Mateo_1387

You think 30 is middle-aged?

What do you call someone as old as spenac?

A Relic

Just then my partner pokes his head out the door. Fire has confirmed we weren't needed. Now my partner is a great guy, he's a caring, quiet, and modest fellow. And he's all of nineteen years old. And once in a while he does or says something without thinking it through. So instead of pulling me aside he shoots me the universal sign for canceled. The cut-throat signal.

Of course the daughter thinks it means Mom is gone and her already weak knees buckle and she goes down like an old Vegas casino. I tried to catch her but she bangs her head on the corner of a doorway. It gave her a good lac and yes we transported her for stitches. The end result (Mom pulled through) is we were commended for doing what we should have done policy wise, and of course we didn't offer up we were a casual factor in the whole second event.

That same partner did something similar a month or so later. We'd had a hard time convincing an elderly Pt to go to the hospital as she was suffering with Roach Motel Syndrome. "If I go into the hospital," she said, "I'm sure I'll never come out again!" And enroute she kept repeating, "I'm gonna die, I'm gonna be dead, I'm gonna die in the hospital," over and over again.

Funny story man, awkward moments like that are fun to hear about, even thought they may not be the best of situations. I love how you tell your 19 year old coworker's embarrassing stories that put you in a hard spot, but what about 52 year old Nick's stories? I am sure there has to be a good story about an awkward situation you have put your partner in.

bummer

Agreed. I have not heard much about this incident, and I am not familiar with anybody that works in said area who would know. I'll keep my ears open for info.

My condolences to the family and friends of the medic, may he rest in peace.

Matty

The overall problem with lack of pride in our, or any, profession is simply one of youth. And unless we took the drastic step of adding "age 30 or better" to the list of EMT requirements it's never going to change.

I am sure that 'pride' may not be instilled in youth so much today, but the lack of pride is all over the board, not just with the youth of today. I found that to be quite a generalization.

We work in Kg, like most of the world so I will not convert it to pounds for you. It is currently 180Kg.

This is an American based forum, convert it for us. You would expect me to do the same on the Auzzie forum... Just sayin'...

More people are not run over because other FFs do practice what they preach to the public when it comes to vehicle safety. They don't wait for their fire trucks to kill a lot of at their front door before they implement commonsense rules.

Now if only the excessive speed issues, L&S and running 3-4 types of vehicles to every EMS scene could also be addressed, Florida and California might be a little safer for the general public.

I hear ya Vent. Removing all the remote controls seems like a reactive measure rather than a proactive/preventative measure. That is where my problem with the idea was.

They were lazy. This is another reason there should be no remote controlled doors at fire, ems, police stations. Make someone stand there hit button, watch ambulance, truck, car pull out then hit close, jump in and then go. This ensures people see what is in front before moving. It also delays less than 15 seconds and 15 seconds in the field will not change patient outcome.

So what are the other reasons you say there should be no remote control doors at these stations?

Why should we remove all the remote controls for garage doors? Really Spenac, how often do people get ran over in front of the fire station garage door? Me thinks the statistics do not prove removing the devices.

I'm picturing a remake of Cheech & Chong's "Nice Dreams", utilising an ambulance instead of an ice cream truck.

I'd watch that.

Reminds me of this video...

EMS of the future.

Are there alot of EMS responces to your Bus's??

What exactly does his bus posses?

Actually what killed this patient was not the paramedic or the sux. They were the bringers of death but this patients disregard of dialysis and then going shopping is what killed him.

Had he have not missed dialysis for 5 days he might have survived.

He had enough time to go shopping then he had enough time to make it to his dialysis appointment.

The patient did not die until EMS started improperly treating the patient.

This show left out one Super Duper Magnificently MAJOR point that makes EMS 'EMS'. In neither of the two episodes have I seen multiple fire trucks showing up on scene to remedy EMS' slow response times to medical emergencies. I wrote to the show so that they could fix this major flaw in their show.

Y'all have a great day

/sarcasm

Matty

I live in a rural area in northern Michigan, therefore I thought getting my EMT-b would make me more qualified, Then just a CNA. I never see job listings for E.R. Techs in my area. Mostly just nursing assistants in E.R. I love working to help people, animals in need, I like fast pace . To answer your question about letting Chemistry keep me from doing something.

I was using the term ER Tech to mean an assistant in the ER, which could be a CNA or EMT.

I believe it is very much harder for a hand-on person to be book smart and there is a difference . I am not book Smart I have test anxiety Plus a learning disability in math . I had to take basic college algebra twice in order to pass with 3.5. I took a half semester of Chemistry and drop it, just because I was total loss. So I don't believe that just wanting something bad enough can help you get it.

I have to respectfully disagree with you on that point. There are many 'hands on' people that can 'get it'. There are different resources and methods to helping you learn what you want to know. Just because you are a hands on person and have an unspecified learning disability does not make you incapable of learning. Chins up and get what you desire !

Matty

You could always work as a tech in the Emergency Room with a Certified Nursing Assistant cert.

Question for you, why do you let Chemistry keep you from something you would like to do? Why exactly do you want to work in an emergency field? I have always been under the opinion that if you truly want something, you'll find a way to get it.

Welcome to EMTCity. I hope you enjoy your stay.

Matty

Definitely poorly written.

Very poorly written. I still cannot figure out if Anthony or Tony is the homeowner and which one got shot. And if Anthony is the homeowner why did he say this

The officers ran into the bedroom after Anthony told them, "You just killed ... you just killed the homeowner. The bad guy is in there."

The complaint states that Officer Lilly "admitted that it was only after Tony was laying, bullet-ridden, on the ground that he assessed the situation. The 911 tape continued to record what happened even after Officer Lilly unloaded his weapon into Tony, including Officer Lilly's post-shooting, one-word 'assessment': 'Fuck.'

Or maybe it was Tony. I do not know.

However, what do you guys think?

I think it should be a required prerequisite, or at least a co-requisite.

Is chemistry important, did you have chemistry, can you relate chemistry to critical aspects of your role as an EMS provider?

Sure chemistry is important. It is the basis of just about everything in the world.

Yes, I have had two semesters of college chemistry.

I can relate chemistry to aspects of EMS. It is important to understand acids and bases, electron chains, ions, and the things listed by Mobey. Chemistry sets our basis for understand more complicated physiology of the human body, such as the Krebs cycle, mechanisms by which drugs work in the body, action potentials and the like.

How can sitting in a nursing home doing CPR for 10 min just waiting to pronounce be justified when the pt can be in the ER by then?

Does it really matter where the patient dies? I get the impression you do not want to be the one to stop CPR on an already dead patient. Is that the case? I do not mean to accuse, but rather truly understand where your position on this issue is coming from. I have been a little antagonist here on the forum lately, but this is sincere.

I have only worked one code across from a hospital. It was in a Dr. Office. The patient was worked for approximately 20 minutes and then resuscitation efforts were ceased. Nobody thought twice about carrying the patient across the street because it was not necessary. We are capable of performing the actions needed during a cardiac arrest. Moving a patient in cardiac arrest is not in the best interest of the patient.

In response to Ruff and for us to air our opinions here is my reason that I for the most part oppose fire based Paramedics.

In the illustration Ruff gave the fire Paramedics were strictly working on the ambulance, fine that allows them to be focused health care providers. But when forced to be multitaskers it is hard to believe they can be the best when divided, ie jack of all trades master of none. Also the Paramedic that is forced to fight fire may just do the minimum because their heart is not in fire and the fire fighter that is forced to be a Paramedic may as well. I also get frustrated when I see so many fire services just raping EMS by taking the money brought in by EMS and instead of making more improvements on EMS they spend it on more fire toys. Another gripe has been seeing the fire services and the fire union actually stand in the way of advancement in EMS.

OK that is just a start of this topic look forward to a peaceful discussion.

What ever happened to searching the plethora of discussions we've already had about this?

Glad you were willing to search, seems a lost art by many. This is an interesting topic. Actually had a partner that had a patient with a patient with it a few months ago.

I did a search of site and did find a discussion but think it is worth looking more in depth at.

http://www.emtcity.com/index.php/topic/4961-2020-thursday-night-broken-heart-syndrome/page__hl__Stress%20cardiomyopathy__fromsearch__1

Nice to see a site that has educational discussions isn't it.

I am glad you were willing to proof read your post. It seems to be a lost art.

The doctor told me to work it for 10 more min and if I did not get any change, I could call it. (This was a staff doc who is usually pretty good on med control, so I don't know why he told me to do that.) The problem was that the nursing home is directly across the street from the hospital, so I could not justify not transporting.

Why couldn't you justify it? You even had an order to terminate in ten minutes provided there is no ROSC.

Matty, What? No Wayne County?

Forsyth County EMS in Winston Salem NC is a decent place to work from what I have been told.

http://www.fcems.com/

LOL. No Pitt Co. either.

I will also recommend this one, out in the boonies, but non the less a very 'from all I can gather' great system.

Duplin County EMS

Is that close enough to Wayne for ya Jake?

Three services to look into...

North Carolina

Charlotte- MEDIC

Wake County EMS

Florida

Lee County EMS They are not currently accepting applications, although you should probably know about this service for the future.

Nothing. I drive around alot with friends, and sometimes they will get a little careless while on the road- And Winter is crawling over to New Jersey slowly, and aswell as that, most my friends are older then me, and may sometimes get drunk, while I'm over there, and they may end up being too careless with me. So, I just wanted to know weater as a Patient, if we'd be aloud to refuse treatment, or transport.

Hell no. No thank you, I'm staying a vergin. :3

Nothing is going on. My friends are careless when driving on ice, or are drunk, and throw me around too carelessly- considering I'm about 80 pounds, 4'10 4'9

Lets just say, I need it incase of emergencies, I drive around with friends just about 24-7, and sometimes they have road rage, or drinking problems- I just wanted to kno just in case anything happened. And I do believe my parents know whats good for me, i never said they weren't, my mother lives 40 minutes away from me, and my father works alot. My brother is never home, and doesn't even try to bond with me. And I am not going to Court. And no, I would never- asmuch as I hate mom's boyfriend, I'd never do that to her. -My parents are Divorced, have been for a nice portion of my life, since I was six.

Ya know, is anyone else getting a 'vibe' about this poster. I mean, are todays children this stupid? Driving around with drunk friends, getting hit by friends, looking for attention from EMS workers. I'm gonna call 'attention freak' on this one. Is this really worth our time?

EMT Fan 15, if you are for real. Go find some parents. EMTCity is not going to fix your problems.

The other exception to this is minors with no parent or guardian present. If the patient is a minor and there is no guardian present to refuse for the patient, usually we must transport. If they are emancipated or otherwise legally independent then that is treated the same as an adult patient. No parents though means the kids gotta go to the ER under implied consent. That is assuming the parents are there they would want them to be evaluated by a doctor in the emergency department.

Be careful about just taking children to the ER because the parents are not around to consent. You should honestly search for and read the laws of your state to determine what enables you to just take a child to the hospital.

For my state, North Carolina, what I have been able to read for my own eyes, (and I will paraphrase too) is that minors can only be treated if the parent consents to treatment or if the patient is experiencing an acute medical problem, that without treatment right away, would cause significant harm to the patient in the case the parent is not available to consent.

Just be careful with this sticky issue.

7

Eh? Do you use different concentrations of adrenaline for IM as opposed to IV over there?

We use 1:1,000 for cardiac arrest and 1:10,000 for everything else be it IM or IV.

I don't quite get that: I read into it as being "was given too much adrenaline and did the typical throw up, look and feel awful, vital signs through the the roof response"

Epinephrine 1:10,000 given IM seems kind of excessive. Most doses for IM Epinephrine start out around 0.3-0.5 mg, which is 3-5 mL of the 1;10,000 solution.