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Doctor Dave had slept with one of his patients and felt guilty all day long. No matter how much he tried to forget about it, he couldn't. The guilt and sense of betrayal were overwhelming. But every now and then he'd hear an internal reassuring voice in his head that said: "Dave, don't worry about it. You aren't the first medical practitioner to sleep with one of their patients and you won't be the last. And you're single. Just let it go." But invariably another voice in his head would bring him back to reality. Whispering...... Dave.......... Dave ............. Dave........ Dave......... ..........you're a vet.

Just curious as to why you would even attempt to intubate someone with lividity? What does night and race have to do with your success rate? again, not trying to flame, just curious on your logic. Thanks JW

Just what I was going to ask. There is no cure for death, and even with arrests you should assess before you treat.

BREATHE!!!!!! Memorize your sheets, as this is what will hurt you during the practical if you miss too many points. Combitube should be the last of your worries....Just remember, BLUE FIRST, and TAKE THE SYRINGE OFF THE CUFF AFTER YOUR FILL IT UP! This is where most people fail the section. Did I mention BREATHE? Good luck, you will do just fine. JW

82%? 22/27 And people wonder why there is so much talk about removing ETI from the paramedic scope of practice. I would hope you are more concerned with the 5 you missed! To answer your question: We should accept nothing less than >95% success rate. My last service required 5 live field per quarter, or off to the OR we went. Respectfully, JW

My understanding is Boston Fire is auto-dispatched to unresponsives, chest pains, major traumas... basically anything that sounds like it might be or turn into a cardiac arrest, basically for the purpose of putting CPR-trained personnel and an AED onscene as quickly as possible. They are not ALS-equipped. Anybody who is a paramedic prior to being hired as a Boston firefighter is not authorized to practice as such. The BEMS BLS truck would of course have had an AED. I mean, duh. Since the call was coded incorrectly (or so it would SEEM from the information at hand), the dispatch was a BLS ambulance, who obviously upgraded the call to ALS once they arrived. Is there a protocol for a BFD response upon discovery of a cardiac arrest with a BEMS unit already onscene? I don't know. Maybe, maybe not. We don't know this person's medical history, overall physical condition, or down time. A 4.5 minute response for an AED-equipped vehicle is pretty good by any standard, and with CPR in progress prior to THEIR arrival, this guy already had a better shot at survival than 80+% of SCA victims, with or without the heroes of Boston Fire. And he's still alive, which is better than 90+% of all SCA victims can say. For all of the pontificating that the BFD and their union will throw around about being shut out of a critical call and how this "proves" that BFD should be running Boston's EMS (*cough*intotheground*cough*), just that fact tells me that BEMS doesn't have it as wrong as they'll be made out to. Or, since you know ALS is enroute, you could focus on CPR, defib, and BLS airway management to give the best possible chance at survival. Stopping CPR to package and carry (could have very easily been on the second or third floor) and then racing off to the hospital with one EMT in the eback would have been putting a bullet in this guy.

At least until we crown a new one.

An oldie but a goodie... LMAO

that just confirms it you are the city perv

Can you come be my 'night light'? I don't want to be skeerd of the dark!

I work on a 24/48 schedule, and I have 2 whole days off. One os just my and my infant, and the other is wife and infant. That's a lot of time off imo. Can you goto a shift schedule? It's great.

Here is my advise and laugh if you want. Put your self in her shoes and think of what you would want done in a romantice sense for you and do it for her. For example I will send a naughty text to him if I have been working lots or just because. He dosnt like flowers but I do make sure when i cook its all about what he wants. But remember you are working and she should understand the long days and nights and also be doing extra things for you, its a partnership. Running around the house naked is always fun on day off.

phil dont ever change

+ 1

I think you are misunderstanding my original post. Actually by what you posted it looks like you did not even read the original post. I know the interview and your social skills land you a job. I just want to know what I can do to make my resume get me places.