iMac

Yes except we have 5 and an AW139

Coming from one who's done this not once but twice, a pillow under the knee(s) to take pressure off IS the best and most comfortable position. Watch for those pedal pulses.

Since when do you wait on scene for ALS??

I think generally speaking, because this is a male directed profession and you tend to see more males in authoritative positions than females, people will automatically go to that regardless of the position you are in. Patients who are truly ill don't think like adults anymore they are like children so they automatically go to power position they have been brought up to follow. but then maybe you're really ugly and they just don't want to talk to you I'm kidding..kidding

ALS-stabing in upper torso, don't know how deep it is.

I have to admit this one really amused me. I have no idea where you get these.

ah very cute

Now my question is, what really happens to the food between the fridge and the customer...mind you come to think of it I should be asking myself that question with food here :shock:

the wealth? where exactly are you located? I'm moving in.

STAY AWAY that I will say. I signed up earlier this year for a program while I'm off (might as well get more edumacation right) and that's where it was. That place is ridiculous, after week there I excused myself from the place. I will gladly tell you all about it in a pm.

:pottytrain2:

Fair enough. But think of this. For you to consider a hemo/pneumothorax that means you see the MOI as a possible cause of that injury which also means to me you are going to be looking and continuously assessing for other things (without mentioning the fact that you're likely to be driving hot over potholes, gofer holes with lights and whistles). Please enlighten me some more

From my own view, if I have the time to set it up and I have already gotten by baseline vitals and Hx and I've done a rapid assessment of what I have on hand then I would but again to try to see if I can find anything else to report to the hospital. It can make a HUGE difference if you do find out that your patient is in a block or other rhythm that is questionable. The age of the patient in question (along with the Hx,vitals) will give me a brief idea as to whether or not the ABD pain might potentially be referred from a cardiac episode. Would help rule out the pain is NOT cardiac in nature but I wouldn't waste time on it on scene.

I can see how that is a great skill to get tho I can only imagine it would take months even years to really master. Having said that I would focus on other things than trying to percuss and figure out what you think you're hearing. Many things to assess and re-assess and more obvious vitals and breath sounds(or lack thereof) that will help head in the right direction.

Interesting question. I have seen more successful in hospital intubations done with bougies than inter/pre-hospital ones. I wonder tho if most of it is what you get used to. Learn to rely on it to much when you have a kit that does not give you accessibility to one. I've only seen 1 tube successfully placed with the use of a boogie. I don't know that really make a big difference in success rate. If you're used to using one, chances are you will make it easier on yourself if you continue to use it just be careful the day you end up in someone else's truck and there isn't one available. On the flip side, as I posted above most paramedics I know never use one during their intubations and tho the complicated airway shows up from time to time, they never use one.

Oh but I worked on an ambulance service, a few for that matter. Either way those same patients end up where I work darling. the discussion about the lack of beds would make another good topic...

...and stay away from Danners. Excellent quality and very comfortable thru all weather except ice and snow. They are no good in cold weather, the soul has no grip whatsoever.

Did someone actually read this initial post?! :shock:

Hahaha the truth indeed. Welcome to the City darling.

:twisted: you mean I should have followed rule number 10?! :shock:

Has happened so many times. Tho it happened in a more "controlled" setting, I went thru the same thing earlier this year coming out of the O.R. To this day I could still tell you every single thing that was said between O.R. and recovery. Still tubed (tho in no pain)but obviously no longer sedated enough to have a -peaceful- awakening. To say the least I have that physician's name down. Had I been in your situation I can imagine there is someone you could have reported to. I see very scary practitioners come thru our examinations and to hear some of the things they would do in given situations just kills me sometimes. Unfortunately regardless of the profession you will find people like that around.

I couldn't agree more. Was obligated to stay as it was a witnessed wreck so I of course offered my company (no serious injuries, a couple booboos). Well writen vs. I couldn't agree more.

I've worked for 3 different rural service (the 4th one was a volunteer service) and all required reflective.

Every view you get is going to be a very bias one. I see students from all programs ni Alberta.I can't say that I have noticed any of the candidates have been coming to me any more prepared if they came from one school vs another. Focus ont he delivery method and meet the instructors. See what suits your learning style.