CBEMT

I used to wear black pants/brown shirt. Then it went to black pants/blue shirt. I mean, I get it, they didn't want everybody to have to go out and buy new pants, but it just looks dumb.

"Approved, as long as he buys a lottery ticket on the way home!"

Interesting stuff. We're about to get Atrovent added to all of our protocols where Albuterol is mentioned. Even CHF.

If you're a 20-year cop and you're still offended by people swearing, you should probably stop being a cop.

"Hi doc, this is CBEMT from _____________. Doc I have an 18 year old male with a history of seizures, he had a witnessed grand-mal seizure of approximately 30 seconds per the witnesses. He's still postictal at this time, kind of in and out in terms of lucidity, says he hasn't taken his seizure meds in two weeks. BP is 150/90, pulse 120, respirations about 28, and he weighs about 200 pounds. We have him on O2, IV is in. Doc if you don't mind, I'd like an order for Versed in case he starts seizing again." *order received and confirmed, spelling of Dr's name requested and confirmed* "Ok Doc thanks, we'll be there in about 5." "Hi Doc, this is CBEMT from ___________. Doc I have a 13 year old female with a dislocated right knee, this has happened to her before, she had surgery for it about a year ago at ________ Hospital, however we're going to be coming to you. Right now she is in a LOT of pain Doc, she's seated at a school desk, between that and the fact that this school doesn't have an elevator I'd like to get her some pain relief before moving her. Vitals right now.... BP 120/70, pulse 100, respirations 24, she weighs about 110." *order received and confirmed." "Ok great Doc, but before I let you go can I get a follow-up dose order now? We're going to have about a 20 minute ride and it can get pretty bumpy." *order received and confirmed, spelling of Dr's name requested and confirmed* *Comm Center answers* "Hi, _________ Rescue coming in." *hold, then triage answers* "Hey there, ___________ Rescue coming in, 40 year old male, fell about 30 feet off a roof to the ground, positive loss of consciousness of about a minute according to his coworkers. The only obvious trauma we've noticed is some abrasions on his head and right arm. Right now he's alert and oriented, vitals OK with the exception of his blood pressure, last one was 203/150, no history of that. We have a board and collar, IV's in, normal sinus, we'll be there in about 10." (Yeah, I know, not fantastic report on the last one, but it gets the point across to triage nurses who pretty much only want to know if we need a trauma room and if so how bad it is. The more detailed report will be given at least twice on arrival.)

We could start by no longer ignoring the pleas of the almost 2/3 of black parents who want school choice, charter schools, and vouchers. Cranky will probably say it's all a whitey conspiracy though. He'd rather listen to white Democrat politicians who need blacks to stay dumb and ghettoized.

Take the test. Pass the test. Get the job. Pretty simple. Nobody's going to do it for you, no matter how many handouts you guilt/blackmail Democrats into legislating for you. White hood, really? Well, thanks for acknowledging that every white person you see is racist in your eyes. Your credibility is officially nil.

I liked it right up until a friend pointed that out.

They basing an EMS drama on San Fransisco Fire. I sure as shit hope it's not accurate.

I twisted nothing. I suggested that what they say to your face and what they think could possibly be two different things. Don't be so sensitive. I didn't say they had a GOOD reason to be that way.

My first guess was that the CNA started the treatment and then never came back, so in actuality the treatment ran out on schedule and the patient has been sitting on straight oxygen at 6-8 lpm (via neb) ever since. I could see it happening in some of the places I've been in.

In effect, saying "We don't trust YOU." I'd recommend finding out why that is. I'm also wondering if hospital administration and risk management are aware their staff is operating in complete contravention to AHA guidelines and best practices.

None of which has anything to do with the study habits of firefighters preparing for the New Haven FD promotional exam. FAIL.

Speed limits are suggestions here. Staying with the flow of traffic is safer than the letter of the law.

If 1-800-ask-gary think they can convince a jury that the MVC paperwork was more important than your crumping patient who could be one of the jurors someday, I say go fish.

Unless you are proposing that New Haven firefighters live with their mommies, you have no argument. Lack of parental involvement isn't a factor here. They're grown-ass men. Actually, you have no argument anyway. Neither one of my parents graduated a degree-granting institution. Very rarely did I get any homework help, since dad worked late and mom was usually tied up cooking, cleaning, or taking care of my much younger sibling. I was responsible for getting my homework done, and if I didn't I was responsible for the consequences. Imagine that. Maybe if the black community spent half as much time on personal responsibility as they spent on victimhood (encouraged and coddled by white Democrats), we wouldn't need to have this absurd discussion.

We knocked a mirror off a car enroute to the hospital with a non-critical (I was in the back). We stopped, informed the other driver that PD was enroute, and continued transport. Dispatch notified our chief and the PD in that city, and when we cleared the ER we went to their headquarters to provide our info.

So education is genetic? I didn't realize that my study habits were part of my DNA. How does the fact that black slaves weren't given an education affect how black New Haven firefighters applied themselves for a promotional test in the 21st century?

*My own reply copied from the other thread* That's REALLY disappointing. UMass/WEMS has a reputation as a top-notch agency, albeit overworked like most urban providers- they could probably stand to put a couple of more trucks on the road. They staff 4 double paramedic trucks in the city, with one dedicated unit providing EMS to the neighboring town of Shrewsbury by contract. I'm told many of their paramedics got their education at the Quinsigamond Community College degree program, and supposedly QC grads are the only paramedic students allowed to do their ride time with WEMS. I had no idea things had gotten so bad that OEMS had yanked their RSI project waiver. The only thing this can serve to do is bolster WFD's claim that they should be allowed to run WEMS into the ground. They tried to "offer" to run a few BLS trucks to "help out," but were denied by the city. Leading up to the 2007 contract the city studied all the options and came to the conclusion that it didn't make any sense to start a fire-based EMS program when they got UMass for free. Addendum: I contribute part of this problem to the MA OEMS rule that all patients, regardless of the complaint, cannot "be allowed to ambulate or otherwise exert themselves." CHF? Stairchair. Possible STEMI? Stairchair. 1cm finger lac? Stairchair. Do that for long enough in any system, much less a system of 37,000 calls a year, and I'm pretty sure you'll do anything to NOT do it eventually. Do THAT for long enough, and you're going to walk somebody you should have carried. What will save the medics asses, I think, is that there seems to have been a (possibly significant) time lapse between onset and when the patien allowed 911 to be called. Throw in lifestyle, etc, and you could make the argument that carrying this patient would not have saved him. Whether it works or not is up to the jury. Even if it does, it ain't going to save them from OEMS, that's for sure.

I had never done it to that point, but the night the local fire department brought in a"faking" patient that had "failed" the arm-drop test, and said patient turned out to have a large subdural bleed, was the night I resolved to never even bother with it.

That's REALLY disappointing. UMass/WEMS has a reputation as a top-notch agency, albeit overworked like most urban providers- they could probably stand to put a couple of more trucks on the road. They staff 4 double paramedic trucks in the city, with one dedicated unit providing EMS to the neighboring town of Shrewsbury by contract. I'm told many of their paramedics got their education at the Quinsigamond Community College degree program, and supposedly QC grads are the only paramedic students allowed to do their ride time with WEMS. I had no idea things had gotten so bad that OEMS had yanked their RSI project waiver. The only thing this can serve to do is bolster WFD's claim that they should be allowed to run WEMS into the ground. They tried to "offer" to run a few BLS trucks to "help out," but were denied by the city. Leading up to the 2007 contract the city studied all the options and came to the conclusion that it didn't make any sense to start a fire-based EMS program when they got UMass for free.

And here I thought New Jersey was the only state to have that stupid, asinine rule.

A fish always rots from the head.

So the fact that hundreds of thousands of young black men hustle on the street and shoot each other over "respect" and "turf" rather than go to school and APPLY THEMSELVES needs to be extracted from me on a promotional test? They're degenerates, so take a pound of flesh from me? Are you on drugs? I'm serious. Paternal ancestors: Ireland, nobody here earlier than early 1900's. Grandfather's name in the books at Ellis Island. Maternal ancestors: Sicily, nobody here sooner than early 1900's. Grand-uncle's hand blown off by a grenade fighting for US Army in the city of his family name. Permanent resident of Arlington, VA. So screw you and your racist retribution.

What a damn waste. Sounds like she was a truly good egg. God bless her kids.