Chief1C

puddle

What is with these people with their fractures? Used to be, you broke your arm, and they put you in the car and drove you either to the hospital or a doctor.. If there's not bone showing, blood spraying, or limbs about to fall off, I generally don't want to see them. There are certain criteria that I would make exceptions for, but we don't have that kind of time. Usually if it's a Podunk ambulance, burned out by a few hundred calls.. It's because the same three people ran every single call. I did that for a while, going on calls every day, sometimes every day of the week with no breaks for a month. I have a feeling that municipal EMS will be gone by Jan. 08. Not sure if that's good or bad. Every system has its flaws, but the local paid system isn't exactly what you'd call stable.

chicken

red

Those Floppy WigWoms!

ick. High class trailer trash.

It's not worth the $69.99! :oops:

AMBULANCE DRIVER??? WTF!

Calling a Paramedic a Nurse? Sounds like an insult. Nurses are usually mean and wretched.. wait, never mind.

lightning

thighs

sticky

oops

vomit

that

red

So that's what his problem is... Blunt trauma!

You said he had been hydrating.. and he didn't eat between breakfast and lunch? Is that abnormal? Millions of school children do this everyday, and we're not being tapped out for them wander about.

I doubt the skittles have anything to do with the fever... Get rid of the lil bugger.. I'll go with spleenac

We are able to, and do stock Sterile Water and Sodium Chloride for irrigation. Either product is acceptable, but they are also required for your licensure. Sterile Water/Normal Saline (2 liters) for a BLS Ambulance You cannot use the medicane or sting swabs like are available in most catalogs. You can carry bottles of opthalmic irrigation solution, such as Swifteze, etc. Ammonia inhalants.. Well, since there is no list (that I've seen, even when i was an EMS captain I couldn't get lists) of what you can't carry, or a helpful list of what you can.. I'd say, just don't. They have a tendency to piss patients off, they wake up violently. Or they wake up, having suffered from some type of injury in their drunken fall, and thrash around paralyzing themselves from a spinal fracture. Up to you want you want to use on the church lady suffering from the vapors. Gels and creams; like the WaterJel kits, etc. We were told not to carry them. We keep some on the rig for sunburn of firefighters, and some first aid cream in a box for personnel. I'll put what ever I want, on my skin, since it's not an EMS situation. Just gotta watch what you put on other people. Always irrigate well before finishing a wound off, don't slap on ointment with bits of rust or dirt in there. http://www.dsf.health.state.pa.us/health/l...sure_manual.pdf

They'll aspirate their own saliva before this spray would be a problem. You can always suction any freely flowing or laying fluids from their mouth. It gives about the same "metered dose" as a single spray of Nitrostat. What I do is pop on some gloves, pull open their lip, dry it with a swatch of gauze, and them rub a cotton swab on it covered with this glucose spray. Then I'll take a longer swab, and rub it on their gums and cheeks if I can. There is no free fluid. My point is only this, on a BLS level, in many states if you are *unable to glucose by mouth b/c of patient condition, you're limited on other methods of medication.. Beside monitor the vitals and airway, What do you do till ALS arrives or you meet them? Nothing? I won't sit and watch.. There are things that can be done and the patient will not be caused to aspirate. If you think about it, in an ideal world and EMS system, emergencies like this could be readily treated. If there were national standards of care and education, glucose gel may not even be necessary. Unfortunately, I doubt anything in my life, will we see advanced levels of care available on every ambulance.

who

Pretend the ambulance is 2 hours away, and you're officially in the wilderness. Two hours from civilization. Maybe give some DPH, wait a few and give the epi a chance to work, unless it just isn't working, maybe then another epi, o2 is a given.. Take some ammonia or bleach and add water, and rub it on the bites, or some OTC cream. Hell with the ground ambo, wtf.. If you can call a ground ambo, you can most certainly request a medical helicopter. Any emergency in a true wilderness situation qualifies a person to be flown.

Funny. Sick, but funny. Didn't even need a translation.