mobey

So if a convicted felon working at a 7-11 shows you ID and signs a piece of paper, you would give them a handgun?? WTF?

No, I don't see what you mean. Perhaps you should be responding to HLPP, rather than demeaning the thread and all the posters in it. If we need the words changed to put the conversation the way you need it to be a productive part of the conversation, then by all means, start a new thread. Those of us who do not need questions set up in a preticular format that is specific to us are trying to have a discussion.

So what is your answer to the scenario?

How the hell is this a non issue? If I EVER found a handgun on a patient it would be an experience i would never forget. Discussing it now allows me to plan ahead in case I ever do have a call like this. Perhaps in Texas this is a normal occurrence, but just like before your hiatus, this forum does not revolve around you. If this were a discussion about dealing with patients in a snowstorm in Florida I certaintly would not come in chest-out touting people to use common sense and demeaning the thread, I would offer my expertise in this area as a resource to those not used to such a occurence.

I'll chime in as the sane Canadian who is actually a little scared of guns (You know I luv ya Squint) Outside of shooting a few gophers with a .22, I have never really handled one, and am not confident to do so safely. Personally, I would leave it in the holster & cut the belt that held it in place. Then take the gun still in holster and lock it in exterior or interior cabinet. Point is, it is locked up. I do realize that these few seconds, to a minute may in fact cause morbidity/mortality, but just as obeice patients take longer to move around..... people who carry sidearms do so knowing they are now "special" and are going to be treated differently.... sometimes for the good, sometimes for the bad. I ain't gonna shoot myself in the face while handling a dude who is already dead based on some stupid morale or ethical consideration.

Because your real life experience is exclusive to only those preticular experiences and your interpretation of them. Example: I have only been a part of 1 ROSC. The patient was moved from bed to bed with 3 people. One idiot grabbed his arm and pulled - dislocating it at the shoulder. The patient was then successfully revived and lived to tell the story. Every other code I have done ended with the patient staying dead. So it is MY EXPERIENCE that in the setting of cardiac arrest, treatment by dislocating the patients left shoulder has shown improved ROSC with only minor neurological deficits post discharge. Obvioustly, I am not a credible resource on this topic and my experierience does not count for shit. I am sure you can see how this applies to almost all your experiences. Answer #2: I do not need to prove CISD by amature wannabe's will do harm to an individual, I will not deploy or support it until it has shown benefit. Again.... Proactive vs reactive.

I don't think there is a right answer. Just a thought provoking scenario.

Around here being EMTCity?

Next time I fly I am gonna ask for only a discount since I am underweight. Ya know, if I could always get seated beside an obeice person, we could split the cost of 2 seats 1/3rd 2/3rds. Next time I fly I am gonna ask for only a discount since I am underweight. Ya know, if I could always get seated beside an obeice person, we could split the cost of 2 seats 1/3rd 2/3rds.

Or sleep off the head injury

I would seek medical attention.

When you are brought to task in the U.S. are you judged by a panel of your peers?

I was not advocating for insulin in the field, I was responding to the old mentality of "treat the patient not the monitor". It is a piss poor catch all that exudes unprofessionalism. The way you explained the rationalle for witholding insulin exudes common sence and sound clinical judgement. These blanket statements just do not work, and should not be handed down to our up-and-comers.

This must be "Paramedicine for dummies" Seems they are refering to the old "cocktail" for uncx patients? It does not however state the Tx for hyperglycemia is dextrose. It is saying if you can't get a BGL, just give the sugar. Exen if they turn out to be hyperglycemic, the amount of Dextrose you are giving will not injure them. Luckily.... I think all ambulances can assess sugars these days, so that does not apply. Fluids in Hyperglycemia is always a good discussion! Please explain your above Tx plan.... So hold off the Insulin unless they have S&S of Hyperglycemia? I will never understand reactive medicine. If I ever have a silent MI, I really really hope I'm not in your county

Sorry bud, her screename clearly rules out your "kind"

What textbook?

Totally agree. I think some of those laws that are being passed punishing the plaintiff's that bring rediculous suits to the courts are a step in the right direction.

I believe it is called culture and civilization. As a 140lb man.... I prefer it this way! The theory I support though... Not every little matter has to go to court. Although I suspect that is more the "American way" than a global issue. But physical altercations to prove a point or settle a difference is caveman culture.

That is the key to firing employees. You have to show a pattern OR as I said above, set a clear "standard" or policy such as *Viewing porn in a public forum such as an ambulance or station shall be considered sexual harrassement of ones co-workers and the offender shall be dismissed* The employer dictates what constitutes sexual harrassment in the workplace. Yes... there are federal laws that protect people in extreme cases (ass slapping), but an employer can place more stringent boundries if they choose too. In Canada that is how you avoid wrongful dismissal hearings.

It amazes me too that you have to ask.... I dunno if the US is different, but here you don't get told twice. If I say to you "Please don't swear around me", the very next time you do - it is harrassment. That said: If the manager ever said (like in a policy meeting) that viewing pornographic material at work would be considered sexual harrassment of the co-workers, then that is what it is. Sounds like you may be one of those managers who may have to learn a hard lesson at some point.

EMT-Practical Hahaha.... I love it! Welcome

I have seen this story elsewhere.... The media has been probing this case for a while. I can't wait till the full scope of the problem is realized. $20million? Boy, they are really sticking it to the doctor. She will be paying out the rear for that mistake! BTW: we don't need autoclave. We just nicely ask the virus's to leave our instruments, and just as one would expect from Canadian virus's, they politely bid us adue and jump down the drain. These must have been some American virus's that snuck across the boarder. Thats what Ottawa gets for having an international airport.

I am surprised you did not reply to the poster with the concern in the other thread. The lack of communication both here and through the company make it appear pretty unprofessional.

Maybe I am missing your point. The poster asked why services would be against Mainlining drugs, and I gave a reasonable justification. Are you stating now, in contradiction to me, that mainlining IS an administration technique that should be acceptable in EMS based off your anecdotal one time experience? I would excuse myself from the room in any level of provider was to try mainline a drug that can cause tissue necrosis.