Beeb

I'd like to hear other people's opinions on this. I ran this call about 7 hours ago at the private service I work for... A call comes in from a nursing home that we have a contract with. A 70ish male has fallen face first out of his wheelchair. He's got a good sized hematoma on his forehead, front and center. Staff reports that the patient is awake and alert to his normal status, is not actively bleeding, and is not mentally altered beyond his regular dementia. The patient is now sitting in his wheelchair again and the hematoma is bandaged. We are dispatched emergency to this call. The kicker is that the nursing home is 21 miles away. It's rush hour in a big city. Dispatch says our protocol is to run hot to this call. So, the question is do you or don't you?

I have had female partners in the past and have seen others in this predicament, but haven't had the problem myself (my wife was cool about it). One thing I have seen done in order to assuage any fears the Mrs. (or Mr.) has is, after explaining the problem and getting your partners permission, to introduce them. Bring your wife to the station or, better yet, see if can go out for a meal together & make it a night out. Get your partner to bring her spouse, boyfriend, et al. if she can. From what I've seen, after the spouse gets to know the partner, they usually realize that there's nothing to worry about. Unless your partner is just way hotter than your wife...then you're screwed.

Just found this on cnn.com... http://www.cnn.com/video/#/video/crime/200...ic.punched.koco

When in doubt, blame EMS... http://sports.espn.go.com/nhl/news/story?id=3643696 MOSCOW -- Russian hockey legend Igor Larionov says the death of rising star Alexei Cherepanov is "unacceptable" and has asked the Continental Hockey League's majority owner to hold an emergency meeting about the matter. Alexei Cherepanov, the top-ranked European player in the 2007 draft, was the Rangers' first-round pick that year. Larionov, who helped Russian businessman Alex Medvedev found the league and sits on the KHL's board of directors, told ESPN.com he was flying to Russia on Thursday and hoped to get more answers. A board meeting could take place next week, Larionov said. "I'm very upset about this," Larionov told ESPN.com from Los Angeles on Tuesday. "First of all I feel terrible for the family of Alexei Cherepanov. But we need to get to the bottom of this and find out what happened. I sent Alex [Medvedev] an e-mail last night and said we needed to have an emergency board of directors meeting. This is unacceptable. ... "This is a blow for the KHL," added Larionov, who will be inducted into the Hockey Hall of Fame next month. "We must learn from this. This cannot happen ever again." A Russian lawmaker said Tuesday that Cherepanov, a first-round draft pick of the New York Rangers, may have died because of negligence on the part of paramedics who responded to an emergency call. Cherepanov, 19, died Monday during a KHL game outside of Moscow. Russian investigators said Cherepanov suffered from chronic ischemia, a medical condition in which not enough blood gets to the heart or other organs. Pavel Krasheninnikov, who sits on the Russian Hockey Federation's supervisory council and is a member of the State Duma, said there was no ambulance on duty at the arena where Cherepanov's Russian team, Avangard Omsk, was playing. He asserted that emergency workers took too long to respond and didn't have a defibrillator, a machine used to shock the heart. It was unclear how much time it took paramedics to respond. "There are elements of negligence here," Krasheninnikov said in televised comments. Shawn McBride, the KHL's North American spokesperson, said the league was investigating the matter. "The KHL at the moment has convened a commission to look into the circumstances around exactly what happened," McBride told ESPN.com. "My latest information is that we're still waiting on perhaps further medical information on exactly what the situation was. And then as many are, such as the Russian Hockey Federation, the government, we're breaking down the circumstances around the medical support staff at the rink and away from the rink and the treatment and the things that happened moving forward there. That is all in motion right now from a KHL standpoint. ... "This is a very significant issue. It's something that will be addressed accordingly going forward from a league standpoint and all the teams in line from there," McBride said. When asked Monday about the availability of a defibrillator or whether medical equipment that might have helped Cherepanov was in working order, coach Wayne Fleming told ESPN.com he had been asked not to comment by team officials. An earlier report had suggested the ambulance usually stationed at the arena had left and had to be called back, delaying Cherepanov's transport to the hospital. That report could not be independently verified. Cherepanov's agent, Jay Grossman, told ESPN.com he'd heard the same reports of problems with medical equipment and with ambulance availability but said he didn't know the details for sure. Moscow regional investigator Yulia Zhukova said officials would look into why Cherepanov was playing with ischemia and said officials could open a criminal investigation. Former Rangers captain Jaromir Jagr played a shift with Cherepanov and was talking to him on the bench shortly after they left the ice when Cherepanov suddenly collapsed, said a Rangers spokesman who talked to Jagr. "He passed out on the bench and they couldn't revive him," Fleming told ESPN.com Monday night. Cherepanov, 19, the 17th overall pick in the 2007 entry draft, was sitting between Jagr and forward Pavel Rosa on the bench during a game against Vityav Chekov on the outskirts of Moscow when he suffered an apparent heart attack. "He just laid back, passed out and went kind of white," Fleming said. He said a team of doctors tried to revive Cherepanov but couldn't. Cherepanov was taken to a local hospital, where further attempts to revive him failed. Fleming said he would meet with team management in the morning to determine the next course of action vis-à-vis whether there would be an investigation into the circumstances surrounding Cherepanov's death. There was no collision that preceded the collapse, the spokesman said, but few other details were available. Cherepanov scored the first goal of the game and had eight in 15 contests this season, his third with Avangard Omsk. "It was really kind of a surreal thing for the players," Grossman told The Associated Press. "He was skating in on a two-on-one with Jaromir and then they came back to the bench. Jaromir was talking to him and he told him he has to score on that play. The next thing you know, he collapsed. "[Jagr] went with him into the dressing room area and they revived him for some time and then he didn't make it," Grossman said. Amateur video taken at the game showed players and coaches gathered around the Avangard bench and then carrying a player who appeared to be Cherepanov. Grossman said Monday that testing done on Cherepanov at the NHL combine before last year's draft didn't reveal any heart problems. He has been told that players in the KHL receive regular heart and blood tests, similar to those given in the NHL. In the NHL, each team undergoes an annual audit to ensure it is in compliance with a range of emergency medical procedures that must be in place in every building, deputy commissioner Bill Daly told ESPN.com Monday. Among the requirements are that medical staff on hand must be certified in advanced trauma life support. There is also a requirement for ambulance service on-site. The ability of teams to respond to medical emergencies was brought into sharp focus in November 2005 when Detroit Red Wings defenseman Jiri Fischer went into cardiac arrest on the bench in Detroit. "I was sitting in the stands that night when it happened," Larionov, a former Red Wing who retired during the lockout, told ESPN.com Tuesday. "I will never forget it. And I warned the KHL about things like this." The NHL also reviewed its procedures after Florida Panthers forward Richard Zednik suffered a potentially deadly neck injury during a game in Buffalo in February when he was cut by a teammate's skate. The Rangers announced Cherepanov's death shortly before they played at home against the New Jersey Devils on Monday night. New York coach Tom Renney said his club was not aware of any health issues with the young player. "He's a Ranger and I think it'll have an impact on people," Renney said. "We're going to have to deal with it in our own personal way." Cherepanov surprisingly slipped to the Rangers during the draft and they grabbed him with the 17th pick. The talented forward dropped because of concerns about his signability and the potential difficulty in getting him to leave Russia. "He was an exceptionally talented kid," Grossman said. "He played in the Russian Elite League, in the men's league, even before he was drafted which in and of itself is an achievement. He was a self-motivated kid that had an inner confidence about him." The Rangers maintained a good relationship with Omsk and the club's general manager, even though there has been feuding between the NHL and KHL. New York assistant coach Mike Pelino recently returned from a one-week trip to Russia where he watched Cherepanov play and then dined with him and Jagr. "I was shocked when I heard. I thought it must be a misprint or something because he just had so much going for him," Pelino said. "He was someone who I was really excited about and thought, 'Wow, we did get something special here.' "He had things to work on. We felt he had to become a little stronger still, he had to probably become a little bit more aware defensively. But as far as raw talent went and the ability to score, he was great," he said.

"Shakin' the Blues" by Screamin' Cheetah Wheelies...one of the best one hit wonders of the 90's. It was in my head all 24 hrs of my last shift.

From "Anchorman".... "I'm going to punch you in the ovary" "You are a smelly pirate hooker" "Why don't you go back to your home on Whore Island?" Possibly one of the finest achievements in American cinema since "Citizen Kane", "The Godfather", and "Dude, Where's My Car?"... :headbang:

Just watched a little of the "Publicity Hound" episode on nbc.com. Good stuff...award winning acting... :wink: ...and in the "where are they now?" file, I saw Kevin Tighe (Roy DeSoto) on "Law & Order: SVU" as the pedophile of the week the other day. Good to know he's still working. I wonder where Randolph Mantooth is these days?

The good lord has answered my prayers and transferred me to another shift starting in 2 weeks! My new partner is somebody I've run with before and get along swimmingly with. The guy taking my spot actually asked to be assigned to Mr. Abrasive, thinking he'll be able to get along with him. He 3rd rode with us the other day & it looks like he really might. They seemed to get on pretty well. God help him!

I wish this guy would not speak to me. The only thing that comes out his stinking halitosis laced smoke hole is smart ass comments & insults.

He just might end up in that body bag, because our last shift sucked. Not because of the calls we received, but because he is a giant assbag. There's just no other way I can put it. He decided to let loose with every insult he could; my age, my weight, even what brand of vehicle I drive; him thinking the entire time that he was being charming and amusing. Even after I told him he's not funny and he should shut the hell up, he kept on hammering away at me. I didn't want to do it because I don't want to be known as a rat, but I caught him on a non patient care (but serious nonetheless) procedural violation, so I wrote him up to our superiors. The fact that's he's a paramedic and I'm a lowly EMT-I no longer matters. His violation (which I'll tell you about if he gets fired) would result in both of us losing our jobs; him for doing it and me for not turning him in sooner. As I said in the original post, I have a family and a mortgage, so I'm not gonna lose my good paying gig because of medic with a Christ complex. I won't know the result of any of this until at least next Tuesday, so I'll get back to you with an update.

"Fear is Never Boring" by The Bears and/or The Raisins. I hear it in my head every shift I work. If you've never heard either band, it's worth your time to check 'em out.

I don't know if they do convo, but they are the 911 service for the entire city of Atlanta. If you're looking for hardcore big city EMS, Grady is one of the best places in the country to do it. According to what I saw on CNN, they're the busiest trauma center in the U.S. Sanjay Gupta (from CNN) is one of the trauma surgeons there. However, Grady is having some serious money problems due to the staggering number of indigent patients they treat. They're being taken over by a new board of directors and turned into a non-profit. That usually means layoffs. You might want to read up on 'em in the Atlanta newspapers online.

...regifted like a cold sore... 8)

Well, I got through a whole 24 hr. shift with this guy without him saying anything patently offensive or remarkably stupid, aside from his liberal & dated use of the word "homey" and his excessive affectation of the Gary Cole Office Space voice (yeeeaah...riiight...we're not gonna do thaaat). Apparently, he either realized that he was being a wanker or perhaps he read my original post. Maybe somebody else in the company said something to him. As I said in the first post, it's not his patient care that's an issue. We had an 86 y.o. woman full of fluid to the apex yesterday and he handled it like a pro; did everything you'd think he'd do. Now if I could just get him to stop the constant smoking. The stench of his fetid breath stinks up the whole unit. Yeeaaah...riiight...that would be greeaat if you could not stink...yeeeaaah...

I'm on my way in now to start my shift and will be stopping by CVS for that notepad. I'll report back tomorrow & tell you what happened.

I plan on talking to him about it tomorrow morning when we get in, but the "juice" bottle is looking like a great idea! :twisted:

I'm sure many others here have had this problem, but it's my first time dealing with it so I'm asking for advice/discussion/a sharp blade to open a vein with... :wink: I just started running with a new medic partner in the private I work at the other day (I'm an EMT-I). While he's new to my company, he's got many years of experience in EMS. I think it's the only job he's ever had. He seems to be a more than competent medic who's willing to let me do things in the back to prepare for medic school myself, but the problem is he is the most abrasive, obnoxious, insulting, and I'm afraid, laziest person I've ever met. My ops. director actually apologized to me for sticking me with this guy, but since we're short on medics like everybody else, there wasn't much choice. Now I have to spend 24 hours every 3 days with him. He's the kind of guy who thinks he's being funny & charming by insulting you every chance he gets, like Don Rickles. He's riffed on everything from my age (he's about 9 years younger than me) to my weight (I could lose a few lbs.) to my IV skills (not the best, but getting better). He does this when we're alone, in front of patients, and in front of the ER staff. He's also the kind of guy that uses stupid nicknames, i.e. Spanky, Doofus, Chief, etc. I've told him several times to drop it, but he continues on. He even asked me "so, do you want to grow up & be a big boy paramedic?" Repeat that sentence in your head in a voice like you were speaking to a 6 year old. That was his way of asking me if I was going to medic school, and he was serious in his tone. Here's a good example. Last shift, we were on an elevator at the hospital. A Dr. named Kramer gets on. His name is on his lab coat. My partner looks at him and actually said "Kramer? Do you know the real Kramer?" He really thinks things like this are funny and endear him to other people. His pickup lines to female R.N.'s and such are equally as cringeworthy. I never heard anybody seriously say to a woman "is it hot in here or is it just you?" until the other night. In only 2 shifts, he's already angered & irritated his superiors and the other medics in the company, one of which told him point blank after only 30 minutes of being around him and in front of everybody, "you're a (rhymes with turducken and gas hole). Don't ever speak to me again for as long as you work here, which won't be long". When asked yesterday morning to stay over for one hour to run a heart cath call, he said no because he was "too tired" (we had just slept for 6 hours). Even the dispatchers can't stand him because he doesn't keep track of his times on a call & constantly radios back for them or goes into dispatch to get them from the computer. He also uses "that tone" and his "charm" on the air when marking in service, on scene, etc. I know that this guy is not gonna get fired unless he does something monumentally stupid with or to a patient, whereas if he doesn't like me, I'd probably be out the door because I'm a dime a dozen EMT-I. I'm trying to hang on to a good paying gig here (I know, "good paying" isn't a phrase we read very often here) to pay a mortgage & support a family, like the rest of us, so if anybody has any ideas on how to deal with him, tolerate him, or dispose of his body, I'm all ears. Thanks for letting me rant. I feel like Dennis Miller, except none of this is really funny (then again, neither is Dennis, lately).