mobey

No nitrates used, no Viagra or the likes. And i think that is out of my scope of practice. BTW thanx for the chuckle, I know how pi$$ed you are tonight

OK ya'll know I am here to learn. Well time for some learnin! We got called to a clean mobile home for a 67 y/o male possible CVA. O/A Pt A&O, no deficits. Pt states he passed out in the bathroom and his wife called it a stroke :roll: , anyway; BP 122/76 Pulse 96. Skin pale dry warm, resps normal. Really no symptoms to talk about. PMHx, high cholesterol, varicose veins in legs. Wife states he got up to have a bowel movement but collapsed upon entering the bathroom. He got his pants around his ankles and that's where it stopped. His wife enters the bathroom where he is on the floor, and she reports his penis being "way bigger than normal", she says "I thought it might explode". A quick look tells me this is not the case anymore. Pt, complains of no pain at the site, but a mild thigh pain, kind of burning in the anterior aspect. So......what the hell is that all about??

I may have to try that. Sounds like a good practice tool!

And of course proper spelling and grammar is essential. We are, after all professionals.

What the town has to do is prioritize. There has to be funds available to pay for professional EMS. How much does the town spend on christmas decos each year? And how much does it cost to maintain and install them? You gotta be realistic, how much are you looking for as far as pay goes, and how many people are you serving? 4 full time EMT's approx $120000 for wages? OK so lets tax your total population of....... 8000(?), tax them each an extra $15/year! I know they will be pissed about the $15 but that's too bad.

I have noticed that here in Alberta Canada there are classes you take after taking your PCP (emt) that prepare you for the Provincial Registration Exam. (Sounds similar to NREMT) Don't ya think that is a school admitting they suck? I took the AB provincial exam 2 years after my PCP course with no "Preperation course", or any other nonsence and passed with flying colors. In fact out of over 350 students I had the fastest scenario times of the day! If you finish school then fail some national/provincial exam..... Your school has failed you.

I work casual at a rural service on my days off and they have been paying about $265/day + OT. I am not sure what the rigs pay for an EMT but I am sure this is better pay when you consider you're doing 911 calls, and living at an up-to date ambulance base with kitchen, big screen TV, double bed, etc..etc.

Ya we have an old lady that we get called for for unconcious, a quick sternal rub later she is on her feet walking to the cot. Usually goes to hospital complaining if a headache. Doc gives her a shot and we take her home! Yippeee

Oh don't be sorry my friend! The reason i do not support this theory is buried in my previous posts. A) You bring bad habits to the classroom A good school will supply you with enough practicum experience to master your BLS "Skills" C) BLS is cheating your community out of quality health care D) Consider my above question about getting rid of the EMT level. Would all medics be incompetent? EMT school = 6 mon work for a year to get good at BLS, Medic school 2 years, work for a year to get good Total years 4.5 Go to EMT school = 6 mon Medic school 2 years work for a year and a half to get good at BLS and ALS Total years 4 You really think that 6 mos in between is going to make that much of a difference

You toot your own horn alot for a guy who really in this thread has no leg to stand on. Ya you have the longest course in Canada, does that really mean it is the best? I know I am on thin ice here but really, the peole on these boards have seen me discuss some pretty in depth stuff ( acid - base balance, Alpha-Beta receptors in responce to neurotransmitters, MOA of different drugs etc..) and you know what, I have only 1 year education. As a PCP in AB and an ICP in Sask, I am doing IV's (at the rate I determine), nebs, non-visualized airways, D50, Nitro ASA and more... and I would love you to test me on any of them! As an ACP in Ontario you are making statements like "I treat my patients 98% by the monitor". Come on man, quit while your ahead!

VS-EH? 1) No you missed MY point, picture this... You are a student doing a scenario, 63 y/o female complaining of general back pain. Pt presents with pink skin, RR @ 16/min, no acc muscle use, yadda yadda yadda. Hook up the machine it reads 76%. Student puts on an NRB @ 10 lpm. Instructor asks why the high flow O2? student answers "because of the low reading". That was the point of my OP. 2)Well we can agree to diagree on this one. Yup I guess if everyone else is doing asessment and spinal and my hands are empty, I could take a BP. However when it comes to significant trauma the sooner I can get this guy to a CT, surgeon...whatever, the better. So I would keep the on-scene stuff to a minimum and get my pressure in the rig. The pressure I get is not gonna change that dramatically from the time I spinal him to the time I load, so the quicker I can get moving the better. 3)Yelling is juvenile. That must suck, not to be trusted to set a freaking drip rate? Yet they let you push drugs through the line? Or are you in one of those akward places where you have to call for everything?

So with this "Pay your dues and get good at BLS *Whatever that means*" way of thinking, I pose a question; If there was no such thing as EMT would we have a bunch of no-good medics running around? Think about it, if there was no bls/als...Just Paramedics, would they all be incompetent because they didn't run around for 2 years taking blood pressures and bitching they have no scope of practice??

I think this is one point that is far too overlooked (well maybe not on this site). It is amazing how we adapt to a local standard of care and make it our own habits. This holds especially true for people who have only been involved with one service throughout thier career. Here are some bad habits I have seen follow people to school and hurt them in the long run: Using SpO2 to dictate oxygen delivery Doing vitals on scene in a "Load and go" situation Having a Firemonkey do manual C-Spine to save time otherwise wasted on C-Collar and blocks Only using 2 rates on an I.V. - Wide open, or TKVO There are more but this gives you an idea.

The most common I have seen is non-911 people coming into a 911 service (whether that be EMT, RN, Paramedic, whoever) is not slowing down to do a good asessment and treatment plan. It seems people think "oh my god they called 911, I gotta drive fast and make lots of noise'. Which of course is a crock. I would not worry about the "Monkey skills" such as OPA, non-visualized airways, I.V's on the move, these things come with time, and they are so simple (From a eye hand coordination standpoint) a monkey could do them. Same goes with a seizure Pt. Scenes with MCI or prolonged extrication require some common sense and instinct to deal with. Either you got it or you don't.

Re-read OP and realised I have no intelligent responce. It kind of seems to me to be like taking a Big city trauma room Doc, and sticking him in a little clinic in podunkville. He may feel a little out of place.

Giggity What I found worked was to cut my "dosage" in half each week. So I started by skipping every odd smoke, Then when having my even smokes just smoke half Then skip the odd even smoke.....no wait....umm....skip the [s:5c3880b152]even[/s:5c3880b152] ... you get it Till your not smoking at all anymore!

Even parked on the side of the street on a day like today, You would either be standing in 2 feet of snow, or the middle of an icy street to load your patient.

Mispost......Sorry all :oops: Let it die again.

sorry meant to be a PM

You instruct the staff of unit #2 to grab the girl and load her up. Your EMT turns to you and says "she has no pulse, but some agonal resps" do you want us to transport? You instruct the staff of unit #3 to package the male pt up and transport. he has obvious head trauma and moans to painful stimuli. You jump in the bus to asses the 3rd patient who is complaning of leg pain. Anyone wants to follow either of the patients in scenarioland feel free.

The helecopter will not leave thier pad. Dammit!

BTW your ambulance that is now at the "code" tells you they will be transporting an active MI, not a code. They will drop thier pt. at the hospital and race back asap.

12 kids, 3 drivers. Driver of SUV, bus, and truck are out of thier vehicles and standing with 9 kids on the side of the road. You can see a young womal lying on the side of the road beside the "Tear" in the bus, a young man directly behind the bus, moving his arms in a disorganized fasion, and one still on the bus sitting up. Your 3rd ambulance and rescue truck are arriving staffed with 2 EMT's and 2 FF (first aid)