tskstorm

Yeah, nice rant. Again, you have FAILED to give any information that has been requested from you. I think this is a game for you.

If it's a simple device to remove, then there would be no reason to cut it. If it's loose enough to get a shear blade under, maybe it's not tight enough?

Hmm, interesting thought that makes a lot of sense! Who would have thought you could make sense?

I wouldn't want to ruin my shears with your socks, Lone.. But I can prolly get eight or ten pairs of gloves on, and gloves are cheaper to replace. HA HA HA

Thank goodness I'm a medic, I'll let the BLS cut them off while I pretend to do some ALS type stuff.

Please do NOT tell me who this person was, as I may know the individual.

I don't usually name drop. If you know you know, if not better for everyone!

Who are you trying to kid here? We all know that the FDNY/EMS is still using candles in front of mirrors for lighting!

I wouldn't doubt it !

Ditto.... Now if only I can find a way to show it to the gangbangers here and see if there's a change in attitude. Nothing scarier that treating a multiple GSW chest and having a firearm shoved into your neck with the holder saying "leave him, let him die".....

Yea, I've had similar situations. I'm happy reminding them I love them as much as everyone else.

Well my friend, the tournakit is meant to control arterial bleeds, which are life threatening. If someone tries to use one to control venous or capillary bleed's, so be it. It will do the trick, it maybe a bit too serious for such a simple injury, but it will still do the trick.

Sure. I could amputate it too, would also do the trick but it maybe a bit too serious.

Come on now...

EMS Student Pet Peeve!

Holy cow, nothing pisses me off more, than someone fudging the vitals. If they do it in the classroom, they'll do it in the field. I was the "patient" at a class several years ago. Every student, I was 120/80, Pulse 80, Resp. 16. First, I intentionally slowed my breathing to 10. Second, my pulse was running about a hundred because I had a cold/fever. Third.. My BP prolly went up, every time I blatantly knew they lied. Used to be, I ran 108/70 range. Anymore it's prolly 140/90. But when I hear someone say 120/80, I tell them to check it again on the other arm. But on the ambulance, I'd sooner do it myself, than rely on NIBP, just personal preference.

Yea, no benefit in that, If they never learn to take them they never will.

I read today in a thread, i dont recall which one, about patient advocacy, standing up for the rights of the patient. I have also heard "Thats what our Protocols are' once too often. Protocols can get changed with good, factually based arguments. Be an advocate for your future patients & fight useing a long back board as anything other than an extrication device.

Here the protocols are written by a board of doctors, there are 2 Paramedics who sit on the board as observers only, they may occasionally add in something function a Dr. may not think about, but there are no EMT's ... Protocols here are changed based on how many times NYC gets sued.

Well this thread didn't blow up in the wrong direction at all lol ..

AH, okay.

Seriously, everyone who complains of abdo pain aren't allowed to walk down a flight of stairs? Damn, that's a restrictive policy. Also tells me that you guys aren't really trusted, are you?

NYC has lots of sue happy people. Protocol is written that way to protect the provider in the long run, it encourages getting a signature for protection of liability.

RIP Brother...

RIP Brother...

I'm going to make an educated guess that our new friend here is pretty fresh out of AIT and looking at his first deployment. His "hooah" enthusiasm and go/no-go judgments are pretty typical of an 18-19yo E2/E3 with no real experience.

To Doc D, this is not meant as an insult to you. I love your enthusiasm and pride, and it's important to have. But slow down a minute and take a little time to think about what you say in your posts. You seem to genuinely want to learn and engage with people here and that's great! There is a lot of great information to be found here and eons of experience to pull from among the members. But keep in mind that this isn't a military forum. Going all hooah on people won't get you much. Also realize that you are taught very specific skills in AIT for very specific circumstances that are very different from what most folks here operate under. And those AIT skills, though great building blocks, are not the only or even best way of doing things - even in the Army. As you advance in your career, especially thru deployments, you are going to learn many ways of doing things, many new skills, and develop your own style. Even in the Army, every medic has their own style, every team has their own system, and every unit has their own SOP. The best thing you can do here and in the field is to observe as much as possible, take bits from what you learn and find your own style outside of what instructors have drilled into you. Good luck and feel free to ask any questions.

+1

Why are they cutting it? Shouldn't they be clogging it?

Need an even edge to put a "cap" on ?

"Hey, we're the good guys. Please don't shoot us."

I can live with that lol ...

I am still a shitbag.......

We still agree lol

Active military, or activated reservist are separate categorization.

I would not expect to see partners of mine armed, unless a full scale riot is in progress, and a National Guard team is assigned to my unit, so the only armament I'd normally be expecting to see (on "friendlies") would be 9mm handguns in the holsters of an accompanying NYPD LEO. If said LEO has the weapon out of the holster, or they are carrying longer barreled weapons, I'm in the wrong place at the wrong time!

I remember a time where it was so bad in parts of Brooklyn and the Bronx when we walked into certain buildings the LEO would hand you their spare piece and say point and shoot I'll worry about paperwork. (And this was not that long ago but it doesn't happen very often at all, it was common practice 15/20 years ago according to one of my partners who's been a Medic 25 years.)

Hey guys, I am a shitbag, I admit it.

I am still a shitbag.

Tell us something we don't know!

I don't see any oil leaking from this cam. Am I missing something, or is it fixed for now?

Check again, and remember its live, so you may not always see it. The view right now, I can see oil leaking, the one an hour ago I could not.

For once I am agreeeing with a firefighter. (SHOCK) Especially considering the original post sounds like somehting a firefighter would do.

As for cutting off the bands if needed for patient care...sure. But you could also ask them to remove them. or chose a different site (ek the A/C.

I could just as easily choose the EJ. That's not the point. I said if its compromising to patient care, there are a lot of what if's to be discussed but I'd rather not.

You propose I use the A/C, I say my imaginary what if patient has nothing but flat and heroin abused veins in his A/C. See how this gets us no where? So lets not do that. If it compromises patient care it goes. If it doesn't it can stay.

If the patient is that conversant, do they really need the IV, or are you putting it in for self serving 'because I could' reasons?

From my experience, with 1 noteable exception, i have never had a patient argue about cutting off clothing etc. I did, with the 1 noteable exception give him a choice, cut it off or use the External Jugular. He saw my way of thinking.

I've cut off teenage females "uggz" because they we're trauma patients specifically to the lower extremities, they were quite clear they didn't want them cut off, and I was quite clear I needed to check for distal perfusion, and they couldn't "slip off" the boots because of the pain it was causing.

This week a patient refused an IV because "they hurt too much" as he sits in SVT with a rate of 200. "Okay no problem pastor." Attach Defib pads on him, "whats this?" "Pastor, since you didn't want an IV I can't give you a medication to fix your heart, so I have to use these instead its going to hurt are you sure you don't want an IV?" "No IV they hurt to much" *charging* point being sometimes people refuse whats best for them because they are just set in their ways.

If you cut someone's property without an imminent medical need, you're really not thinking clearly and just being a douche. Sorry. You can dislike the "emo kid" and all his jelly bracelets... but unless you can't get them off without cutting, you have no right to destroy his property. What's wrong with you?

If there's a medical need, you do as little damage as possible but do what needs to be done. If there's no medical need, and the original post doesn't really indicate whether or not there was, then keep your scissors to yourself.

I'm actually really disgusted by this... is it OK to cut off someone's coat because you don't like the designer? Because you think it makes them stuck up? Where do you draw the line here?

Wendy

CO EMT-B

Wendy I'm in agreement, if there is a medical need do it, do it and that's the end of it. I personally will not go out of my way to cut along the seams I put my rescue hook or scissors at the first edge of clothing or boot etc... I can reach and go from there. Maybe I'm a jerk for it, but I don't have the frame of mind where I feel clothing takes priority over taking care of the patient.

wow that's pretty cool, hope it works.

Only on kids.

One of the bigger mistakes in doing this proceedure is not using a long enough needle. Here we cary 10 g , 3 1/4 needles for this very reason, although there are some really obese patients you may not hit the pleural space even then.

Steve

I was joking, and my 1/2 I meant .5 not 1 or 2 inch...

I think it might be in part that the man who is featured in the video actually is making comments on his own behalf here on the string.

I am open minded enough to admit, while I am really not a fan of the "Rap" style of entertainment, it is a good demonstration of the Rap genre.

I'm sure that's a large part. Very grateful for it.

What? The last florescent lighting sets I had seen were over 10 years ago, in surplus military ambulances that FDNY purchased for other than EMS usage, like the computer and radio repair service dudes and dudettes.

Whats in your trucks now ?