Mateo_1387

oh, so it's alright for someone to accidentally kill someone/something... but only if they feel bad about it, gotchya!

I do not think he said that. I do not get the idea of putting her in front of the firing squad though. I mean, the irony of the situation is kind of amusing. For them to care for a 16 year old deaf and blind dog, they probably did not want to see the dog dead. Just guessing though.

No way is this discussion of a policy on what equipment to take in will hold or even be set up. Our service prides itself in allowing our medics to work autonomously and every one of them sans one takes at least a med bag or all three pieces of equipment (bag, monitor and oxy) in on EVERY call. It's just this one person.

I'm not going to go any further into this discusion on the "lazy" because of several aspects which I cannot discuss.

Thanks for everyone's input.

A few things Ruff. You asked for ideas, I gave you a couple. What is the problem with the policy? Hard to be a paramedic in a house when all your equipment is in the ambulance. If the rest of your people are doing the right thing, then a policy should not affect them.

Also, I'm not sure what the word 'sans' is supposed to mean, but I am having some trouble reading what you typed.

I have to agree with the Culture of EMS that Dust refers as tolerance of this attitude acceptable without correction in this situation is deplorable. But the lets make a "policy" only idea I must disagree because I have observed this before one punishes all based on only one or two bad apples. I am for positive for peer pressure, one must ask the question just when did packing a refusal form around become acceptable or passing a comment "So just where is that crystal ball located in your truck" ?

On the lighter side: I wasn't born lazy I was just born tired ... j/k

cheers

Squeent....

The ol' punish all for a few bad apples' problems. I also disagree with that approach. If the rest of the system is full of crews doing the 'right thing', then implementing a policy for doing the 'right thing' should not be a problem. Also, when the people who already do the 'right thing' work with those who are used to being lazy, a policy will reinforce the correct decision and back up the EMT/Medic already doing the 'right thing'.

The alternative though is that if it is an organizational problem with crews not taking in necessary equipment, then a policy would be a start to fixing the problem. It is not truly punishing those who are already doing their job, it is rather going to affect those who are lazy.

Why not capture the airway with a non-visualized airway like the King LT-D and deliver asynchronous ventilations with continuous chest compressions?

Tom

The idea is not to increase thoracic pressure with aggressive ventilations. Increased thoracic pressure decreases preload to the heart, and in a sense can cause blood to be stagnant.

Two things.

1. Start hiding refusal forms from that medic.

2. Make a department policy to carry a minimum of the first in bag, oxygen, monitor, and stretcher into the home. First person to disobey gets an automatic 3 days suspension.

Oh, and for the bad attitude, start spanking them. It supposedly works for children.

statment i would only think this and not say or do it

so dont get mad at me

if the pt was just fat from eatting way way too much and the famliy is helping them get fat then by all means let them move the pt to my truck see then if they keep feeding the pt thats to fat to roll over

we had one pt that was takeing to the doc 1 once a week it took 5 crews to move them and this pt would ask if they could call ahead to the pizza place before we took them home or ask if we could stop and get them 6 bigmacs

I honestly hope you are joking bro. Otherwise, you need to realize that these patients are sick folk. They honestly need medical care. Their cases are going to be tough ones to manage. The last thing they need is a bunch of disgruntled EMTs who do not like to do the job they signed up for.

You should take a psychology class or two and learn about the psychological aspects of being addicted to food. Then of course you should do all sorts of studying on the medical aspects of being morbidly obese. After that, you might think about taking a professional writing class.

Dang and I chose to go to Texas instead with Dust .... argh !

cheers and greetings Dar.

She is about the same height as Dust, but a hell of a lot cuter !

I have pictures, but they will cost ya !

Besides, there was a post about the Orlando meetup on the city, anyone have a link to it? I have been unable to find it.

That's exactly why I do it. Pinching them would hurt a hell of a lot more than the pop on the butt. Like I said, it's not about pain it's about shock value.

Is it generally acceptable to touch anyone's butt? This question is excluding engaging in sexual relations and diaper changes.

And your question about would it be okay for someone to hit me on my butt to grab my attention, yeah if I'm about to do something that could seriously injure/kill me please do! I'd rather be popped on the butt than plowed by a mack truck because I walked into the road without looking. Those are the situations I'm talking about.

I am going to call BS on people grabbing your butt being ok. If you are about to get hit by a Mack Truck, anyone in their right frame of mind is not going to be standing beside you, grabbing your butt and trying to get your attention to move out of the way while a Mack Truck is barreling down on you both. I bet after they pop your butt, you will turn around, become offended, and waste precious time worrying about some dude touching your butt before you realize your life is in peril. That is, if the dude is foolish enough to stay beside you while the Mack Truck is on its way sending you to….hello….. There are more appropriate methods to grab someone's attention than to touch their butt. If it is ok to grab your butt to get your attention, then it will be as acceptable to grab your boobies, all in the name of getting your attention. I honestly do not think any of those parts of the body would be acceptable to touch in order to get your attention.

You are a fairly newcomer to EMS, at least that is what I glean from your posts. Hypothetically speaking....

You are on an EMS call with a need-to-treat patient. You, being new to the field and still learning are a bit nervous, have an adrenaline rush going, and are not thinking clearly. You decide you want to administer a medication to your patient that is not appropriate and has high potential to kill the patient. I, your partner have tried to tell you multiple time in a very discreet manner that you are about to make a huge mistake, but you do not get the hint. Out of an effort to save the patient from harm, I decide to get your attention by popping your butt. Sounds like a real respectful thing to do, eh?

We, as a general population, perceive our butts as a no touch zone. Out of respect, we do not touch another person's butt. Why are children not given that same respect?

Would it be okay for someone to pinch you to get your attention?

Probably not. The question was asking why choose one option over the other.

Oh, yeah, and as far my kids go I'm not just "someone." Let some one outside the family do it and see how fast they get knocked out. See how fast I'd take out a family member for doing it for any reason other than a true safety threat and as a last resort.

Since you are a person, but also the mother to your kids, that makes it acceptable for you to touch your child's butt? Is it just the fact that you and your children share such a special relationship, (as any parent should) that you are more privileged to be allowed to pop your child's butt?

By the way, how many kids do you have Mateo?

I fail to see how this question is going to change a logical debate. Therefore, if you are genuinely interested in the number of kids I have, we can talk in PM. I will welcome that.

So why is he calling you 'just an EMT'? Are you more than that? Being in his 20's, a no0b medic, and working with you his first released day does not explain why he just started to call you out on just being an EMT. You piss him off? He trying to piss you off?

The exact protocol used has yet to be identified. Many hospitals have initiated hypothermia protocols for inhospital arrests. Prehospital arrests (unfortunately for paramedics) show the smallest uses. This is mainly because medic trucks lack (1) an ability to adequately monitor core temperature (trans-esophageal or rectal monitoring), (2) specific equipment to induce hypothermia (refrigerated saline, circulation blankets, sometimes air conditioning all together), and (3) necessary pharmacologic intervention to prevent shivering (i.e. paralytics).

This really depends on your system. Inducing hypothermia in the field can be done effectively.

The only identifiable benefit prehospital providers can provide is in the very beggining of initiating hypothermia. Ice packs on the neck groin and axilla can start the process, but it requires a hospital to manage them appropriately. Medics should NOT be inducing hypothermia unless there is an established hypothermia protocol at their destination hospital. IF A MEDIC STARTS COOLING THEN THE COOLING IS TERMINATED PRIOR TO TARGET TEMPERATURE OR TARGET 48 HR RANGE, THE PROGNOSIS IS POORER THAN WITHOUT HYPOTHERMIA

EMS induction of hypothermia is a neat thing. It is one intervention where paramedic treatment influences the care the patient receives in the hospital environment. Also, in regards to your first sentence, our actions are to start cooling by applying the ice packs/infusing cold saline, the patient's benefit of such action is a better chance to recover neurologically intact. Delays in inducing hypothermia show to increase the incidence of neurological deficit.

Just because a 'punishment' doesnt 'leave marks', doesn't automatically preclude it from being classified as abuse or torture. Some of those actions are prohibited by the Geneva Convention, why in the hell would I use them on a child?!?

The point I am trying to reach is that just because a method works to modify behavior does not make it right. All I am trying to get across is that as a universal law, physical punishment is not an ethical method to modify behavior. As others have asked before, if it is ok to use a physical form of punishment on kids, why not do it to adults? What makes children so special that they are allowed to be hit vs. and adult?

Just because I do advocate the use of corporal punishment in some instances, it does NOT make me some sort of 'bad parent' or 'monster'!

I have not even so much as hinted that you are a bad parent. Why all of a sudden this defense? Feeling guilty?

After that, they get one single pop on the butt to let them know that I mean business. It works because it's rare that it happens. And the point is not to cause pain like a lot people seem to think. If you're causing pain you need to not even try it. The point is shock value from the sound and the sudden immediate correction.

I am assuming you are using a pop on the butt to grab your child's attention when they are in a mentally chaotic state? If that is the case, why not just pinch the child? Would it be ok to hit your butt to grab your attention? Why do your children not deserve that same respect?

Now, some widsom I was imparted: It's great to have all that knowledge about A&P and patho and pharm and whatnot but remember, it changes very little about what you auctually do for the patient; keep it simple and be quietly confident that you know the what and why but don't forget the how and when or you will get yourself into trouble out there.

Can you explain this in more detail?

Initially I want to disagree with part of your comment. Before I do, I want to understand exactly what you are meaning behind the comment above.

Thanks

And now we know why you never had kids.

When I was growing up, any adult who asked me to do something was the boss. I learned to respect my elders and I learned that just because I wanted "instant gratification", that didn't mean that it was always best for me.

Not trying to nit pick, but rather understand. With that in mind, I want to ask…

Why was any adult the boss? When I grew up, I listened to persons who were supposed to be my authority, such as my parents, teacher, etc… IMO, most persons should be treated with respect, but to be a respected person, that has to be earned. Age simply is not a qualifier to have earned respect, again, IMO.

It sounds like your parents and My father/stepmother side of the family must have been friends! While living with them, I learned that a child didn't need to be beaten 'senseless' for every little 'infraction', but for the more 'serious offenses', a 'warmed backside' often did the trick.

I've been on both sides of that 'abuse vs. discipline fence', and I DO know the difference between the 'tactical application' of corporal punishment and outright beating your child.

...snip...

I firmly believe that the child needs a strict structure to their lives, they have to be made aware of the fact that each and every action they do has potential 'good' and 'bad' consequences. In order for that to hapen, there has to be more in the 'discipline toolbox' than simply giving the child time-outs and 'a gentle talking to' in order to keep that child's behavior within socially acceptable standards.

...snip...

So, what feels so right about forcefully hitting a child? Is it to cause them to fear their parents, anticipate pain, and violate a sensitive part of the kid’s body all in the name of behavior modification? To me, these seem like harsh tactics.

I do happen to agree with part of your post. Children need to have structure in their life, and that includes consistent discipline.

Also, I hope there is more in your toolbox besides time-outs, ‘a gentle talking to’, and a can of whoop ass.

...I do not condone physical punishment or the use of force against a child but I can sure as hell tell you that if I got a belt around the head from my old man for something hey I learnt, "man I better not do that again!"...

... I see kids run rampant in the mall and I feel like walking over, grabbing the kid by the scruff of thier neck and telling them "this is not how you behave in public" but does that happen ... no, why, because parents seem to have lost whatever it was they had a generation ago that would make them do that...

I know that physical punishment does work, such as spanking, but it sure cannot be the best method. I guess since it is ok to spank kids, it should to be ok to shock kids with electricity, submerge them in water, drag them by a leash, put them in strait jackets, make them sniff ammonia inhalants, and verbally assault them to modify their behavior. Most of those do not leave ‘marks’, are unpleasant, and would certainly modify their behavior, so why not add those to the aforementioned ‘toolbox’? My guess, they simply do not feel like the appropriate thing to do.

To address the second part I quoted, why would you do such a thing? Are you going to use that same anger when you physically punish the child? Maybe parents who do not physically harm their children know better. At the same time, parents of today may know physical punishment is not the most appropriate, but do not possess the skills to discipline in other forms. Could it be they cannot discipline without spanking because they learned only what their parents know, which is to simply spank the child?

Bottom line, is it possible to make 75k + a year as a medic in North Carolina with overtime if starting at the top of the pay scale based on experience in some areas? My wife would like to stay home with the kids.

Thanks,

TBS

EMS administrators around here make that kind of money. Most paying paramedic pay is between $28,000-$46,000, with the majority of persons making between $30,000-$40,000.

http://news.ncems.org/employment.htm

Check the site out.

Now, some people, to make $60,000, will work two full time jobs. Most people will work two jobs that have a 24/72 hour schedule. They will end up working every other day.

When he said that some have had a 'special' opportunity to meet her...yep, he meant me!!

Ok, others too, but they're not important...

No worries Dar! I've waited for you!! Tell me you've finally dumped ol' what's his name and are headed this way as we speak!!

:-)

Dwayne

(Welcome girl..we can always use another member who's smart AND beautiful. And no Matty, I don't mean you.)

I thought you said you were going to get therapy for your lack of control and subsequent depression after she told you she was engaged....

Guys, still working to get her on here. Sorry to jump the gun.

If all else fails, when I get to see her Thursday, I will be able to help her post.

Dwayne, I'll tell her you said hi, hehe.

Welcome from Eastern NC. Hope you enjoy your stay at the City.

LOL @ AK.

Trying to get her online. We had some problems last night getting her to post. Will work on it today.

Well folks, I know some of you have been waiting a long time for this....

So I would like to introduce to you my cousin, Dar, who is like a sister. Some on the forum have had the special opportunity to meet her in person. She is a lifeguard with the United States Air Force, currently living in Missouri.

She can tell you more about herself, and answer any questions.

Ok, my not so bright self at 1 am posted the Meet and Greet Dar post 5 times.

Hopefully one of the Mods will delete the excess ones...

Anyways, please use this one to 'meet and greet.'

To start off, what you post is going to be interpreted many different ways. I can only base my responses by what you post. Where you may be a sly fox trying to project subtle humor, I am a more serious individual looking at the literal value of the sentence. Honestly, I have not taken much notice to your screen name. Also, I am not familiar with your forms of humor or seriousness. Although you claim I have misinterpreted what you say, I feel that I have correctly interpreted your form of posting.

You, in my opinion, have made some off the wall comments. Believe it or not, it was obvious you were looking for some confrontation. Being a bit bored, I decided to indulge your need to ‘piss some people off’. When I did, you really started laying in the BS, which is fine by me. I think anyone with half a brain could see that.

My responses are posted below. I know that in my absence, Dwayne has indulged your need to ‘piss some people off,’ and you both have come to a stopping point (for the most part). I feel as if I must follow up with what you started, being that I was the first to engage. Thanks Dwayne for posting in my absence. I did not expect him to post, but I thank one of the EMTCity Greats (in my opinion he is one) for backing my points.

Anyways, here are my responses… (with a spirit of development through debate, and not petty arguing)

I did come up with a lot, I was hoping that a bit of abject buffoonery would convince you that I am not taking any of this seriously, and you would be smart enough to recognize it. If you have ever been involved in any threads that I have posted in you would probably have understood that my tongue is usually planted firmly in cheek. It is no accident that I was not able to draw out Dust or any of the other City veterans... cuz they knew what I was doing. I think it is enough for them to chuckle at my ridiculousness. When you are finished putting on your boots... I will lend you my shovel... for that was the point.

Again, readers of your posts can only take what you type and interpret it the best they can. You claim that the City veterans did not indulge you because they knew your sly tactics. On the other hand, maybe they were tired of BS and just did not feel like entering debate like they have many times in the past. Maybe I am wrong, but to claim you know them that well is just a bit too arrogant IMO.

I am not getting why you are not taking this seriously. Maybe you changed your mind. My confusion comes because you later posted this…

Yes, I was trying to draw people out into debate and confrontation... isn't that the point? Post things that people may not agree with so that different views and ideas can be shared... isn't that a form of education?

So, are we debating this because we both want to grow as a collective, or is it because you want to ‘piss some people off’?

My bullshit argument was the ONLY argument being made that had ANYTHING in the way of evidence to back it up. The two articles that were the crux of the whole thread. Your party-pal Mateo didn't come to the ready with any facts, figures, or information to prove his statements (more of the same ALS vs. BLS malarkey that I even put a disclaimer on my original post to say I was bashing the SYSTEM, and not PARAMEDICS), and I don't here you calling him out.

Your argument did not have anything to back it up. Your original quote was “Further evidence that a 2 paramedic system leaves patients with sub-standard BLS care (i.e. lazy paramedics that are not accustomed to carrying people).” This quote is very general. It does not specify that you are talking about Mass., but rather any dual medic system.

Your disclaimer was an attempt to support your original quote, by using personal experience and a couple bad apples to support your generalization about dual medic systems. Anyone with half a brain saw it for what it was, I just decided to confront you about it.

Here is your disclaimer…

*DISCLAIMER* I am not saying all paramedics are lazy... but having worked in the Mass system of 2 medics for 911 trucks... and having worked in NH and Maine where a medic can be a medic regardless of their partner... I find that the 2 medic system breeds laziness that far too often leads to poor patient outcomes. So all the Medics on the city can now clamor about how you have never shirked your responsibility as a medic, and would never do as these medics have done... but it does not negate the fact that it is happening, and at a high frequency in this 2 medic system. *END OF DISCLAIMER*

Your disclaimer is also very general in nature. You state “I find that the 2 medic system breeds laziness that far too often leads to poor patient outcomes.” This my friend is general in nature. You then list Mass. as an example to support your claim. You do not specify Mass, but use it to support a broad generalization. Although the previous may not be your intended meaning, I feel that I have a vaild interpretation.

The way I interpret your disclaimer is: 2 medic systems breed laziness that leads to poor patient care. Mass. has a two medic system, and I know from personal experience it is happening with high frequency. Your disclaimer is not specific to Mass.

Again, point missed. Not about you... not about me... comments were about the two-medic system in Mass where the story posted took place. I am not trying to justify Basics.... you are the one making this an ALS vs. BLS argument, not me.

I hate it when you backtrack what you say previously. I interpreted a justification for BLS from this quote: “At least if two basics were there, they would not hesitate to carry the poor people down the stairs. This is why I prefer systems with BLS first response and ALS intercept trucks. ALS gets to do ALS, BLS gets to do BLS.” Why have BLS in the first place, why not teach the paramedics to provide better fundamental care? I read that BLS is needed to do a job that the paramedics are too lazy to do. Sounds like justification to me.

I am truly sorry if you and Mateo took these postings personally... it is regrettable, I only wish to have a little fun, and learn a few new perspectives at the same time.

Anyone that truly knows me, would know that I like to engage debate. I do not take what you say personally. I will not be losing any sleep over this. Being that you want to learn others’ perspectives, I shall engage you. Enjoy !

if you would like me to use simpler words and possibly write everything in lower case or maybe start writing a lot of grammatically incorrect run-on sentences that are devoid of punctuation so that you can feel better about yourself and don't have to be reminded that there are people that may know a few words more than you know so that i can now be judged solely on whether i know how to do cpr and i took 120 hr class and like to play with lights and sirens and man am i angry that those bastard medics dont talk to me... Nope can't do it.

That was kinda funny…

Mateo didn't need you to stand up for him Dwayne, he was doing fine on his own. Maybe we would have even come to some common ground eventually. The debate that was going on was derailed by the "hurt feelings" involved when people take things personally. Honestly, there are no personal hard feeling at all from me to you guys, if you feel any toward me than there isn't a whole heck of a lot I can do about it.

Thanks Cosgrojo for the complements. I am honored though to have a ‘vet’ stand with me on my stance. Thanks, my friend.

You assume we are taking things personally and are hurt by what you say. I just view our replies as calling you out. It is our opinion that you were using poor skills to make claims and back them up. Have we personally caused you hard feelings?

Disclaimer----- The last line of the above sentence was typed with no intentions of sexual meaning. J Farther, this disclaimer is put forth to claim that Dwayne and I have not been working together behind the scenes to confront you. His posts and my posts are separately original.-----End of Disclaimer

Unfortunately there are many here that will not demand that you make more than your silly 3rd grade level argument to back up your claims of superiority so you'll enjoy a few more pages of textual masturbation[/] before it's over.

My original reaction was.

Then I realized you said 'textual' and not sexual.

But I do believe that one of the things that are lacking here are examples of good arguments. Arguments and debate are valuable skills, and I believe EMS would be much stronger if people could do it without anger. I don't see out previous dialog as wasted time, would be my convoluted point.

This is why I decided to post my responses, even though they are a few days late. Sorry to anyone if I overstepped the line.

Cosgrojo “BTW I'm going to NC in a couple of weeks... maybe Mateo can show me how fun he is at dinner parties...“

DwayneEMTP “Drive safe, and if you manage to track down Matty I believe you'll be pleasantly surprisedh by him.”

DwayneEMTP “NOTE: Mateo is a kick in the ass at parties... Just sayin'...”

I’d be willing to meet up in NC, as long as you are not a sly axe-wielding murderer.

Just to clarify Dwayne’s last post, I do not believe he intended to mean I will kick your ass at the raging party, but just be warned to keep all windows up while on the ride. LOL.

I never said basics knew what they were doing and medics did not.

What you did say was.....

At least if two basics were there, they would not hesitate to carry the poor people down the stairs.

Which leads me to believe that you are implying paramedics cannot make a proper decision. In this case, the basics know what they are doing, the paramedics not so much.

The alternative is that basics do not know what they are doing and just carry the patient because that is what they were trained to do. Paramedics on the other hand know what they are doing, but are just too lazy. This insults basics, so I doubt you would support it.

If you would like to think that I am silly enough to equate lifting with EMS skill and ability... then that is your prerogative. It doesn't make it true, but whatever tickles your chain young man.

As quoted exactly by your previous post....

Further evidence that a 2 paramedic system leaves patients with sub-standard BLS care (i.e. lazy paramedics that are not accustomed to carrying people).

So, I surmise by your statements that BLS care includes Carrying People. To provide proper care to someone, I would think a combination of skill, ability, and education are in order. So yes, I think you are silly enough to equate lifting with EMS skill and ability. Obviously, paramedics are not as able to lift patients like the basics are.

I do, however, have animosity towards laziness, and my comments were to point out my observations about the 2 medic system... not medics in general. There are just as many lazy basics out there... but their laziness tends to be toward assessments and patient care, and less toward lifting and moving patients.

My observation, whatever it is worth, has been that a large number of EMSers (medics and basics included) cannot recognize sick patients that should not be walking.

It appears, dear sweet Meat-ee-o, that you are perhaps a little sensitive about your role as a paramedic. You obviously have some deep-rooted fear and hesitance toward your place in the EMS paradigm (probably suffer from a bit of Napoleon complex as well). I can not help you over come your emotional and psychological burdens... but I hope that your reading comprehension is not a skill that makes your para-medicine skills appear wanting.

I only wrote two sentences worth. You sure did come up with a lot of BS from two sentences. Seems to be your trend with the last two posts. I'll go get the boots on, its getting deep in here.

Maybe you are the one who is afraid of their place in the EMS paradigm. Is this another justfication for basics? You trying to tell us you are valuable because you lift better than paramedics?

BTW minus 5 for not being funny. I set myself up for any number of doozies with my last line... and that's all you come with? Goodness me Mateo.

You already showed us by posting you are a doozie. I did not feel much more needed to be said.

Letmesleep - All credibility on your post was unserruptitiously negated with the use of the term "irregardless." You were making some good points... but they can no longer be taken seriously. Banish that term from your repertoire, and then we will be able to move forward amicably.

And we are supposed to take your personal experiences as factual evidence. Provide something we can use besides the ALS BLS blah blah cry cry about we lift better than you do. When you can provide us with something based with facts, then we can have some intelligent discussion.

This is an easy one. The doodad that secures the monitor, or the O2 tanks, or the cot. It doesn't hold well enough, $h!t goes flying and folks get whacked with it, either during a hard stop or a wreck.

That'd be my guess. Ooh! Someone want to guess how much I won in scratch tickets today? Never play- ever!!

(Seemed just about as relevant..)

Wendy

CO EMT-B

The monitor flying was going to be my guess. Had a paramedic in my service get hit with one. No good times.

I hope someone is still reading this post. I have a few questions.

1. celticare-How did you decide on a LBBB from what was shown?

2. Mobey-I was wondering why you thought about amioderone and was also wondering if they let basics do 12 leads in your area.

I am not questioning to be a dick. I am making sure there is not something I should be studying a little more. I am taking the NC state paramedic exam this Friday. This is all for the learning aspect.

Mobey, hope you do not mind me jumping in. Correct anything I have to say.

To Coyote, FL Medic wrote a post on this thread about complete and incomplete left bundle branch blocks. He made a good post. It is worth the read.

As for using Amiodarone, I believe Mobey though about using amiodarone to control the heart rate. I could tell you about Amiodarone, but reading and learning on your own may be better. Go to the link below, and go to page 6 to read about the mechanism of action of Amiodarone.

http://www.rxlist.com/amiodarone-hcl-injection-drug.htm

Enjoy ! Also, good luck on the exam !

Mateo

Well... haven't pissed anyone off in a while... how about this...

Further evidence that a 2 paramedic system leaves patients with sub-standard BLS care (i.e. lazy paramedics that are not accustomed to carrying people).

*DISCLAIMER* I am not saying all paramedics are lazy... but having worked in the Mass system of 2 medics for 911 trucks... and having worked in NH and Maine where a medic can be a medic regardless of their partner... I find that the 2 medic system breeds laziness that far too often leads to poor patient outcomes. So all the Medics on the city can now clamor about how you have never shirked your responsibility as a medic, and would never do as these medics have done... but it does not negate the fact that it is happening, and at a high frequency in this 2 medic system. *END OF DISCLAIMER*

At least if two basics were there, they would not hesitate to carry the poor people down the stairs. This is why I prefer systems with BLS first response and ALS intercept trucks. ALS gets to do ALS, BLS gets to do BLS. As my father always said... stick to what your good at. He also used to tell me, "Son, there are no stupid questions... just stupid people." Don't know why he said that to me all the time...

I believe I know.

It is funny how in this double medic system the 'Basics' know what they are doing, but not the Paramedics. Do I sense some animosity?