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Going to interject despite not having time to participate fully, as well as being really late to the party. Something I'd like us all to think about...miscusi. Man, we've kind of taken to being rude to anyone that doesn't share our opinion, or that we feel superior too..particularly if they are foolish enough to 'try', thus risking giving us a big stick to hit them with. Often insecurities are temporarily mitigated with bravado and false self confidence...but there are still real people under the facade. I'm pretty confused by the responses to him/her. It sounded to me like s/he was saying, "This patient has been alive more than a month since the surgery and two days since the metal episode, so all things considered I'm confident that he will live regardless what I do, for the next ten minutes until I can drop him at the hospital." What would be a more productive, realistic attitude if you work in a 'do nothing, just transport" type of system? If that is your system, and that is what you're used to, then what other things would we have liked him to have said? Granted, he didn't get the way that these scenarios are played, but it appeared to me that he tried over and over to explain his point, and it seemed pretty clear to me, but too many had already started to celebrate that "He gave us a stick and now I get to be him with it!" Not knowing how scenarios work didn't use to be a sin. I guess what I'm saying is, what if you'd have tried to see his point of view instead of just insulting him out of the thread? What if he gave those answers because that's all that he knew how to do? Was he, or us, or the thread improved by continuing to tell him how stupid he is until he finally quit? Where is the joy or the challenge in that? Isn't the joy and challenge in helping that type of person, exactly that type of person, to move forward? Leaving them better than we found them? I've given plenty or reasons to be called an idiot, and give more in almost every post, yet my friends here always find a way to push me back onto a productive path...It breaks my heart to see how this thread went early on. I am confident that if even a small effort had been made that his point of view could have been seen and appreciated..it just didn't seem that complicated to me. I'm not saying that I've never had my ass kicked here, nor participated...I guess I was bothered by the extra exclamation points during the insults. It seems like I see more and more here that we protect our brothers and sisters that have been here for a while, but often are wicked hard on the newbies...I can't prove it, I'm not even sure that I'm right, and perhaps this guy/gal has a history that I'm unaware of that has earned them that type of disrespect from others...I just hate to see it. And it does appear to me, from my way of reading, that he wanted to stay and participate, that he wanted someone to give him the slightest reason to change..but he was asking too much. Again, to my reading, of course I could be dead wrong. All comments as just me, not as a mod...I love you all, consider nearly every regular poster here to be my friend, but sometimes it seems like we accidentally, or on purpose, act like a group of bullies and that type of behavior represents, in my opinion, the very worst of EMS at all levels.

It's interesting how we are saying the same thing to him that others on that other website said to him a year ago when he got his EMT card: "I am beginning to think this is a troll...and maybe I shouldn't feed it. FDNY isn't even the best EMS provider in the City, so lets bring that noise down a notch. Your FDNY provided training will in no way make you an experienced provider. Unless I'm not aware, there isn't a huge difference between how FDNY THEORETICALLY does EMS and any other agency does. The medicine is all the same. This kind of attitude will not endear you to other providers in the City, hospital staff, ect, some of which you will have to deal with and are very good. It also may aggravate your co-workers" It's funny how they mentioned this website in there. Oh wait, maybe they meant New York City. EDIT: He also referred to pts as "just packages" and pretty much got the same response he did here.

yes he works for FDNY. A simple search on him came up with his real name and his occupation. He also states he is an ems instructor. He also does pot runs

So because I don't want my patients to die, I'm emotional and incompetent??? Not wanting people to die is a very basic human desire. Being sad when someone dies is a very basic human emotion...what are you? a robot? I hope you never have to feel the emotions that come with loosing someone very close to you, or loosing a child. You sound like a heartless bastard and that would make you a very incompetent and piss poor EMS provider.

We obviously don't have the name standards. I can do spo2 I can do a blind airway A bgl A 3 lead 12 lead these are for doctors and nurses benefit Cpap Bipap Epi pen Pt assisted nitro, inhalers Aspirin Activated charcoal Mast trousers (however our medical director has asked us not to use these so we removed them) Helmet removal Glucose.. Um hmmm what else. There isn't national standards. There is local protocols Dang it, didn't edit in time after seeing how poorly written that was I told you what I was going to do. But you got emotional. You got mad and "cried like a girl" and left the thread

I'm well aware of the levels in NYC and have worked with many EMTs and Medics on LI who also worked in NYC. Again, you failed to answer the question. Do you work for FDNY, a hospital based service or one of the privates? You know exactly what I mean when I say cowboy. Should I use the term buff? I know you understand that. I also know full well that EMTs and medics are not doctors. I did EMS in NY, not NYC, for 10 years and know the systems from Staten Island to Montauk pretty well. When we say scared, you know we do not mean it literally. However, the fact that you cannot do anything more and cannot properly provide the care the pt needs because of the standards in NYS and the fact that you are an EMT should literally scare you. People are dying because of the dismal state of EMS in NY but that is for another thread. So what are you going to do when this guy goes unconscious because his SBP is 70 and you can't bag him and your ALS backup is tied up on another call and you have to take care of the pt. You are right, there is nothing you can do but watch him die. The fact that that doesn't bother you makes you a piss poor provider in any system.