Scaramedic

What happens in quarters, stays in quarters!! :wink:

I'm still waiting on someone to say what a raped ape looks like.

OK, got bored at 3,060 grains of rice. Hopefully that feeds someone.

That sucks. I agree we should be mature adults about this though.

Nahhh.

Let's use Photoshop to make fun of the Chief!!

Here's the original if anybody else wants to give it a shot.

Yeah the math is kind of screwy 400 runs divided by 6 stations works out to a call every 5 days per station. I would think the problem would be too much sleep.

Lock or not lock. I am new to this forum but have been a medic for 15 years. I have seen this question talked about for a long time. Some say it's more convenient to lock: convenient for whom? the nurse, medic or pt. . My opinion is this procedure is NOT or should be considered a convenience. We are not doctors. If you can't decide on what is the correct thing to do, then consult with your medical control and review your protocol. Remember that the pt. is your first priority! DO NO HARM.

Are you trying to tell me that you would contact Med control to get orders for a saline lock or to hang a bag? :?

Scara, you can use shit as long as you do not refer to feces. You can say, "That was a pretty shitty thing to do," but not, "There is a huge pile of s*** over there." See, damn FCC does it every time.

You know the sad part Doc is how much money they spent to decide that. Think of all the meetings, memos, studies, and paperwork discussing the proper us of the word shit. Taxpayer's money spent on shit. Well I guess that's nothing new.

We can use 'shit' now because in case you haven't noticed it's OK to use on TV now. :roll:

The other six are still banned though I'm sure.

A six pack of Coors, bottles. :wink:

Exactly!!!

Which scenario would you prefer to have, considering you are on that Emergency vehicle?

Depends. Am I the dead guy in the back or the driver who is going to lose his job, get sued, and end up doing car dates for crack money.

Personally I would rather be the dead guy in the back.

I agree with the above. I hate dealing with bags and lines, just another damn thing to get caught up in the monitor cables. Which is another gripe, with all the technology we have now why can't we have wireless leads? Sorry that's another subject. Back to your regularly scheduled program.

And by the way' date=' when did the language filter come down. [/quote']

Umm about two weeks ago, didn't you get the memo? It was attached to the memo about the cover sheets for the TPS reports.

When you mention that your supervisor or Chief dictates your treatment in error as it was, I take it back.

Thank you.

Ahh your too sweet. :oops:

This is very good. As soon as my Mod A FF2 Training is done, I will be running EMS calls on a regular basis with the fire department I work with. Sometimes the ambulance is 10 minutes out. Im not going to hold of assessment or appropriate treatment because the ambulance crew is still waking up and it took me less than 1 minute to get to the station and we are out the door in 3. The example of glucose. You bet I would give it (How are you going to give glucose? Orally? On a decreased LOC patient? That's brilliant) if I had a reliable BGL and the patient showed hypoglycemic signs. Then the paramedics can start D50 (and suction the oral glucose out of the patient's airway) if they wish, but they will be informed fully of what I have assessed and what drugs I have given. (What other drugs are you going to give besides glucose? Atropine? CaCl? MsO4?) And this will draw heat, but if I cant get an AVPU response from my patient , I am also going to call for order for glucagon. (Basics giving glucagon? More brilliance) These are the orders from my supervisor. My Chief. (ummm what backwoods shithole are you in that supervisors and chiefs write protocol?) If you are able and ready to give correct tx based on correct assessment, you dont need to wait so you dont bruise egos (It is not about bruising egos scooter. It is about qualified individuals giving the proper treatment, I am sorry you are not qualified to be giving the medications you mentioned.)

Steps onto soapbox....

WTF!!!!!

...steps down.

Crosses Illinois off as places to visit.

You know your malicious remarks were not constructive. I merely asked a question, I did not ask to be bashed. I am a professional EMT with 10 years experience, the last of which was as a training officer. I work with some really great people, both Paramedics and Basics If you don't have something constructive to add please refrain from replying to my posts.

That's better. :wink:

Let's look at it this way. Here is a dog with a stick.

Dog

opens eyes spontaneously = 4

orientated = 5 (Knows their name)

follows commands = 6 (got the stick)

Dog = 15

Stick

No eye opening = 1

No verbal response = 1

No motor response = 1

Stick = 3

Now here is a dead guy.

He's the one in the middle!

GCS

No eye opening = 1

No verbal response = 1

No motor response = 1

Dead Guy = 3

The Glasgow Coma Scale was designed to check the neurological status of a head injury not to verify the status of a corpse. Any other use is not the idea of the original group of Doc's who came up with it.

I have never charted that an arrrest patient is unresponsive, I chart pulseless and apneac. I assume the reader of my chart has the intelligence to understand the patient is not going to be responsive. If they are then we are dealing with the T-virus, which would be bad, very bad.

I'm not too sure what you're trying to say here... this was not any type of test question. There was no info missing for the question I was answering.

I guess the questions you want answered is does a corpse having their eyes open grant them a point on the GCS. The answer is no, they are not unresponsive they are dead. The GCS is test for the living, once they are in arrest you do not use a GCS. Consider the GCS as a test for how severely injured a living soul is, not what state a dead person is in. Hell I've had people in rigor with their eyes still open, it doesn't grant them a 4 on the GCS.

What would you give the following patient as a GCS?

The patient is found lying in bed with their eyes open, not responding to verbal or pain. The patient is in cardiac arrest.

I know this may seem like a joke, but please just humour me.

If that is a test question it is a stupid test question. Why not skip the whole 'Annie, Annie are you OK' part and just say what would be the GCS score of a patient in cardiac arrest.

Besides, it is missing important info. It jumps from unresponsive to cardiac arrest. What happened to the quick look? Check for a pulse? Breathing? Nope, just unresponsive with eyes open = cardiac arrest. :shock:

This again!!

My answer is dependent on where you live.

Does Arvada, Colorado need a Volunteer Fire Department? They had the largest volly dept until they just recently started going paid. They are a city of over 100,000. There is no reason that they were volunteer and contracting out their ALS to AMR. Is volly BLS beneficial in that situation? No, it's plain stupid.

Now here in my home state and county we have some pretty remote towns. Such a place is Northwoods, WA. It is about 70 miles up in the mountains. It is mostly cabins for occasional use. But there are full time residents up there. Now granted they are Ward Weaver kind of people but they have a BLS volly department.

The nearest ALS would be Woodland, which is a good hour, hour and a half, not happening at certain times of the year. So in this case and cases like this, is the only reason I see Volly BLS being beneficial.

BLS Volly services are not beneficial to a community five minutes from a city with ALS though. I am still waiting for people to volunteer to clean the bathrooms or weld over the glory holes in the stalls. Now that might be beneficial.

...whats an ALF...

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[align=center:263e8e37ef]Alien Life Form[/align:263e8e37ef]

Oh come on, I bet I wasn't the only one who thought about the little fuzzball when they read this scenario!!! To bad the dad from the show is now a meth addict.

I agree with 'Zilla, first thing grab one of those little pink 5cc's of NS, squirt it down the trach and suction. I've seen some amazing turn arounds on such a simple thing. Sorry RT's if that's wrong I am not fully functional in the magic surrounding the 150 different types of trachs. :shock:

Just a side note years ago we had a case of those shipped in winter. Somewhere along the line they were exposed to the cold air. When we opened the box they were frozen solid and most had cracked open.

Or maybe Ford could step into the 21st century and offer the keyless ignition/door system that Caddies and others have now.

... Lyons Ambulance company is expected to be cited for leaving the keys inside.

Sorry if you just heard a pop that was my head exploding!!

Are you telling me that the Peoples Republic of Massachusetts can cite you for leaving your keys in your private vehicle?

What's next getting a ticket for having a nice stereo? How abut jail time for leaving your car with it's catalytic converter exposed on the bottom of the vehicle. Makes it nice and easy for the metal thieves to get to.

God I am glad I don't live there. I would probably face a fine for not locking my convertible. I guess the state would say I should lock my car so the thief has to cut the top to get to my stereo equipment and change in my console. That way my insurance has about a $4,000 payout rather than about a $1,200 payout. Brilliant.

To the Politburo of Massachusetts the CRIME is taking the vehicle without permission. The stupid part was leaving the keys in it. Stupidity is not a crime, if it was most of your politicians would be doing life sentences.

Awesome PCB, that is funny as hell!

I fly a lot and have never had a medical emergency onboard. Just lucky I guess. But if I did i would probably be like this.....

....for some very simple reasons.

1. I hate flying

2. I hate moving around on things flying, thinking about the few inches of aluminum between myself and the 30,000 free fall.

3. I hate flying once again, so I usually have a drink or three while I am flying and pre-flight. So I am not going to work a patient under influence.

4. As previously mentioned I do not carry my cards either.

See, this is exactly what can go wrong when people rely on their uncorroborated impressions.

So are you trying to say there is something wrong with phrenology. My Phrenologist says I am going to be an oil millionaire with many fine homes in Essex due to my comparative sagacity. Still waiting, should be any day now. Yep, any day now.

Modern Phrenology

From the text of the site:

See that's the kind of info I would have gleaned if I actually read anything on the page. I just looked at the pretty pictures.