Chief1C

Well.. Advanced, civilian, first aid isn't like AEMT advanced; so it really depends on what you were trained to do. In the US, Advanced first aid is just more comprehensive than standard, more hands on. If you're in a secluded area, go big, it can never hurt. Good, bystander first aid, long before an ambulance can arrive does save lives; so I'll go along w/ it, rather than put him down. If you want to spend your own money, go ahead, no business of mine. Often smaller organizations can't provide equipment anyway. Big to Small; Several large wound dressings pressure dressings universal trauma dressings several sizes of Crepe Bandages 7.5 to 15cm wide bulky Crepe Bandages, 11.5cm wide a dozen triangular bandages 45.5cm and 61cm b 7.5cm wide splints rolled aluminum splints hypoallergenic 2.5 and 5cm wide tape heavy duty 7.5cm tape roll of aluminum foil; and of clear plastic wrap Several seal-able plastic bags instant ice packs 10cm x 10cm gauze squares - at least 20 Combine Pads 10cm x 20cm steel shears bandage scissors alcohol, iodine and sting/itch wipes sharp, pointed, forceps fabric dressing strips; aka bandaids - just a small package bottled, sterile, irrigation solution non-sticking dressings for burns heavy, disposable blanket - Google it for a supplier; like Military or Hartwell Isothermal; none of those plastic and paper yellow blankets note pad/pencil - because pens don't always work Snake bite extractor - don't cut and suck... Draw some out, let it bleed freely; irrigate, wipe with iodine, apply a pressure dressing and treat for shock. if trained; maybe an inhalator set up with a mask for resuscitation tourniquet - prepared, no sticks and cravats Put it in a large, hard plastic, with water/dust seal box. Bags tend to stain items and soil them over time. I converted inches to centimeters.

I've always wanted to wear a cape.

Well, seeing as how he didn't reach in, grab the patient report, read it over, etc.. I don't see how HIPAA has anything to do with this. Looking at a patient and speaking to a patient, is not a HIPAA Violation. Otherwise, we'd be covering our patients with a black cloak when moving to and from the ambulance.

I don't see where the ambulance did anything wrong... The officer was right on his ass, and yanno, if you can't see the mirrors, we can't see you. Not only a non-passing zone (indication that it isn't safe to pass), but on a hill with a potentially blind approach in the opposite direction. The cop passing could have caused a crash which endangered everyone's lives. Ambo driver is responsible for every life on board, and those in the immediate vicinity. So, I think he did well. -10 for gathering in a lane of traffic. Fire the SOB, police work is not a substitution for anger management. IMO.. It sounds edited.

Good thing they don't grow here, there would two hundred teenagers passed out at the base of the tree.

Not siding with him, not judging either - he could have a mental illness. Any cheap shot attorney could get the "public indecency" charges dropped. Again, not siding with him, but other than harassing to get a reaction; being weird isn't a crime. If men wearing women's clothing was a criminal act, the US would need a prison the size of Nevada..

How about a $60 pen.. for someone.. in EMS? You wouldn't take it to work, or even the office; but it would be a crafty knickknack to have at home. If you want to spend that much, on a pen. But then again, some people really like nice pens. One of my hobbies is Calligraphy, a nice wood handled dip pen would be a nice gift in my eyes; I dunno about a ball point pen. In fact, I just ordered something off that site for my grandfather for father's day.

My mother always reminds me, there is a 148y/o gold wedding band waiting for me to give to her future daughter-in-law... and I have a 60' long balcony on the third floor front of my Victorian-era studio apt floor. I'm sensing a pattern.

Really, all there is to do is Assess, treat symptoms, transport, give supportive care, and access Advanced Life Support. Never seen a protocol that listed Insulin as a patient assisted medication. The initial info tells me that this patient may be altered; there is no actual history, not even what kind of diabetic she is. If you do it, you gotta write it down. I'm not sure assisting an altered patient with administering insulin would go over too well, even if it did save the patients life. In fact, I wouldn't even suggest it to the patient; maybe a family member that knows what to do. At the location of the incident, there is no EMT-IV, so no IV's can be started; the altered patient screwed up the insulin dose, and the responder doesn't know the difference. Patient injects in. Bottoms out. Dies, while you're messing around with the tube of glucose. Good luck explaining that.

That guy on roller skates that's always getting arrested on Reno 911 comes to mind.

Several years ago, we obtained extrication hazard guides from the vehicle manufacturers and briefed our personnel on them. Since that time, and more recently, there have been technician level course updates and etc. Helps having mechanics/dealers as rescue personnel. Either high voltage cables or airbag cylinders, something will always get us.

Well.. You have the vitals.. Take away her water, apply o2 and transport. Is the patient talking at all? Toss out a few simple yes/no questions, if she fudges them up, don't ask anything important. Get a rough history, ask for a phone number of a family member - you can also ask that at the preschool. They should have an emergency contact number on file. IMO, and it all depends on the victim, esp. tolerances, weight, etc.. 226 isn't deathly high. I've had many patients that had levels way beyond 500 that were just as lucid as they normally are. Not every patient is the same, of course, which is why it's important to look for alternate ways to get a Hx. But I wouldn't waste too much time at the scene doing that, even a phone number should be helpful. If she is diabetic, she probably has medications in some form with her, ask her for permission to look in her purse (if she has one, or ask if she has any sort of meds with her). Of course, if you get a number and can call a husband, significant other, etc., then that could be a big help.

Good thing nobody looked too deeply into how funeral homes ran their ambulance or the influx of private ambulances in the 60's and 70's.. We could go on about this for years and years.

Proper care? Paid EMT, Volly EMT.. Same training. Who does it better is just a matter of personal opinion. I've met just as many dipshits on both sides of the story, per se. Not all voluntary organizations are equal. Funding has never been a problem for us. We don't make our people pay for courses - unless they fail.

You can't take EVOC at 17.. or 16.. whichever. Likely not to be able to be hired as a First Responder either, unless that's a requirement for another job. Like a life guard.

Why does Peter, get his own Borough?

I meant things spraying on the compartment doors inside the patient module. Been there. Cursed about it, several different models. They ain't water resistant.

Which is sad, that you agree with him; or what he said? You could always become an emancipated minor, get your GED over the summer; and work as an EMT, instead of graduating high school.. Then, write a book about it. Oh wait, that's already been done. Maybe a mini-series?

Or.. if it sprays a liquid. The ambulance may drive like a boat, but it ain't equipped to resist water. As most of us know, those cabinet doors, no matter how well constructed they look, are definitely NOT watertight. May be looking to ruin all of your disposable equipment, bags, gloves, etc. Even steam would ruin the paper packaged stuff. Some cleaners kill plastic and vinyl; most of our more important disposable equipment is made of a variant of the two.

Isn't that the idea? I think a better title would be "Not all Hospitals Equal".

I've seen portable kits as options, along with antimicrobial upholstery, walls, ceiling and grab bars; on either Demo or Ambulance Spec sheets.

Do I detect a hint of sarcasm?

Certainly nothing new, I'm amazed we don't see death by asphyxiation more often; either accidental or on purpose to get effects rather than take their life. Terrible thing, too bad he was famous, the real story may never have been known to anyone but investigators and his family.

Still.. but nonetheless dangerous. Which is why you move it. If properly trained to do so.