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  1. If prehosp ETI is discontinued. What will happen in the ER's? Most of the physicians depend on patients to have a controlled airway before they arrive at hosp. Most ETI's done in the ER's are done by paramedics here. We do them so often the Doc's would prefer us. It is common practice while in the dept to get asked by a Doc to tube someone. Going back to using an O/P and a BVM would suck. Filling the stomach with air then getting vomit sprayed everywhere. Not looking forward to that again.
  2. This is my last attempt to get peeps to understand. I am stating before you jump into this career make sure you know what is all about. There is no glam or heroics. It will burn you out, physically and mentally. So if you start your career in this, late in life, be prepared. It takes a toll on your relationships and your family life. I am 38 y's/o and I certainly don't think I am too old. I have seen too many people get into this business thinking its all great, until they figure out that its alot to deal with. After five years they end up leaving. So if you are 30 or 40 or whatever age. Yo
  3. Yep, ya never know what your dealing with. I always like to introduce myself. More so just to see what response I get. Maybe it is a crack head wanting your meds. Maybe its a mental issue. This I would deem part of scene safety. Never rush to a patient and get in their face,, unless you want a knife in your throat or a face full of vomit. I don't care if they are 20 or 70 y/o. You did what I would have done also.
  4. I stand by my comments. From your Blog... how can I take you serious.....your a joke. Get over it!
  5. ouch! I guess my post did apply to some peeps. First of all I was not implying that you are to old or too young. Age does not matter. Its your physical ability. If you read the post correctly I was stating that you cannot just jump into something like this thinking its all great. You must be in it for the right reasons. People who are sincere about a career usually don't jump from one to another. Yes I know sometimes its takes a while to find a job that suits you, but you really need to be committed to something like this. I started worked in this business at age 20, for 18 yrs ALS . I starte
  6. Dustdevil is absolutely right. No B/S. Just the plain in your face truth. I am so sick of the Gun HO!Oakley Sunglass,, High 5'n ,,Whoaah Crap. There is no glamor in this job. Get over it! If your in it for the right reasons then fine...Most are not. If it took till your 36 years old to do this,,than how serious were you about this .
  7. When a person is alive the body compensates by vasoconstriction along with the other obvious responses. So when in a hyplovolemic state the body is already shunting blood from the peripheries due to constriction. Have you ever seen a warm and pink cardiac arrest. When you elevate the lw extreme's it probably helps because there is vascular wall rigidity. This may help because of the bodies ability to maintain somewhat of an overall venous pressure. But when a person is dead there is no parasympathetic or sympathetic response and no systemic pressure at all. Its like taking a rubber water bott
  8. Well its been my experience that most people are aware they have allergies and know what they are sensitive to. When someone tells you they are having a reaction and they had experienced it before. You can believe them. I would get a quick history as to what triggered this. Then they get Epi and the Beni. (if they are not sensitive to it) asap. Don't take the time to screw around. Give it and always prepare for airway control. Yes rash and WELPS,,he,,he,, are good indicators but don't rely on that alone. A visual of the airway is fine, But don't screw around putting scope blades or anything el
  9. I believe the main problem is why they would be at home on call in the first place. Its usually because they want to be at home and are required to do oncall shifts. If they need lights to get to the hosp in time then they should stay at the hosp. Whether it means no time for the new sailboat or missing out on a few thousand $$. It all boils down to money.
  10. I had a similar situation. Arrived for shift and crew that was in that night had a late run so we were waiting for them to get back. They arrived and before we had a chance to do a proper stock check dispatch hit us with a priority transfer. We started out and before we new it it was mid day. It was busy. Throughout the morning we would check equipment, a little at a time. We noticed the ECG cables were missing. We reported it to the manager right away. He replied ,,Oh I was waiting for someone to report this because I was given these extra cables earlier this morning, by hosp staff. I replied
  11. Here is the problem.. There are good medics and bad medics. The protocols are designed to simplify the steps,, for the monkeys. I use them as a guideline. If you are comfortable adjusting your treatment and it works then great. BUT if you screw up then your Doc. will let you fry. If you go outside the box and they live,,your a hero,,,, if they die,,, your unemployed. Unless you are 100% sure of what you are faced with.. stay in the box THEY built for you. Get your paycheck buy a beer and blow it of. Keep eating bananas!!
  12. Of course the pressure would be adjusted and suction if required. I was just stating the short and sweet of it. limited resources too.
  13. Something I wonder is that . was the pts respirations wet or wheezy prior to the puffer/ inhalaton? Alot of peeps think,, well my breathing is bad I need a my puffer or inhalations. I have seen when treating COPD wheezes you can cause what I call a Flash. This is when they go from a tight set of lungs to a flood very fast. I titrate nitro to BP. If their BP will sustain nitro then they get it, but only with a secured iv. When pts get to the weak stage and they begin to lose their effort. Its better to assist them with a bvm and your ET tube at the ready. They usually shut down and then with a
  14. Well many years ago our service hired the first female. The single guys loved the idea. The married guys were nervous about it. I remember one guy was totally against the idea. I wondered why, because he seemed like a nice guy. It wasn't long that I soon realized what the problem was.,, when I meet his wife. She was outraged by it. He would try to get the rest of us to jump on the band wagon. So one day I simply said to him. Your problem is not with the new girl, its with your wife. I said its simple, if you love your job than grow a bigger set of balls and tell your wife if she enjoys going s
  15. When I started I had to give 100% of myself while I worked. The job demands it. Each day I went home I would leave 1% of me at work so I had 99% left to bring home. Add that up over 18 years. What do you have left, An empty wallet and an empty soul.
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