mobey

We carry infant pads for both our AED and lifepak 12.

He was standing beside a fire truck with front mount pump screaming away. I think the real idiot is the farmer...bright yellow gear must be hard to see with all those black charred bales around. :roll:

LMAO Believe me I would love to e-mail her this link but she has been with this service for 5 yrs and I have been here for 2 mos, so I would probably be fired :roll: Gotta love the good ol' boy system, Its the reason I have not gone to management with this. On the upside I got a call from the fire dept. (pt was a FF at a fire scene) and was thanked for calming the situation and making sure things were done properly. She did not get a call I think Dust is right..No matter what I say she will never admit she was wrong. I guess we will see what happends next time, hopefully deep down she knows I was right and will let me call the shots next time.

I just got back from a fairly simple little trauma call. 25 y/o male hit by a tractor at slow speed. The guy got bumped in the hip by the bucket tractor and was c/o hip pain. He was A&Ox4 no other complaints, BP 186/88 P 86 R 26 non laboured. Strong regular radial. He was found supine shivering as it is only about +3 today. As we were immobilizing one of our EMT's stated "he is shock we need to move". Obviously I don't agree, I asked our EMT after the call why she thought he was to which she replied "I have 5 years experience and I know shock when I see it". As it turns out he has a nasty bruise and thats it, he walked out with crutches. So my question is: How can we as competent EMS personnel inspire others to hit the books and net and keep up thier knowledge base? As I have said many times before on this site, Experience means nothing if you have no book smarts.

Thanks for the scenario!

The loss of skills or getting "Rusty" is a very real concern with low call volumes. I used to work for a company that only did about 200 calls/yr. You could easily sit around on a 72hr shift and not do a call. When I was hired on I was asked to help reeducate the BLS staff whom had been there for around 10 + years and had completly lost ALL pt. care abilities. Unfortunatly they used the "good ol' boy system" and I was not accepted and ended up leaving. In a service with low volumes I believe it is imperative that you continually study (EMTCity helps), and even volunteer in a facility to keep yourself exposed to patients.

Yaa....You may want to brush up on english before you start, when your ready All in good fun

OK so since you asked about EMT-B I assume you don't mean Canadians but I'm gonna post it anyway: It varies province to province of course, these are the two I know Alberta: Oral glucose, Glucagon, D50 ASA, Nitro with or without prescription Ventolin, Atrovent, Combivent Nitrous oxide I.V. therapy, Non-visualized airways (King, Combitube), 3 lead ECG. Saskatchewan Oral glucose ASA Nitro with prescription only Activated charcoal 3 lead ECG (application only, not authorized to do rhythm interp.)

Check out the prescription date on the Suboxone and have my partner do a quick pill count. Visualize the leg, and palpate. Does the Pt. feel hot? What is the skin turgor & color like? Any Hx recent trauma? (fall) Decreased LOC since last night...Why are we getting called now and not earlier? Specify decreased LOC. Has the husband noticed any seizure activity?

I used to take a 80 y/o male from long term care for accupuncture once a week for about 2 mos. He was in long term because he had a leg amputated 1.5 yrs ago and refused to use a wheelchair saying thier "too uncomfortable". Therefore he had a catheter and a colostomy, and wanted transfered on a stretcher. Believe me those trips were NOT EMS trips. I know if that is what I did for a full time job I would not list my occupation as EMS, more like "Non-emergency medical transfer service".

First: Do a search of this site this subject has been beat to death Second: Go to ACP school, the sooner you are a medic the better. Why work BLS cheating your community if you are competent enough to offer ALS.

Nope... EVERY volley quits doing it for free, supply and demand gets thrown off kilter, communities are forced to find the money to pay for our services, public sees EMS as a job instead of a "noble donation of time". Then we change JOB to Profession. Then we demand to be payed as professionals. The A&W down the street is hiring cooks for night shift...Starting wage $12/hr. Starting wage for a fresh EMT in the same town $14.60. Maybe someone will volunteer to cook hey?? :roll: Who really needs to get a grip here!!

S signs & symptoms A allergies M medications P past medical history L last oral intake/meal E events leading up to current condition/event

Dealt with crap like this many times.. I was doing standby at a grass fire one time getting ready to leave at the "loss stopped" timestamp, when a stupid volley firemonkey came screaming across the field lights and sirens chasing a "hot spot" (which was sitting still) hooked a barb wire fence which had been lowered earlier in the fire, drug it about 50 feet and almost cut some guys legs off :roll: Ya I brought it up to the chief and was promptly reminded that they are the proffesional hoserollers, and accidents happen!!! Besides you can't give volleys $hit, they might quit. Even if it does cost Joe Farmer an arm and a leg (or two). :wink:

http://www.emtcity.com/phpBB2/viewtopic.php?t=3043 Top right hand corner...SEARCH learn to use and love it!! :wink:

I think what your describing is a 9 lead, not nearly as good as a 12. I am interested in monitoring rhythms only, I would still pop off a 12 lead for diagnostics. Thanx for the try JakeEMT!!

The service I just started with has a lifepak 12 with a standard 3 lead "plugged in" and ready to apply. I was doing my first unit check today when I ran across a 5 lead cord for it. I have only ever used 3 for monitoring, I have searched google and the city but didn't find much info on the advantages of a 5 lead for monitoring. And no this cord does not have the outlet for the precordial leads on it.

Umm... Red Deer, Rocky area

I just wrote my ACP last weekend in Red Deer and rumor was we were the last class. I heared the exam will be based out of Edmonton online and anyone can write it at thier local collage under direct supervision. BTW there will be no more scenario's Don't hold me to any of the above statements, that is just what was going around the school last weekend.

Thinking out loud again! I am in a small community that claims it cannot afford ALS....(don't go there) I am wondering if any paramedics out there (in AB) have a blend position where the ambulance/hospital share the extra cost? I am considering drawing up a proposal and would like any info I can get. Our EMS is town run, our hospital is part of a health region. How is the wage split? What is the scope of practice in an ER for a medic?What do the nurses think? .....and so on..

You could see if your local hospital ( or a close one) would let you vollie in thier ER. At least you would get some patient contact that way...Outside of that see if there is a service nearby that would hire you casual. HEY then you would even get paid... BTW why don't the 6 of you demand pay....The guy who cleaned my sewer today got paid Sorry not a derailment just could not help myself

Dammit if you are not going to help the progression of professionalism in EMS keep your mouth shut! :evil: I once had an instructor tell me "Never cut along the seams of cloths of annoying patients because then they can be fixed." Threats and theatrics have no place in EMS!

Good luck in your program.... Make sure you check back here now and then!

Oh ya...Duhh He was hit in the side of the neck with a baseball and had a substantially large bruise and hematoma visible from accross the room.

This is an honest question...PLEASE do not take offence I was in the ER lately in a fairly major city when a young man walked in complaining of neck pain. The triage nurse told him not to move, and quickly retrieved a C-collar from benieth the desk and applied it immediatly. I was headed for the spine board which is accross the hall fixed to the wall when I noticed she was leading him to a bed instructing him not to turn his head as he walked. Anyway he layed down in the bed and did not move the whole time I was in there (about 10 min). Funny part is none of the other nurse's said boo, or even acted like anything is out of the norm. The nurse I would guess is less than 30 years old, probably finished school within the last 5. So the question is are nurses educated in proper spinal immobilization? Is this common practice in canadian ER's or just this one?