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Oddly enough here's a few quotes from that Brilliant Public Speaker, Obama's predesesor: This is NOT the Top ten either ! At least Obama can make some sense, even if it is a touch politically sensitive in the comparison. I would hazard a guess he is apprised of a bit more intel than WE the general masses of people.

Proof positive that one cannot please everyone, but the jury is still out on this topic as we haven't even seen the tip of the iceberg as long term fallout, far more deaths could result as the entire fishing industry in the GOM and beyond ! Just wait till the oil starts washing up on the shores of Cuba or Jamaica / the entire Caribbean archipelago and how that will factor into world politics ... sheesh what a freaking mess. The point(s) Obama makes is lack preparedness By Governments AND Oil company), the extremely POOR coordination of response +++, No mention that the USCG put the fire OUT possibly compounding the environmental devastation ? oops outside voice again. Maybe BP should build an Off Shore Floating Hotel or a Eco-tour Cruise ship or maybe a Shrine to the Global Oil Giants, to demonstrate BPs commitment to the People of the Gulf Coast Line ? <insert sarcasm>

Perhaps I'm just overly cautious and nervous, but I would have also had the patient on a cardiac monitor along with EtCO2 while doing that transfer. The more safe-guards you have in place, the better your chances of a positive outcome. We can't break down charges where I am at, and a vent patient is automatically ALS, why not pull out all the stops to ensure a successful transfer? Yes, I understand they are on a chronic vent patient and do not require that type of monitoring in the facility, but I'm not in the facility, and I don't have a nice, fancy vent that alerts me for apnea or changes in CO2 readings. I have an autovent, which, to be honest, I really don't care for anyway, but aside from that, it doesn't have any short of alerting mechanism like a regular ventilator. Of course, one can always rely on their eyesight as well. Did they happen to notice the lack of chest rise and fall any time during that eight minute period, or were they buried in paperwork, or as someone else stated, mobile facebook? I also like to verify the presence of lung sounds through out a transport as well. Reassessment, call me crazy. This type of call is exactly why I hate doing anything but patient care in the back. The only time I'm not giving a patient 100% of my undivided attention is when I have to call the hospital. My reports are generally less than 30 seconds long, and I continue to watch my patient while I'm giving my alert. If my patient is critical, my EMT gives a brief report, or has our dispatch center notify the receiving hospital so they can prepare for an incoming critical patient. When I'm transporting a patient, the priority (along with our safety) is the patient.

This councillor obviously needs to be educated on when and why ambulances run with sirens.... I love the comment "the wee hours between midnight and six a.m."... obviously has never had to respond to the multi-vihicle mvc caused by the drunk after the bars close, after the playoff hockey game, when the streets are packed. I hope that whoever the PR people are for Edmonton EMS are, that they take this councillor for a day, so that the councillor can be educated about what we do. Part of that ride-along should be a night shift on Whyte Avenue, in the area of Cook County Saloon (is that still ther, or am I dating myself?) Sometimes you just wanna say "Here, I will hold out my hand, and you slam your forehead against it, so I don't have to hit you.."

"... a paramedic discovered the outage and restarted the system. But Hall had died." Like others have questioned, was this medic not monitoring this patient at all? No SpO2? No EtCO2? It sounds like the medic only noticed AFTER the patient was dead... If this is in fact true, I hope the investigation proves negligence. How did they explain this to the family of the deceased? "I'm sorry, the vent quit, we didn't notice, she died... "

Disagree- on so many levels. By making such a comparison, Obama is positioning himself to steer public policy towards his green agenda. Agree with Obama or not, agree with oil companies as being the antichrist or not, this is wrong. This is exactly what Obama's advisers have said in the past: "Never let a good crisis go to waste"- meaning use a disaster to gain a political advantage. 2012 cannot come soon enough.

I've seen it said many times over the years I've been here; "You don't know what you don't know", and while it seems a rather inane thing to say, I believe it. In the short time I was in medic class (we all know why I had to drop), I saw that no matter how 'good an EMT' I may have thought I was, I'm no were near where I CAN be. With that said, when I get back into a medic class, Some of you guys and gals are in BIG trouble! I'll be trying to pick through your collective brains until there's nothing left, and then STILL be asking you to answer questions! I know I've thrown some really stupid things out there, questioning 'why we've always done this' and thinking I've got the next Nobel Prize winner of a solution....only to have it sliced, diced and pureed so that ALL aspects and ingredients are scrutinized and proven wrong. I don't take it as a personal attack. I take it as looking at it from all sides, and showing the flaws in the 'solution' so that I may take it back, reanalyze it and submit a better solution to the problem. I don't think I have all the answers, I'm just as blind as the next person here. Solutions to the 'problems' aren't delivered on lightning bolts from the gods...they're bashed, smashed and decimated to make sure it IS a feasible solution. My experiences over the last 12+ years in EMS does not prevent me from putting my big fat foot in my mouth, it just helps me recognize the taste of shoe leather when I do it. Thanks guys and gals, for the learning experiences of the past; as well as the ones in the future. By the way, could someone please pass the salt? Shoe leather is rather bland....

THe NREMT test is 'adaptive'. Each question gets progressively more difficult until it gathers enough information to ascertain whether you know your material or not, then it 'kicks you out'. The prep material doesn't offer you questions exactly like what you'll find on the NREMT, but will pose questions that are similar in nature and wording to what you'll find there. If the 'test prep material' was exactly like the NREMT testing, then it would simply be a matter of memorization of the proper answer to any question. This is NOT what our education is supposed to acomplish. By the time we graduate from the class, we should be able to justify what we do with WHY we do it. In my opinion, the NREMT needs to be more difficult than what it is, to help weed out the 'cookbook providers' and open the field up for those with the drive to increase their knowledge base, as opposed to simply regurgitating information on command. D.O.T./NHSTA/NREMT needs to adopt this mindset, and drive these 'patch mills' out of business!

Wow, haven't been around for a while... just occasional lurking whilst being incredibly busy with life... I have to admit that two years ago I would never have guessed that Dwayne would turn into the City's conscience. I'm impressed... I'd like to think that a couple of our knock-down drag outs had something to do with it. Following your threads over the years... it is a study in psychosocial evolution. I would like to state in response to someone's post earlier (no disrespect for not quoting it, just not good at it), I think that it is good to sometimes pick fights around here. As long as all sides keep the vitriol to a minimum, fighting something out just to fight something out sometimes yields unexpected information and forms unexpected bonds. My advice is to take risks... just think them out first. Pick on someone bigger than you. If you notice someone with a bloated reputation number that is probably ill-deserved and obviously sent an extra "payment" to Admin to accumulate it *cough*Dwayne*cough*, then take a run at him with an argument. Just make it good, think it through, and try to use correct sentence structure and punctuation... except for ellipses'... feel free to abuse them without regard to there literary intentions... I do! Aloha Y'all

I love these threads! The truth is you guys will never have a constructive discussion in here because most of you cant take the emotion out of this. Lets see it for what it is..... Somone bought/leased whatever a block of land in New York On this block of land they will build a building In this building there will be a gym, a swimming pool, maybe some office space? a car park? And someone is going to buy or rent floor space so a bunch of dudes can take off their shoes and pray to their deity - who gives a rats ass. Lets stretch it further, maybe the gym will attract fat people that will be a slap in the face to those fit firefighters who died...... Maybe that office space will have some fraudulent business people who are a slap in the face to those honest business people in WTC......... Maybe the swimming pool is a slap in the face to people who cant swim....... Car parking to people who don't own cars.... Oxygen to people who have COPD.......... A day care to people who can't have kids...... No urinals for blokes who like to stand up...... "slap in the face", calculated to upset people? anti american sentiment? Sure, only if you want it to be.... At what point are you people going to practice what you preach? Land of the free? freedom of speech? Religous tolerance? Separation of church and state? Habeus Corpus? It all means absolutely fucken nothing if its not extended to everyone, which includes some people being able to have a piece of empty floor where they can take their shoes and get their religious rocks off. Or is America to become the great hypocrisy?

Actually, in this context, no there is not. Years ago we a KKK rally here in the middle of a Jewish area. As distasteful and insensitive as it may have been, the rally was allowed to go on. With the freedoms we have, we are also supposed to have responsibilities, but some do not abide by this notion. In both cases, people object to the extreme hate, prejudice and bigotry, and do not care about offending anyone or being insensitive. I really like these comparisons. I'll ignore the Crusade reference- red herring. We believed the world was flat at this time, that the sun was the center of the universe, and lots of things that we think are pretty silly now. Let's keep things relatively current. What single religious- or any other- "group" do people such as isolated nut jobs like the Unibomber, McVeigh, or abortion clinic bombers represent? The unibomber hated technology, McVeigh hated government intrusion in his life, and abortion clinic bombers are ultra right wing, bible thumping nut jobs. Where's the commonality there? How can you equate them with radical Muslims who have a common bond- their fanatical brand of one type of religion and an avowed jihad? There are crazy people in this world, who do crazy things, for all types of crazy reasons, but don't pretend they have anything in common with a group who expresses a single minded desire to spread their brand of "religion", at any cost. Who were the hijackers on 9/11? What was the common tie that bound them? What is the common tie that binds all these different terrorists, who originate in countries all over the world? My objection to the mosque is not about Islam. True Islam has nothing in common with the flavor practiced by jihadists. The jihadists view Muslims that do not agree with them in the same light as any other infidel. In their eyes, they are no different than Christians. Torn down? No, but I certainly think that building another one, WITHIN SIGHT of the WTC's is the height of absurdity and insolence, and a problem waiting to happen. Which came first? Again, torn down- no, but establishing an abortion clinic within site of an existing Catholic church is similarly absurd, and asking for trouble.

For a patient to desaturate to the point there they um, die without noticing is horrendously bad ... the ambo was probably on Facebook mobile or something

Anyone watching the pt? Or both riding in front?

The truck I had this morning/last night has the electric oxygen switch, but as AK said, D cylinder would have done the trick. Obviously the medic wasn't paying attention or didn't care.

i took mine 20 days ago made it to 151 questions and failed 3 sections the test is much harder then the study material. (but only 8 kids in my class passed so far)

Military Medicine at its finest, US ARMY Combat Medics. Im PFC Doc D with the 101st Airborne Infantry Division. How many other Combat Medics we got here?