Doug

I believe the Netherlands actually has a law regarding what you can name children...you need to apply for the name and they can refuse it if they don't feel it is appropriate. Names regarded as potentially damageing or causeing undue stress are not allowed. I recall this off the top of my head but it came up as discussion several years ago when it made the news when a couple named their son Yankee Doodle and the last name was indeed Dandy, and a commentator remarked on the law in the Netherlands. Germany may have a ban on certain names as well, along with the laws against the display , except for historical purposes in a established and recognized institute, of any nazi paraphanlia.

You'll note that the comment section for that video has been disabled. So, I sent the auther an email...suggest you do the same.

Excellent question...especially since it seems around here (Western Mass) trauma docs like them better (Miami "J's" too, I think that's how they are spelled.) better than the one piecers. I too like the fact that you can put a small front and attach it to a large back piece. Much less chance of cranking the neck trying to get the velcro to attach too.

"XXX FD respond mutual aide Town of XXX 74 xxx Street for the fully involved structure fire" "XXX Fire, Turning on to XXX street can I get the house # again?" "XXX Fire, it's the one with the flames coming out the roof." "Full EVOLVED structure fire" is a good one too "MEDIC XX, you're gonna need the stair chair...."

Also not really sure what the refusal rate has to do with anything. If somebody refuses the blame is on them not me. In fact I would say that based on call volume whites are P***ies, I have never been called to a black persons house because of a spinter, a runny nose, or because "my kid is not listening to me."

I can honestly say I've told no AA jokes...addiction is no joking matter and we must support these people efforts to become sober and not mock them.

I'm going to start a new topic "Is Sarcasm a Lost Art in Your Workplace?" Based entirely on Crotch's response to me I'm going to say 100% yes. What? 1 response is not a scientific bases from which to draw conclusions?

I must be racist...I haven't invited any black co-workers to dinner at my house...wait..I must be Human racist because I have never invited any co-workers to my house for dinner.

My point was that I've worked long codes where there is no obvious "This is futile" moment. Doing 40 minutes of CPR/ACLS in truck in transit as opposed to working for 40 minutes onscene, maybe getting something, now I have a 40 minute ride still to go. A good safe driver and safe practices in back (including going needleless) and you have no reason to not work on way in.

Where do you guys work that you don't do CPR enroute? I've had 40 minute transports with CPR with the pt doing a mega code on me. Pulses, lost, v-fib, v-tach (with and without pulses) PEA/EMD, etc. Was I supposed to start and stop driveing?

I've been in this situation with a person 20 years younger living well and independent without a remarkable medical history. Put her on moniter, asystole in 3 leads called medcon and agreed not to work it. I've also gotten on scene with a BLS crew working a code, put the mon. on with asystole and did the same. I agree if a BLS crew gets there obviously without a moniter then they may be bound to work it.

Somebody's gonna have a sad christmas...my medcon is very good about not transporting asystole...

Can anyone explain why the treatment, assumeing the bear has moved on, for the INJURIES caused by a bear would be any different, in pre-hosp. setting, than the injuries sustained by getting hit by a bus or getting attacked by a knife wielding maniac? Multiple lacs, some blunt trauma...stop bleeding, support airway...ok maybe some psych issues considering this guy was walking down a street in DC "HOLY F***, DUDE I'M BEING ATTACKED BY A F***ING BEAR!!!!" I could see where that may mess you up for a bit. So Airway, Bleeding, and CISD.

4cmk wrote: "Have to start from square one, on a national level. No individual EMS systems with in counties or states. Take the control of EMS away from the states. Make scopes for entire vast areas, not from city to city. What works in center city Los Angeles, CA isn't fit for Medicine Lake, MT; or a secluded, snowed in village in Alaska, where transport time is going to be four hours" These seem to be 2 contradictory statements...the exact trouble with federal government is the one size fits all attitude. 2 examples: the rural community I vollenteer with was offered 2 geiger counters under some grant from the national security deal...keep in mind I live in a town of @1000 people and the surrounding towns were offere the same, so you can't argue "shared equipment." We were offered them because nobody could come up with a guideline for what constitutes a "need" so in the OSFA attitude "give everyone who wants them one." Unrelated to EMS but interesting none the less...Federal customs agents in Hawaii are given "cold weather breaks." You see here in the north east where it gets COLD the agents in Boston work in the recieving areas for 20-30 minutes with 10-15 minute break to go inside to warm up...thing is nobody could agree what "cold" was so they made it year round...then apparently the agents across the country found out and thought it was unfair that those boston guys got 10 minute breaks every 30 minutes so they made it universal. I think local control is best.

4cmk...When you've got the FD eagle eyeing everything you do.....

(239 CMR 3.10) also prohibits any vehicle, other than a certified hearse, from moving a dead body.

Under 105 CMR 170.260, ambulances are generally prohibited from transporting a dead body, except "...where it is in the interest of public health and/or safety to do so."

Odd discussion at work the other day. We were talking about how when a FF dies, depending on final requests and circumstances, the FF's casket is often placed on the bed of a piece and driven to the final resting place. I chimed in with "Yeah, how come when an EMS provider dies, the same isn't done with an ambulance." To which I got the response "Because it's illegal, ambulances are not allowed to transport dead bodies." (the law actually allows for the transport of DB's in the case of a public health hazard, but that's besides the point.) I nodded and said "Yeah I know, but they would probably grant a waiver if someone asked." I was told that some families have tried in the past and been told no, and the law was cited as the reason. An ambulance is not a hearse etc. Does this seem odd to anyone? I'm not trying to get a "They are FD biased!!" flame war going. Is this just in Massachusetts, has anyone ever seen this done? I have even heard of PD's doing it with SWAT/Tactical vans or "paddy wagons" kept in service for just such events. Seems odd that the only ones NOT allowed to use an unlicensed hearse is the one actually designed to carry a body.

My experience with the Marines showed me that 19 year olds can command small groups of fire team or squad size quite well. Of course they are commanding in a defined structure to a group of well trained highly motivated people who haven't "Been doin' this here since you were in diapers...and I knew your Grandpa..."

If somebody could contact me via PM who knows about Conn. medic programs/certs/medcon etc. I would appreciate it. My company just got a transplant from there and I have a few questions on how things are done there. I'd rather not go into details here. Thank you for your time.

http://64.233.169.104/search?q=cache:9275B...;cd=1&gl=us Full link, copy and paste. I don't know how to make it a link.

According to the Massachusetts Emergency Medical Services System Regulations, 105 CMR 170.355(A), Responsibility to Dispatch, Treat and Transport: No ambulance service or agent thereof shall refuse, in the case of an emergency, to dispatch an available ambulance, to provide life support at the scene or to transport a patient to an appropriate health care facility within its regular operating area. Now, I understand that this law may be interpreted 2 ways A: you need to transport a pt with life threatening injury/issue or B: technically speaking everything we do is "life support" broadly interpreted as "quality of life support" (as explained to me by one of our medical control who is both a lawyer and an MD, go figure.) I tried argueing with him and he simply asked "What level was the pt you just brought in?" as soon as I said BLS I knew where he was going...then he said "And THAT is how we have to view it until stated other wise." When I said to him the law says "emergency" he said "Who defines the emergency?"

Mass is a no refusal state..meaning we can't refuse to transport anyone for any reason. Unfortunately, our local hospital refuses to properly triage pt's that come in by ambulance, you come in by ambulance you get a bed, no questions asked, even if we suggest that they get placed in the waiting room, so the freq. flyers don't learn.

If I were to guess...maybe a psych transport/DK...notice how it's the side door...no stretcher came out..and he gets up and runs...seems that the crew or A crew comes up and nearly tackles him... or it could be "Welcome back to power, Mr. Putin."