mobey

Start with the basics General appearance Airway Breathing (rate, Regularity, Laboured /Non) Pulse (rate, regularity, Quality) Skin coulor/temp

Considering this will be bi-weekly and only 300 words I don't think it will be that hard. I don't expect this to last forever, I should have mentioned that I guess. If we get a year out of it that is fine by me.

Ya I will definatly have to keep on top of that firedoc. I am going to be very general. The first one I am writing is on EMS in the past and EMS now.. I want people to know when they call an ambulance they are getting educated health care professionals, not a couple of taxi drivers with first aid. The articles are only around 300 words so I should be able to find enough topics for a while.

I have never understood that comment ? Damn thing won't play for me...GRRR

Ummm.....Ya...... Kinda figured that :roll: I am kinda surprised I didn't get more positive support on this. I mean heck we whine and bitch constantly on this forum (me included), so I thought when a member was attempting to educate the public and try to advance the profession through a more active roll such as this, there would be huge support.

If anyone is interested I have taken this one step further. I will now be writing a bi-weekly article for our local newspaper on the subject of EMS. The editor said if it is exceptionally interesting he will be forwarding it to our closesed major newspaper editor in the neighboring city. It will be nice to be able to communicate some of the achievements and struggles we face in EMS with the public.

Thanx JP another great scenario

A study was performed on 166 pediatric patients mixed post-arrest and closed head trauma. All 166 had fixed and dilated pupils. Of the 166, only 13 were discharged from the hospital and a mere 8 of them had "productive" neurological function.(Sorry I cannot post my source I pulled those facts from a presentation I have). Anyway the point is, no one here can tell you if you did any further damage than the mother did, but I can tell you this patient had a VERY slim, almost nill chance. What you need to decide is if you did what is RIGHT. If you walked into a house with an unCx patient that is not breathing, and no obvious trauma you did what anyone else would do...Opened the patients airway. I just finished a code where the wife stated "he just collapsed", we found him lying supine on the carpeted floor, first thing i did was a head tilt chin lift. So if the story I am given afterwards by police is that the wife hit him with a frying pan and pushed him down the stairs, only to drag him back up and call us, did I do the wrong thing? Of course not. So if I switch my adult patient for a child does that change your answer? Perhaps you need some professional help to teach you how to deal with these feelings. We all could use some help sometimes.

Sluuuurred speach? Muscle twitching? has he noticed any other deficits such as trouble chewing? Was this sudden onset or progressive weakness over the last few days?

If I try move it does it hurt?

Hit me baby one more time A sung by Mobey -

If we don't get an answer soon, I'm gonna have a cord around my neck!!

Damn posted at the same time. I dunno apply cardiac monitor!

Did the mother have Codeine after birth? I am interested what the narcan result is.

hehehe I bet no matter how many times we ask this 5 day old, he just won't squeeze our fingers

one last chance james morrison

Once in a lifetime kieth urban

Great balls of fire Jerry lee lewis

OK we have all heared the stories of people walking around with broken necks EMS/Fire/Police dispatched to single vehicle rollover. Police are first on scene, Pt. is walking around no coplaints. Police inform dispatch to cancel all other services. We return to base only to hear the next day the Pt. went to the hospital the next morning comlaining of neck pain. ER does an X-Ray....yup cervical fracture. Can Police in your area cancel ems responce?

I have researched a bit, but have not found much info on this. Is there any reason outside of pain control and swelling reduction that we use ice packs on fractures? Someone mentioned that it can reduce permanent muscle damage by slowing a chemical reaction within the site. No specifics though, so I don't know whether to believe it or not.

WOW I'd say you should have no problem entering EMS at 18 since you can type and read at only a year old!! All in good fun!!!!

How far are we? Any first responders available for first responce? (I assume we are not within a few mins of this baby)

Don't get too hung up on it. People are just trying to figure out if your a security guard or an ambulance driver. :wink:

Coming from Sask I used to get all my directions in this fashion. :roll: Dispatch "Medic 1 respond to Clarence ****** residence for a 54 y/o male possible CVA. ME: "Copy that dispatch" Dispatch: "Medic 1 driving directions are, go north on hwy 342 approx 14 miles, turn west where the Heimarks Dam sign used to be, Continue west approx 3-5 miles till you come to the white rock on the fence post, turn North. Continue north approx 2 miles road ends up at his driveway, caller states if you pass the driveway the road drops into a coulie, so be careful. ME: 10-4 Dispatch this will be fun in the dark!!

Ya the 5 min transport time is for in-town calls only, about a third of our calls are out of town. One argument I am making is the ability to bring less than critical patients to the ER means the on-call Dr. does not have to jump out of bed and get to the hospital immediatly. Such as: I can give Epi for anaphylaxis...But the doc better be at the hospital when I get there for definitave care. However a Paramedic can give Epi, Diphenhydramine, and Methylprednisolone, reducing the urgency for a physician.