Chief1C

If they suddenly decided to fire everyone in Emergency Services that was out of shape, that would cut the nations EMS personnel in half, 3/4 of fire personnel and an equal number of police officers.

No stickers, they always got damaged in my frequent trips through the auto car wash.

International Critical Incident Stress Foundation, Inc. Emergency Hot line: (410) 313-2473 http://www.icisf.org/ National Hopeline Network 1-800-784-2433 http://www.rainsnow.org/help_resources.htm

Bear with me, I have difficulty sharing stuff like this, so if it's confusing, you'll know I actually put thought into it. If something doesn't bother me right away, I keep it inside out of instinct, and don't, I guess let it out. I always, never fails, always assume that I'm over it, isn't going to bother me, and never will.. I'm always, wrong, I've been affected by some very minor details, from nasty calls, several months afterward. In once case, it was almost a year after a traumatic death, traumatic as in literally Trauma, of an infant; I was just sitting here, I think I was watching TV. I couldn't concentrate enough to tell you what caused it, or how I came to it, but I just bummed out real quick and started crying, as if the call just happened. I refuse to CISD after any call, I'd probably even take a forced leave if I had to, to skip one. I never thought the first one I attended did anything, it took a few days for it to catch up to me. I just like to keep things to myself, and hope they dissolve on their own. If asked for this advice, I'd be a hypocrite, I'd tell them to never keep things inside. Bottling things up causes a lot of bad things to happen, unless you have some way to release stress and chip away at what you've bottled up. Try a CISD, and if it still affects you, find something on your own that is a safe way to release your feelings.

lmfao

If you're going to insult Volunteers, at least spell the word correctly. :roll: Really? Since you're talking small, less than a hundred calls, I assume it's rural. Perhaps secluded. Where do you come up with the idea that the patients would need not ALS?

Now I remember why I avoid you.

I could sit, and wait for the centrally located, hospital based EMS to drive 45 miles to take the calls.. and let the patient die, waiting for the severely over taxed, understaffed, ALS service to roll, when they get around to it. Locally, it's happened a few times. A volunteer service gets "bought out" by a hospital, or private service. However, the ambulances are taken out of that town, and centrally located in another town. The service doesn't hire any extra personnel, or put any extra on staff. They have two MICU's staffed, 24/7. That's it. So, if they are out. The community is screwed. Now who's doing a disservice?

What's HIPPA?

When I read that, a thought of a large premeditated plan came to mind... Someone with serious $$ greases a FD big wig, and some big name in the government; they kill their EMS program, make some cash on the side.. Then, X service, or a new name corporation comes in and takes over EMS w/ Paramedics that couldn't get a job selling band-aids.. and the new EMS division tries to get blood out of a stone. But, maybe it's just me.

ASPN? Associated Symptoms and Pertinent Negatives?

I've purchased milk crates of misc junk from scrap and bone yards. Apparently Delta Airlines keeps three first aid kits full of unitized bandages, etc., and one kit of equal size with a BP Cuff/Scope, glass ampules of Benadryl and Epinephrine, a bottle of nitro pills, misc. syringes, needles w/ out caths, a large 500mg syringe of Dextrose, a few airways and some other misc items. There was a paper in the box telling when to use it, how much to give, and to call a medical director at a centralized facility when the items are to be used.

I have that... Should I call 9-1-1?

That'd be great, if we wanted to increase transport time, and decrease patient outcome. It would definitely benefit the air ambulance services.. Some people just need to get there with in 60-90 minutes. Not every service is five minutes from a hospital. On some of our roads, 30 is too fast, but 'main roadway', 55-65 is a good rate of speed. That's about what everyone else drives. No need to go over 70... In my expirence, the few extra minutes it takes to get there safe, doesn't make that much difference.

Lovely.

http://www.tbo.com/video/xml/MGBBBA7WXCF.html The mother hasn't sent it back, IMO, because they can tell how it came to say "Kill James". She probably programmed it to do it, with her computer, for attention. I smell a law suit.

You're the only one with indecent thoughts, while looking at them.

Borders always has a great selection.

Brush up on: Call 911- That's the best anyone can do. How to check for responsiveness Chest Compression Rate in "New CPR" Constant compressions or w/ Rescue Breathing If they aren't trained in first aid, or EMS; don't bother telling them how to find a pulse Time wasted, is why they feel "old" CPR methods didn't work more often Importance of protecting oneself from communicable disease Don't move accident victims unless necessary How to safely, with out equipment or training, place an accident victim in the recovery position to protect their airway Stoppage of bleeding; Direct Pressure, Elevation, Artery Pressure Points, Restriction (TK) How to dress and bandage Splints, what you can use to splint, what to do before and after Application of a sling multiple uses of the cravat bandage How to maintain spinal stabilization (I always ask non-ems folks if they have first aid training, before I try and explain how they can help us, help the patient)

I read an article once, about a light bulb in a fire station in California that has been turned on since 1901. Seems like old bulbs are the way to go.. There's one in the equipment room of our station that's been working since 1956. Yet, I've replaced the seldom used bulbs in the foyer of the station, at least four times since the last election in November.

"this is a band-aid"

Fire the cop, he clearly didn't have the safety of anyone in mind. Suppose the captain was holding a fracture, or C-spine; the video clearly shows the officer walk up, and pull his arm away. He didn't have time to visualize what the fire captain was doing. Though, off topic, I disapprove of the way the fire captain was hanging out the door of the moving apparatus. One slip, and all X tons of fire apparatus would have been rolling over his legs, torso or head. :roll: It's very common to use an unoccupied apparatus as a buffer, to protect crews from rubberneckers and out-of-control vehicles. The troopers car was not good enough. I have no problem closing a roadway for as long as is necessary. Someone else's plans and schedule mean absolutely nothing to me, and I enjoy telling them that very much.

...And if you're going for the extra early death.. Try deep-fried twinkies! http://en.wikipedia.org/wiki/Deep-fried_Twinkie I thought this image was quite fitting.. Deep fried America. [align=center:0334eb1f0a][/align:0334eb1f0a]

Yeah, that's terrible! Gawd forbid, people trying to save lives with out EMS.. What's next, bystanders doing CPR? We need to put a stop to this! Stop lives from being saved, pre-EMS! [spoil:18f2e20f84]Disclaimer: Sarcasm[/spoil:18f2e20f84]