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Everything posted by Chief1C
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whats the best volunteer ambulance in nyc?
Chief1C replied to student medic's topic in General EMS Discussion
Pick one that has a star of life on the ambulance, instead of a red cross, or whatever the case may be. Or is that just New Jersey where you can put whatever the hell you want on an ambulance? -
Good boots... Slip resistant. With wide treads. The tiny treads pick stuff up, and harbor snow. So, when you step into a house with a wood floor.. You slip. Of step out of the ambulance on a painted floor, like a station may have, you fall on your ass. Just sayin.
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Wierd call. Can you create a scenario that justifies it?
Chief1C replied to DwayneEMTP's topic in General EMS Discussion
I'm taking this all in... while peeling an egg. Peeling the foil off...off of a Cadbury egg. Recovering from the 24hr flu, which I've had for six days. I can eat chocolate, it stays down. But turkey, cooper, fresh baked bread and hot mustard doesn't stay down..and Pedialyte...WTF is up with that. Orange my ass! That shit tastes like vegetable oil, mineral oil, a cup of salt and maybe a drop of orange oil mixed together. So, what I've gotten so far is.... Everyone does what they have to do to get by. Everyone thinks their way is the best way, and your way is the wrong way. I say we go back to ambulance attendants with 18hrs of training and just run converted hearses. Because, as an authorized billing agent, and the way Medicare is screwing people over with this revalidation shit... That's all we (EMS) are going to be able to afford in ten years. Gotta get paid to pay for our stuff, its the truth, and don't depend on the US Government to fund it, EMS isn't even an "essential service". Anyhoo, I got that wrapper off my egg, I don't want chocolate on my keys. -
Wierd call. Can you create a scenario that justifies it?
Chief1C replied to DwayneEMTP's topic in General EMS Discussion
Like "Head Injury" I hate that. Probably 95% of the time, it's like a minor contusion or very small laceration with any quantity of blood. -
I consume a "large quantity" of Mtn. Dew, despite being a diagnosed Diabetic. Meh, don't really monitor it. Anyhoo.. With such great distances between the station and scenes.. It's not uncommon to pull over and use nature's men's room.
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Get me a nitro, I'm having chest pain... This is probably THE FIRST topic, where every single respondent abbreviated HIPAA correctly!
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Wierd call. Can you create a scenario that justifies it?
Chief1C replied to DwayneEMTP's topic in General EMS Discussion
Bad things happen when you mix personal grief with professional skills. One of our written SOP's, is that you don't work on your own family, at least not in the ambulance. I'm not really up to relating anything personal, kinda down, took a diazepam so now I'm kinda sedated. The red flag here, is that instead of doing what a nurse knows to do, she went to the press. So, either they REALLY fucked up, or she remembers things different. As to why they dumped her off, hard to say. I'd have put her in the front seat, and locked the mid-ship door. -
Kewl Beans. Thanks Hal 9000
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Testing for response to painful stimulus
Chief1C replied to crazydoctorbob's topic in Education and Training
bulbocavernosus reflex That'll wake the patient up, worse depending on the gender I would imagine. -
You should definitely become an EMT. Immediately. Don't wait. Someone could be depending on you to save their life. You'll be doing a lot of that. You'll save lives every day. Nobody ever dies. Nothing bad ever happens. You can be everyone's hero, and everyone loves EMS so much. The press, etc; they will always be on your side. So, yes, in closing. I think you should become an EMT NOW, then as soon as possible, become a paramedic. I told you exactly what I thought you wanted to hear. But I suggest you ride along, so you know what its really about, before you make any decisions. You can start right now, practice writing a tripsheet. You can write anything you want. Just, before you write it, think about each word. Think carefully, then put it down. Making sentences, paragraphs, etc. Simple, yet effective sentences that describe well enough that someone who didn't see it, can visualize what you're writing about. The cat is black, with green eyes. The cat is lying on the bed, right lateral recumbent. The cat has a red ball. Etc.
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The whole screen is messed up, no options, no font, had to write html just to post the picture.. It doesn't have a fricken image or text to do the security thing. It just gives an error... I'm getting a headache. I typed up this huge thing for the scenario... AND I LOST IT. SRSLY! http://i125.photobucket.com/albums/p79/cmk1883/wtfisthisshit.jpg The link is safe, I realize you can't see the wt, and you only see fisthissh**... This is fan fricken tastic. Just my luck that it would read like it was a porn link. I think my e-cheese is gonna slide off my e-cracker.
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Wierd call. Can you create a scenario that justifies it?
Chief1C replied to DwayneEMTP's topic in General EMS Discussion
Easy there beached whale, I'll snap you like a twig. Pissy. Hitting you with a brick, pissy. I still enjoy your textbook responses, Wiki. Okay.. WTF is that? wtf is up with the security message? -
I never used any of them for con-ed, but have too many of them to count. I'd have about 200 hours of con-ed if I turned them in. The ICS-300 course is supposed to be about 24 classroom hours; and 16 con-ed credits. If you did it online, it's only worth 4 hours.
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- NIMS ICS 300
- CEUs
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(and 1 more)
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Wierd call. Can you create a scenario that justifies it?
Chief1C replied to DwayneEMTP's topic in General EMS Discussion
Being in a rural/wilderness area with varing degrees of ourdoor recreation, this area attracts a lot of folks who want some adventure, but not too much. I've had interfaces, I guess would be the best way to put it, with varied professionals, nurses (which is a broad term, since they never say WHAT KIND of nurse they are), which also applies to doctors. I know a few people very well that are doctors, well, that have doctorates, and application of Band-Aids is probably the most invasive skill they have. I don't have time now, but I care share a scenario. In fact, several, but we'll go with one. *can share. I'm tired, I have paperwork to do. A LOT OF FRICKEN PAPERWORK. And I'm on call, so I'm gonna nap. I'd have edited this, but their computer sucks and "Windows - Virtual Memory Minimum is Too Low". wtfbatman. ....and I'm hungry, which is a combination that will make my bgl low, which in turn will make me pissy. -
I was being sarcastic.
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Did ya ever need a good rant? What's better, ranting in person or ranting with your fingers? I come to two conclusions. One - People always say more in text, than they will to your face. Two - I don't give a flying monkey's butt how people perceive my text words, nor do I care how they feel about it; provided I'm not attacking the individual person. Go ahead and tell me why you disagree, disapprove, et al; on something with experience, education or fact based evidence; - or be a lazy bastard and give a negative mark. I honestly only value the opinion of certain folks, and they gain my e-respect by seeing how they: Interact with other users Accept the position of other users Think outside the box Not a douche Not a bigot, excessively racist; in-your-face-with-my-opinion nature or not excessively in your face religious If I see someone as an @$$hole, I'm less likely to care what they have to say, meaning what their opinion is of what I have to say. However, I'm not gonna lose any sleep over it. Sometimes, I fly off my hinge, search a user, and negative all their posts that I can, just because they're such a terrible douche, that I think everyone needs to know this by their level of negatives. Just sayin.
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I don't know what makes me more sick; the fact that I just ate something with bacon.. Or all this Under Down Under talk. All I can picture is the beached whale and the pelican.
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I wasn't suggesting, criticizing, etc. I was simply adding a reply to the OP's topic.
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Like was said before, it depends what is wrong. We've been combating "Body Snatcher" syndrome for all the years I've been actively involved. You know, load and go, scoop and swoop.. ALS wasn't available till the very start of the 1990's.. So, quite a substantial time into the EMS age, the best treatment that could be given was a fast ride to the hospital.
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What equipment would you take in ?
Chief1C replied to romneyfor2012's topic in Equiqment and Apparatus
Forgive any uncharacteristic spelling, grammar or odd errors, not feeling well and extremely tired. Take a GPS. If its common to pluck people out of the wilderness, they may be able to do that. Pluck, means to lower a basket and lift out with a chopper. We don't have that option. I don't camp, hike or adventure. But I'm a state SAR certified Field Team Member, that's a lot of training; wilderness search, rescue, tracking, grid searching, rope, survival. We don't go in to improvise a rescue, we improvise when common methods will not work. No report on a patient that has fallen in the woods, has ever been correct. I've been on dozens of rescues and searches. Chances are, if the area is a true wilderness, with recreational purposes, there is a team somewhere nearby. Take stuff in to administer first aid; and keep the patient still, as comfortable as possible and warm. Even if it's summer. I'd say don't improvise stretchers, unless weather, safety, or other factors make it necessary to move. A rolled ankle is a rolled ankle, but the information given is "fell down a ravine". Treat it no different than someone that fell off their roof. Often you'd be better off falling off the roof. At least your concrete sidewalk or asphalt driveway aren't jagged and sharp. We'd carry in the same stuff that you'd find in a jump kit. Just more of specific items, less of some, and more portable. LSB in a rescue basket. Usually a lot of SAM splints, Kerlix, elastic bandages in plain and self-adherent, self warming sheets, minimal airway supplies. We don't carry ski pole splints, those SOB's break. We do carry "Full Arm" air splints. Not to use as splints, air splints should be inflated and sent down the river, unless using them for bleeding control. Anyhoo, you can inflate them gingerly, and use them to pad limbs during carry outs. If you're lucky, the nearest SAR team will be well established with an anderson wheel or rugged terrain vehicle to make the extraction easier. Now if someone ONLY broke or injured their ankle, ensure it has blood flow, immobilize it and help them walk out. -
I wouldn't eat in the back, ever. Ick. We're required by law to carry waterless hand sanitizer. But has anyone ever accidentally tasted it? Even some residual on my fingers can ruin my appetite. We eat in the cab all the time.
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So, if we cut this guy open, what would we find?
Chief1C replied to DwayneEMTP's topic in Education and Training
I know someone that looks almost exactly like that.. and his problem? What's sitting ontop of his gut. Sweet Jesus, that is just creepy. How the hell do people sleep like that? You'd think he'd suffocate himself, or the weight would pinch stuff off. Ugh. Someone's gonna have a b!tch of a time embalming him in a month or so. -
What my "Project" is / general EMT question
Chief1C replied to EMT_Journalist's topic in General EMS Discussion
Just some points. As a published author, I've written and co-authored several historical related books. I also wrote articles for the local paper for a number of years, and sought education from a state teachers college in the subject. Purely an observation; you have to word your piece for the audience. Above, you're trying to win the upper hand, but a person reads that as arrogance. Unlikely to gain respect or get help, coming off like that. Perhaps before you advise people on a career in EMS, you should learn it and live it, so you have a better point of view? Just constructive criticism; no more, no less. -
Congrats. I did too. I guess that'll depend on if I ever show up again, though. Long story. Yanno how noobs are always asking about the "worst thing you've ever seen". The worst thing I've ever seen, we flew seven of the ten patients involved in a wreck an icy morning about ten years ago. Black ice. One of those calls, where just one of the vehicles would have been considered an MCI (a number of patients with injuries serious enough to overwhelm the initially responding crew). However it was four vehicles, two just incidental, they clipped the two cars that hit head-on. A long a busy, rural road, in a narrow valley. Every open field for three miles, had a landing zone. Had three ambulances on site, two paramedics; and a lot of people with very serious fractures, internal injuries and horrifying external blood loss. We used six choppers from PA; and one from New Jersey. The extent of injuries, and the fact that the neartest trauma center was 73mi, lead to ALS making the decision to fly all of them. Then three patients refused transport.