akroeze

What a scum bag.

What happened to innocent until proven guilty?

It something we can talk about. I live about 2hrs from TO so I could make a night of it!

Am I missing something here? I'm seeing 3rd AVB with ventricular escape.

We're a BLS only private company (Other than our CCTRN's) but we still rune Code 3 to certain calls where dispatch tells us to. Usually these Code3 calls are for ALOC or Unresponsive.

My first two code 3 calls I was patient person because I was new, and both of those I had our transport run Code 3 to the hospital. After looking back on the two calls I've realized Code3 wasn't needed for transport. Why did I think Code 3 was needed? Because in school we were never taught much on how to decide or the reasoning needed to figure out if we need to go Code 3 to the hospital. They taught us to pretty much just do a check list.

My EMT school sucked I'm figuring out as I go through real experience... Which is why I'm planning on going through a 2 year Associates Degree program for medic

You will do well, you have the right attitude!

See! They CAN be cops too. We DO need FF/Medic/Cop combinations! They were first responders for the police

I hope the IAFF steps in and give it good to this crazy doc.

I ask this in all honesty, how is this troll still not banned?

Anyway,

I am sure I will receive some "protective" brother/sisterhood responses for fellow colleagues.

No, but it was pretty dishonest and low of you to try to get information from us without giving us the whole story only to then tell us this is to help you with a law suit.

Not defending the FD in the least but if this Doc didn't come to them first with his concerns then he didn't really handle it appropriately.

Would have been nice if they had included a section for comments. Guess One simply has to e-mail them.

Very true

They all do this, this isn't so much an oops as it is an industry standard

NO, this guy is DEAD!!!!!!

A few more !!! and your point would have been more clear.

None, get into a medic program ASAP

ok i guess i need to clarify something. all the services in the county are all pd on call. all the other services get a stand by pay and a run pay. the ppl that work on the service have other jobs that they go to. on this service some of the ppl are using it as there bread and butter. while the majority of us actually have jobs that we work. this service does not have the ppl to staff it without bring in ppl from the surrounding area to man this service. so that is y there is a pay system here. if we could go full time we would but there is not enough call volume to go full time. I only use this as a way to get extra money so if i am pd for just runs then so be it. that was how it was for yrs no one ever got pd on this service unless there was a run. so bc of lack of personal they decided to give us on call pay. that is how we got were we are today.

How is that my old service had two paid staff 24/7/365 manning the station at a station that did only 40 calls a year, yet you guys aren't busy enough at more than one call per day to justify paid?

And these medics got paid almost $30/hr to do it.

Just making sure everyone noticed that the paper speed is 50mm/sec

Did it

They really need a "Yes to all" box for each page as many times that's what I'd use!

According to my medical directives I can shock anyone >= 30 days

why would they want to go the hospital anyway, the already have the coolest job in the world, let some $8.00 hr private guy run his ass off.

Ok we get it. You like to take every opportunity you can to make fun of people who make EMS their career instead of Fire. The schtick is getting old.

Just went for uniform pick-up this week with my new service. Holy crap, they gave us a lot of stuff.

- Navy Short sleeve uniform shirts x3

- Navy Uniform pants x3

- Wool Sweater (with the epaulets and elbow patches)

- Clip on tie (not for day to day, just office stuff I guess)

- Rain coat

- Winter coat

- Splash pants

- ANSI Vest (marked Paramedic)

- Service t-shirt (not uniform it seems, just SWAG)

- Gear bag (really nice one too)

- Bullard helmet

- Duty belt (2 piece)

- Heavy leather gloves

- Voucher for boots (1/yr for PT and 2/yr for FT)

- 3 sets of epaulets

I think that's it. Service also provided N95 fit testing on that day to make sure we'd have correctly fitting masks available. Not really issued gear, but I was glad to see it was high on the list when we started.

I too just picked up my uniform the other day from my new service:

5 Uniform shirts

3 Uniform pants

3 Smocks (worn under shirt)

1 Ball Cap

1 Toque

1 Sweater vest thing

4 Sets of Epaulets

1 Radio belt clip

1 Radio mic holder

1 Cell phone belt pouch

1 Rain coat

1 Extrication jacket

1 Extrication pants

1 Extrication helmet with face shield

1 Pair Extrication gloves

1 Pair of winter gloves

1 Duty belt (inner/outer)

1 Pair of boots/year

1 Gear bag

1 Tyvek suit

1 Safety glasses

1 N95 Mask with replaceable filters

And on top of that I get a dress uniform custom fitted at a future date.

My google-fu is weak master, please forgive me for I could not answer your questions.

You would think that would be something they would talk about on all these sites.

I'll admit that if I had this patient I would have gone in saying 3rd Degree.... Would have been embarrassed later.

As far as your question, I'm not sure but I'm going to try my google-fu since I should know.

Well if not 3rd AVB then I don't know what to call it. If you map it out there are extra P waves. Is this 2nd AVB 2:1 conduction with abberancy?

There are definitely Ps buried in the Ts

I want to change to say that I would say the axis is more like -60 degrees after I looked over it again

Correct me if I'm wrong as this is something I just taught myself yesterday but.... I'm seeing a left axis shift and estimating it to be about -45 degrees. Am I way off?

I would call this 3rd degree AVB with a ventricular tachycardia escape and the p waves look to be running at a sinus tach

Get a line and be ready to treat but as long as these are perfusing beats no specific treatment to be done in the field. Just be ready for the worst.

Hi Doc this is Alex Kroeze, ACP, OASIS #15411.

I'm calling for a field pronouncement here Doc. I'm in the back yard of a residence with a mid-30s female patient who was found floating face down in the pool, unknown how long she was there. On arrival of the PCP crew the patient was VSA. They performed upfront CPR and then upon analyze discovered Asystole. We arrived as ACP backup just as they were doing their 3rd analyze and patient was still asystole. After one round of epi patient had fine v-fib which was shocked into a bradycardic PEA. Atropine and a 250cc bolus were given and patient was found to be back into v-fib. She has had 2 more epi and 2 lidocaine since then and remains in fine v-fib unresponsive to shocks. Patient is intubated with good air entry however ETCO2 is reading in the middle range on the disposable detector. At this point I'd like to cease resuscitation Doc unless you feel that a trial of bicarb is warranted.

Hi Doc this is Alex Kroeze, ACP, OASIS #15411

I'm 20 minutes from the closest ER. I'm calling for orders for a lidocaine bolus for ventricular bigeminy/trigeminy. Patient is a 75 y/o male with a history of COPD, Angina and Hypertension and is on salbutamol puffers, flovent puffers, nitro patch and metoprolol. Patient this evening while sitting watching TV had a sudden onset of inability to catch his breath as he describes it that doesn't feel like his usual respiratory difficulty. Patient took his own puffers with no relief and when it didn't go away within a few hours he called us. On arrival patient was ambulatory to meet us at the truck. On assessment he is in moderate respiratory distress and pale in colour. BP 102/68, P 68 and weak, R 20, SPO2 98% on NRB. He is in a sinus rhythm with periods of ventricular bigeminy that alternates with ventricular trigeminy. 12 Lead is non-diagnostic. Patient has no allergies. I'd like to give this patient a 1.5mg/kg bolus followed up by 0.75mg/kg q5min prn x2

Bylaw enforcement officers.

http://en.wikipedia.org/wiki/Bylaw