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Showing content with the highest reputation on 10/09/2011 in all areas
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Nobody waste anymore time on this guy. I was right in my original suspicion that it is a troll. Ignore him, lock the thread, move on.1 point
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I hope you enjoyed your short tenure on this site. You clearly have no idea what your talking about. Exactly how prevalent is child molestation among "straight" family members? If you actually knew, or cared to know, perhaps your attitude could potentially be salvageable.1 point
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Welcome to the City! We recently had a similar thread that can be found under the category of EMS News. It is called "job interview." There is some great advice there. My personal experience has been more of a moral/ethical line of questiong...Questions such as-What would you do if your partner was stealing? What would you do if you had a problem with a fellow employee? Do you think it is right to take home a company pen? Those sorts of question...I have also been asked about med doses such as glucose, nitro, and aspirin. Good luck to you!1 point
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Too much risk of cross contamination with an absolute host of "cooties" To mention a few, MRSA, CDIF, Flu, Hepatitis, HIV, Parasites such as Bed Bugs, Crabs, Scabies and who knows what else. If you are too lazy to sanitize the cot and change the sheets after each call, quit, find a new job. If by chance it were one of my family members and I caught them doing this, there would likely be an unpleasant parking lot discussion resulting in law enforcement response. Just do the right thing, treat everyone the way you hope to be treated when you need assistance.1 point
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No dude, you dont have to drop out of college to do EMS, in fact, you dont even have to go to college at all. Kid, get some edeucation behind you, toss your scanner in the bin, get a degree and come back in 3 or 4 years and then you can call yourself professional1 point
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Say, does all of this talk of regret and missed opportunities make anyone else think that another City get together might be in order? It certainly does for me... Dwayne1 point
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"The road to Hell is paved with good intentions" It doesn't matter how deep you've paved the road with your 'good intentions', it's still the road to Hell.... First off, you stated that you administered the Nitro, then you change it to you 'helped him by getting it out of his pocket'. In the world of documentation, you're dispensing medication without a license, and THAT my friend is illegal. Secondly, in all your 'gear' that you have stashed in your personal vehicle, how much of it are you traned in using? How much education (aside from advanced reading the EMT books) do you have in interpreting your findings? How much of an assessment are you trained in performing? What education do you rely upon to interpret your findings there, and what education are you basing your planned course of treatments on? What equipment do you REALLY have available to you in case the patient needs more than band-aids and a c-collar? You jumped a call for the 'adrenaline rush' and you put yourself, your 'patient' and anyone that had to come rescue you and your patient at risk because you have no clue what you're doing! The fact that you 'snuck off' after the EMS crews took over (especially when they made it perfectly clear that they wanted to talk to you) shows that you KNEW that you did things wrong and didn't want to face the consequencs of your actions. This is NOT a 'good quality' for a future EMT to have! Compounding things is that you came to this forum and asked 'What did I do wrong?', and when your errors were pointed out; chose to try to 'justify' them and shif the focus from your screw-ups to blaming everyone that responded for being 'mean to you'. Another negative attribute. As has been pointed out by people who are much more intelligent than I am, you 'screwed the pooch' on this one, and all the heat you're taking is well earned. I've noticed that your story is starting to change from your initial post to the incarnation of the tale we see now. There are several facets of this whole incident that beg to be addressed: 1. DITCH THE SCANNER! It and your actions have already dumped you in a steaming pile of cow puckey, and potentially cost you everything you've ever HOPED to have (up to and including your dreams), and you could be facing jail time on several charges. 2. PUT THE 'GEAR' AWAY UNTIL YOU'RE EDUCATED AND TRAINED IN IT'S PROPER USE! Just because you've read a couple books doesn't qualify you to do anything more than stand at the edge of a scene and look at the pretty lights. The best way you can 'help' right now is to keep your cell phone bill paid so you can call 9-1-1, and get QUALIFIED/EDUCATED responders en route and on scene... 3. LEAVE MEDICATIONS ALONE! You're not qualified to administer drugs, or even assist in the administration of drugs. If you keep this up, you WILL find yourself in jail on some SERIOUS charges! 4. DROP THE RANDY/RACHEL RESCUE MENTALITY! This will only set you up to get sued, land in jail or injure/kill the person(s) that you're supposed to be helping, because you've got no education/training do do ANYTHING other than put a band-aid on a 'boo-boo'. 5. OWN YOUR FUCK-UPS! The sooner you start owning up to your mistakes, the sooner you can start learning that every action you do has consequences. Even the 'Good Samaritan Act' has limitations on what you can and cannot do. You've violated most of them; if I were you, I wouldn't expect that act to provide much cover from the shit-storm you've started. If you REALLY and truly want to help people, leave it alone until you've completed your education and training so that you can do it without doing more damage than you prevent....1 point
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This is the best system that I have read: http://www.emsmdc.com/pdf/documentation.pdf1 point
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Brother, let me break this down for you, and I'm not being shitty, as it can be hard to understand where people are coming from if you don't live/work in this field. You believe that you helped, that you showed that you care by leaving your home and showing up. Many others do the same, and like you, most often they harm people with their ignorance. Now, don't confuse the words ignorant and stupid. You can fix ignorance... The bent steering wheel is a huge deal to most of us here as it tells us that the pt, in one way or another, transferred a ton of energy from his body to the stearing wheel, and that almost never comes without significant injury. Almost every injury that can happen from that mechanism is going to be life threatening, and most of them will cause the medics to have a battle to control and maintain the patients perfusion. (blood pressure) Now the body will fight to keep that blood pressure up, to keep the organs fed. But by giving him the Nitro you gave him a medicine chemically designed to fight against the body's efforts to save itself. You claimed that his 'vitals were fine' but not a single paramedic in this conversation, no matter how many years they've been practicing would make that statement on this patient without taking them again and again over a period of time. If this patient had any of the injuries common with this type of accident there is a very good chance that you killed him with your treatment. It is likely a good thing that you ran away, as there is also a good chance that you would be in jail now if you hadn't. It looks, from the outside looking in, like people are doing a bunch of mindless bullshit when you watch them on scene. But most of the important stuff is happening in their heads, not in their hands. You hurt a man. You claim you wanted to help, but all here are telling you that you almost certainly harmed him instead, yet your response remains, "Well at least I did something!" This is a professional forum full of people that have payed their dues for the right to go behind the yellow tape. Most have payed with years of their lives. They are intelligent, and have the ability to help people. You should really, really not kid yourself into believing that just by running to an accident and being willing to get bloody makes you a good guy. As in this case, it doesn't. Stop pretending that you want to help by buying bandages and hanging out with the local volly squad and actually get committed to doing some good and get the education necessary to do so. In this case, this man would have been better off if you had never shown up. He would have been healthier and safer if he has sat there alone until professional responders showed up. That's not your fault, because you didn't know better. But now you do. So what are you going to do? Continue to cry about it, or get the education to Do good, instead of Pretending to do good? Not running away, and continuing to participate in the forums is a good start. If you have the balls for it. Dwayne1 point
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Where to start: Your sign in name tells an awful lot about you! Are you a licensed first responder? What agency do you work for? What level of training do you have? Do you have a medical director or protocols that you operate under? First off depending on what state you reside in , you could be charged with impersonating an emergency provider which is a class C crime. Second: you self dispatched yourself to an emergency scene" FREELANCING is not acceptable behavior! Third you placed a cervical immobilization device on the pt. Did you do a proper spinal assessment before & after doing so? Do you even know how to do a proper spinal assessment? It involves a lot more than just wrapping a device around the pt's neck. fourth: You mention the pt bent the steering wheel and is suffering from chest trauma , Yet you administered a prescription medication that was probably the worst thing you could do for this pt. Do you even have a clue what the pharmacological properties of the drug are? Giving a prescription med without a license is not a good way to stay out of trouble. This is most likely the reason the assigned EMS crew asked what the hell you were doing. What if your mistaken need for an adrenaline rush caused the death of the Patient? Do you think you can afford the civil and criminal charges and lawsuits to be filed against your unwarranted actions..??? Hopefully you will take time to think very carefully and read what the folks here are telling you. There are laws and regulations to be followed in EMS. to do otherwise will only get your ass in a sling, or buy you time in jail. If you did this in my area ,you would have been placed in handcuffs and taken to jail to explain your actions to the judge . Don't assume that because" you snuck away from the scene" you will not hear further about this from someone with a badge. The possibility of a formal complaint being filed by the Licensed providers on scene is high. The state will investigate and track you down.1 point
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Why were you even on this call to begin with? By all accounts to seems like you responded to this call in your own vehicle with equipment you purchased yourself. I think it would be in your best interest to put the scanner away, and wait till you are actually licenced as an EMT before responding to calls. As for what you did wrong treatment wise... Did you perhaps consider the fact that his chest pain and SOB may have been related in some way to the bent steering wheel? Did he have chest pain before the MVC? Did the pills reduce his pain? Did you give both pills at once, and do you know what the dose was for each? It is very risky to give a pt medication (even if its their own Rx) without any medical training or oversight. Furthermore, when you do finish your EMT-B do you plan on working with the local Fire Dept.? If so its probably not a good idea to get a reputation as a scanner cowboy, who shows up without invitation and then slinks away after the fact.1 point
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Some advice I took from Dustdevil (You don't know him yet) that was golden.. Do you personally know any cops? That is where you should go for report writing skills before you even begin to practice PCRs, if you can. I hired one for a couple of hours as a tutor and man, it changed everything for me about report writing. Not trying to be a smartass.That truly is a great way to go. Dwayne1 point
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Wow, you sound just like someone else on here, I just can't figure out who it is.1 point
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A couple of thoughts.... First is that you can spend some of that time reviewing the history with the parents. Normal birth? Any issues since? Any meds? What happened step by step leading up to this? They gave some of this information to the arriving crew, but it was probably disorganized in their heads and and was focused more on getting the crews to do the 'important' stuff instead of talking. You can find a lot of new and valuable information at this time as well as give the parents something productive to do while they watch the code. Second, parents, even in this situation, can smell bullshit a mile away. You need to be focused on them. Not on whether or not you're going to do or say the wrong things. If you're worried about you they will see that in a second and it will make them really mad...understandably, right? To this day my favorite call was helping an attack victim during my clinicals. I could hear my preceptors and the cops laughing and making fun of me from the doorway for 'being such a pussy.' But man, that is one of the calls that changed me as a medic forever. She was better for it (I like to believe) I certainly was better for it, an neither of us was the worse because a bunch of assholes thought that I should have been able to see that she was just a whore that didn't deserve consideration. Everyone counts or no one does. There are very few people that are good in this situation and most of them have done it a ton or gone to school for years to know how to deal with mentally/emotionally damaged people. Most of us are neither of those, so we have to do the best that we can. Also, I can tell you with nearly 100% accuracy that those that I've been around that brag about being 'really good at it?' They're not. They are bullshitting themselves. And don't have a strong need to fill the silence with mindless chatter. Watch their faces. What are they focused on? Ask if they need it explained. Mom looks faint? Get her a chair. Offer both a drink of water as the catecholemines are going to cause their mouths to be dry early on. Simply never forget that these are not people that you are sharing this experience with, from a professional point of view, they are your patients. Love them, and take care of them, but do so from a reasonable, professional distance. Dwayne1 point
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Talk to them, don't treat them like idiots. This is the absolute hardest thing any parent will have to face and just talk to them and answer their questions, honestly. If they ask if their baby is dead, do not say yes until you know for sure from the crews. When you find out that resuscitation has ceased then someone from the team needs to be there with you. If you have never done this before then you need to be paired with someone who has. You should not be the one to tell the parents their baby is dead if it's your first time in this situation and hopefully the crews won't put you in that position to be the one. I learned from a very seasoned medic how to do this and he said this, watch it done a time or two and then you will know that no matter what you tell the parents they won't really hear you anyway. Their grief will be overpowering and you just being there, holding their hands, or hugs if allowed by the parents work wonders I also am a firm believer of allowing the parents to hold their child one last time unless of course it's a crime scene. There is no excuse for refusing to allow a parent to hold their child one last time and I've always deferred to law enforcement on the crime scene issue but if no crime scene then the parents get to hold their child. You will never forget your first infant or child death. I can see my first, second and third dead child's face as plain as day even after 20 years. Can't remember the full circumstances but I do remember. VERY tough all around.1 point
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Anyone that utters any gay jokes or anti gay statements should be fired on the spot. I am tired of straight people turning a blind eye to this type of BS.-1 points
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I am sure there are jokes, but I cant quote any off the top of my head, got lots of gay and black jokes in my head though. Can anyone quote a funny white joke off the top of your head ? Found some, but not very funny : http://www.free-funny-jokes.com/white-jokes.html-1 points
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I think we are superior to students of past generations, in that we want it more, and study harder. EMS used to be the career you fell into when you dropped out of a college for another career, now we are professionals who want this as our career.-2 points
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He should not have been fired, he should have got a medal. Queers do not belong in EMS, as there are too many pediatric patients that need treatment, and you can not trust a queer around male children. If a queer tried to treat my family I would not allow it, including male nurses.-3 points
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