TerrfyinFlyinSrvc

Some wanker stuck those Stars Of Life on there before I arrived. I'm going to scrape them off.

It would seem to make a rather good aiming point. :shock:

For where you're at, I would suggest:

Romulan Cloak of Invisibility

Wonder Woman Bullet Blocking Bracelets

Plane Ticket Home

Seriously, have you used any of the EZ-IO or Quick Trach's over there?

Keep yo head down.

neal

Things you can't make fun of...

1. Lincoln Assassination

2. Kennedy Assassination

3. September 11th

4. Muhammad

5. The Holocaust

Lincoln, Kennedy and Muhummad are all on a tour flight to the Holocaust museum when Muhummad asks "What's the date today?".

Lincoln says its "9/11."

Muhummad says "Shoot, I gotta use the skyphone!"

JFK says "hold on, let me call my dad first."

"He left a message Something about a new german soap, Final Solution or something."

Muhummad says, "Hey my buddy Osama said something about that."

Lincoln says, "hey, I got the game on. They scored four with twenty seconds to go."

JFK says, "We seem a little low."

Lincoln says, "But what a view of New York!"

Muhummad says, "I really gotta use the phone."

ehh, your right it don't work.

I for one am tired of all the sanctimonious bs being ladled on the whole 911 issue and the implication that the victims are somehow more noble by virtue of being killed in a terrorist attack versus someone slipping in the bathtub.

Or that any emergency workers who died that day somehow experienced a more heroic death dying in the towers vs any other emergency worker who dies on the job on any other day.

Yes it was a tragedy.

Now quit wallowing in it like a bad Jerry Springer show.

I actually consider myself fairly safe around bottles having nearly been killed by an

O2 tank coming off the back of a TT wrecker.

I think I recall seeing hard cases to tote tanks in, or even like a racing-grade fire extinguisher bracket. With the regulator off, I would think it would be pretty safe from anything but a really devastating crash. I'd want it secured more to keep it from sliding around or whangin me in the head, than explosive concerns.

Ferno makes several brackets, but you could buy the same from Graingers or McMaster-Carr or your local weld shop for a quarter the price. And they'll secure the bottle against anything that you'd live through to worry about.

Think how many sick folks carry bottles just setting on the carseat with them driving all the time. I'm not saying its safe to do, but I haven't read of any problems in any car accidents.

neal

I've had my bell rung a couple of times. Here's the worst (and it was intentionally caused):

Had a new EMT with a huge attitude driving one day. She watched in the rear view mirror, and waited until she say me move around, lean over, and reach for something, then slam on the brakes. Threw me up into the front cabinets then down into the door well backward. Just about knocked me out. She claimed someone pulled out in front of hear. But I remembered seeing her eyes in the rear view just before. After awhile a few other medics reported similar experiences. We all had one thing in common. We wouldn't let her run the calls (she EMT, we medics). Weeks later she admitted to a co worker who was dating her she was doing it to show "who was boss".

That is just plain psychotic.

That is somebody who should have their license jerked and be criminally prosecuted.

If it was a guy doing this I would probably also administer a severe beatdown.

As in we will all take turns holding his arms so everyone gets a couple of shots in.

mamed wrote:

I am a martial artist. I've studied for about 20 years. I also teach martial arts and self-defence.

dt4ems wrote:

You should never just watch a video and think you can do it.... Besides it is all the stuff we do BEFORE the assault takes place. The hands on is IF I SCREWED UP!

And ace and azcep spoke well of you.

Ok, I stand corrected.

I also admit I should have researched further before posting.

It was the original post, the thrust of which it seems I misinterpreted.

Additionally a spate of posts regarding carrying personal weapons, etc on the job on this and other forums sort of set me off.

You guys do raise and do stress the points I was trying to make.

That is that proficiency is defensive tactics requires hands-on personal training and a dedication to practice in order to be effective. The same as any EMS skill we possess. The less often we need it, the more we need to practice it, lest we forget how to do it properly.

Further, none of this is a substitute for scene safety, calling for leo back-up, etc. As you say, if you are using it, something already got screwed up.

And finally, your goal in using these tactics is to be able to get away.

My concern was for someone of the wacker type personality charging into the scene thinking he's Bruce Lee and getting a bunch of people hurt.

I apologize for posting an ill-informed opinion.

Your program is well recommended, and I would take it if ever offered in my area.

See it is responses like that that keep me from posting.

I would certainly hope that is not the case. By posting you corrected my erroneous impression, for which, I thank you.

Be safe,

neal

While I can see where some sort of personal defensive training might possibly be useful, this is the type of thing that requires constant training and practice.

I can more likely see where things like this could give someone unjustified false confidence to interject themselves foolishly into situations that could go very very bad.

If purely physical defensive maneuvers were all that particularly effective, police officers wouldn't carry mace, nightsticks, tasers etc, etc in addition to their firearm. It ain't that they crave the extra weight on their belt. It is that it can be nearly impossible to physically subdue someone who wishes to do you harm without shooting them.

The demonstrator in the video isn't an actual crazed/drugged/drunk pt who genuinely wants to hurt/maim/kill someone.

I don't want a partner around me who is convinced that they can disarm a gun-wielding loon by applying something they saw once on a You-Tube video.

If we actually lived through such a fiasco, they would need their self-defense moves against me because now I'm going to become violently unstable.

I ain't a cop, a martial artist, a gun-slinging cowboy, or a superhero.

I am an EMT-Basic. I attempt to render aid to people after I have ensured scene safety.

If the scene becomes unsafe, my partner and I leave.

With the patient if possible, without if necessary.

It is their emergency, not mine, and I have no desire for it to become mine.

Be safe,

neal

are you not going to black tag the patients who are not breathing?

Well, you are mostly right for here in the US. Black tag the non-breathers at the primary triage.

However, you may still wind up doing aggressive airway management during the secondary triage of red or yellow tagged pts who begin to decline in condition either on scene or during transport.

The poster, Asy, lists her location as Israel, so I do not know her protocols.

Additionally, Asy stated that this was used at "respected facilities" which I took to mean something like a trauma center dealing with a mass influx of pts from a terrorist attack/missile strike.

Be Safe,

neal

Asy,

All kidding aside, I can see where that would be a very useful trick for mass-casualty scenes.

Would finger cots work? You could also get those in non-latex, and possibly cheaper. And without the ummmm, various other connotations.

Be safe, and best of luck to you and your patients.

neal

Without getting into a pro/con death penaty debate because I don't know how I feel about it, I don't think that anyone should perform an execution as a EMT/Paramedic.

It's easy enough to train someone to run a line.

Go back to the hangman model of the old days, and just train a state executioner.

What size does a 6.0 mm convert to in French?

Isn't a 36 Fr the biggest NPA available for most places?

20fr= 4.5mm, 22ff=5.0mm, on up to 36fr=8.5mm

Every =2fr = .5mm

So they were using a 26fr.

36fr is biggest avail according to the Allmed catalog, don't know about anywhere else.

We report a case of sudden airway obstruction caused by a nasal airway that slipped into the trachea and the right main bronchus (Fig. 1). An 87-yr-old man presented with disturbance of consciousness (Glasgow Coma Scale score 9) after removal of a hematoma in the brain ventricle under local anesthesia. We inserted a nasal airway with an internal diameter of 6.0 mm to relieve the obstruction. Three days after surgery, we attempted pharyngeal suction through the nasal airway. The tube slipped through his nasal cavity into his trachea.

Like, "Whoops!! It just dropped right down through., Oh well :dontknow: , it could happen to anybody."

I mean, didn't they notice it was slipping?

Once the end of the tube disappeared into the nostril, did they decide to go for the record or what?

Who was suctioning? Roto-Rooter?

After all, they were in a well-lit, non-moving/bouncing hospital room.

Couldn't they have retrieved it orally before it practically "fell" into his lung?

With the GCS and the hematoma, would anybody here have used a nasal airway?

Wouldn't they have bar-b-q'd an EMT or Paramedic who did this? I'd fully expect to have my butt mounted next to my head in some doc's office if I did this, and rightly so.

If I'm all wet here, please tell me so.

neal

My vote is "nice job but you're still a whacker". He'd have gotten the "hero" nod had he just slipped off into crowd without playing up what he did.

I'm glad the lady is alright.

But the word opportunist does flit across my cynical mind.

Many emergency workers wait years for their first save.

Well, anytime you treat someone who might have died had they not got help in some form, haven't they been "saved"?

So, some of the folks on here have "saved" hundreds, if not thousands.

neal

Well, I don't know as I'd brag about Celine Dion :-#

You drink Pop, not Soda.

I did know about the shuttle arm, but I am a bit of a space freak.

Canadian, eh? I didn't know that!!

Congratulations to your class, yourself, and all those anywhere who assisted.

WAY TO GO!!!!! :cheers: :occasion5: :cheers: :occasion5: :cheers: :occasion5:

dru,

If we hurt your feelings, well, all I can say is, Toughen up Buttercup.

First of all, you led off by telling all of us working stiffs with families and mortgages and bills out the ying-yang about how your 17 yr old butt rides around in a brand-spanking new 2006 Saturn VUE (the saturn SUV) with 2 Whelen Dual Talons out the windshield (blue/clear clear/blue), 2 Whelen Single Talons facing out the rear windshield (blue, red) which rotate so they still face outward when the trunk is opened, and a magnetic mount Sho-Me dual rotator mini-lightbar (blue/blue).

How many freaking lights do you need???

Most of us are happy if the junkheap we drive starts and runs when we need it to and we don't get killed with a bill come inspection time.

People cautioned you about insurance concerns as to responding in your pov, asked you if you were required to use your pov and what type of squad you run with.

You say you don't drive like an ass. Then you are the first 17 yr old in the entire world history of all forms of transportation never to do so. But I will take your word for it.

Then you ask about hero-kits which has only been discussed on about 73 different topics if only you took time to look.

You describe how you carry a personal jumpkit with basically everything except a tank of O2.

"Everything" covers a pretty broad range.

So I said I hoped you were legally allowed to use what you carried, and cautioned you as to the consequences of exceeding your scope of practice.

You say there is nothing in your jump-kit that you are not certified to use. I'm glad to hear that. At this point, if you are gonna tote all the other crap, then why not get the O2 as it falls under B for breathing, right after A for airway, and before C for circulation and its the one thing that most pts actually can use.

Several people complimented your enthusiasm for EMS, myself included. Several people also questioned your judgement, again, myself included.

Still, I believe you to be of good intent, just a little overeager.

I wish you always the best of luck,

neal

My pov 1996 Chryseler minivan primarily equipped with alot of dirt, both inside and out.

Emergency lighting is supplied by a disposable lighter and maybe a matchpack or 2.

As to med equipment, there might be some bandaids in the glove compartment, half a roll of papertowels, and a stale bottle of spring water somewhere in the back.

Your enthusiasm for EMS is admirable. But your judgement is worrisome.

Unless you are doing light shows at outdoor raves, you have absolutely no reason to have the lightbars. Its like saying your primary EMS training consists of watching "Bringing Out The Dead" 500 times. In the eyes of professional EMS'rs whether paid or vollie, it makes you look like Barney Fife polishing his one bullet.

And whatever you have in your jumpkit, if it is beyond your scope of practice, you better never use it unless you have an extreme fondness for the inside of courtrooms.

Throw away the catalogs, sell the lights to a dj, and put the money towards your education.

If it turns out that you are in this to help people as opposed to playing with shiny toys you will have all the excitement you will ever want or need and will eventually go into anaphylactic shock at the sight of a whackermobile.

You can be pissed off at this, or you can take the advice and counsel of people who are far more experienced than either of us will be for decades.

best of luck,

neal

hepatatic, liposuctioned, tatooed

silicone and botox

range and capacity

Rare is the case that the full ALS system shows it's merits, but when they do happen nobody wants to think about the differences.

Something else that I really have no idea how to quantify, but would like to see, is how much money the EMS system actually saves a society in shorter hospital stays, less drastic interventions at hospital level, and overall better outcomes. I'd also want to factor in wages and assets that would otherwise be lost due to death, disability, lost work time of other family members, etc, etc.

I'm really tired so if that statement is unclear, I apologize.

neal

loaded their SuperSoakers

Very interesting.

Possibly people alone with even severe chest pain are generally more able to still call 911 than stroke victims because of physical/mental impairment.

Additionally, chest pain scares people more, where a TIA is possibly more apt to be chalked up to being "just a little light-headed. I just need to sit down and maybe rest/eat/drink something sort of thing."

Just the 1st thought that occurs to me.

neal

filthy laryngoscope blades!!!