Joshua Benton

I have been away from this posting board for a long time. About 2 years ago I asked the EMT City Administrator to consider making a place for scenarios. He/She did indeed create this space and I was extremely pleased to see that it has survived. It is truly amazing to see the thought processes of some of you and how you piece things together. I formally posted under the name Whelson P. Monroe. Now I am back using the moniker Johua Benton, who by the way will be the lead character in a non-fiction/fiction novel that I am composing. I have spent 26 years in this business and continue to be impressed with the zeal I see in people who want more and more knowledge. If anyone would like to communicate with me, please message and we will chat. RIDRYDER if you are out there, I am back. Let the new scenario games begin. I will post some soon. :twisted: :twisted: Josh

Hi Kelley, I would spend the weekend just relaxing, maybe go out with friends. This may be the last chance you will get. Medic class is unlike anything that you have ever done including any Basic class you ever took. Plan on spending 1-2 hours studying for every hour in class. Plus clinical and lab time. It will be worth it when you are done. Much love and Respect Joshua

Hello all. I have been in this business for over 25 years and worked in all capacities (Street medic, hospital medic, QA coordinator, Instructor, blah,blah,blah). I have worked with a multitude of different types of people. I had a young partner a number of years ago, well before drug testing was the norm, who I knew had stolen drugs from patients. Most were taken during a "search for pertinent meds" that the patient was currently taking. After seeing this partner take a patients pain meds and empty them into his pocket, I was faced with the decision of either confronting him directly or turning him into our supervisor. I chose the former. After work I asked to speak to him in private. He knew that I knew. He said he would stop and shortly thereafter he left the profession. Less than a year later, he was found in his apartment with a .45 cal hole where his face should have been. No note, nothing. I have lived with that for a long time and I still question whether I did the right thing. Should I have told my boss?? Would it have mattered?? Have any of you faced the same type of decision?? What did YOU do? What WOULD you do? Much Love and Respect Josh B. (the poster formerly known as Whelson P. Monroe)

Not attacking you, attacking your methods. I promise it will not digress to personal attacks. Not my style. Stick to the topic being discussed w/o using punitive remarks designed not to teach but to point out a persons lack of knowledge that makes them feel inferior. Its just not needed to make your point. Thats all I'm sayin' So chill. Much Love and Respect Josh B.

Sorry, I am guilty of not reading the entire thread. You did address the ethics issue but I still would like to get some more feedback from others about their thoughts on "mercy killings" In the case of my own grandfather, he was in the hospital in the beginning stages of respiratory failure. His lungs were filling up with fluid and he was unresponsive except to pain. He was extremely restless. The man was 92 and had been an alcoholic for 75 years. The doctor spoke quietly with the gathered family and told us that he could give Grandpa something to both "help him rest and reduce the fluid in his lungs" He also told us that there was a chance that it would make his breathing slow down and maybe even stop. We all agreed that he should be made comfortable and after signing the DNR order as my grandfathers power of attorney/ Pt advocate my grandmother gave the ok for the "medicine to make him rest and reduce the fluid in his lungs" to be given. 20 minutes later my grandfather was gone. Wonder what that medicine was?? Much Love and Respect Josh B (the poster formally known as Whelson P. Monroe

Sorry I do not think that is the question that I am asking. The article posted is "about" the allegations, I am asking for personal responses to the question of when and if this type of behavior would be acceptable to YOU. Much love and Respect Josh B.

I believe I have the ammo to return fire. We shall see... I still think his approach is crude and totally unecessary. As for preceptors and instructors, there is a difference between being intimidated and being inspired. It is commonly referred to as respect. You cannot demand or even request respect unless you first are capable of giving the same. Ignorance and stupidity are not the same. That is a lesson that I have learned the very hard way. Let the games begin. I will be posting a transport scenario in that section shortly and look forward to inquiries and critiques related to the care of this patient and not me personally. Lets be clear about this, ACE and I go back a ways and I know that he has a wealth of knowledge expertise at his disposal, whether it be inherent or obtained, and I have respect for those contributions. However, the "don't blame the messenger"game does not apply in this type of mutual learning environ. Much love and respect Josh B (the poster formally known as Whelson P. Monroe)

An Associated Press article was just released that arrest warrants for a physician and 2 nurses have been issued by Loiusiana authorities for possible "mercy killings or euthanasia" during the utter devastation that was Katrina. It remains to be seen what will transpire during the investigation, etc. My question is this: Is there a time or situation when euthansia would be acceptable to you personally? :3some: Please to all who read this: I am not simply asking because of some morbid curiosity. I am considering writing an article that I hope would be accepted in some type of peer reviewed journal as a stand alone piece not a scientific poll per se. I value tremedously your opinions. Please do not cite other works. I am interested only in this demographic: your feelings and thoughts. Please ponder this and roll it around in your head and think it through. Much love and Respect Joshua B. (the poster formally known Whelson P. Monroe)

Why do all of your allow this arrogant bully to blow hard? (ACE whatever) Obviously, he spends most of his time degrading others and it makes him feel superior to everyone else. If he has this much time to slam others and to beat subjects into the ground, he has the time to take a class on "being a part of the human race" Can you imagine being one of his patients? :twisted: You had better have done your research before you claim to have " heart trouble" What do you mean you have heart trouble?? Explain all of the s/s of "heart trouble" to me and do not forget who you are dealing with :twisted: :twisted: My name for the purposes of this posting is the above. However, I have tangled with this person on this very forum under the moniker WHELSON P. MONROE and would be happy to tangle again. No small wonder that EMS tends to "eat their young" when you have a person such as "Mr. ACE" degrade them for asking for some antecdotal info from the "people who have been there and done that" ,not a group of internet sites and studies. Oh wait....I seem to have had a change of heart... I am feeling less and less confident and competent... I AM FEELING SUBSEVENT AND MORE LIEK A IDIET AND I SHORE AM FELING AMAISED AND ASTOWNDED BIE ALL OF HIS SUPIOER NOWLEGDE. i SORY I SED ANETHING AT AL wOW HIS POWRS ARE AWSOME Much love and respect (for most) Joshua B. (the poster formally known as Whelson P. Monroe)

Thanks chbare and azcep for your responses. I will gather my notes and jog my memory to present this as a scenario. It was, needless to say, a high pucker factor transport. I really feel that this type of critical care transfer will become common place for an ALS equipped truck not necessarily a critical care truck. I will present this in the scenario section and we can all learn. Much Love and Respect Josh B.

Thank you for directing me to that other thread. Lots of good stuff.....but I now have other questions... This patient with the active IC bleed was treated initally with Sodium Nitroprusside for her pressure.....( No A line, very large lady and no pressure cuff large enough to fit her. .. used ankle cuff and doppler to assess) and on O2 per NRB until just prior to transport by ground (no flight big enough to handle) then crumped and had to be intubated....started on propofol and then her pressure bottomed out...started her on Dopamine for pressure. We had to manually ventilate her with BVM for the 2!/2 trip (another story, another time)...we were balancing her LOC with her SBP and now I am wondering if her cerebral perfusion pressure was adequate for the trip... or could we have used a better combo than Dopamine and propofol...... Much love and Respect Joshua

Hello everyone,.. I have been reading some of the postings and wow!! you guys are really talking about some great stuff. I am posting under a new ghost name. I used to post under the name Whelson P. Monroe and was responsible for getting the Scenario section to be a regular topic of discussion. I remember some you like RID and ACE and we had great discussions and learned plenty. But enough of reminiscing and on to the topic. I recently transported an active IC Bleed from a small local ICU to a Level I medical center. She intubated and was being sedated with Propofol and I was wondering how many of you routinely transport patients on this med and what you think about its efficacy, SE, precautions etc. and you experiences with it. The trip was 2 and 1/2 hours and she needed to be snowed for the trip. I would greatly appreciate any anticdotal info you might have and if you use it, what your protocol is for admin. thank you all in advance... I really missed this place Much love and Respect Joshua