Happiness

Well if anything could go wrong on Friday the 13th it did. Our receptionist now belives in it.........

honda civic

ford

ford

chev

ford

still have

jeep

3 fords

thunderbird

jag

The nurse said the Ambulance was here..................

and he said No its just us paramedics couldn't fit the Ambulance in the elevator

http://uwmedicine.washington.edu/Research/Clinical-Research/Translational-Research/ROC/Cardiac-Arrest/Pages/FAQ.aspx

I cant remember if this study is complete or ongoing.

You have to pick your battles and I agree this one doesn't seem to be the battle. Take note of what happened, and good for you for not arguing in front of the pt. I hate those nurse on a sticks and I do all my BPs manually even in the hospital setting. So with that being said dont treat the machine, treat the pt like they all say.........................................

Did he take Ectasy

We have gotten away from Protocols and are now using Treatment Guidelines, Yahooooo I get to think outside of the box.

So since we were talking about pain meds and then to something else. The words You are a pt advocate have been mentioned. RWN as far as I can see you did what you had to do. We all want our pts to feel no pain but that is not always possible. But as for you older guys come on just because a 19 yr old newbies says to a nurse I think she needs more meds dosn't mean she is going to get them, and we all know that.

As you all know I live on a rock and we have to fly out our phycs. I did one today and because the nurse didn't feel compfortable giving the pt another 2 mg of adivan IV, this pt almost didnt get out. Actually the ALS crew were on the verge of refusing him. I am told by my dispatcher, make sure your pt is snowed, but the drs say they need to rousable by voice. I do talk to the nurses and the Drs about this stuff but if they dont want to they dont. But to my defense I do have the ablity to say I am not taking this pt because the flight crew will refuse him. Now in these cases they (the hospital staff) should have to go on a plane and have a pt flip out in front of them so they understand the dangers that these call can create.

My pt was in his 30's, about 6ft 4, and about 220 lbs. He is a non compliant perenoide schitzophrenic, that has been also an IV drug user in the past. He took himself to the hospital because he is hearing voices from the TV telling him to very violently kill his mother and then kill himself. Now really alot of read flags in this. This is what he had in a 2 hr time period. 2 mg of adivan and 5 mg of haldol IM, then an hr later they started an adivan regement a total of 6 mgs and 50 mg of gravol while I was there. This pt was still able to open his eyes and communicate. When he did become fussy on the stretcher I was able to settle him down and asked him simply to just go back to sleep. I seriously wanted one more dose of adivan but I didnt get my wish and this pt was almost returned, if he freaks in the plane the possiblity of an extra 4 people being killed is a big possiblity. I have been doing these types of medivacs for 15 years and I being a pt advocate have not been heard but I keep on trying, so RWN now you know you can ask but be aware you may not be heard and you will just have to carry on. In this you have to pick your battles.

Okay I'll speak up, and probably get slammed in the end. If I as a woman can play at the club but cant be a member I dont care. Its like alot things in life, its because I can't have it, is what makes me want it.

I am not catholic but I have my favorite Irish friend is and every once in awhile I will participate in Lent only to support her, as I think she is the only one in town that does it. This year it was chocolate that we picked to not partake in. Now I dont particularily eat it everyday, and in reality its only once a month that I really crave it (other ladies will get that but since IM NOT ALLOWED it, I have spent the last forty day or so, wanting it so bad that I would cut off my right arm for a little piece of it.

Thats my analogy of those types of things...........

PS I gave of alcohol one year and when my family found out about the chocolate they bought me wine

OMG you two are real E-tards

The most important thing I can see in this is that you really need to work on the way you present yourself here. I didn't read this post orginally because of the "about flippen time" comment, sorry just rubbed me the wrong way When your in this business you must always be aware of your surroundings and those that are in it. You have to make sure those kids didn't get the feeling that you or your partner didn't do everything you could because he was a druggie. (not saying that is what happened). The way you presented this is you made a judgement on somebodys life style and the sooner you learn not to judge the better.

My suggestion to the Druggies issue is that you do alittle research on why people become drug addicts in the first place. They dont wake up one morning and say "I want to be a druggies". There are many reasons they are and some of them are very layered and complex. The sooner you learn human nature also the better, because it will help you along the way and always remember that you will not always know both sides of a story so don't judge when you only see one.

Good luck in you endevors

Happy

Entonox is a choice. I dont know if it a good one for 3 hrs as it displaces O2, so you have to be aware of O2 levels. This is the only pain management that I have in my tool box. Years ago a pt was medivaced home from abd surgery said that they gave her a pillow to hug. This is suppose to help take the pressure off the area. She was pretty surprised that it did work for her.

I dont understand why you would be angry at management, as it the fact that you are BLS and not able to administer the meds under your license right. If your ALS dont have pain meds in their tool box why are you going for it should it not be one of them.

Happy

Thought I would start this Discussion. Yesterday I had a transfer for someone that has been diagnosed with Erdheim-chester Disease. I was told this was a fairly rare condition, I got alittle info from the nurse but not enough to probably ever remember it. Now I have to say when I was passing this pt off to the medivac crew and it was mentioned that she had this condition WOW this girl went on about it. What the hell are they teaching in the new paramedic course, maybe I should go again

http://www.med.harvard.edu/JPNM/TF00_01/Oct3/WriteUp.html

So here is a discription of the syndrom and i thought it would be educational for us all if everyone can post a rare condition they have come across in their career.

It dont suck, your job is not to save lives. Your job is to apply treatments as per what you discover, per protocols. You have done your job, you should feel no different than if she lived. Now.. If you effed up and killed her, that would suck!

Really, I smelll another troll in our midsts hide the kitties. Your an idiot and have no business being in the ems world and no business here. GO AWAY

Mobey take care

^{Nope sometimes the is quickly ended in one fell swoop}

After being married for 40 years, I took a

careful look at my wife one day and said,

"Forty years ago we had a cheap house, a

junk car, slept on a sofa bed and watched a

10-inch black and white TV, but I got to sleep

every night with a hot 23-year-old girl.

Now ... I have a $500,000.00 home, a $35,000.00

car, a nice big bed and a large screen TV, but

I'm sleeping with a 63-year-old woman. It seems

to me that you're not holding up your side of things."

My wife is a very reasonable woman. She told me

to go out and find a hot 23-year-old girl and she

would make sure that I would once again be living

in a cheap house, driving a junk car, sleeping on

a sofa bed and watching a 10-inch black and

white TV.

Aren't older women great? They really know

how to solve an old guy's problems.

New Alphabet :

A is for apple, and B is for boat,

That used to be right, but now it won't float!

Age before beauty is what we once said,

But let's be a bit more realistic instead.

Now The Alphabet:

A's for arthritis; B's the bad back, C's the chest pains, perhaps car-di-ac?

D is for dental decay and decline, E is for eyesight, can't read that top line!

F is for fissures and fluid retention, G is for gas which I'd rather not mention.

H high blood pressure--I'd rather it low; I for incisions with scars you can show.

J is for joints, out of socket, won't mend, K is for knees that crack when they bend.

L 's for libido, what happened to sex? M is for memory, I forget what comes next.

N is neuralgia, in nerves way down low; O is for osteo, bones that don't grow!

P for prescriptions, I have quite a few, just give me a pill and I'll be good as new!

Qis for queasy, is it fatal or flu? R is for reflux, one meal turns to two.

S is for sleepless nights, counting my fears, T is for Tinnitus; bells in my ears!

U is for urinary; troubles with flow; V for vertigo, that's 'dizzy,' you know..

W for worry, now what's going 'round? X is for X ray, and what might be found.

Yfor another year I'm left here behind, Z is for zest I still have-- in my mind!

we all are irrisponsible at some time in our careers and shit happens. I personally got a giggle out of it and to tell you the truth I told our ff to make a calander of all of them in a dress. And they might just do that

some just have more money than sense lol so where do you strap down the pt

Come to think of it in our VFF department all the bunker gear is in lockers in the station not in the trucks. So I guess they dont always have it with them

Early in my career I went to a call in a dress and this is why

1. I was at my birthday party (thats why I was in a dress)

2. There was no one on call

3. It was a cardiac call

4. Because it just happened that way

These guys did what they had to do, no one got hurt and in reality we dont have to worry about them being a Darwin award. I saw this on the tube and a reported noticed the one guy fussing with his straps and asked the other why it appeared he didnt have an issue with his, well his dress was strapless People will do what people do in any situation and there will always be those that find fault in everything. I bet the people that were around had a good giggle, the fire was faught and put out and the parade went on.......I think I might suggest this to our VFF as a fundraiser because maybe if people thought this was all they had to wear to fires they might donate enough for our crew to get new gear

Captian Ruff

_{So lets go back to before this newbie even attended the call. Did you as a preceptor go through explaining to him/her that when we communicate a pts condition we try to make it so they can understand what is going on and that we try to communicate the condition with out adding extra stress.}

_{So for example Joe Doe if we come across a Heart Attack when we are talking to the pt we dont say "Sir your having the big Jammer" but might say "Sir I believe you are having a Heart Attack and we need to get you to a hospital asap, as we are going I will start an IV and......................"}

_{New medics are so focused on trying to diagnois what is going on that they forget how to communicate. I have had to train the new one just out of school and they are not really told how to talk to pts, and what they are taught really isnt always real clear.}

_{When I had to ride with my Preceptor I was very lucky to have one that would say to me "So we are going to blah blah what are the things that you might want to think about on our way there" I would give my answer, she would never say I was right or wrong as that defeats the purpose of precepting. Then she would say so if you come across blah blah blah how are you going to talk to the patient, how are you going to get the information that you need from the patient or the family members. Communication is learned and learning by example to me is the best way.}

_{just my two cents}

here is a harmless one. get a cookie sheet and fill with enough water to float toothpicks. Put the cookie sheet on the floor, then you place a toothpick at eithe end and tell the two chumps to lay down. You tell them the point of the game is to see who can get the the toothpick to the other side the fastes. You then as you are counting to 3, on you slam you hand down in the middle of the pan and splash the chumps get wet. Yes I was a chump and laughed, then i did it on a few others. Great for kids parties.