akflightmedic

Who knows, the next time we hear of Dwayne he might be wearing a loin cloth and advocating nose bones.

He already went thru that phase and I unfortunately had to witeness it....

Do you know what they call a person who only knows one language?

AMERICAN

Yeh I had a lot of questions...back in 2010 when the new guidelines were issued.

Check the dates before you revive an old thread with absolutely nothing useful or relevant to add please.

OP started this in July of 2009 and the thread died that same time period.

Yeh but an aussie wannabe with a southern accent...we have heard tales of how those aussie chicks swoon over an American accent, especially a southern one.

Keep practicing this phrase.... Good Eye Might

say it over and over out loud and it is impossible to not sound Aussie.

Spam anyone?

It has been dealt with...in future (since you are new), please click on report button instead of commenting. Thanks

I understand your issue and I know you are a long time member who used to be here quite frequently. I wrestled with whether or not to edit the email and decided it was a precedent we should not set.

I will edit or delete all other similar requests that are not of a death or tragic illness/injury situation.

I'm not a religious person, but since when did we give the green light to covet thy neighbors goods?

It happened when we took religion out of schools!! Those damn atheists are ruining everything good we have in this life.

You are thinking so last century with the idea of a "card". I would suggest that you create a word document of all of these questions, and then load it to a thumb drive. It would be nice if the thumb-drive (or memory card) could have a red cross or other medical emblem on it, and would be stored in the person's pocket, purse, wallet, or on a chain around the rear view mirror in the car. You would just plug it into your laptop, or ER computer, and have everything you need.

Wal Greens has been selling these for years...may have seen them at Wal Mart as well but not 100% sure on that.

Let's see....a known domestic situation with gun involved and the police have not entered and declared the scene safe...what's the issue again?

No I will not enter, they can sue all day long...I am quite comfortable with that decision and will lose no sleep.

Muddy hill, not enough resources to safely carry up a patient...yep, again I am ok with the decision. Call for resources and when enough is there, then we proceed.

At what point in our career choice do you think we sign over our rights to health and safety? I never did and never will. We are not super human...we do what we can when we safely can.

Yep I agree...I have been using my forearm/wrist for years...it is more sensitive. They taught this to me way back on the early 90s....LOL

Then it was reinforced when I had kids. Arguably, I can hold my hand against something hot or cold way longer than I could my forearm.

Actually ak it could nave happened to you. I changed the diagnosis to protect the medics. This patient had a rare ailment not seen by ems often and the only med that fixes it is prednisone, not other steroids or respiratory meds. When it happened the er doc had never dealt with it nor any medic I discussed it with. If I had listed the real disease it would have made the medics known. This patient was walking and talking in her home, all vitals normal, she went down very fast, with little warning, which is what generally happens when they have respiratory issues. ** Edited for typo created by autoword on my cellphone

The scenarios as presented could not have happened to me. Now that the facts have been changed, my response does not...I still would have called for resources the moment she dropped...if I have time to intubate, I have time to wait for the extra hands. Once the patient is intubated, there needs to be two sets of hands working on the patient and once the vent is hooked up and meds given to keep patient in sedated state (since she improved after intubation) there was more than enough time to wait on proper resources.

If she dropped so suddenly, then they were not prepared or even thinking respiratory arrest was imminent. This means there was no prep on the intubation equipment, no prep on on the vent, no prep on the IV and meds...which again means call for assistance immediately and begin ALS interventions.

Again, scenario is outside the normal, but if we are kicking this one around, then there was plenty overlooked which would have negated the big issue of what to do once a crash occurred.

Would love to know what this hypothetical patient condition was....

I applaud your scenario as it is outside the box and presenting those who choose to participate with many different issues to consider prior to taking action...HOWEVER, this will NEVER have happened to me as you presented.

You are called to the residence of a 39 year old asthmatic at 3am, who is having respiratory distress that is unrelieved by her inhaler. You hear moderate wheezing, but nothing to be concerned about, seems to be your average every day asthma call. You get the patient to the truck and begin your first nebulizer treatment, and head to the hospital non-emergency (a 20 minute trip on backroads).

There is no average asthma call, especially one not slightly relieved by an inhaler. Knowing that I have an adult asthma patient who has felt bad enough to call 911 probably after taking 20 shots of the inhaler in past 20 minutes despite probably only telling us "4"....knowing it is just me and my partner and knowing the distance to the ER...I would already be on high alert and considering activating my resources (FD). Note I said considering... Additionally, the first nebulizer treatment would have happened wherever the patient is because once you start moving them, no matter how much you move them, they are still exerting themselves and exacerbating their condition. Also, once you go through that front door, it is either gonna be too hot or too cold for them to breathe which further worsens their condition before that first treatment has time to work.

Your patient starts to get more "tired", and sats are not improving, so you go to the next level in your protocol (whatever that is), about 2-3 miles from the hospital the patient goes into respiratory arrest, you pull over and intubate the patient, reassess vital signs, all is stable, and sats are improving. You know the closest engine company is a bout 5 miles away, and it is 3am, so you have to wait a little longer for them at this hour of the morning (in bed, got to throw on some turn-out gear, so you decide you will go to the ER instead of waiting on assistance from them.

Whoa! Hold up....I am making the decision to intubate and NOT calling for extra hands?? See, this is why the scenario would never work. The few minutes of sitting on side of the road waiting for extra resources is time well spent. Because even after intubating, I now have to hook up a ventilator, so I have time to kill...unless you plan on me only bagging and not doing anything else for the remaining of the trip....and if I plan on a respiratory arrest patient remaining intubated who is showing improvement, then I better be pushing some drugs as well.

This is why this scenario will NEVER be an issue for me, cause once I have help on scene assisting...if I were to get in a crash--I now have enough resources to deal with all the other hypotheticals.

Do not worry, while the COMBAT troops have left Iraq, there are still 5,000-10,000 active duty "Advisers" left behind and about 35,000+ civilian contractors to do the jobs which still need to be done. Not to mention the 10K plus soldiers who have been shifted to Kuwait to stay close for an indefinite amount of time.

Also the 6 publicly known "enduring bases" and the not public bases which will never leave Iraq.

And our large Navy fleet who hangs out in Bahrain for quick action...

So while active combat units have left, do not kid yourself into thinking the USA as a whole is gone from there.

I caution anyone who contacts this person.....Caveat Emptor.

A first time poster, brand new member saying he is burnt out and selling a lot of high dollar items...either stolen or acquired through a bulk sale is my suspicion.

No medical professional owns the majority of items which are for sale...especially a medic. These are not the typical whacker items.

Seems like if the state set maximum standards then the scope for Paramedics would be similar to that of a PA or even a physician...no?

Many states set minimum standards and allow the medical director to titrate up for maximum effect.

I think that maximum protocol regulations are determined by the state and then can be adjusted down from there by individual services, right? Dwayne

You talking about Texas only Dwayne? Cause this is not the case in many states...

I'm an Aussie and I "aid" people! I used to fly in helicopters.

I like to be anonymous because I already put my foot in my mouth too much in the "real world". I need to retain some of the anonymity to hide behind!

Besides I may need to vent about my job and my boss some day......oh hang on...I better change my screen name first since it was joining EMT City that led to my downfall.....I mean current job!

I heard your boss is a really great guy! Feel free to vent to me anytime about him...or you can just walk across the hall and yell at me like you usually do.

I mean yell at him like someone told me you do.

jelcos do not have any sort of safety device on it...the other brands all have either retractable needle or a plastic safety piece which caps the needle.

An intro or a dating ad/request? Anyways, welcome.

Yayyyy....IHLPP leaves and Flaming returns...whoo hooo!!! The fun never ends.

This to me is no different than the race based events.

All these years we have had Miss Black America, BET, Black scholarships...all of which were created to show diversity and pride in who they were. And all during the years, the debate has been how unfair it is that blacks have these events and there are no whites allowed. They challenge it by saying "what if" we had a Miss White America, what if we had WET, etc....the point is, "we" do not need those things and if we did, it would be more destructive than helpful, it would also be blatant racism.

Are they instituting their own racism by having these events. In a sense, yes but culturally it is something "they" need to feel some sort of identity. Others (typically whtie America) will say WHY do they need an identity..they are an American and thats it. It is very easy to just throw that around when every TV program, every event is automatically defaulted to a white demographic.

So as I said, a straight parade is exactly similar to what I wrote above except they are finally doing it. They are saying we should have straight parades because they have gay ones just to prove a point. It is entirely pointless as the majority default position is heterosexual and most are presumed to be of this orientation until proven otherwise.

I would not go to one as it would be quite boring I think. Gay parades are fu to watch because of the flamboyancy. They go to such outlandish extremes because this is a sanctioned event, people get silly and they have fun with it. I imagine a lot of stress is released by the displays as well. It is in your face comedy, stereotypes taken to the 9th degree.

Hell I may add a GLBT scholarship to the atheist/humanist one I am starting at the local college.

How about a sexual pride day? That might be...interesting.

I have sexual pride every day, sometimes I pride myself 2 or 3 times....

Based on this hypothetical situation, my interpretation is this should be overlooked, one which should be chosen to fight another day (possibly) as there are much bigger issues to focus attention on.