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Showing content with the highest reputation on 08/06/2010 in all areas

  1. Hearing "load and go" makes me want to vomit. Practitioners get that in their head and it's what they focus on. I see it a lot from EMTs to paramedics, from the green newbie to the crusty old guy or gal. They make patient contact, throw them on the stretcher, get some v/s and go. Maybe an assessment is completed and they are then off. What have they done for the patient other than drive? During my EMT course we learned how to conduct a rapid trauma assessment. I think we all remember that and how to do it. You practice it enough times until it becomes muscle memory ("Slow is smooth, smooth is fast.") and when you get onscene it's not going to take more than 2 to 3 minutes to do it. Knowing what you can do for a critical patient is the key. ABCs as mentioned and discussed. I hate to use numbers but 10-12 minutes as Kiwi mentioned is ideal. You can complete a good assessment and start critical interventions in that time. The big thing is not to keep screwing around with things: i.e repeated tube attempts or failed lines. That also doesn't mean splinting every broken finger and bandaging all the moderate and minor lacerations. On the way to the hospital reassess and maybe if you have the time splint that broken bone and bandage that laceration. Some of the best traumas I've worked have resulted in me yelling "STOP!" and kicking people out of my bus or off the immediate scene so that my partner and I can do an assessment. Usually they are the ones yelling "LET'S GO! HURRY UP!". One of us starts at the head, the other at the feet and we meet at some point. Never have I ever been onscene for more than 15 minutes with a critical trauma patient. And you know what? We get to the hospital with a fully assessed patient and can give a good report to the staff. Now is that a matter of education or experience? And how do we teach that way of thinking?
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  2. Congratulations Herbie, you just became and advocate for terrorism. Can you really not see how ludicrous your statement is?? Don't talk about compassion and tolerance, if you want compassion and tolerance let them build their damn center. The truth is that the only reason you're against this is because they call god by a different name and it scares the shit out of you. Hiding behind a tragedy to make your point is a pointless, baseless and downright gutless, not to mention fucking dissrespectful. Lets face it, the entire base to the argument is "Muslims killed Americans = Muslims bad.......we don't want no Muslims here. Compassionate and tolerant? Not bloody likely!
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  3. racism and hypocrisy is alive and well in here i see
    1 point
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