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Hey while you are at it, I'm sure that Ebay has a couple of used ambulances for sale. You can probably also get a needs and assessment hearing from the state of new york in order to set up your budding new ambulance service. Yes folks, be sure to call 591 to get Miscusi EMS, the most rockin EMS System in the troboro area. You call, he hauls, unless NYFD get's there first.

Hey everyone. Was thinking about some stuff while reading and refreshing the old brain. I recently became a certified rescue diver (not public safety diver) and while I know we don't deal with the in water emergency as EMTs / Medics we do take the hand off. So with me learning the in water side I thought about the handoff. I went back to my text books and protocols and came to find a little bit of disconnect between the two. In water besides applying O2 or if necessary CPR and AED a rescue diver or higher certified diver actually does quite a bit that I feel the EMTs or Medics would benefit from but do not seem to be taught or have protocols for to even think of asking for. Every State has some form of scuba diving so even if you are land locked chances are you have local scuba diving. So my purpose of this post is two things. 1) Let you know what I do as a rescue diver that I believe is important to the handoff. 2) Hear from you all about what you were taught or what protocols are in place in your area. Ok first, what I do. I want to preface this with the understanding when I am talking about the rescue diver I will be talking about a non EMT (any level) trained diver. The rescue diver is trained to handle diving emergencies from the bottom all the way to the surface and take over on the surface until higher care can be involved. They are trained in O2 therapy, no airways just NRB and pocket masks, CPR, AED and neurological deficiencies. Also we are taught to at least know where the local recompression chambers are. We also have the Diver Alert Network which are physicians trained in diver emergencies and available 24/7/365 anywhere in the world if needed. The other thing all divers follow is a dive profile. What our maximum depth will be, how long our bottom time at depth will be, what kind of gas or gasses we will be breathing, and total underwater time. This is a part of the diver emergency that I know wasn’t in the text books or even in our local protocols to even ask for. I think this is a big disconnect, an emergency at 20 feet down will be different from one at 60 feet or one with different gasses used. Also the neurological side is important. We use a check off slate to track deficiencies such as pupils, eye tracking, AO, and breathing. We also have a slate for tracking signs and symptoms of Decompression Sickness (the bends). We recheck these vitals every 5 minutes. Again I know I was never taught or have in our protocols to ask for these. I think it is important to let others in EMS know that these are available to them and should ask for them to aid in giving the best care possible. Even knowing where the nearest hospital with a recompression chamber is could possibly change the decision for transport options. Hopefully this information can and will help you in your area if a diver emergency happens and I will answer any questions as best as I can. I would like to hear from others if they knew about these things in their area or if they are in your protocols and if they are what they are. Thanks In advance everyone

Or you can just steal them, I mean it's not like there's any ethics involved or not like it's on the same caliber as cheating or anything like that.

Looks good to me. I have an app on my phone with this info and detailed descriptions of some of my weirdness.

Guess its kind of like the Vial of Life. For me it would be, in no particular order: Name Emergency Contact Allergies Blood Type Pertinant Medical History (COPD, Cancer, the big things) Current Meds w/ Dose Dr.'s Name and contact probably some other things I can't think of right now but should get you started.

Um its called personal integrity. Cheating is wrong if you have it. As a health care provider one would think a person would. Your example of cheating on a Spanish test or class.. what happens when someone who knows you took the class asks you to help translate a spanish speaking patient thats in distress? Yea guess that was insignificant.