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@Medicone: Actually that is known as funnel chest...or pectus excavatum Pigeon chest is the protrusion of the breast plate...or Pectus carinatum As far as the reason for the A/P paddles or pads in the pectus excavatum, it may be because the corrective surgery involves placing a curved bar across the chest for some time..This may impede the current from directing towards the other paddle..A/P placement may avoid the bar. The bars are not permanent, so after a couple years of surgery and recovery, the point is moot. Recurrence is unusual after correction, but I would be curious if the procedure would make the chest wall stiffer. the chest is also wired, so this is a concern?

OK Jake, you got me.......Especially since I amin the Army, and I know how true that is...........hahahaha.

From what I've seen about this, I think it's a little too much to completely blame the death on the two bozos. However, if you're in uniform, have any type of medical training, and are summoned to the scene by witnesses like that, you own the scene until additional resources arrive. That includes making sure that additional resources are requested. There's an ethical responsibility here that surpasses any legal requirement or civil liability of the actions that these two took.

Considering that the two EMT's in question were accused of doing nothing to help the woman because they were 'on break'? http://www.emtcity.com/index.php/topic/17175-news-feed-fdny-emts-allegedly-ignore-pregnant-woman-in-distress-jemscom/page__p__231559__fromsearch__1&#entry231559

Nope. They usually have them for a reason. I more often wonder why we are resuscitating them and why they don't have one..

Was it only 2 years or so ago, the twin baby children of actor Dennis Quaid nearly died after getting injected with adult doses of a drug formulated for adults, instead of the pediatric dosage of the peds version of same? (Sorry, I forget what the drug was) In that case, the bottles the meds came from did look alike, but nobody actually read the bottles. Is this the proper medicine? Is this the medicine diagnosed for the patient in question? Is the medicine looking as it is supposed to, not cloudy when it is supposed to be clear, or vice versa? Is the expiration date still good? (I think I left something off.)

Wow ! I guess someone slept through nursing school and then somehow miraculously managed to pass the test because anybody with any sense should have seen that it said INSULIN not H1N1 VACCINE - 5 R's anybody? Somebody's just happily giving shots and not even thinking . FAIL !

Holy Crap. I have been reading this thread for a week or so now, trying to decide when to interject my opinion? Forget it, I've got nothing .........................................................................

For this condition you really don't need to change anything. You wouldn't move your hands off the sternum because you would do more damage doing compressions on the actual ribs than the sternum. The depth is still going to be the depth that gives you a palpable pulse as no one really measures it during CPR. You adjust to what works best for that particular pt. You wouldn't need to change the pad placement for pectus excavatum. It is the same amount of bone just the anatomy is slightly different shaped and it's not really going to interfere with the electricity in this case.

Honestly, are people even trying anymore? What was your first call? I am wondering, what was your first call? This doesn't include ride-alongs. Seriously people, at least try...I am not grammatically correct all the time. At least I try and CAPITALIZE things or form some type of understandable sentence structure. My first call? Honestly I don't recall.

Thank you, Lone Star, for the reminder, and C-magnet for the advanced level addendum.

-1 for failing to read the story & showing a total lack of understanding of the search function.

What on earth makes you think that?

I do a lot of digging on here to try and find different things to learn about. As a newbie, I thought this was a fun string to read. I would have never thought about trying to find this specifically, so it was a nice surprise.

Have you missed all the education threads we have had about the EMT? It is also not included for the accreditation by CoAEMSP. It is a 110 hour cert class that can be taught just about anywhere that can lay claim to a classroom. And how about the standards for the instructors? It can also be taught by bilingual instructors to give those in the class enough exposure to English language for the EMT student to master the few concepts and skills in it. Again, nonEnglish speaking people are not stupid and usually can pick up English medical terminology. But of course if some close their mind and refuse to help them learn what all they may not know, then there might be a problem. Luckily, that doesn't exist in all parts of this country. You seem to miss what I have stated over and over again. It they know enough English to pass a test that many who speak English fail and they are hired by companies that know their clientele, why are you complaining about qualified people getting an entry level job? The EMT cert again is not that difficult and not every EMT runs 911 calls. I over and over explained that proficient English would be needed for a FD. So again, if the person can pass a written test in English (THAT MEANS THE OP'S ORIGINAL QUESTION HAS BEEN SATIFIED) and passes the skills stations in English, why do you say they are not entitled to work? You do not know all the employment situations, dispatch situations, crew configurations and hospital situations in all parts of the country. Yes it would probably be so much easier if we did not allow anyone, including tourists, into this country that don't speak English but how are you going to stop that? How are you going to deny someone who does meet the minimal standards for a cert from seeking gainful employment? Do you think that an EMT who speaks Chinese or Spanish can not find employment in a hospital that caters to these communities? Or at a dialysis center for transport? Open you eyes, there are many opportunities for those who seek them. The EMT is an entry level cert. The communities these facilities and hospitals serve are over 100,000 people speaking a different language in an area. This is not just one or two patients to cater to. These EMTs probably won't be coming anywhere near you. I already stated that in another post that someone speaking Spanish probably will not be seeking employment in Indiana or Kansas. If you have never worked out of your own all English speaking area, you may not know what those who speak enough English to pass an EMT test in English are capable of regardless of where they come from. Open your mind a little.

Do you live in Afghanistan? Is it your community? I am not saying all this just to be a shithead. I live and work in a predominantly Spanish speaking community. Besides, the nonEnglish speaking EMT who can still pass a test in English can do all those BS routine calls that so many American EMTs don't want to do or believe they are too well trained and educated for.

Ummmm....hello! I have to agree - reading labels is IMPERATIVE! Who gave them an insulin bottle anyway - seems like it's not just the nurse who couldn't read....

It was heparin - one of the top offenders for in-hospital medication errors. Changes have been made to packaging/labeling since. It was actually before the problem with the celebrity twins that the "hep" locks were replaced with saline locks, although the nomenclature still remains, especially in the more regressive areas.

There's the rule of "The 5 R's": Right Patient Right Medication Right Dosage Right Date (expiration date) Right Route To that add: Right Documentation

If you are an RN, there are 7 Rs = the documentation as added and Right Orders