tinman694

So where's my eight inches???

The building collapse didn't kill him....but the sideways C collar did!

LET THE FIRE BASHING BEGIN....

And I am a Fire Medic...and don't do things like that for rescue PERIOD.

We do have to work with what we have--but come on...

You obviously have not bothered to do a search on the subject before posting...

In order to become 'advanced' in certification, you must complete certain objectives and requirements. Experience is helpful (and desirable), but not required to complete most of the steps.

Here we go again on what education should be required--but of course most posting here do not have any...

Gee..do I sound cynical?

I find it hard to accurately answer the "narrow" options of the poll.

My honest answer is that it depends on the situation. All of your prearrival preparation is done with information provided by the dispatcher -- so you begin to think, hmmm....this patient sounds sick, I'll take all the stuff or maybe, hmmmm smells like ca-ca, bring in the stair chair and lets get to the truck........

I love this...our '911' dispatchers cannot determine between a stumped toe and cardiac arrest

(I had a subject fallen call yesterday...subject was fallen all right...dead x 12 hours)

Walk 'em to the truck and get busy...

Blue Water Toilet

We have discussed this one before....but I will give a little insight..

I installed a wireless network and we began using Zoll (formerly Pinpoint) systems Tablet PCR. (My primary expertise-read job-- is in IT engineering--so designing and implementing a system for 3 units wasn't at all hard) We have been using it approximately 1.5 years and have had good luck with it. The system is rather pricey for the software--about $50,000.00US(we do not use the dispatching part--as we are dispatched through a city 911 system)

We run the software on the existing servers at the station, along with 3 wireless and bluetooth equipped Panasonic Toughbooks--with touch screen (approx $3000.00US) and they live in a hardened docking station--bolted in the tunnel of the Type 3 ambulances. We have bluetooth capable printers on each of the units (for printing a draft PCR to give to the hospital) which run for the shore power or inverter. Paperwork filing cost savings has been in the neighborhood of $10000.00US so far (and collections for billing has dramatically increased due to the speed we can now process claims and bill)

In terms of training, it took about 2 months to bring all the personnel on board with the 'new' process. The software can be tailored for almost any protocol--(this is what took us the longest). Aside from a few procedural problems in the beginning, we have all been VERY pleased in how easy and quick it is to do the process, get the patient info, detail an assesment, timestamp interventions, and have everything completed within 5 minutes after the call is completed. You can carry the toughbook anywhere--and it seems to hold up well to even Fireman abuse.

The hardware is the cheaper side of the solution, you could even get away with a simple wireless network (like a linksys router/access point) and a higher end PC to run the apps. There are some additional software costs as well, but you could bring in a complete system for around $75,000 and be up and running quickly.

Pretty cheap to have a fully featured, expandable and pretty friendly system.

gluing nuts together

out came superglue

Great you can help on the pet!

There are too many people who would put their pet first before even their own life---

Too many have a very warped view of who is top of the chain...as a dog owner, we would never risk our lives or put the life of our PET before a human being.

There are some that will though.....

CHEESEHEAD!!!

We also do both, but we do carry limited manual tools on the rescue if they are needed (Porta Power, prybar, sawzall et al)

In the event of a rescue, the medic is in charge is responsible for pt. care at all times (read IC) when there is a viable pt. to be rescued--otherwise, the FD handles the scene, logistics, heavy tool use (jaws, shears, airbags) All EMT's or better are technical rescue trained-several are HAZMAT Techs-but we defer HAZMAT to the combined team rather than perform it 'in house'.

The idea of at least getting started in a rescue has been a good thing for us--at least you can begin to stabilize the crashed equipment (we carry cribbing) and get a better look at the scene---many times we can SAFELY extricate with the mostly hand tools on the rescue (ambulance). The ambulance is always staffed by at least a Paramedic and Driver.

The heavy rescue is still rolling to the scene for additional help if needed (It also has a 500 gal tank and 500gal pump on it along with a generator on a PTO...Got everything but a toilet--and we can make one if necessary...)

For the life of me, it would be hard to understand why a 1st response unit would not at least have some basic hand tools on board to handle simple stuff...

The gun thing is cool....I used to be a cop --

In the past two weeks have had a couple who have had to be restrained---one was having a full blown MI and actually put up a good fight for about 1 min---we had PD to 'help out'

Usually it is crack heads--oops Pharmaceutic-ally gifted--who present the most problems--we have had a rash of 'bad' cases where the pt. exhibits psychotic behavior to the point of mania (go figure)

Problem was we had one (Gifted Person) who was restrained (with posey restraints--the cloth ones) who punched my partner, two cops and kicked me.all while spraying blood from numerous small cuts on her arms and legs..we got her under control (had orders for Valium and restraints...only got the restraints on) when we got her to the recieving hospital, the nurse INSISTED we remove the restraints immediately-- gave a pt. report, got a signature--and we left--the pt. walked out of the ED about 2 min. after us--right past the ambulance we were decon....

The security weenies yelled at us as to why we didn't stop her or go after her---

supercalafragilisticexpialadocius

Here we go with another 'what we should do for educational requirements'

From what has been posted earlier--no one who has posted even comes close to having the education compared to the BS being dished out...If you don't have the paper...then why is it you can tell others they have to have it?

Geez....does it sound like I am in a bad mood today or what?

(BTW..I do have the paper and would not DREAM of commenting on program requirements...the more you learn, the less you know!)

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I dont know...we can try

12 & counting....

You do realize you just jinxed yourself.... :shock:

R/rr 911

I don't know nuthin 'bout birthin no babies!

(But somehow I delivered 3 in the field last month--Normal Deliveries w/o complications)

Why is it that any of these discussions always degrades into some type of free for all about education. Although it was by no means scientific, I put forth a poll a while back and rec'd only a paltry response about education levels. Most of the respondants indicated less than an associates degree level of education--but some persist in saying that "more education is the key" (This includes some who cannot use good grammer.) And yes...my grammitaical skills are not perfect, but are better than average.

When you look at the requirements for Boston EMS, it looks like there are so many requirements to have a job there that almost no one would join up--but obviously they are not lacking qualified and motivated individuals to staff the trucks...just look at the hiring web site and see what you find.

When it comes to the rubber meeting the road...we are a specilaized transport service--read movers of valuable goods--we are not doctors--as many would like to think they are--we initiate care for people who are ill and take them to seek the care they need while performing skills taught during training.

That seems to be the intent of the system from the start--why it has become this quasi emergency department on wheels is why so many have problems coming to grips with reality I guess....

ok....enough of a rant....

"Dustsevil,"

Freudian Slip???

Never thought of myself as a whacker--but I have one of the straps like the one on firestore (where I bought mine)--the chest strap thing looks uncomfortable and police whacker like...but I digress...

Bought it for the reason you need one...t shirt weather down south (Do you know what 100% humidity all day and night is like? I do!)

It works ok--but don't wear it with a light colored shirt--the leather bled through. We also carry the 1250---Wouldn't it be nice to have a lighter radio???

I heard in Georgia, most things are kept in the family...

And Family Trees Don't fork.....

Or is that in West Virginia?

Georgia, West Virginia...what's the difference?

Sarge---Thought you were on Hiatus!!!

Glad you did not go!

With our crew--why is it if we eat Chinese Take out...we work a code (Within 1 hour).

So far it is a 100% sure thing--over the past 3 years.

BRING ON THE SEXY STEWS!!!

Makes me feel better about us folks here down south....

And they thought WE were sdrawkcad!!!

Much to Dusts chagrin--we have 'paid per call' ALS which works much better than what they have up there...

Not perfect, but it does get er' done...

I don't find Hydrogen Sulfide funny at all!

We had a well blow not too far from my house---almost killed us!

With all that people have to say about the NREMT, why is it that nursing has the NCLEX and no one seems to have a problem with that? It is also a testing body which promotes nursing in much the same way--through administering an entry level test, which is nationally (and for the most part internationally) recognized.

Personally, I think the standardazation is the only method by which EMS will progress into a viable profession. Having to sit for a board only makes it fair to all who must meet the minimum standard of care expected for any profession. Many seem to think that it is only about wanting money--which would play a part--but in the near term-with NREMT moving forward to adaptive testing, I think it will become more of a standard by which entry level personnel are tested and evualuated on what they learned.

Why can't we all just get along?