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  1. OOOOOPS!!!!! I think I just posted in the wrong thread. But there was a thread here somewhere in this forum where someone suggested that they got to take vitals and the only time they got to do "real" EMT work was when a code came in. I've seen that complaint before, and that's what my previous post was addressing! I must have this special gift for inspiring confidence when I don't even know which thread I'm posting in, huh?!......Sorry
  2. I beg to differ with EMT's and Techs that consider vital signs a "menial" task. These are not just meaningless numbers that you write down and hand to a nurse. They are central to assessing your patient, and recognizing abnormal vitals can be paramount to your patients care. You also have the opportunity (actually the responsibility) to begin forming an initial impression of your patient as you begin vitals. You get to learn what "sick" looks like before you even put on a BP cuff. Tachypnea,diaphoresis, other skin conditions such as pallor or cyanosis, pupillary response are just some of the m
  3. You make me laugh, Michael! Although that is just about what it looks like now! I just can't understand why my girlfriend insists on not sleeping with it!
  4. However, Michael, I was able to save that blue teddy she was wearing. Still have it to this day...... If MaryJo were here, she would tell you thatI tried repeatedly to get her out. That's when the blue teddy ripped off........ yeah, that's the ticket!
  5. aklandrews, we always called that one TACHYLORDIOSIS. Happens a lot after dey done fell out from not takin der peanutbutter balls (phenobarbital).
  6. Agreed you did a good job not only assessing, but documenting. I will always maintain that good assessment and interpretation of findings is the whole basis for good patient care. Documentatation supports anything you did or did not do. So I don't get your Stuporvisors problem........ Big words? Too medical sounding? Perhaps they could provide some paper documents with the really WIDE lines and some big, fat crayons to write with.
  7. Michael, that was a burning car we were talking about...... Sinking cars are an entirely different scenario. No fire, no burning desire....... At least not to do the right thing anyway. How ya been Michael?
  8. I am truly amazed at the level of debate produced by the original question - which was ridiculously insufficient in content. Way too open-ended a question. But the debate has been good. First, it seems all agree that practice outside scope is nearly always a mistake, not to mention dangerous. I wouldn't want some rogue who makes all his/her own rules all the time practicing on me or my family. But there are circumstances...... One of the best examples I've seen here was where Ruffems spoke of reducing a dislocated knee with longstanding circulatory compromise. I have never been in a posi
  9. Panda Bear, the most abundant jobs in ER's for EMT's & Medics are Tech positions. Responsibilities in these positions vary between geographical areas and facilities. There will be a great deal of non-glamorous tasks such as changing beds, stocking supplies, emptying trash, placing foleys, etc. But these things are required in nursing and EMS in the field also. Every position nearly everywhere includes tasks you may not like. Oh, well. But there is plenty of patient care, too. Assessing patients, wound/orthopedic care, blood draws, possibly I.V.s (depending on the facility), etc. I also
  10. Panda Bear, AKflightmedic gave excellent advice. As Dwayne previously said, I lost a career in field EMS because I had a seizure while on duty. In Florida, you must remain seizure free for 5 years before you can work on emergency vehicles again. If you have a documented seizure disorder, I think this would disqualify you from field work. And if you think about it, it makes sense. Thank God I didn't seize while behind the wheel of the ambulance! Also, you probably know that strobe lights can induce seizures in those prone to them. At any rate, like AK said, there are so many alternatives to
  11. I don't understand what you mean when you say that finding paid EMS work elsewhere would defeat the purpose of being an EMT there. What is the purpose? Beyond that, though, I think it will be very difficult to get and remain sharp without frequent patient contact. Training is fine as far as it goes, but training rarely takes into account the infinite variables of any situation. It is almost as if it remains only theory until you experience many similar situations first hand. Education is much more a key I believe. If it is within the realm of possibility for you, go to school. If you re
  12. Dwayne, I can't help but feel for the situation you find yourself in. But DO NOT, under any circumstance, diminish your standards and expectations! The vision you hold for EMS is what can help us progress. I can't help but think that Medics who offer smart-aleck responses to serious questions either don't know what they're talking about anyway, and/or they are afraid of someone else excelling and making them look bad. Hang in there, my man. I know you will find good Medics that will be good mentors, and knowing your judgement, I know you will choose your mentors well. As for your "prece
  13. Respiratory Acidosis - Ok, I'm going to answer this only on what I have seen with this, so it won't be very in-depth. Hopefully someone will expand on it beyond anything I can say. It is a respiratory pattern characterized by very rapid, very deep inspirations and expirations (as opposed to the rapid, shallow respirations of hyperventilation). It is the body's attempt to blow off ketones (and maybe other acidic compounds?) trying to restore a Ph balance. After a better discussion of Respiratory Acidosis, how about: EPIGLOTTITIS
  14. I think we need to take a great deal of responsibility for this lack of perceived professionalism ourselves. Ems as a whole in the U.S. is filled with people who perpetuate a negative perception. We have the whackers who simply get off on lights and sirens and "excitement". I know plenty of professionals in this field as well, and not a one of them is infatuated with any of this stuff. We have burned-out providers who bitch and moan about every single call, who attempt to talk patients out of going to the hospital with them - sometimes with disastrous results. We have providers who apparent
  15. Why does she take Prevacid? Was it originally prescribed in response to prior GI complaints? Or concomititantly with the ASA as prophylaxis?
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