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Everything posted by Chief1C
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[NEWS FEED] Rescuers Seek Air France Jet - JEMS.com
Chief1C replied to News's topic in Welcome / Announcements
You would think an airplane that flies over the ocean would have some sort of transmitter in the black box in case it crashes. I've been following this, and now they're saying the debris they found, wasn't from this plane. It's just amazing how much is lost, so quickly, with out a trace. Even the fuel could be from anything. I certainly hope they at least find the wreck, even if the bodies are considered buried at sea, so the families can have some closure. -
[NEWS FEED] Praise, Awards Heaped upon EMS Workers - JEMS.com
Chief1C replied to News's topic in Welcome / Announcements
Our region does this every year, I always get an invitation, and it always goes in the trash. They award EMS services that scratch 1/4.. or 1/2 of their calls. Granted they have very low call volumes due to low populations; but still.. The awards lack meaning when they hand them out, when nothing extraordinary has been done. Just being there, responding, doing the duties of an EMT; is not award worthy. I mean, if you've done it for 30 years and made 50,000 calls; yea maybe.. But going on six calls as an individual; or only answering 30 of 50 calls and getting an award is a slap across the face to those who go on every run, and never miss a call. First couple years I was an EMT, we responded to every single one of our 540+ calls, with in two minutes, even on second due.. Have equipment that far surpasses any other unit, additional equipment.. and just for a morale boost, we turned in the paper work to be awarded. (You have to nominate yourself). The winner was a service who had only 37 calls for the year, and only responded to 12 of them. After that, the whole idea lost its value to me. CPR Saves are great, nothing better; but that's what we're educated to do. If you did something way beyond the call of duty, award them. But doing your job, isn't beyond the call of duty. Maybe I'm just too rough on the edge anymore.. -
Wait a minute.. They were investigating him for having about $7.00 worth of equipment? That has to be the most asinine, petty bullshit I've ever read.. Their police must be really bored. The family members should leave their issues at home, and not bring them into the station. Also.. Always keep receipts for equipment you furnish to yourself, that way nobody can ever accuse you of stealing it.
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Perhaps... Nothing wrong with a good mom, a best friend and a caring soul mate; as long as they all aren't the same person.
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Mass EMS Protocols (in use in December 2008) PEDIATRIC CARDIOPULMONARY ARREST: ASYSTOLE http://www.mass.gov/Eeohhs2/docs/dph/emerg...otocols_704.pdf Commonwealth of Massachusetts 7.04 Official Version OEMS PEDIATRIC EMERGENCIES 6/06/2008 5.5 PEDIATRIC CARDIOPULMONARY ARREST: ASYSTOLE / AGONAL IDIOVENTRICULAR RHYTHM / PULSELESS ELECTRICAL ACTIVITY (PEA) Cardiopulmonary arrest in infants and children is usually the end result of deterioration in respiratory and circulatory function. Injury is the leading cause of death in children between 1 - 16 years. Other etiologies include, but are not limited to: severe dehydration, Sudden Infant Death Syndrome, congenital anomalies, airway obstruction, bacterial and/or viral infections, sepsis, asthma, hypothermia and drug overdose. ASSESSMENT / TREATMENT PRIORITIES 1. Ensure scene safety and maintain appropriate body substance isolation precautions. 2. Determine unresponsiveness, absence of breathing and pulselessness. 3. Maintain an open airway, remove secretions, vomitus, and initiate CPR. Administer oxygen using appropriate oxygen delivery device, as clinically indicated. 4. Continually assess level of consciousness, ABCs and Vital Signs, including capillary refill. 5. Obtain appropriate S-A-M-P-L-E history related to event, including possible ingestion or overdose of medications. Observe for signs of child abuse 6. Symptomatic patients may have absent or abnormally slow or rapid heart rates accompanied by decreased level of consciousness, weak and thready pulses, delayed capillary refill, and/or no palpable BLOOD PRESSURE. 7. Every effort should be made to determine the possible cause(s) for PEA including medical and/or traumatic etiologies. 8. Monitor and record vital signs (if any) and perform 12-lead ECG. 9. Treat for shock. 10. Initiate transport as soon as possible, with or without ALS. Properly secure to cot, or pediatric immobilization device appropriate to treatment(s) required. TREATMENT BASIC PROCEDURES 1. If unable to ventilate child after repositioning of airway: assume upper airway obstruction and follow Pediatric Upper Airway Obstruction Protocol. 2. Initiate Cardiopulmonary Resuscitation (CPR). 3. EARLY DEFIBRILLATION Perform CPR. b. Use AED according to the standards of the American Heart Association or as otherwise noted in these protocols and other advisories NOTE: AED use is dependent upon provider having an AED with FDA clearance for pediatric use that is age and weight appropriate. An AED should be used in compliance with manufacturer specific guidelines and Massachusetts treatment protocols and advisories. 4. Activate ALS intercept, if deemed necessary and if available. Commonwealth of Massachusetts 7.04 Official Version OEMS PEDIATRIC EMERGENCIES 6/06/2008 PEDIATRIC VENTRICULAR FIBRILLATION Commonwealth of Massachusetts 7.04 Official Version OEMS PEDIATRIC EMERGENCIES 6/06/2008 5.12 PEDIATRIC VENTRICULAR FIBRILLATION / PULSELESS VENTRICULAR TACHYCARDIA Cardiopulmonary arrest, as manifested by ventricular fibrillation or pulseless ventricular tachycardia, is quite rare in infants and children and is usually the end result of deterioration in respiratory and circulatory function. Common causes can be: sepsis, foreign body aspiration, SIDS, traumatic hemorrhages and meningitis. Primary cardiac insults are rare but may be due to: congenital heart disease, myocarditis or primary dysrhythmias. ASSESSMENT / TREATMENT PRIORITIES 1. Ensure scene safety and maintain appropriate body substance isolation precautions. 2. Determine unresponsiveness, absence of breathing and pulselessness. 3. Maintain an open airway, remove secretions, vomitus, and initiate CPR. Administer oxygen using appropriate oxygen delivery device, as clinically indicated. 4. Continually assess Level of Consciousness, ABCs and Vital Signs including capillary refill. 5. Obtain appropriate S-A-M-P-L-E history related to event. Observe for signs of child abuse. 6. Every effort should be made to determine the possible cause(s) of the infant’s / child’s presentation. 7. Prevent / treat for shock. 8. Basic and/or Intermediate providers should activate a paramedic intercept system (ACLS) as soon as possible, if available. 9. Initiate transport as soon as possible, with or without ALS. Properly secure to cot, or pediatric immobilization device, in position appropriate to treatment(s) required. TREATMENT BASIC PROCEDURES 1. Maintain an open airway and assist ventilations (ensure proper seal around the ventilation mask). This may include repositioning of the airway, suctioning to remove secretions and /or vomitus. Use airway adjuncts as indicated. 2. If indicated, treat spinal injury per protocol. 3. If unable to ventilate child after repositioning of airway, assume upper airway obstruction and follow Pediatric Upper Airway Obstruction Protocol. 4. DEFIBRILLATION a. Use AED according to the standards of the American Heart Association or as otherwise noted in these protocols and other advisories Commonwealth of Massachusetts 7.04 Official Version OEMS PEDIATRIC EMERGENCIES 6/06/2008 PEDIATRIC TRAUMATIC ARREST Commonwealth of Massachusetts 7.04 Official Version OEMS PEDIATRIC EMERGENCIES 6/06/2008 5.10 PEDIATRIC TRAUMA AND TRAUMATIC ARREST NOTE: For BURN/INHALATION, see protocol 4.2 which includes pediatric management. Injury is the most common cause of death in the pediatric population. Blunt injuries, which are usually motor vehicle related, are more common than penetrating injuries, but the latter are unfortunately becoming more common. If a child has multiple injuries or bruises in varying stages of resolution, consider child abuse as a possible etiology. The death rate from traumatic injury in children is two times that of the adult patient. To resuscitate a pediatric traumatic arrest victim, aggressive in-hospital management, often times open thoracotomy, is required. The more prolonged the field time and the transport to the medical facility, the less likely the child is to survive. ASSESSMENT PRIORITIES 1. Ensure scene safety and maintain appropriate body substance isolation precautions. 2. Determine unresponsiveness, absence of breathing and pulselessness. 3. Maintain open airway and assist ventilations as needed. This may include repositioning of the airway, suctioning to remove secretions and/or vomitus, or use of airway adjuncts as indicated. Assume spinal injury and treat accordingly. 4. Initiate Cardiopulmonary Resuscitation (CPR) if indicated. 5. Administer oxygen using appropriate oxygen delivery device, as clinically indicated. 6. Consider potential non-traumatic causes (hypothermia, overdose, underlying medical conditions etc.) 7. As patient's condition suggests, continually assess Level of Consciousness, ABCs and Vital Signs. 8. Prevent / treat for shock. 9. When multiple patients are involved, they need to be appropriately triaged. 10. Obtain appropriate S-A-M-P-L-E history related to event, including Mechanism of Injury, and possible child abuse. 11. Patient care activities must not unnecessarily delay patient transport to the nearest appropriate facility as defined by the Department approved POE plans 12. Monitor and record vital signs (if any) and ECG. 13. Initiate transport as soon as possible, with or without ALS. Properly secure to cot, infant car seat or pediatric immobilization device, in position of comfort, or appropriate to treatment(s) required. TREATMENT BASIC PROCEDURES 1. If patient is in cardiac arrest: a. Perform CPR. b. Use AED according to the standards of the American Heart Association or as otherwise noted in these protocols and other advisories 2. Activate ALS intercept, if deemed necessary and if available. 3. Notify appropriate receiving hospital. Commonwealth of Massachusetts 7.04 Official Version OEMS PEDIATRIC EMERGENCIES 6/06/2008
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Sounds like a case of, screw me? I'll screw you. Fire them all.
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Forty-Seven seconds? Fast, that's a fricken embarrassment to mankind.. He should be fired for that alone.. Should have had the videographer fly the chopper, and get in the back...but that's another story. Yeah, I'd say he did endanger lives, never flown one, but in simulator it's a bitch to keep in the air, let alone keep from falling back to the ground. Too bad being an idiot isn't illegal, he'd get the death penalty.
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17 and EMT state certified?
Chief1C replied to EMT-B- STUDENT_miami-dade's topic in Education and Training
You could move to a state that allows full certification at 16.. I was one, and I turned out okay, of course I had a LOT of old timers to mentor me. FOG's -
Just slap some TENS electrodes to your forehead.
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It's time for androgyny, it's Pat!
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Finally.. Someone else uses the word Commonality.
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17 and EMT state certified?
Chief1C replied to EMT-B- STUDENT_miami-dade's topic in Education and Training
You can take the class at any time. However, if the minimum age is 18.. Then, no. -
No idea.. I was on that page before I even asked. I'll issue an official nevermind.. I'll figure it out on my own.
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Fault in control circuit for primary emergency lights
Chief1C replied to JPINFV's topic in Equiqment and Apparatus
Have your main circuit board checked, soon. Ours began to burn solid, no flashing; then the siren went haywire, then the backup alarm came on.. Driving down the road, forward. Pulled over, and the siren went to a steady pitch.. and finally the mod filled with smoke. Tried to shut it off, no go, we had the key out.. and it still wouldn't turn off. The computer system took control of everything, had to disconnect the batteries and call for a flatbed. The main circuit board caught fire and was damaged through some sort of electrical fault. The electronic amp/volt meter wasn't reading, it just had the screen filled with Astrix symbols. Burned out the siren speaker and it's control box, Code 3 Siren equipment. No idea what the cause was.. -
.. I did that first. Nothing that came up, was of any use.
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I'd like to learn how to play the Banjo...
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Cute story. Thumbs down to the other BS.
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How do you get that News thing to automatically post to the website?
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The Ultimate Wacker Kit (no Joke) 5k Spent On It
Chief1C replied to mmeronk's topic in General EMS Discussion
Well.. Ya' never know... Never hurts to be prepared at home. -
Funny, the woman who was making fun of his broken English, also had a similar accent with a similar problem.
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The family would probably win, if they tried to sue that cop for every last cent he's worth.. and I hope they do. People like that, should not be in law enforcement.
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The Ultimate Wacker Kit (no Joke) 5k Spent On It
Chief1C replied to mmeronk's topic in General EMS Discussion
http://s284.photobucket.com/albums/ll19/exon111/ At least this one has a stretcher.. -
They held them up, for trying to avoid a collision, with a patient in the back? The police officers should be charged with endangering the life of the patient, for holding them up.