CBEMT

I'd assume so, but we don't teach medic at the present time.

I know a guy who used to work BEMS, used his girlfriend's address. They broke up, and he was out of a job.

The instructor I teach for gets a breakdown of NREMT( pass and fails with a score breakdown by subject matter. I suppose if you're in good with your course coordinator, you could get the info.

Fail.

Maybe next time they'll do it right and have an automatic fire suppression system.

Fortunately for us, the ER has to restock anything we use- so we'd be getting all that Glucagon back for free. Buy a med once, and only have to worry about it if you don't transport. If you know where to go you can even get your soon-expiring doses exchanged. I love it. That said, we only carry 2mg of Glucagon. One in the house bag, the other in the drug box.

That's not the question. The question is, is your patient care the same as his? I'm going with no.

We bust Fire's balls all the time about how little they do versus how busy EMS is So how are we justifying taking 3 ambulances out of service instead of 1 engine? I agree, keep them out of the normal stuff. But if they're "not doing anything else," why not use them? I suppose the chest pains and strokes can wait while 2 ambulances do a lift assist so that we can keep Fire in their place and feel better about ourselves.

http://www.jems.com/news_and_articles/tips...ers_and_BP.html Personally, I'm speechless. I tried to comment, but just couldn't find the words.

http://www.jems.com/news_and_articles/news...rnized_EMS.html

Actually, both of them do look pretty dead, dude. To be fair, yours was talking. If these guys are too, then hell yeah, they get everything. But I'd be shocked if either one of these two have a pulse on EMS arrival (which hasn't happened as of the end of the video). No pulse, my treatment will be confirmation of asystole in three leads and a white sheet.

My glucagon kits say "for IM or IV use." Our protocols were recently updated to allow for glucagon administration in a suspected beta blocker-induced asystolic arrest. The way I figure, what's an IM drug going to do in a code? Not much. If the box says it's ok for IV, and the drug is indicated, why not?

That was choking. There's a difference. They should've been given a chance to clear the airway. Please don't insult me by assuming my actions in such a situation. You can stuff that attitude.

Yes. But, in addition, most providers halt CPR during a procedure that they're not good enough at in adults, nevermind kids. So they take too long, and as we should already know, no CPR = no chance.

Other than everyone involved driving like morons, that's actually not bad. I know some places that send an engine, fire department paramedic squad, the commercial ambulance that actually does the transport, and sometimes the PD. That said, the fatter this country gets, the less opposed to an engine company response I'm probably going to be...

He's not a cop. He's retired on a rather generous disability pension. And did you miss the part about chasing the victim across the VICTIM'S property, firing as they ran? I guess you did.

Ok, now you're going off the edge again. Gianquitti was on TV the next day with no evidence of any injury whatsoever. Pummelled my ass. Further, there's nothing whatsoever about Pagano "harassing" anyone. I don't see how a couple of kid's toys every now and again reaches the level of "harassment." I know he's some sort of hero to you, but try to keep in mind that the image that you've created in your head of the valiant misunderstood gun owner defending his castle isn't holding a lot of water right now. He's a bitter little man who lost his shot at the ultimate job for wanna-be tough guys, then he let some single digit-aged kids drive him over the edge. Now two of them are without a father because of the chip on his shoulder.

1. When the critical care truck at our trauma center was new, one of the attendings would ride with the crew (2 medics) before they got the EM resident rider program ready to go. At that time, the crews would often help out in the trauma rooms with cases (before the nurses union put a stop to it). So one day, a local FD brings in a pretty bad trauma, and the attending riding the CCT (the state EMS medical director, as luck would have it) is taking some pictures of the care in general and one of the injuries in particular. "Hey, no pictures," one of the firefighters says. The doc stop for a minute, then starts again when the FF goes back to his paperwork. "I said. no pictures!" he growls, stepping in front of the doc. One of the CCT medics jumps in. "Oh hi, perhaps you two haven't met. This is Dr. _______. You'll find his signature in your protocol book." 2. A few months later, something happened to one of the EM residents wearing an EMS uniform very similar to what happened to EMSDoc, except in this case his report was completely ignored by the triage nurse. With a look of awe, he turned to one of the CCT medics and said, "I never realized until this moment what you guys go through in here." 3. Critical transfer from a community hospital to the trauma center. Like, really critical. Critical enough they decide that waiting for the CCT truck (10-15 minutes) will kill this guy. One of my private ambulance medic coworkers is dropping off a minor illness, and volunteers to take the run. A surgeon from the hospital volunteers to go with him. Five minutes out from the trauma center, they lose pulses. Airway is already controlled and vented, so the surgeon starts compressions and the medic starts pushing meds. They reach a particularly bad stretch of highway, and the surgeon is now compressing with one hand and holding the grab bar with the other. He looks up at the medic and says, "How the @#$% do you guys do this???" By some miracle, they achieve ROSC and arrive at the trauma center. After finishing his paperwork, the medic comes outside... and finds the surgeon scrubbing blood off the floor of the truck. :shock:

What both prosecution and defense need is someone with a clear view of what happened in front of Gianquitti's house. The way the news stories have been worded so far, I don't know if that happened. Or information on that phase of the incident has not been released. Powder burns, or lack of them, will tell the tale. If the entrance wound has a burn, he might get off the murder rap by saying it happened during a struggle, but he'll STILL have to explain the chase back to Pagano's property. If it turns out the entrance wound is in the back, he's REALLY screwed.

I believe R/M just filed for Chapter 11, or something similar....?

You assume both intent and action, neither of which are backed by witnesses at this point. I'll wait for further medical evidence, but I'm confident he's not nearly as disabled as you make him out to be. He got a golden ticket. And it certainly doesn't sound like this guy feared anybody. Or the injury was legit, and he's just been pissed off about it since 1991. Little man syndrome + 17 years of a chip his shoulder + guns = Case closed, indeed. You don't get to chase an unarmed man across HIS front yard, firing at him as he runs, firing at him as he hides behind a car, and then claim self-defense. Not even in Texas.

The shooter had been the cranky old man of the neighborhood for years. Pagano had no reason to swing at him. Why would he? He had a yard full of kids and parents behind him. He goes to get the ball back, shooter gets in his face, there's some pushing and shoving, and suddenly Pagano's on the ground with a bullet through his aorta. Incidentally, NOT fired from the gun that the shooter had a CC permit for, but one of his other guns. That could prove to be a problem for him.

I want to know what hospital works a code for 90 minutes. From what I've seen, the report ends with "Management refused to disclose the current status of those involved, saying they do not discuss personnel matters" or something similar. But you're right, they usually at least say something.

I wonder how this fits into the mix..... http://www.newsnet5.com/news/16343717/detail.html

While I didn't know him, I was in the same room as Lt. Pagano last week, watching him and others sworn in as new officers. I was there for a relative of my fiance being sworn in as a new firefighter. Freaky. The worst part was initially the police treated the scene as a barricaded subject and wouldn't allow CFD in to start treatment. Pagano lay in the street dead or dying, and the guys who responded had to just stand there and watch. Eventually two officers drove their car between Pagano and the suspect's house, pulled him in, and drove him out to the ambulance. I can't imagine what his family is going through. His poor son will probably never want a birthday party ever again.