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You know when I first tsarted this post I had a whole bunch of stuff quoted but to be honest thtat just cluttered up my post. You stated that you were 18 and not yet an EMT, I am 22 it was not that long ago that I was in your shoes as a matter of fact I skipped my high school graduation so that I could go take my National Registry practicals. With that being said don't you DARE start telling people that have more years in this field than you do alive to get there panties out of a wad or that you helped them stroke their egos. Seeing as I am not much older than you I can say some things and not come off as some elder that is just spouting stuff. You are arrogant if you think that just because you bought a book and read it you are as qualified as I am, I will get to my lack of qualifications here in a second. Your first mistake was responding apparently outside of the agency response matrix if you even belong to said agency. Second you gave the patient Nitro, RuffEMS (or maybe Eyedawn) asked you some questions about Nitro that I can't answer YET. Second of all if I ever had you come across as my student and I knew that you were the guy who posted this on this thread you would do NOTHING BUT CARRY GEAR and this has nothing to do with the fact that you are a student but that you can't keep your stories straight. Anyway I will get off that soapbox and move on to the education soap box I am an EMT, As an EMT you know enough to kill your patient, with that being said if I know enough to kill my patient than what do you know...exactly nothing. Did you take the BP by auscultation or by palpation. Do you even know what these words mean? You stated in one of your myriad of sad posts that c-spine wasn't rocket science and that since you read how to do it in the book you know how to do it. Have you ever practiced and been guided through how to do it by an experienced preceptor? Can you tell me at what vertebrae does lower extremity paralysis set in, what about upper body paralysis? Also tell me just how did you maintain proper c-spine while applying the collar? Last time I checked it took two hands to hold the head and two to apply the collar? With that being said I attempted paramedic school once I failed out but you know what I am on my way to being a better provider because of that. When you want to start working on EMS as a profession not just some hobby that you do when you need some adrenaline high come talk to me or a number of other professionals on this website and we will set out a curriculum for you that is tough and progressive enough to educate you not just in how to do something but why you do it. I could have been a paramedic out on the streets in 14 months instead I took the long road as our generation of providers needs to do and am getting a degree in the field that I enjoy. Now on a more human nature your 18, you think your big bad and Gods gift to man kind, well guess what you ain't your the kind of person that give our generation a bad name, I have had to work hard in my career to overcome the stereotypes that people like you have put onto my generation. You ask what you did wrong we tell you and you tell us that we are stroking our egos. You ask what you did wrong we tell you and you say what none of us do is rocket science well let me tell you something kid I would take just about any of these professionals on this site and I would put my life and the lives of my family in the hands of these "arrogant folks". Now grow up put your boots on and come get some education not just from us on this website but from many other experienced professionals that probably are in the community with which you live. Oh and I am sorry but you have not EARNED the right to use that avatar IMHO there are only three people that are anywhere near close enough on this site to being able to use that avatar and seeing as your name isn't Dwayne AKFlightmedic or ERDoc please show us a little compassion and change it.

Well Your'e certainly off to a ripsnortin start young child. 15 posts and a negative 13 rating Lose the attitude, Lose the scanner Lose the EMS equipment that you shouldn't have! LOSE the avatar, you couldn't even wipe the sweat off dusty's balls. Stop Freelancing! get your punk ass back in school Mc Donalds is hiring, with your attitude you might even make fry manager by the time your 30. If you think this crowd has been tough on you, then maybe you need to be back in kindergarten before you end up killing an innocent victim!

Hey all, Just a quick note to say that I'm off to Oyu Tolgoi, Mongolia. Though I'm never happy to leave home, I'm truly excited to see what this new country holds in store. I'll be working a 4wk on/4 wk off rotation with 28hrs of flights each way...Not terribly excited about the travel, but little that's interesting seems to come without some sacrifice. Being a remote medic has truly changed everything about my life. It's given me the confidence to do my very best medicine, experiences that have shaped me in amazing ways, and most important to me, given me perspective....it's shown me what is truly important if not in 'life' in general, at least in my life. I mention this only to make the point this point....If you believe that the City is somewhere that you come only to become stronger as a provider, only to become more intelligent, only to stay current in EMS, then you've missed one of the major opportunities available here. Networking and making true friends. If not for the advice of Asysin2leads I believe I would have quit medic school, and I'd likely have never chosen an AAS in Paramedic Medicine if for not having my intellectual balls busted by him, Dust, ak, and many others here. Akflightmedic got me into Afghanistan when I was worth even less than I am now as a medic. He said, "You've got the education, you seem to have the balls for it, I think you'd be a good fit." This happened at a get together that involved the now departed Dust Devil, who seconded those thoughts. Up to that point they'd had nothing to judge me on other than my opinions here and viewing how those opinions had changed over time. Ak also helped me get my gig on the BP oil spill, that led to the offshore oil fields, and friends of mine spoke for me again and now I'm off to Mongolia. Just the other night Mobey hit me over the head with a brick to make the point, "Why are you traveling so far from home when there are the same, or better opportunities available in Canada?" Excellent question, also posed to me by Annie. So the spare time during my year contract in Mongolia will be spent trying to make myself hire-able in Canada. Maybe none of these things sounds good, or sexy, or exciting to you, and if not, I get that, as it's not for everyone. But just as many people have been helped by their friends here to succeed in main stream EMS. What I'm trying to say, in my silly, long winded way, is that I cherish my EMS career. Not only because it's been enriched by being a member here, but because it would almost certainly have never been possible had I not been a member here. Don't waste your time here guys and gals. Don't fool yourself into thinking that 'this is just anonymous words on an internet forum." Because though it is certainly possible that that is all that you may take from it, it is absolutely not all that is available. Lets all look out for each other. Lets all keep helping each other to succeed. And maybe most of all...lets not forget that we're friends...with all that that entails. Dwayne Edit. Ok, so it's not such a short note after all...sue me. :-)

I'm a little late to the rodeo, but agree with the OP. You are taking a stable, relatively healthy pt in a bad situation that may result in more harm. No, we cannot guarantee that there will be an MVA, but if there is, you have needlessly put that pt in harm's way. It sucks for the hospital, but the pt is safe and the SW should understand the issues and if not, should not be working. What do you think will happen if the ambulance rolls and this pt is inured or killed? Does anyone think this company will back the MG? Hells no. They will sell her up the river to save their own skin. "If she didn't think it was safe, she shouldn't have transported. She's the medic, so it is up to her. We are just the owners and don't know a damn thing about medicine so we have no say or responsibility." Being the medic is a lot like being the pilot of a commercial aircraft. The company is going to lean on you as much as they can to make their money, but you are ultimately responisble for the safety of your vehicle and passengers. You have to answer to your surpervisors/company, but you also have a higher authority you have to answer to. Pilots have the FAA/NTSB and you have the jury you will face as well as you licensing board. Saying, "The company made me do it." will not save you. You will find lots of precidence in the aviation literature, and pilots have awesome unions to back them up, not so in EMS. You have the last say on what is go/no-go. I would not be comfortable transporting this pt either. Again, let's look at the rollover situation. You now have an unrestrained, several hundred pound projectile flying around the confined space in the back of the ambulance. You will get hurt, if not killed. It is not being prejudiced against the overweight, it is just reality. Some people have eaten themselves into the situation while other have just been dealt a sucky hand in life. Either way, it doesn't make the transport less risky.

Who cares about your bible? Who are you to be preaching here? Give me a break super medic, push your own values on your kids, not to us. really? I'm not sure why I'm responding to this.....probably just to point out this is one of the stupidest things I've ever heard on this forum.

You rang? I'll start by saying that I think the OP is BS (either that or Dust is screwing with us from beyond. I wouldn't put anything past him. He's probably loving every minute of this). Assuming it's legit, let's start with the fact you practiced medicine without a license. Show an EMT book that says it is legal for an EMT to give nitro. I doubt any generic EMT book, such as Brady, will say what is and isn't legal when it is used in multiple jurisdictions. A protocol manual from a specific certifying agency might say it, but no general EMT book will do so without saying something like, "See you local protocols to see if this is allowed in your jurisdiction." Secondly, you are not an EMT so it does not matter what the EMT book says. You had a good chance of killing this guy and are lucky you didn't. Your actions could have landed you in jail and no, you would not be covered by Good Sam laws. You were practicing way beyond your scope. You fucked up big time. Lucky for you, you didn't get caught. Eat your slice of humble pie and move on. Learn from your mistake. It's great that you are eager, we encourage that here but take it down a notch before you do some damage. You are under 18 and will have plenty of time to get on those awesome, adrenaline filled calls. Learn what you need to learn so that you don't hurt someone next time. Remember-Primum non nocere. Don't let your ego exceed your knowledge. As others have said, turn off the scanner. The only equipment you should have in your car is basic first aid supplies. If you stay in this field you will come to learn that the more stuff you carry, the less experienced you are. I hope you stick around, there is lots of good advice here, but you need to check you ego and attitude at the door. EDIT: As for why not today, have you looked around. There is a huge banner across the top of the page and a huge thread about it. We lost a great member today, someone who has tried to move EMS ahead. He was a personal friend to many and a mentor to many more. To come on here today and act the way you did is disrespectful to those who are mourning. Think of it as being similar to making Sept 11 jokes in a NYC firehouse.

My panties are not in a wad, I asked a simple question and got pounced on from every angle. As far as judging you, I did not, I read your own words in this thread : http://www.emtcity.com/topic/20733-treating-patients-while-off-duty/page__hl__%2Boff+%2Bduty+%2Bpatient+%2Bcare__fromsearch__1 where many of you stated you would just drive on by an accident, although some of you said you would call 911 for them, big whhhhhooooppp, thanks a pants load for interupting your day. If that upsets you then I am sorry, but those were your words, not mine. You do not have to be an EMTB, I , or P to assist a patient in taking their own medication, any citizen can do that, there is no law against it. So if a kid was having a severe asthma attack and asked me to get his inhaler out of his book-bag, you are saying I should wait until an EMT arrives ? Please !!!!! And why is today not the day for me to be on here ? Are new people not allowed on Mondays ?

Wow. I think they were rather hard on you. Your hearts in the right place and you just wanted some guidence. Your young, your hearts racing and you just want to help others. Thats where we all start when we enter this field. Rather then going over your do's and don'ts I recommend you move on from first responder and take an EMT course. This way you'll have all the answers your looking for and be more prepared. I know the scanner thing is very exciting but believe me you need to pace yourself and not run out to everything you here. Your only 1 person and I don't want you to possibly get into something that you can get hurt. I was lucky to have a couple of senior guys on the job help me out when I first began and I've always made it a point to do the same for others. So keep the faith, stay cool and educate yourself, not just by books but with expirenced partners. Good Luck and if I can help let me know.

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.

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.

I am glad I could help your egos feel better about yourselfs.