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Luck you aint down a mine shaft about now lol it cool bro

Clearly this Kate woman is not someone I want caring for anyone that I know or care for. She does not seem to understand the basic tenets of responsibility. It is clear that she wants no part in taking any responsibility for her transgressions. But let's not fool ourselves about refreshers here people. I know we are all pro education, and anyone that isn't shall be fed to the angry Gods of the City, but refreshers are mostly handled poorly, taught inadequately, and not to mention, being phased out by the Registry. If Refreshers are so important and vitals to becoming a better EMT, why is the Registry trying to streamline the process? NR now offers a Test-out option in-lieu of traditional class and practical time. I for one am glad for it. Being a full time EMT, and occasionally involved the the education of new EMT's I am constantly staying abreast of the "new stuff." For me, refreshers seem superfluous. I would rather just prove my knowledge through a quick and easy test, and not be bothered with sitting in a class room for 24 hours getting bored to death. This is not an anti-education spiel, but I am anti-refresher... for me. That's why I like the refresher opt-out clause that the registry has come up with. If you know your s%#t, prove it... and we won't make you sit through it again... if you fail... take a seat and try and remember it this time. My problem with these people is that they are not taking their responsibilities seriously. Whether you agree with the way the system works or not, you have to abide by the rules, or get out. If you don't like it, get involved to try and change it, but don't try and cheat your way through, and then say you cheated because the requirement is stupid. In my opinion these people deserved their punishment, and they only have themselves to blame by accepting a program and a recertification that they knew was against the rules. Not wanting to go to a refresher is normal, actually skipping out of it and falsely claiming you went may not mean you are a poor EMT, but it does make you a cheat, and a liar. And if you compound that by then trying to say you didn't really do anything wrong, then you are just stupid and a bad person.

So for this resurrected 3 year old thread, here is a link to the Brugada study from Circulation. http://circ.ahajournals.org/cgi/reprint/83/5/1649 On page 1651 is a nice decision tree that I think can help us decide what this is. 1. Absence of an RS complex in all precordial leads? I would have to say no. I would say that both V2 and V3 has RS complexes (though the R wave in V3 is very small but it is still there). This means we have to move on to the next decision point. 2. R to S interval >100ms in one precordial lead? We have to look at 2 leads, V2 and V3 since they are the only precordials with RS complexes. We look for the largest interval starting at the beginning of the R wave to the deepest part of the S wave. We have R to S intervals of 160ms and 40ms in V2 and V3, respectively. Based on this we can call it VTach and don't need to assess the remaining two criteria. For those who are interested in the statistics, the Brugada criteria give us a sensitivity of 98.7% and specificity of 96.5% for VT and a sensitivity of 96.5% and specificity of 98.7% for SVT with aberrancy.

was helping teach a new class of emt's and one of the things we do is teach them to immobilize a patient on a backboard so well that they can be turned upside down which they USED to do during the state practicals (I now know why they stopped doing it). Well, being the assistant in the class, the head instructor was the one doing the immobilization along with another student. We were using a set of well worn spider straps, but I wasn't worried, well I should have been. They got me all strapped in and went to flip me when the spider straps gave way and I fell out halfway landing hard on my knee. Being the tough person I am, I was like, I'm okay. But I noticed really fast my knee was swelling up huge underneath my jeans and I couldn't get up and walk on it, so they called a squad for me. Well, evidently they were bored because I got a full fire and ems response. My coworkers were laughing hysterically when they found out how it happened. I wasn't laughing though, I had torn my MCL and required surgery to fix it, so I really didn't appreciate the six week forced vacation I got. I never volunteered for that again. Several years ago, I also had the poor fortune of falling off my horse and getting knocked out. My friend who was riding with me called EMS upon seeing me laying in the arena and they showed up. Well, I ended up waking up on a backboard (again) and the guys had cut all my clothes off (I could have killed them) and worse yet, I was in my assigned truck (we keep the same trucks and they are set up how we like them) because that crew's truck was down so they had taken mine for the day. I was supposed to be on duty that evening, so my chief was called and of course he came down there. I felt like a complete idiot. A ride to the local trauma center, a CT scan, dislocated shoulder, and six hours later, I was released but didn't have a way home, so they called my crew to come get me and bring me back home. I still haven't lived that down.

One night while flirting at the ER, my partner and I got paged out for a chest pain run. We pulled out of the ER dock and made it less than a block before we got broadsided by a pickup truck. My partner got suspended for a week for running the stop sign (lights, no siren, since we were only yards from the hospital), and I was off for a week on muscle relaxers for a stiff neck. So, a week later, my partner and I are both back on the job for our first shift in a week. Our very first run of the night was to take some guy home to his apartment from the ER. It's my partner's turn to attend (dual medics), so he's with the patient and doing the paperwork. We arrive at the address and unload the cot from the ambulance. As I am about to shut and lock the back doors, I see my partner left his clipboard on the squad bench. Thinking he simply forgot it, I step up into the ambulance to retrieve it. As I step back out, I step on to the side of a goddamn speed bump in the parking lot and completely invert my ankle. The crack was so loud that my partner says, "What the hell was that?" So, he helps me up into the ambulance and puts an icepack on my ankle, then requests a fire engine be dispatched to help him take our patient up two flights of stairs to his apartment. With the patient offloaded, my partner makes up the cot, puts me on it, and drives me to the ER in my own ambulance. The look on an ER nurses face when a paramedic wheels his own partner -- in uniform -- in on a cot is priceless! Consequently, nobody wanted to work with either of us for months. Me because I'm an arsehole, and him because he is trying to kill his partner.

Nah, he is probably too busy with his live in 20 something nurse that he got thru his broken down old sack of crap in a wheelchair scam Good bloke tho