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scubanurse

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Posts posted by scubanurse

  1. As part of a suburb of D.C. we all had to complete at least IS-100, 200, and 700. I can tell you...on the recent METRO train collision those NIMS classes were the sole reason it went as smoothly as it did. Because it creates one unified way of handling a large scale incident between different jurisdictions. If every provider on scene hadn't completed that training it would have been confusing and complicated I can imagine.

    As a "grunt" it is just as important to understand the full scope of ICS as you are an integral part of the system.

    Good luck :)

  2. As far as MIEMSS goes, I would contact your Maryland station and have your EMS chief or officer fill out the affiliation form found in the website and turn it in... it may help... but it is true if you are living in another state as a permanent residence then MIEMSS will suspend your license it happened to a friend of mine when he went to FL for a few years.

    Good luck... PM me if you have any questions with MD stuff.

  3. You say it's just a turtle??? PETA released a press statement to President Obama when he swatted a FLY on television, asking him to take a more humane approach to dealing with the common house fly...

    I'm all for treating animals properly but you have to draw the line somewhere!

  4. you'll probably have a hard time getting any job requiring you to drive an ambulance as you generally need a clean record. a DUI doesn't look too good to most employers as we are public service people and need to be able to set a good example. I know a big part of my job is speaking to kids about NOT drinking and driving, I would find it morally difficult to stand in front of them if I had done the same thing I was lecturing them not to do.

    Why not stand up and take responsibility for your lack of judgment instead of trying to lessen the charges??

  5. I know this tread is about ankle fractures BUT I just can't help myself .. must be cause I have no life either ERDoc ! LOL.

    The next new standard "I believe" will be the REEL Splint for all long bone fractures, both Posterior and Anterior Traction applications (its super adjustable for everything down to a 4 year old and capabilities with adjustable "leeway" for knee involvement) ...

    as well as Extrication, instead of the old tie the legs together OFA thing out of a SUV or LAV ... it pays to go to EMStock and get free, very cool stuff !

    Show your Medical Directors ... after they see it the REEL Splint they will throw the Sager away, I did, as once you do a comparison you will understand why every branch of US forces bought them.

    cheers

    I got to mess with one at the EMS Today conference in Baltimore and spoke in length with the distributor about it. It is a VERY nice and adaptable system, but it's cost is in my opinion really high. The feature I particularly liked was its ability to adapt to angulated fractures with minimal effort and creativity on the providers part. The other downside to this product is the number of knobs and such which I know can be distracting to some. The hare splint is nice as it only has one place to adjust, but again that severely hinders its adaptability.

    Just my 2 cents worth on them ...

  6. We are allowed to reduce I believe if no distal pulses, but I would be very hesitant to do so. I have some extensive training in wilderness and ocianic medicine (as extensive as they can provide... two two week courses in each) and with such have been trained in the reduction of numerous scenarios. I have also witnessed them both in ER and OR and I still would have a problem doing it myself. Without x-rays it is sometimes difficult to know which way the bones need to be manipulated and such. I also work in an area where I can be at a Level II trauma center in <10 minutes and a local ED with Ortho in <5 so I would have to seriously weigh the risks and benefits of attempting to reduce in the field.

    I have however "assisted" a baseball player with reducing his own shoulder. He threw it out at a game, had dislocated countless times before, and knew how to do it himself, I just assisted when he asked me to and that I felt comfortable doing.

    I also have a habit of reducing my own joints on a daily basis, so reductions of dislocated joints I'm pretty darn good at :) Shoulders, knees, and jaws are my specialty as those happen on a daily basis... fingers are starting too... lol but that is a different story... it is on my own body and I fully consented to myself :D

    For those of you in a more suburban/urban setting would you actually attempt a reduction? I know protocol says so, but I have never been the type of provider who will blindly follow the "book" with out using my own brain as well.

  7. that's cute! I'm glad they're learning a lot! Give them applications to the local firehouse to take home to mom and dad for when they're old enough...we should start breeding medics at 4 and raise them to be the worlds elite paragods...

    :devilish::devil:

  8. Thank you so much! ^_^

    How do I go about finding a service to work for with a lot of 911 calls (and what's IFT?) What I don't want to do is work for a nursing home just driving folk back and forth, I want to actually help in emergency situations (like most people I suppose). I would guess working directly for a hospital would be best, but am I wrong?

    IFT is inter-facility transport.... moving patients from one health care facility to another... use those resources I gave you before and ask questions, go and talk to people, state ems websites... I'm not going to do the work for you.... but I will point you in the hopefully right direction...

  9. Flight medic... you'll most likely have to be an EMT-P with a lot a lot of field 911 and IFT experience... I think it's usually about 5 years minimum before a flight program will look at you... also just as an FYI... they require height/weight proportionate... so if that is something that could be a problem...start working out now....

    As far as learning more... I know firehouse.com and emsresponder.com have forums listed by state... and thewatchdesk.com has them by state and county if might be good to check those out. But nothing will really beat meeting people and talking with them directly. State EMS websites can also be a useful resource for locating different companies as they usually have to be registered with the state in order to provide EMS care.

  10. Of course I don't feel that way about EMS, why else would I spend thousands of dollars and hundreds of hours on education for it?

    Thanks!

    Sorry to be a bit off topic... but those two should be reversed in my opinion.... hundereds of dollars and thousands of hours...

    Good luck on your training, read through the boards, use the search function on this site and you'll do fine... I don't know much about Americorps, but you would probably get better experience with an EMS agency doing clinical work in the field.

    Don't know about Chicago, but I am in a suburb of DC and we are a fire/ems department. All career folk are a minimum of Fire/EMT-B, all volunteers are a minimum EMT-B... to be a Fire Fighter, you must have EMT-B though which I support. It works for us, and I like it a lot. Those who are happy doing both, can do both in the same department, yet those who want to do EMS only, are 100% supported as well.

    Good luck on everything!

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