njmedic1485

Okay, for the record this happened in Northern New Jersey, which, as everyone knows bears no resemblance to the rest of the state.

I think Fiznat misinterpreted Lone Stars post. The License lapses after a grace period, which means it is ineligible for renewal. The second paragraph pretty clearly states that continuing to work with an expired credential is a felony under Michigan law. Secondly I've got to take exception to Fiznat's personal opinion that having knowledge of a company condoning the continued practice by individuals with expired credentials. It seems like a recurring theme on this (and many other) forums is the lack of respect that EMS is given by other health care professionals. Could it be that one of the reasons is that we refuse to police ourselves? What do you suppose is the ANA's view of unlicensed nurses working, or that of the AMA on unlicensed physicians? I have no illusions that this one issue will be the golden key to respect from our fellow health care providers, but shouldn't this be a start? "If not us, who? If not now, when?" To the OP, make the call.

My department tried to save a little money one year and switched to plastic disposable laryngoscope blades. They tended to get soft and bend in the heat and got brittle and snap in the cold. I snapped one trying to intubate a little kid who got ejected from her mom's car on the overpass and landed on the road bed below.

No way the EMS team should be disciplined.

from

Carn evil 9 - Emerson Lake and Palmer "Welcome my friend to the show that never ends" It's been that kind of night. Regrettably, the 7 virgins and a mule were a no show

You should also take a look here This is a blog written by Tom Bouthillet it's a pretty good read, and if you start from his first post it's a comprehensive review.

Mrmeaner- Physio is all we've ever used so I'll admit to having a bit of a knowledge deficit about the MRX. Can you enlighten me as to what you think makes the MRX superior to the LP12.

This story is not too far off true. I used to work in a casino in Atlantic City I remember back in the early 80's there was a male /female team that would specialize in rail theft ( stealing chips from the rail of a craps table). She was generously endowed and would flash the table while her partner would scoop the chips and run. I remember when we got hit, some of the old guys at the table weren't too upset at the monetary loss. they just enjoyed the show!

We are allowed to access AV shunts as an absolute last resort (medical control option) access, we carry the same needless that the dialysis centers use and include the procedure in our yearly education/skills day. I've done them a couple of times but only during codes. The dual port subclavian ports they put in as temporary accesses until the grafts cure are much better. Just aspirate 5 ml and waste then flush with saline and your good to go. And yes our nephrologists go ape sheet when we access them. For the uninitiated an AV shunt or graft is a goretex tube that joins a vein and artery in a patients arm. After the graft is in place it needs to "cure for 6 to 8 weeks, this allows a layer of epithelial cells (I'm pretty sure I misspelled that) to grow over the graft, that cell layer is what clots off after being punctured. To assess a graft for patency; palpate and auscultate, you should feel a definite pressure difference even in shock states (not so much in cardiac arrest) and you should hear a nice loud bruit. We are taught not to stick on the loop of the graft and to avoid any recent sites, our insertion angle is steeper then a regular IV stick then you rotate the needle 180 degrees and flatten your angle as you advance the needle into the graft. This is supposed to stop you from going thru the graft.

And a current one.

I would say that age is not as important as maturity in making a good paramedic, or EMT for that matter. Is it possible that the "old head" was trying to teach you something and all you are picking up is the negativity? Please don't take this as a put down, I don't know you or your situation, just playing devils advocate. I do recognize the possibility that you ran up against someone who really has 1 year of experience 22 times but dosent realize it.