Scaramedic

Hey PRPG, did the medic use a stylet? I have never seen a tube do that much damage but a stylet pushed too far down the tube past the eyelet might cause the damage you described. Peace, Marty :joker:

Doc I do not have issues with the Basics administering meds, I have issues with the reasons they are allowed to give meds. There seems to be an issue in EMS with some systems trying to get the most bang for their EMT Basic buck. The reason many urban EMS systems run BLS trucks is simple economics, they're cheaper than ALS. Therefore you can put more ambulances on the street, that can be both good and bad. If you have 10 BLS units and 3 ALS units, and three BLS units call for ALS back up you have no ALS units. This creates the need to stretch the scope of practice for Basics, and that is where I have issues. The administrators of some systems see an expanded scope as a way to make more money, or to make the money stretch further. They decide along with a Medical Control Physician to expand on the Basic scope of practice to include ALS interventions to limit the amount of ALS back ups for their BLS units. It is not just individual systems either, obviously as noted on this thread whole states are going this way also. The question then becomes what education is given to Basics to administer ALS interventions? In my opinion it is dangerous to give any medication without a thorough understanding of A&P. It is easy to say give drug A for problem C, but unless you understand what problem C is and how drug A is going to fix it you should not be administering anything. I hate to admit but this is a problem for some Medics also. If a system or state was willing to expand education along with scope I might no have a problem, unfortunately this does not seem to be the case. Sixteen hours for intubation is not near enough education to expand a Basic to that level of care. I would like to know what education is involved in the above states to expand on the Basic's knowledge in regards to ALS care. Objective or subjective S/S if the education is not there I do not want Basics administering ALS interventions. If the education is adequate and there is a real reason (i.e. rural areas) rather than economics I have no problem with Basics expanding their scope. Peace, Marty :joker:

HAHAHAHAHAHAHAHAHAHA IM ON TOP!!!!!!!!

Denied!

WTF? :shock: This makes more sense than any answer you have given yet Whit. Peace, Marty :joker:

Now your dead! Now your Not! You have about four seconds of standstill there, what was her mentation during that? Peace, Marty :joker:

Wrong Terri. I'm on top!!!!!!

OOH Can I add some... A shortness of breath call does not require you to wear bunker gear into the pts house, in case you haven't noticed they smell like someone pissed on a campfire. If you show up with your gear on guess what,your dismissed thank you very much for playing. I don't mind you carrying in your bags if they have ALS equipment in them, saves me time cleaning my laryngoscope. When I say "I gotta pulse" do not resume compressions. Peace, Marty :joker:

I did not mean that AA or 12 steps were a weakness, I was just lucky enough not to be that far down the road. Sorry if I came off that way. Peace, Marty :joker:

My name is Marty and I'm...Nah. Yes I used to drink to excess, whether or not it was job related? :dontknow: I think the problem was there was a group of us who would get together after our shifts and on our nights off and go out together. So for a long time I was drinking every night and yes drinking to excess. Was it a problem yes, but it was one I walked away from on my power. I never needed AA or any other 12 step program, I just realized it was a problem and quit. It was a problem for some of my fellow employees, and did effect their lives at work and at home. Like they say the hardest part is admitting you have a problem. Peace, Marty :joker:

Your not crazy Asysin2leads, I had the same thoughts. When the Rhode Island protocols refers to COPD, they put it under the same heading as Asthma. With a medical control contact for pts over 50. I'm assuming they cover emphysema, chronic lung disease under a different protocol. I would look it up but its bed time. Peace, Marty :sleepy2:

Appearantly you want more of this... ....to each his own I guess. Let the beatings commence. Again. :roll: Peace, Marty :joker:

I had a pt with a mid-humerus amputation, clean cut and like you said very little bleeding. Pt was in a ton of pain though, but never dropped his BP. The one thing I have found that you can't control bleeding on is penetrating trauma to the cranial vault. I'm talking GSW or crowbar to the head kind of stuff. Gushing blood, not much to do but slap a trauma dressing on and run like hell to the ER. Prognosis: Not Good. The bodies mechanisms to control bleeding are amazing and something to keep in mind before slapping on a tourniquet. In fact in 14 yrs I have never used a TQ. Peace, Marty :joker:

Actually that's the only thing they got right. The show is supposed to be set in Portland, Or where they only run dual Medics trucks in real life. Peace, Marty :joker:

By my count Terri has claimed the top spot 105 times. Boy that girl really likes to be on top. Peace, Marty :roll:

Its all in good fun, I don't mean anything personal by it. How can I judge someone I don't even know. Peace, Marty :joker:

[marq=left:95b87be849]-CALL 1-800-H E L P H I M-[/marq:95b87be849][/font:95b87be849] [align=center:95b87be849]Sally Struthers for Help the Unlaid[/font:95b87be849][/align:95b87be849] [align=center:95b87be849] [/align:95b87be849] [align=center:95b87be849]Please help us, this young man is so uptight his head is going to explode at any moment. [/font:95b87be849][/align:95b87be849] [align=center:95b87be849]PLEASE, PLEASE HELP! HIS LIFE DEPENDS ON IT![/align:95b87be849][/font:95b87be849] [align=center:95b87be849]-Operators Standing By-[/font:95b87be849][/align:95b87be849]

I think I found the ambulance your looking for Doc. Peace, Marty :joker:

Your right JP that's not funny, its damn scary. Peace, Marty :joker:

But they do, they all do! Especially up here, the yankee girls love it when I drop into my southern accent. Peace, Marty :joker:

Getting close 7989, anybody care to make last minute adjustments? Peace, Marty :joker:

Welcome to the site and good luck with your interview. Slacks, shirt and tie are always good. Just a shirt and tie even better..... Oh to have partner that looks like that! :shock: Peace, Marty :joker: P.S. Yes I know I'm a pig.

You know what is sad, EMS Cadet has a better understanding than many of the people on this board who are working in EMS. He has written a precise and informative scenario, and backed up his conclusion with facts. Kudos EMS Cadet. You can ride out with me anytime. =D> Peace, Marty :joker:

I would take definitive care even a step further, the patient themselves. A Diabetic can have all the EMS/hospital care in the world, but unless they take care of themselves after they leave the hospital the process breaks down. As far as scene times, I do not know what to say. I have never worked in a system that sets scene time limits. EMS works around stabilizing/treating the issues the patients have, regardless of scene time. Outside of Level 1 trauma of course. But I have to agree, quickly packaging the patient for a stupid scene time limit could affect the long term care of the patient. It makes no sense to me, but then again a lot of the stuff I read about other systems makes no sense to me. :dontknow: Peace, Marty :joker:

Another little known Chucktoid, when he was born his APGAR was 12. He got 2 extra points for kicking the Dr's ass after he smacked Chuck on the butt. :shock: Peace, Marty :joker: