Lone Star

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Lone Star last won the day on September 13 2012

Lone Star had the most liked content!

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About Lone Star

  • Birthday 10/21/1964

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    Lost in the land of Confusion

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  • Occupation
    NREMT-I (I-85)/ AAS EMS, NREMT-P Student

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26,764 profile views
  1. Old folks Still here?

    Back to school, at Ruffmeister University.....
  2. EMTB

  3. Narcan at the EMT level.

    I am an advocate of leaving the 'medical stuff' to the 'medical folks'. Sure, Band-Aids on boo-boos is alright, but putting pharmaceuticals in the hands of the uneducated/improperly trained can never be a 'good thing'.... Correct me if I'm wrong here, but doesn't the amount needed to improve respiration depend on the amount of the opiate in the system? Is the LEO drug box going to be enough to properly mitigate the situation? If LEO want to get into medical, they should go to school like the rest of us.
  4. Narcan at the EMT level.

    First off, improper administration of Naloxone can induce: Abrupt reversal of opioid effects in persons who are physically dependent on opioids may precipitate an acute withdrawal syndrome which may include, but is not limited to, the following signs and symptoms: body aches, fever, sweating, runny nose, sneezing, piloerection, yawning, weakness, shivering or trembling, nervousness, restlessness or irritability, diarrhea, nausea or vomiting, abdominal cramps, increased blood pressure, tachycardia. In the neonate, opioid withdrawal may also include: convulsions; excessive crying; hyperactive reflexes. The rest of your sarcastic (and highly unnecessary) post included a lot of 'talk' and 'ifs', so it's based on facts not entered into evidence. EMS education in the United States still tends to accommodate the 'lowest common denominator', and with only 120 hours of classroom education and 24 hours of clinical experience, it's not a good idea to start pushing pharmaceuticals until an education system is implemented that accommodates higher educational requirements for entry level EMS (another topic that has been beaten to death).
  5. Narcan at the EMT level.

    Having been an EMT for 12 years before "moving up the 'food chain', so I can say this with some authority: I'll start with the standard "120 hours of class room education" argument. Having sat through the EMT-B course twice (with a significant interval in between classes), I can attest that the EMT-B program really hasn't changed much, and the young EMT's are still being taught irrelevant information, and it is not adequate enough to start administering pharmaceuticals (especially those with such serious ramifications when administered incorrectly). Additionally, is the EMT-B really equipped and trained to deal with the effects of improper administration of Narcan? The EMT-B is barely taught more than the superficial mechanics of the body systems, and not to think about the 'why' of treatments. If it's bleeding, stop the bleeding (insert ICE mnemonic here), if it's not breathing, ventilate, if it's at an odd angle, splint it....high flow O2 , and rapid transport (radio for ALS intercept if necessary). Is this REALLY the educational level that is appropriate for the administration of Narcan? I'm in no way busting the chops of the EMT-B, but I AM railing against the educational levels that they receive. I'm also advocating for the patient, which I can see ending up in dire straits because of an inadequately trained, over zealous EMT-B 'slamming Narcan'...
  6. What would you do?

    Isn't the 'loading dose' of Narcan 2mg? One of the factors I would take into consideration is the age of the patient. If I remember correctly, the elderly tend to have more dramatic reactions to narcotics (and possibly the blocking of the opiate uptake?). The "less than loading dose" theory sounds good, and I can see the logic in fractional dosing in this case to more closely monitor cause/effect. Is this a process that is widely used?
  7. Beating your kids

    If I had tried to do something like "I'll call 9-1-1 if you try to discipline me!', I would have been told that while on the phone with the cops, go ahead and ask them to send an ambulance at the same time...because I would need it by the time they got there to stop him......
  8. This is for you Dwayne

    Nudidity Good!
  9. I will be back to terrizing the neighborhood!

    Run and hide! Terrinator has come back! SkyNet is a reality, and John Connor failed to destroy it......
  10. You have to love them...

    Too bad it didn't happen on 12/31 at 2355...then they could have said they called you last year!
  11. Little Johnny

    Little Johnny and Suzie were always in competition to see who had the best toys. They would meet on the street corner and compare. Johnny came out with a new Louisville Slugger baseball bat, and Suzie brought out a brand new Easton aluminum bat. Suzie came out with a 10 speed bicycle and Johnny had an 18 speed mountain bike. Johnny came out the next morning with a Red Rider wagon, but Suzie had one that practically pushed itself.....you get the idea here. One day, Johnny is standing on the corner with nothing that Suzie could see. He looked at Suzie and said "I've got something you'll NEVER have!" When Suzie asked what that might be, Johnnie dropped his britches, pointed to his crotch and said "I've got one of these!" Poor little Suzie went home in tears. The next day, Johnny is standing on the corner when Suzie arrives. He tells Suzie "I've still got something you'll NEVER have!". Suzie again inquires to that this might be. Johnny again drops his britches, points to his crotch and says "I've got one of these.". Little suzie pulls up the front of her skirt, points to her crotch and says "My mom told me that with one of these I can have all of those I want!" Never try to out-think a girl!
  12. 23 adult truths

    What's the big deal about sorting your laundry by colors? Segregation has been deemed unconstitutional.... I think we should just put all the clothes in the washer and let them learn from their cultural differences!!!
  13. Just another new guy, again

    Leave it to Fred to totally screw up following directions....it should have been a left at Pismo Beach and a right at Cucamonga.... Figures....I gotta explain EVERYTHING to you, over and over again..... How's the wife and 'linoleum lizard' doin?
  14. Breaks out the windex and looks around

    Don't forget to sample the local cuisine! When I went to New Orleans for Rita/Katrina, our crew was pretty much restricted to the 'campsite' (while management lived in hotels), so I wasn't able to get a good 'taste of the region'.....STILL want to try crawfish etouffee!!
  15. Failed

    Annie-droid, First off, don't think that you've 'got nothing to add', because locked in that pretty head of yours, is a wealth of information that can be benefitted from. Second, are you going to look at this as the end of the world situation, or are you going to pick yourself up, dust yourself off and get back in the ring and shoot for the TKO? I got sick and had to withdraw from school in my last semester. I don't know if I can get back in, or if I have to start all over again (this will be the third time around). Don't give up, I got your back (that way I can check out your backside in the process)!