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Scaramedic

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Posts posted by Scaramedic

    Dispatched to a call "unknown".

    in Education and Training

    Posted

    I came on here to summit a scenario, if it was to confusing (obviously) than for that I apologize, but to continue to pick apart and a brake down someones self worth just because you can't grasp the text is not right.

    Your Right, I am sorry for any hurt feelings. I summit to you my humble apology.

    Peace,

    Marty

    :thumbleft:

    Dispatched to a call "unknown".

    in Education and Training

    Posted

    980733473447387e8bd07e.jpg

    Is it because of the whole compartment thing that was discussed earlier, I forget by who!? For the record I looked that up also. And found that if it was a crush compartment Syndrome that Sodium Bi-Carb would be the First drug to administer before a pt is extricated......or perhaps some could use insulin which would transport dextrose through the cell membranes and pulls potassium with it. .....or Albuterol lowers serum potassium case by driving it back into cells

    Ummm it's great to know you can use cut & paste, but do you really understand anything you are saying?

    I'm thinking you are a brand new volunteer who ran on a really "neat" call and you want to talk about it. That's great, I love to hear people getting excited about calls. Just do not pretend to be something you are not by using Google to quote medical knowledge. If you want to be in EMS Internet search engines are not the way to go, people in the business can see through this BS in a New York minute. Take the appropriate classes, educate yourself, and most of all ask questions instead of making statements you do not understand.

    Peace,

    Marty

    :thumbleft:

    P.S. "Shaking the bush boss, shaking the bush"

    Also relates to Dust's post.

    Dispatched to a call "unknown".

    in Education and Training

    Posted

    We would not have been able to intubate the pt (using an AS)

    What is an "AS"?

    a smaller combi-tube.Goes in easier, and is best used for all adults unless you have a really big guy.

    ??????????

    Oh...you said intubate though. A combitube isn't intubation. But even still I don't understand. Why would you use this AS device if oral intubation was available to you? A combitube is a rescue device in the event of a failed intubation. Why would you go straight to that? I assume you can orally intubate since you said for some reason you would elect to go nasal (I assume intubation, unless it is some other device like this "AS" thing). Could you clarify please?

    Actually, that was how he described the AS airway thingimajig. The "Patten" airway was just a misspelling of patent.

    You also appeared to have been discussing intubation should he have required it. Then you go on to mention this mysterious "AS" device which is similar to a combitube. What does "AS" stand for, and do you have a link/pic of this product? You then said you would not have intubated this person (was this with or without this "AS" thing?) because of previous (and then unknown) esophageal surgury. And state you would have done a "nasal". Is esophageal surgery a contraindication for this "AS" device?

    I cannot believe I am agreeing with VS on anything, but I also want to know what this "AS" is. I have never heard of an AS Combitube. Pray tell.

    Peace,

    Marty

    :thumbleft:

    Severe Burnout

    in Burnout, Stress, & Health

    Posted

    First of all I commend you on seeking advice and help, that's not easy. I agree with chbare, start by talking with your PCP he can then refer you to someone. I also have to ask, can you change duties from FF/Para to just firefighter? If not you might want to think of a career change if counseling does not work for you. Your well being is important, so do not sell yourself short working in a position that is hurting your personal life.

    Good luck,

    Marty

    :thumbleft:

    New USAToday article

    in General EMS Discussion

    Posted

    Key line from the article....

    The report, presented Friday at the Society for Academic Emergency Medicine in San Francisco, supports the similar findings of a USA TODAY study last year that called into question the national trend of putting paramedics on fire engines, often the first to reach the scene of an emergency.

    This is a new study. The US Today article was last year.

    The numbers cited for cardiac arrest saves did not come from the study, or any part of the study. The sudden cardiac arrest save numbers came from the AHA. So if you want to bitch about the study and the outcome of the study and any role that EMSA, Jack Stout or Dr. Sacra had then bitch about that. But the arrest save numbers were real.

    Kudos to the medics of Medic One in Seattle, the medics in Boston and yes the medics at EMSA. I have worked in Denver, Portland and Tulsa. By far the best medics I worked with were in Tulsa. You can be an EMSA hater all you want but the people at EMSA are awesome. Dr. Sacra was a vast improvement over Mengis Khan, I commend him for being honest on the numbers as Rid quoted.

    Another thing if this study is from 2002 or even yesterday, TFD has had Paramedics on rigs since 1999, most former EMSA Paramedics. That is why I think the study is BS.

    Peace,

    Marty

    :thumbleft:

    P.S. As I said before....Go EMSA!! :wav:

    Points from Verbal First Aid workshop I attended

    in General EMS Discussion

    Posted

    Sounds like someone is pushing the old "mind imagery" theory and maybe now following up with a book ?.. Same old psycho babble.. it has been out for several years and was popular for a while in mid 80's, until most medics found it was a waste of time. However, it did some good .. most patients started laughing when used...

    R/r 911

    The book is already out Rid.

    http://www.amazon.com/gp/product/158872023...098436?n=283155

    Peace,

    Marty

    :thumbleft:

    Sizing up an MVC

    in Patient Care

    Posted

    If I do an initial size up on 4 pts' and find all are not hurt very badly but all have some neck/back pain- What is my next step? Tell them to all remain still and take Cspine on one person??

    An old school trick is to tape their head to the headrest.

    Having said that I am not a fan of off duty response. You need to verify a few things before you respond to calls off duty. Are you covered under insurance, both physically and for medical liability? The good Sam Law only covers you if you have no "duty to respond." If your going on scene under the guise of your department/company that is a duty to respond. If you get hurt on scene are they going to take care of you, or are you on your own? MVA scenes are inherently dangerous, that multiplies when you are on your own without the protection of a big vehicle with emergency lights lights all over it to block oncoming vehicles for you.

    Peace,

    Marty

    :thumbleft:

    National Registry

    in General EMS Discussion

    Posted

    Hate to hijack, but I repeat..There is NO Intermediate level in FLorida...please prove me wrong and I will apologize...

    I hate to disagree with you AK, but there is an Intermediate Level in Florida.

    1358238832446926994c0de.jpg

    It's northeast of Sarasota. :wink:

    Peace,

    Marty

    :thumbleft:

    Seatbelt Usage

    in General EMS Discussion

    Posted

    Front yes, back no.

    Absolutely no comment on that. :shock:

    I have to admit I rarely wore mine in the back, in the front I always wore a seat belt though. That didn't change even after I was injured. I was standing to get meds out of the cabinet, when my partner slammed on the brakes I grabbed the cabinet frame to hold on. The impact was so hard and my grip so tight I actually ripped the frame, mounting brackets and all out the cabinet. I flew forward to the bulkhead and banged the hell out of myself. Yet another time I was on TV getting wheeled away in C-Spine precautions. :D

    I have never seen any numbers on injuries while attending a patient. They would interesting to see.

    Peace,

    Marty

    :thumbleft:

    new personnel

    in General EMS Discussion

    Posted

    I don't believe in degrading anyone Jake. When I say be tough on them I mean make them second guess themselves and find the clinical reasons they are doing something, or jumping them when they make a mistake. Example, when I was doing my Para internship my preceptor could make me second guess myself by asking something like "are you sure you want to give that nitro." He was not being mean he just wanted me to justify it. Being hard on someone does not mean degrading them.

    Peace,

    Marty

    :thumbleft:

    What is your 2005 song.....

    in Funny Stuff

    Posted

    Awww...ca'mon AK....I'd like to see you in a crotch-a-tard.... :shock:

    *Raise your hand if you would like to see AK in a crotch-a-tard?*

    xoxo

    8

    Ummmmm NO!!

    The last thing I need to see is AK's moose knuckle. :puke:

    Peace,

    Marty

    :thumbleft:

    What is your 2005 song.....

    in Funny Stuff

    Posted

    MMMM I just realized what a geezer I am, I only knew a couple of the artists listed. But this is my song...

    Feel Good Inc by Gorillaz

    "Love forever love is free.

    Let's turn forever you and me."

    In 2005, you were loving life and feeling no pain.

    I have no clue Who "Gorillaz" are, and I have never heard the song. :dontknow:

    Scaramedic takes his walker and wanders off to the Depend's aisle.

    Peace,

    Marty

    :thumbleft:

    Field lab draws by ALS

    in Patient Care

    Posted

    Here's what I remember..

    1. Citrated tube (Blue)

    2. Gel/No additive (Red, Tiger, Gold, Mint)

    3. Heparinized (Green)

    4. EDTA (purple)

    5. Fluoride (Grey)

    Red can be drawn first since it has no additive, but our coag specialists liked blue first.

    Here's a question back at ya AK. Put these specimens outside of the rainbow in the proper order.

    Light Yellow (ACD)

    Royal blue with both Red & Lavender labels

    Blood cultures

    Yellow-for AFB cultures

    It is probably not fair since I just worked in a Microbiology Lab, but I think ya can do it AK.

    Peace,

    Marty

    :thumbleft:

    new personnel

    in General EMS Discussion

    Posted

    Being rough on new people is a valid attempt to weed out the weak and uneducated idiots coming out of the schools now (and in the past). Its not that we hate you, but like RegularEMT said we want you to prove yourself. If you can't handle your co-workers giving you grief you'll never make it out on the streets.

    Peace,

    Marty

    :thumbleft:

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