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In regards to what the trade off was for making the videos with my own funds and the terms of my agreement....I definitely won't be discussing that with anyone other than those directly involved. Thanks for the inquiry though.

Quick question for my paramedics here. I am a medic in the US Army, we wear IBA and IOTV body armor. Thoracic injuries of penetrating trauma dont really occur often. I would always apply the occlusive dressing, but my question is about the NCD. I havent done it on an actual human being because i havent encountered the injury. I know your preforming the NCD on the 2nd intercostal space, which is right above the 3rd rib. I have done it on training dummies all the time, but my question is on a human being it is hard to feel the third rib to know. Does anyone here know an easier way of identifying the 2nd intercostal space without feeling for the third rib?

For once I am agreeeing with a firefighter. (SHOCK) Especially considering the original post sounds like somehting a firefighter would do. As for cutting off the bands if needed for patient care...sure. But you could also ask them to remove them. or chose a different site (ek the A/C.

If these bands or anything else is in the way or compromising to patient care it gets removed by any means necessary. However the key here is compromising to patient care. If I need to start an IV they need to go.

hate to say it snoop but if something goes wrong and you dont report it you just as at fault so you better do something. Also what if there testing you to see if you would be a good employee so you should really say something

Oh I see, I assumed you were also a Paramedic outside of the ARMY. http://handbook.muh.ie/trauma/Chest/TensionPneumothorax.html http://www.tacmedsolutions.com/blog/wp-content/uploads/2010/01/TCCC-Sztajnkrycer-Needle-DC-Prehosp-Disaster-Med-2008.pdf interesting study. http://www.google.com/imgres?imgurl=http://www.malefi.org/Assets/2007/Med-midclavicle.JPG&imgrefurl=http://www.malefi.org/conference-07-nav.htm&usg=__BykkRx0oq9mEKIrECdUBCscHZa8=&h=1536&w=2048&sz=582&hl=en&start=5&um=1&itbs=1&tbnid=0nCVhgfJzQmMNM:&tbnh=113&tbnw=150&prev=/images%3Fq%3Dneedle%2Bchest%2Bdecompression%2Bvideo%26um%3D1%26hl%3Den%26client%3Dfirefox-a%26rls%3Dorg.mozilla:en-US:official%26channel%3Ds%26tbs%3Disch:1 It really is pretty simple if you practice. As I stated before have different people from the unit lay down and palpate the ribs!

Great way to pass some time and have a good laugh!

I carry myself, really well for the most part. I'm a paramedic, not a cop, and a darn sarcastic paramedic at that.

What the hell are these things the kids are wearing on their wrists? Had one that was wearing at least fifty of these Silly Bands on each arm, in addition to a number of "cause" bracelets. I cut them all off, instantly pissed off. But my first aid for 'emo bandz', is telling them to knot them back together and call them "battle scarred bandz". So, I hereby coin that phrase, but feel free to use it in order to calm them down. HA HA lolz

I dont do those other things you listed. The EKG and electrode placement is what EVAC is trained in. I am a front line medic, i work with the supplies in my aid bag. I was just saying because on the training dummies its very easy to find the 2nd intercostal space, but its not so easy on a human being.

So Cananda's system is not the solution to the problems in the USA. Well it really looks like worldwide we have to many titles. Lets make a worldwide minimum standard. At most 2 levels.

I understand what you are saying, but I think you are misunderstanding the point Mobey is making. It's not about lowering your competencies. In fact, it's not about competencies at all. It's about elevating your image with a more professional title. As long as you hang on to that stupid EMT title, you will forever be stuck defending yourselves against those who equate you with American EMTs. And, of course, as long as you choose two completely different title categories for your providers, you deepen the chasm between the two levels, creating conflict in the ranks. You don't see that in ON like you do in AB. That's because OB had the vision to make ALL of their providers medical professionals, instead of just some of them.

I live in MT if I can't carry it it's too dam heavy. Truth be told the only ones up here that are not armed are the EMT's and FF's you would be hard pressed not to enter a home that does not have weapons in them. You can carry a weapon into any establishment unless it is a bank, government building, or a place that sells alcohol for consumption.

Did something go wrong over the course of her care? I mean all cynicism aside, most people sue over a perceived wrong, not just because they're scammers with dollar signs in their eyes. The wrong may not be grounds for a suit (providers were rude) or it may be a shotgun approach (care screwed up by MD, sue the whole continuum of care), but there is still a perception of being wronged somewhere. Unless they're crazy. My one and only complaint against me the patient was horribly unstable. I won't go into details but when I followed up with the Sup, I was told that when he called to follow up with the Pt. she immediately started screaming at him and hung up. That and mine and my partner's incredibly detailed incident reports and the narrative of the ACR made the complaint go away.

Improvisitation is the difference between a shitbag medic and a doc (In the Army) 4 sam splints is what we carry in our bag. You can splint a femoral fracture with it then provide traction on the ends to splint a femoral fracture. Its the only splint we got, but when my guys knock on my door and someone broke their arm playing football, i always splint it with a SAM

Obviously, someone is lacking the skills needed in order to communicate with their pts.....