CBEMT

"All your blogs are belong to us!" People in Kentucky aren't going to let anyone get away with taking shots at Christianity, the Constitution be damned.

Friend of mine recently had a patient that drank some ridiculously inhuman amount of bleach, almost a gallon I think.

This may be bigger than what you're looking for, but it's what we use: http://www.mir3.com/

This is Maine we're talking about. Not exactly what you'd call densely populated. In the time it takes a team to assemble, the situation will be over one way or the other.

sigh. I wasn't talking about your performance in the scenario. I was talking about the idea of a "youth ambulance program," because it sounds an awful lot like other programs we've seen posted here where high school kids are responding to 911 calls.

Your instructor sounds like a dope. And I don't like the sounds of that at ALL.

Firemonkey Fire hydrant Fire hose

No different in my local urban area. They actually had one guy (ONE!) who accounted for $1.3 MILLION in hospital care. He's dead now, after taking a few thousand more dollars with him- hit his head on the sidewalk, head bleed, few days on a vent. Social services don't and will never work for many of these people- this winter one died of hypothermia on the sidwalk, and other homeless people interviewed about him were universal in stating that he didn't want help, services, or anything else. Just a bottle. Do-gooders with cellphones and annoyed shopkeepers ensured he made 4-5 trips to the hospital per week.

Except, umm, the floor. It's a long short I know, but I'd probably be of the mind that I cannot rule trauma out in this scenario, so I have to rule it in. Yes, later proven to not be the case, but I can't always do that in the field.

NBEMS is having a bad month. The sups were already laid off, and the other day the mayor declared his intention to fold EMS into the Fire Department. It's not surprising that one of them decided to spout off.

I'd look at thread from the last time we discussed this exact same thing x10 or so pages.

After observing such people all over my state, I've come to the conclusion that spiteful providers as you describe are not born, they are created by failed services and/or systems.

http://www.jems.com/news_and_articles/news...ng+Cardiac+Care

Same here, though sometimes we can respond without if we're going to be waiting for PD to secure the scene- usually talking down a suicidal person.

The study took place before the 2005 AHA update, meaning the three stacked shocks was still in effect, CPR was 15:2, ventilation was emphasized, but limiting hands-off time was not emphasized, ETI was still the be-all and end-all.... you get the idea. Tell them to come back when they can publish a study in line with current practice.

http://www.southcoasttoday.com/apps/pbcs.d.../NEWS/903230315 Previous story: Repercussions of laying off EMS supervisors debated This sucks. I had been seriously considering them as a job option after I got my medic. Now they've taken one of the very few professional non-fire EMS systems in Massachusetts and butchered it. When Menino gets voted out as Mayor of Boston, BEMS will go too. He's been the biggest factor standing in the way of Boston Fire ruining that show since he took office. I fucking hate New England.

Behind on THIS? No. Behind on EVERYTHING. It's not that restraint isn't allowed, per se. There's just nothing that actually spells out what we can and can't do. So, there's nothing telling the local urban fire department that putting the patient prone on the stretcher and holding their arms out like Superman from the airway seat is bad, and nothing telling me that using commercially made soft restraints x 4 with one arm up and one arm down is good. If somebody does actually call for consult, what you usually hear is "Take whatever actions are necessary for the safety of yourself and the patient." Which is both good, and bad. Closest I've come to an excited delirium was an out of control ETOH which also happened to have a question of a head injury. Restrained by PD prior to arrival, so I just continued that restraint in a different manner after backboarding. Letting somebody out of handcuffs who's promising to kill you is an interesting experience, and it certainly wasn't the cleanest c-spine job I've ever done. But nobody got hurt, which is the important thing. It took something like 15+ milligrams of haldol to put him down enough for the ER to assess him once we got him to the trauma room.

Sort of, but they still won't transport. It makes the documentation interesting too.

I wish. Statewide we have no restraint protocol of any kind.

II, III, and aVF is........NOT anterior. Just sayin.

I have a hard time telling someone they're too fat for EMS. I'm skinny as hell, but my cardio sucks. Who's to say I'm any better than somebody overweight?

Doesn't sound like overkill to me!

As Mobey mentioned, I'm way more worried about a shock or strut flying out at my shins than I am about the car "exploding." I've seen a gas tank fail during a car fire, it's not that spectacular. There's a noise, and all of a sudden there's fuel all over the ground. Yeah, ok, it's burning fuel, but nothing "exploded."

Heart rate of 80 and an SPO2 of 94%..... yeah dude, go for it. Here, let me set it to 360 for you.

And like so many things they taught in EMT-B, nobody can prove it.