MedicAsh

Are you a Yooper or a mainlander? I am in Wisconsin. Welcome to the city.

Ash

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LOL thats ok. Thanks for answering. It made me feel better about taking the test. Ill keep you updated .

We carry Zofran right now. We also have Compazine, but its hardly ever used. I think I used it once. Zofran is the med of choice in the ambulance. In the ER we alsu use phenergan. Like in the ambulance, 9 out of 10 docs prefer Zofran. I think it works fairly well in my opinion and experience.

I do under Twinkle Toes Photography on facebook

Ash

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I am mainly a nature photographer. I have done some other things (family and pet photography) but I focus more on the nature stuff

I am a photographer.

Like the parkland and rule of 9's? Anything else?

Welcome to The City!

Has anyone here taken ABLS (Advanced Burn Life Support)? I finished my online class things at the beginning of the year and I am taking the hands-on testing in May. Does anyone have advice?

Scene times here are a tricky situation. We live in a very rural area. Our boss has it in the policies that 20 minutes is MAX. Does this always happen? In the majority of cases yes we are very good about our scene times. There are cases that we have longer scene times. Living in Northern Wisconsin, we could have many things that keep us from having good scene times. Distance comes into play, if we know we have a longer transport time, we may do more while enroute. if we have a shorter transport we may do more on scene. There are so many variables that can play into scene times. I think we do well here but there are times where we can't. This goes for both rural and urban EMS.

We carry Versed and Valium. While we mainly carry them for seizures. We can administer them for anxiety or agitated patients, but we have to contact medical control prior to get the order. If the patient is too agitated, that is the point we call police. If need be, we have a great working relationship with the law enforcement, we can and will request them to ride with us in the ambulance. I personally have not had to give any medications for agitation.

Got any ketamine in your hip pouch? That would be being of service, I need to get four teeth extracted and at $200 a tooth that ain't cheap, some ketamine and a bro with the pilers would be you know, free ... and I'd have some good ketamine dreams! so its win-win

Nope no ketamine. Sorry

I agree with ERDoc. There are many variables so it would be best to contact the state.

Now that is a ROFPMSLMAO moment

Glad I could be of service.

Ha ha ha ha ha ha ha ha

Milk. Guess they expect you to stop by the store.

Ya know Spe if you live in a place like Wisconsin I guess we could just stop and get some fresh milk from the side of the road. LOL

Interesting article. There are some things I agree with and some I disagree with.

1. I think this is a local or state issue. When I took my paramedic I had to take additional anatomy and physiology classes.Does this make me a better medic, no. Does it help with my knowledge of disease and the processes of the body yes. I agree with the fact that there needs to be a greater knowledge of anatomy and physiology.

I also feel that there needs to be more clinical time. We had to do 505 total hours. There has been talk that they want to have more classroom time and less clinical time. I am not sure about anyone else but for me the clinical time was some of the best learning. I am not saying to lessen classroom time because this is also valuable in learning. You need to learn in the classroom to do well in the clinical setting. Like I said, I am only speaking for me.

2. Yes, sadly EMS doesn't get paid well. It is a fact of life and it sucks somedays. There are people who are trying to raise a family and pay the bills. I have to say I am not in EMS for the pay. If i wanted to have a good paying job, I would have gone to nursing school or something else. I am not saying its fair that we don't get paid much but I don't see anything changing anytime soon.

3. I agree. No other comment.

4. I agree with this too.

5. I believe this is what we should continue to do. I know the company I work for encourages this. Its actually part of our values. I sadly see many that dont believe in this. I work with some people who dont care about committing to excellence. They want to stay where they are and dont think they can improve anything.

I had to run a code on one of our own (EMTs) from the next county over and its not easy. When I heard it was one of our own I said I wasn't going to loo at the face and I never did. I think that is what helped me keep a level head. I treated it as any other ACLS call. We were not able to revive him. I never thought I would have to do this but now that I have (this may sound bad) but I feel better knowing that I can keep a level head. There were other EMTs in the rig that were just yelling and screaming and crying and I made them step away. It was making things worse. Once everything got calmed down it was much better. Its horrible when we are trying to save one of our own (EMS, Fire, police) But if it happens keeping a level head is key.

I forgot to add, that is one thing I never learned in school. I am thankful that I have a good team that I can debrief with and work through bad situations.

So she already knows everything as a STUDENT? I would LOVE to get this girl as my partner- she would be in for a very rude awakening.

She knew everything as a basic student. We try to knock her down a peg but then she just goes right back up.

Thanks everyone for the input. I just wanted to get others' thoughts on this. I guess if you knew this person you would understand. She is in medic classes and is already the "paragod awesomest bestest paramedic in the WORLD". She bad talks all of the area departments that she rides with saying they don't know how to run codes, take care of patients properly, etc. So when a patient does not personally thank her she believes they are ungrateful for her even though she just "saved their life" (put on a bandaid). I am not trying to bad talk her but I think there is a limit and to me she hit the limit and has no business in this business.

Less than a call per day ? Do you get paid or are you volunteer ?

It shouldn't matter if they are volley or paid. You have to remember that some rural services don't get the call volumes. Also it may be a smaller response area. I know there are times we go days without calls. They also could be talking actual patient contact calls and not standby, lift assist, etc.

I think I need to move to a bigger area. LOL

Our calls for the first county are about 1000 per year

On the second county I am on, we run around 800.

Both places are medic staffed 24/7 one ambulance and they have other ambulances available for call that are staffed with an on call crew (not always an ALS crew) We work 12 hour shifts and usually 6 days on and 7 off.

Defib

No I am glad you challenged me on this. I can see it from your stand point but I have to agree with the others. If someone expects a thank you I dont think EMS is the place for them. Yes, we do get thanked. I do know there are people out there that appreciate the emergency responders. I guess just knowing this person it made me mad because I know she expects the thanks and when she doesnt get it She takes it as they are ungrateful.

TCRIPP- Maybe hero complex isnt the right word. It was what popped into my head at the time. I just dont think we should have expectations that everyone will say thanks. Its great when they do but if they don't thats ok too. It is a time of emergency for them and depending on whats going on, I dont doubt that they are grateful that someone answered the call. Am I making any sense??

Ash

*Picks Jaw up off the floor*

I am speechless at this moment.

There are no "rules" about ringtones on either of my services. For the most part, those of us that carry a cell phone keep it on vibrate while we are working. I can't say there have been any complaints about the ringtones.