rdelisle

Hi all. I'm doing a little research on the effects of High winds on ambulances and I was wondering if anybody knew of any policies/procedures regarding maximum wind speeds that a non-emergency ambulance should be allowed to drive in. I'm looking at routine transfers on open highways with a speed limit of 100 km/hr specifically as I realize that operating in town is a different story. The reason why I ask, is we travel through an area that is known for wind gusts of 110 - 180 km/hr on occasion. Thanks in advance for your input.

Hi Suburban and welcome to the forums. What part of the rock are you working in?

Does this mean we'll have a college the same as physicians?

New provincial Medical oversight and Lifepak 12s for us.

Same here in Newfoundland. In fact the services that provide routine transports (Patient Transfers) also provide emergency service so the same ambulances are used for both purposes and required to be fully stocked and staffed at all times. If the patient is truly critical then we get an RN or an MD on board from the sending hospital as well.

My question is, was this your scheduled shift off? If it was then you can't truly blame yourself, we can't be everywhere all the time. As care providers we do need "me" time occasionally. I tried that life once where you show up to everything whether on shift or not and it can have a negative effect on you and your family in time. I also agree with the above posters in that it may be time to seek professional help dealing with this, both for your sake and that of your family's. Since I don't know all the details I won't claim to know what you are feeling but I will say stay strong and good luck with this.

New episodes, perhaps with some of the old crew reprising roles.

Hi all. So, I've been reading on this and different sites a number of posts on NBC's "Trauma" and I've seen it compared to "Emergency" on a number of occasions. What I am proposing is that we start a web petition to bring back "Emergency". I figure if enough people sign on that perhaps the networks will clue in that the drivel they have presented so far will not suffice. If any one else agrees or is willing to attempt this PM me and we'll get the ball rolling. By the way yes I did watch the premier of "Trauma" and now my wife won't let me watch it again with her in the room because I was grousing and complaining so much, lol.

Hi all, been a away for a bit, I was in the middle of a move to a new town. We have peer review in some places in Newfoundland and most work quite well they are handled in a non-judgmental fashion and can in fact turn into a little friendly competition. Some of the medics who review each other try to work to see who is the "better" medic which in turn improves the skills of both. I have yet to see any negative outcomes from peer review but I believe that depends on the delivery of the review results, if done in a harsh or demeaning fashion then yes it may cause hard feelings or a sense of rebuke. Like any thing else if handled correctly and professionally it can be a positive learning aid.

"Get Over it" - The Eagles The signifigant other wants the House?

I may be wrong but, I always thought if they have over all discomfort, low grade fever and a sore "neck" to think meningitis. Strep is usually just a low grade fever and sore throat or discomfort on swallowing.

Just plain freaky, and my bosses wonder why I want to do CBRN responder training. Makes you wonder just how safe it is to be the first one on scene. I forwarded this to my bosses so they can get an idea of what we might encounter on a given call in general.

In Newfoundland Ambulances are required to have an LP500 AED minimum.

Tell me if I'm out in left field here, but I think the A-fib caused her to have a syncopal episode and now she's dehydrated from lying on the floor.

I've not only seen the alcohol trick I've had it used on me when I was a kid. Went in to the ER smelling of 151 proof Jamacian rum, and strangely enough I had to have a chat with Children's Aid after that one, LOL. I have also seen another odd home remedy around where I work, it's the use of evergreen tree resin on cuts. A lot of the "Older" loggers around here swear by it. If they cut themselves while felling trees they smear evergreen tree resin on the cut and apparently it seals the injury tight and promotes healing.

Any rash or muscle pain? Do the neck muscles feel tense or tight? What was she up to the night before? I've got a thought on what it is but I'm holding my tongue for now.

I have no problem working with women, especially since the majority of women I've worked with are as good or better at the job than I am. My problem lies in the fact that I am the only male in our service :).

What about the subwoofers and the huge amplifiers? :)

Good question. As an instructor I've been asked the same question myself. The answer I give (may not be perfectly correct) is positioning is dependent on whether the PT presents with a Hemothorax or a pneumothorax. The literature I have states that for a Hemo it's good side up and for a pnemo it's bad side up. My understanding of this is in the event of a Hemo we want the blood to drain or pool away from the "good" lung and the heart, with a pneumo we're attempting to get the air up and out rather than building up in the thoracic cavity. The problem I see is that the only way to "differentiate" in the field is by percussion and this tends to be a late stage sign and an acquired skill. Now while I have yet to "see" any in my practice I would think that by placing the concious patient in a fowlers postion we would be benefiting the patient the most by allowing the fluids to drain down and the air to shift up and hopefully away from the good side. Also providing a pillow so the patient can lean to one side is also very helpfull. As for facing the ambulance wall if they are lying on their right side, not a major problem in full size mods with the CPR seat. Having said all this it is only my humble oppinion and I am open to "correction"

So would this guy be offended by a "RIDE" check as well? How would that video have played if he had simply stated his citizenship? If US Immigration wants to pay a bunch of people to park in the middle of nowhere and ask people a couple of reasonable questions let them. I don't see any violations of a person's rights I see a supposedly intelligent man being a TWIT because he has nothing better to do.

So is the hepatomegaly viral or parasitic in origin?

What's his temp and does he have a rash? Might be anthrax.