/pale/diaphoretic. Remember that in immunocompromised patients, a fever may not be necessarily present in infection.

("Dustdevil"

Five points for anybody who knows where that shirt originated.

[spoil:6f13fb7f27)

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I'm guessing Animal House with Jim Belushi. The greatest movie ever made.

That would be JOHN Belushi, who is dead. Don't insult him like that. His brother isn't funny.

I used to be a wacker. Not anymore.

I have a pager for the rescue company in the town I'm in. Some T-shirts that I wear under my uniform.

I do have a duty belt with stuff on it. I prefer it for work.

My boots don't go past my front door.