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Actually hyperglycemia has been shown to contribute to morbidity and mortality in many acute conditions, MI and CVAs being 2 of them. Multiple studies have shown that it can reduce hospital survival rates and glucose levels are often looked at as predictors of outcomes. Pt's are started on insulin drips to strictly control the glucose levels even when they are only slightly elevated no matter what the cause of the hyperglycemia. There are plenty of studies out there and it the adverse effects of hyperglycemia with head injuries and sepsis is also well documented. Here are just a couple of article to get you started: Controlling hyperglycemia in the hospital. hyperglycemia and MI Just learn from this mistake and remember that none of the treatments we administer are completely benign and all have some degree of risk associated with them. Cheers!

My partner and I responded to an unresponsive woman--massive CVA. He needed to use RSI on her and asked me to call for another paramedic, per protocol, for backup. When I call, dispatch asks me what is RSI--as in why am I calling for another medic. The other night during snow storm she argued with a unit about sending fire dept, when they requested them--they didn't get any help. In fact they were told to leave the scene and return to their call area with two people trapped at the bottom of a ditch for 45 minutes. I'm assuming they weren't injured but.... Anyway since when does dispatch dictate what resources I receive?? My partner and I sent in a formal complaint and they were "exonerated" so I guess someone with little or no training and zero field experience can tell me what I need on a scene. This is a county EMS system and I come from a combined system-fire/ems. If they don't understand what I've asked for and need clarification that's one thing but DO NOT sit in the bat cave and tell me you know better than I do what I need!!! Typically the only reason we ask for help is if we are up to our as- in alligators. I don't have time to explain to you what a RSI is and you do not need to know. We don't have any first responders ems or otherwise. This is a rural area and the next closest help may be 15+ miles away. I haven't gone and jumped up and down in the office yet and probably won't cause I like a paycheck. Anyway has anybody else run into this? Can anybody think of a logical professional sounding arguement to make to management? I seriously can't believe I need to say that but... I want to say ARE YOU INSANE?!!!

Screw sabbaticals. They don't work. Take drugs. They work.

Maybe they wanted it to be stolen? Was it a Marque? I wish someone would steal ours!

Ahem.... 46Young, I rest my case.... And, I will add, since you have decided to throw this thread completely off its original topic, exactly how do you plan to make EMS professional when you refuse to allow it to stand on its own, and always have to have it fire-based? EMS and Fire are NOT synonymous; we do NOT have to be siamese twins. Look outside your own area, and there are services, cities, and countries who are doing very well with stand alone EMS services. To give the "EMS can't function without fire" speech is arrogant and uneducated, and does abvsolutely nothing to promote EMS as a profession. You admit yourself, that you wouldn't have your children go into EMS because it depends on fire for benefits and salary. So instead of hiding under the IAFF blanket, why aren't you FIGHTING for EMS to get the respect it deserves, so it CAN compete with salary and benefits, instead of doing exactly what the IAFF wants you to do - you have bought into their propaganda machine, that without fire, EMS is nothing.

Missing the point. The point here is not if tattoos are right or wrong, if people are right or wrong for judging people who wear them, or whether or not they have any bearing on one's skills as an EMT. So before this deteriorates into mindless rants about how people who judge others should get a life, read the OP's original question. 'zilla

First off, Phil, how much 'snow driving experience' do you have? What is the average snowfall in your neck of the woods? Having lived in 'snow country', I can tell you first hand (as can anyone that lives where the average snowfall exceeds a mere dusting), that 2 wheel drive isnt always going to 'cut it'! Two of the vehicles got stuck trying to get to this guy. All but the last call was for 'stomach pain' and nothing that would clue the call taker, dispatch and the crews into the fact that the guy had a life threatening condition. They TRIED to get to the guy! Especially in these 'tough times', the city/county road commission isn't going to have the budget to get enough guys out on the roads to plow ALL of the streets! Where I lived in Michigan, I was lucky to get my street plowed twice in one season, because it was a 'side street' and therefore wasn't a 'priority'. This COULD have been the case here, we don't know.... It's really frustrating watching these crews getting crucified here, and no one knows all of the facts! I personally think y'all are taking this whole "EMS eats it's own" too far! Even the DOCTOR that called to check on them wasn't very 'concerned' about the patient's condition based on the minimal information given to him! As far as the cancellations, the patient cancelled at least once! As for the other cancellations: right now, NOBODY on this forum knows WHO cancelled the crews. All you people that are forming a lynch mob against these crews are running around half cocked, and seem to be making up stuff as you go along. How about waiting until the investigation is performed before we decide that these people are even culpable? If the investigation turns out to show that they WERE negligent, THEN you can start tying the nooses, but until then, wait until the facts are in before you hang innocent people!

Hey all! I've been looking at the accelerated medic program in McCook,NE. Has anyone heard of the program? Is it any good? Thank for your time !!

thanks for sharing...

Not to poke the nest ... But is the program that horrible or the concept of an accelerated programs as a whole ?