dahlio

Shes alert and orientated. Have her sign the RMA, move on to her kids. No reason to spend 20 minutes arguing with the mom, when you could of had both kids in the ambulance.

Not at all. Should never be allowed. I had a duty night on Thursday night, and Friday morning, I had a 9am class. Considering I get a 7.30 train, which is the latest I can get, to get in on time, I had to change my night from Thursday to Monday, just because if there was a late call at 5:58, I was obligated to respond, and calls in my neighborhood take about an hour and a half. (I'm talking about college here) (With an obvious Wawa stop, if it's that early in the morning). My squad also has a policy that you can't go on calls after 10.30, unless your parent lets you (In HS). While I was in HS, I'd ride to midnight (with my parents permission), and whenever we had off, I'd ride all night. I wasn't allowed to respond during school hours, and look at me, I have a diploma (which won't get you anywhere, by the way, except to college, or a burger flipping job). This also didn't bother me all that much, because I care more about getting crews out then me being on them. At the time in HS, I was 17, and I wouldn't be fulfilling a crucial role on a crew. I do understand firefighting is different, but once again, if you're not 18, you're not putting on that Scotts Pack. As much of a learning experience firefighting might be (as I am not a firefighter), I'd first like to be able to read and write properly. Anyway, I wish all the best to you. By the way, if you are 18 and can fulfill a role on a crew, then you're free to do as you like, as you are now part of the majority, however, I would never suggest doing so, for your educational benefit. (Also if I were to do such a thing, I wouldn't be living in a house anymore, as my parents would surely kick me out)

All extrication scenes in my town are required to have a guy with a charged line, standing there at all times. The fire departments gotta be there anyway to hold that hose, let them take care of it. Even though we don't do extrication, we do carry turnout coats and helmets in each rig, to climb in (if safe) to start pt. care.

Glad to hear that the transport ran smooth. Now about this white castle business . Next time, get of at exit 9 on the turnpike, take route 1 south to Livingston Ave. Make a left on to How, and a Right on Route 27. White Castle on your right . If you end up in the middle of Robert Wood Johnson Hospital, you have gone too far. You'll see many patients from Robert Wood who just came out of the cath lab in white castle. Glad it went well.

Are you given local hospitals along the route in case something goes terribly wrong. You can't work a code when you're still 4 hours away from the receiving hospital. Also, how does this rest stop work. You get 10 minutes, and then your partner gets 10 minutes. I heard this and didn't say this must suck, more...challenging. Good Luck.

Why are we complaining? The so called "non-emergency" calls are what make the real emergencies even better. Plus, it's good job security .

Take EMS out of the fire station. Yes this has been discussed to death, but that's the obvious answer. If we want recognition, why not a huge PR rush. TV ads, demonstrations. You might think various state agencys' and the NREMT would do something of the sort. I think this would be great for EMS.

As a vol., the police are trained and are used as first responders. Sometimes we'll have an EMT respond directly to the scene if it's a serious call. The police are actually quite good in my area. No fire guys on medical calls.

Do Not Hospitalize, from what my friend told me. I've never had experience with one however, which is why I'm asking the question.

A friend of mine was telling me about a call to a nursing home. The patient who had chest pains (according to the dispatch), had a DNH and a DNR, according to the Nursing staff, who then showed him the orders. Since the patient was the one calling, and not the nursing home...what do you do? Thoughts please, thanks.

Using good ol triangular bandages, right down to the handles of the cot. They are wide enough to spread the force equally, so you're not cutting off circulation. It takes a lot of strength to rip through a cravat.

Wow, that would definitely make me second guess myself. What if it read More Like: DNR (Under the Sink, To the left of the fridge)

ER Transport Non Emergency. Not much else ALS can do..plus waiting twice as long might warrant ALS, so it's worth getting him to the hospital. Have someone drive the car, and have him in the back, with someone monitoring vitals...if you believe he really needs to get there even faster, then see if you can get a cop to transport in the back of his car. Otherwise, a 45 minute trip should be fine. AOx4? What exactly is that? I was always thought AOx3 was a full mental state. Thanks for the info.

Not just any convenience store, it's THE convenience store. And it's on our way back from the hospital too

Aspirin is not in our scope of practice here in NJ. Couldn't you better interrogate a patient/patient's family to know to what extent they are allergic. If it's your normal side affects, then they most likely aren't allergic. However, this brings up a dilemma, since you could get in trouble if you do decide to administer aspirin, and they are in fact allergic, then you're looking at a lawsuit. So now after my rambling on about interrogating patients/patient's family's, screw that, and don't administer it. Document it well, and it shouldn't give you problems.

where are they located? do they do transport, or 911. doesn't matter, since i'd do either one, just wondering about the company.

Only in New Jersey....he took a nice hit there. By the way, I have an interview with them Thursday, which me luck..

That's actually quite interesting. Considering you don't smell alcohol, it's looking like a medical problem. ALS is here, what do you want to know now?

Any chance the O2 via NC caused hypoxia since he has COPD?

What about threatening to not volunteer. It's harsh, but so is missing work, and then present them with the cost of a private service vs. the cost of using what you got and being paid... Whatever you do decide, good luck.

15 minutes to the trauma center. ALS is 3 min. away, the opposite direction. Stay and play? Patient is constantly asking you what's going on, probably once every minute or so. edit: Forgot to mention, it's pretty much 15 minutes to any hospital, not just the trauma center, but that's where i'd take him.

ALS is a quick 3 minutes away. NJ basics cant do much of anything. No simple 3 leads. Passenger side damage is significant on the side. Yes, you do have two separate scenes. No vitamins, at least what he says. He's still very confused. Repetat B/P 154/92, pulse is 86. Board and Collar is now on him. Other patient is being checked out with your partner, and still RMA's. (and signs). What do you want to know?

What about hot pink? Or indigo for that matter. :roll: I agree with many in this thread that Scrubs do not look professional. I as well, like the idea of baseball caps or other hats of sorts. How many cops do you see wearing baseball caps? I agree that the badges have to go. There is no need for them, unless your going to an EMS banquet, where it's in your dress uniform. No need for them to be on the streets. I can see what people are saying about the flight/jump suits. If they don't fit right, they look like shit. So what is the solution here? I believe EMS pants are fine, but what about the top half? What's wrong with polo shirts? As long as they are tucked in, clean, and not wrinkled, I don't see whats wrong with them. I hear many complaining that they don't have pockets, but you have plenty, sometimes too many pockets on your pants, so put everything from your top pockets to your pants. That's just my opinion, and it's only one.

This patient doesn't have a scratch on him. Nothing on the head (except hair of course). Neck looks fine. Everything else is fine. This was a two car crash, they didn't hit each other. One was going 50 on the highway, and swerved just a bit scraping the guard rail, no injuries, minor damage to that car. The other car was crossing the highway, and landed in the woods, which is the car or patient was driving. The damage to the car suggested that he was traveling at a low speed. No spider web in the windshield, only real damage was to the passenger side. No air bag deployment, patient was restrained. No evidence of head trauma, steering wheel column/console were all intact. Pupils were PEARL. No medical alert tags. Vitals, B/P 182/86, Pulse 100 and regular, Pupils as state were PEARL, Blood Glucose is an ALS skill in NJ, unfortunately, Skin Warm/Dry. Mental Status was AO x 1. He knew his name, birthdate, medications and phone numbers, had no idea where he was, what had happened, or who the president was. Only medication he was on was for high blood pressure, which he claimed he took that morning. What else? Do you request medics?

You respond to an Motor Vehicle Accident involving 2 people. You are a BLS unit. The first woman is fine, and refuses medical attention. The other person, a male in his mid 50's, is walking around, confused. You ask him to come with you in to the ambulance, and he's not really following directions. You finally get him in to the ambulance and he sits down. What else do you want to know?