RaceMedic

GEEEEZ you guys turn my back for 30 minutes and you have three pages Damn PAger

It is possible to do it yourself ... most classes i taught were at night. I did it anyway but you have to make sure that you have a eval for each student for it to be taken seriously. it will take many many times of doing it but i think you will find that it is worht your time if you wish to persue teaching further than first aid courses. Good luck in what ever you choose. just don't let them get to you. Keep it up. Be Safe Race

your gonna get me in trouble !!!!!!!!!! HAHAHAHAHA im Back

HAHAHAHAHAHAHAHAHAHAHA thats what you think !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

ohhhh yea welll ..... :tongue9: LMAO im back

:twisted: :twisted: :twisted: nope ... back down again!!!!!!!!!!!! :twisted:

HAHAHAHHAHAHAHAHA could possibly keep this up all night ... LMAO if i dont get a call !!!!!!!!!!!! sucks being on duty LOL

OK AK ... you know i like you .. but i don't LIKE you .... LMAO ... lease you really do like it on top huh ? TOOO BAD SOO SADD

WWWWWWWWWWHHHHHHHHHHHHHHOOOOOOOOOOOOOOOOOOOOOOOHHHHHHHHHHHHHHHHHHHOOOOOOOOOOOOOO OOOOOOOO

MedicDude , Your not alone in this. I am a CPR instructor and hear the samething. Your classes are too short there is no way your classes are complete or cover everything. is what i would hear from my supervisor. The way i got around this is i finally got smart and handed out course evaluations on my own. Outlined them and printed them. then handed them out to my classes. then i would seal them in an envelope and hand them to the supervisor with the rest of the nessesary paper work. after a couple of times of this as well as the people i was instructing stopping them and telling them how i did and how much they enjoyed the class that they let me do what i felt nessesary in my own classes. Now i will tell you that i have been teaching CPR for over 6yrs and did have to put in my time teaching the "right" way before i ventured out on my own with it. i didn't start modifing my approach until after about two yrs into my teaching. i formed my own ways and means of teaching. Just stick with it .. you'll get them to come around... Be Safe Race

AHHHH HAAAAAA BACK AGAIN !!!!!!! Im Rick James BITCHHHHHHH

hey all i want my 15 seconds of on top !!!

ok PRP, Ace, and Paramedicmike you all have a good and valid stand on the EMS as definitive care or the fact that definitive care is a figment of every ones imagination. I like that idea and it makes much more sense than saying that the docs in the ER are going to do more than we are during a non traumatic arrest. Here is where i have to chime in about scene times. They have given people the " golden Hour" this thought process is outdated as well as most cardiac Pt's and the like are going to more " less invasive " surgeries and interventions by the specialists. Secondly, we will not ever do away with the 10/20 scene time unwritten rule. Fact is we, in EMS, deal in volume. We are already understaffed over worked in some cases and way underpaid in many cases to allow medics to be tied up for up to possibly 2 hrs working till an arrest is "stable " post resuscitation for transport or risk recurrent arrest from movement. There are other calls to take and Pt's to be transported. Sure not all pay but some do and those are what we are after. the little old retiree's that need a ride to be dis-impacted or cath'ed or what ever. Granted medicare only pays so much but it is better than what the unemployed crack head next door is going to pay when he OD's and you save his wasted ass. To have your trucks tied up for unlimited amounts of time means that in times of high volume and demand on resources you will have to call in more medics and EMT's meaning you will have to pay more in wages and when budgets come under review you have to justify the spending and increase your transport charges which translates in to medicare paying even less but still more than the unemployed crack head next door when he OD's again and stiffs you for the bill, AGAIN!!! This also goes for the argument people have about transporting a working code(cpr in progress) to the ED. the docs say .. why do you transport dead people??? and i say to that, Wh y do you initiate CPR on a dead person in the ER? Cause that's what i am paid to do. the "M" in MICU means Mobile and i know i can work in the back as well as i can on the bathroom floor and in the back of my truck i don't have to worry about the wife or husband getting in the way cause they just cant get back and let me work. I know i rambled on and probably made no sense at all. but hey i voiced my opinion. In the end if you tie up trucks and medics on calls and have to call more in to cover calls that they could be making that's makes little sense. Now before you all get your panties in a bind .... i am speaking from what i think is an Administrators point of view. As a medic, yea i would like a little less friction when i decide to stay and play... but i also see the flip side as well. Be Safe Race

SW Kansas LMAO

yea your right we are new to Osage. we have been very pleased with it. Like you we have been using E series trucks for ever. Before these new trucks our newest truck had just at 100,000 mile on it as well. Now we have these two trucks and the rest have over 120,000 easily. But again like you we had no need for a 4x4 truck now all of a sudden we do. then they took off the off road tires and put on highway tread....WTH ??? makes not sence to me but then thats why they make the big bucks !!! LMAO Be Safe Race

Ruff i like your thinking but with the way most riders out there ride, do you honestly think that there would be anything left to donate???? as for my opinion, Half the time i don't wear my seatbelt, when i was riding motorcycle i did have a crash and could have been very bad had i not had my helmet on. But still i do not advocate the government or their little special intrest groups and lobbiests telling me what and where to do things. so no i do not agree with helmet laws. I guess i look at it like this now. No helmet usually means they wont be doing that anymore. And the best helmet in the world will do little to help save more than the eyes if these idoits are drinking then getting back on the bikes and racing off. in my area we have great raods for top speed racing. Long, straight, flat i have personally attempted many land speed titles out here. lol . 185 mph is my personal best so far. and will have to stand as i no longer own a motorcycle. You all have to agree that at speeds like that all a helmet is going to do is help with identification. your still going to have to call fire out for a washdown.

both the GMC and the F-450 came from Osage out of Lynn, Missouri. The boxes are good and seem to be doing well. we do not do remounts anymore, got burned pretty good on them. Our other trucks have been from Miller/McCoy and Collins. Now one of those went out out of business i think. Ohh here is a bit of info on the GMC 4500 as well. Ours is only making 9mpg on the highway at normal speeds and 4-5mpg running lights and sirens. now im not really sure what our fords do but i do know it is better than that. The Duramax diesel in the GMC is not near what they claim it to be. it does seem to have better acceration in passing but it is short lived and gives out before the pass is complete. Im not sure if or how many over the road transfers your service does, we do a lot of them and usually at 243 miles one way. If your looking at the 4x4 then your not really lookin for over the road stats ... LOL ... hope it helps Be Safe Race

glad i could help out... Ford has a very good long running track record in this business and i think GMC was just tring to break in to a niche market with the medium truck chassis. sounds like your service is like mine in that you problably run the largest box you can fit on the the chassis? we do .. not always nessesary but is definitly nice not to be cramped in the back!!! Just a question, Who is the manufacturer of your box? Be Safe Race

ok based on the fact that in the original post you said she was in the park, right? ( i didn't repost it so go back and re read it lol ) so when she said she was at home, does she have an altered mental status ? if so there is your ALS ticket. Or did you forget and just put her back in the house as an oversite? just wondering. Be Safe Race

Before i would pass of to my EMT and gleefully sing to myself, i would like to know what my monitor says and possibly a finger stick. but chances are i would go ahead and ride in back. But also she is in a park right ? is there ragweed around ? has she taken an alergy pill recently? is it one she has taken before ? or is it new ? or a new script ? Also in a case like this it really depends on how much i trust my EMT as to whether or not i let them in the back with a PT alone. Be Safe Race

we follow a 20 minute scene time guideline for all calls. if we are there for longer than twenty minutes our narrative must show what we did and why we were there for that amount of time. if it does not then we have some splaining to do lucy. Our QA guy does a good job of calling us in on the carpet when we spend more time than seems to be needed on scene. But as he puts it " your the ones on the street doing the job, if your documentation cant explain why you were there for so long then we have a problem. But if you document well and all bases are covered then you have no worries" Thats the way it should be. IF your doing your job and whats best for your patient it will come out in your PCR. if not you need to work on your documentation or your patient care sucks and you need to work on that as well. :twisted: :twisted: :twisted: Be Safe Race

Definitive medical care generally refers to care that will improve, rather than simply stabilize, a casualty’s condition, e.g., surgery or other care provided in a hospital. Requirements for definitive medical care will vary widely depending on the magnitude and epidemiology of the disaster. this comes from Boston Public Health Commission http://www.bphc.org/director/bda_medresponse2.asp http://www.swsahs.nsw.gov.au/livTrauma/edu...ection%206A.pdf this is another good resource describes definitive care as the "second hour" while i will agree with what was said earlier. EMS as ALS providers do in some cases deliver definitive care, however in my opinion, We are only deliver definitive treatments in the field. Yes we can do most of what the ER's can in our ambulances , but lets not get arrogant. our supplies we carry are very limited as are our skills and most of the time Protocols. Not to mention we do not have lab and Xray in the field, nor do we have a surgical suite or a surgeon in the back either. Based on our unavoidable and imposed limits on EMS resources in the field, i would have to say that no EMS is not definitive care. We deliver definitive treatments as Ace has pointed out so many times but that is not definitive care. It is going to take more education and professional recognition before we could be considered definitive care, If we ever make it to that point. Until then the PDP Asys has introduced us to will have to be satisfied with waking hypoglycemic PT's with D50..... Be Safe Race

no problem madmedic ... glad to help. we recently have purchased a new F 450 all wheel drive chassis truck. so far we love it. so much so that we are looking in to getting a two wheel drive f 450 next time round. We had to get away from the E series trucks the maintence was really eating up the budget. the heavier chassis has so far helped with that. tires and brakes last at least twice as long. not to mention if your maintenece chief knows thier stuff oil changes are done at 6 - 8000 miles instead of every 3000. anyway .. again glad to help. be safe Race

my service has had alot of problems with the suspention system being incredibly stiff and unforgiving. After three complete rear air suspention upgrades from Linksys, it is now a dream to ride in. However the rest of the chassis has had its problems. the engine has had the fuel rail and complete turbo system replaced. the transmission has be recalled once and the traction control module has been a problem as well. The fuel filter for some reason has to be replaced at every oild change as well, not sure what thats all about. This all has happened during the first 50K miles. The chassis is now entering its second yr in service and spent about 50% of its time in the shop this first yr. Now in all fairness i was told that the chassis we have it the 6th one of the GMC 4500 designated for ambulance service. With that knowledge and that there will always be problems with 1st generation equipment im sure they have improved them and you will not see near the problems we have. Good luck Race