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spenac

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Everything posted by spenac

  1. spenac

    hi

    Are you a cannibal? Or did you mean meet? Oh and welcome new person.
  2. Take a look at some NJ EMS forum sites and you will find the volunteers bashing any thought of adding Paramedics, claiming it is a waste and a good basic is better than any Paramedic. No I am not listing those sites as they are a disgrace to my profession.
  3. Idiots. Probably some worthless yankee trash that moved to Texas. :twisted: And the paper knows its BS because they, even after I went through the hassle to register, will not allow comments on the topic. :evil:
  4. Just a cop out when Doc can't figure out whats really wrong with you. Just treat everything. :shock: OK really never heard it called that way. I hope you feel better soon.
  5. You could move to Texas. Much better pay, low cost of living, better protocols. Now have no clue how hard it would be for an uneducated canadian to get certified though :twisted: . If you decide schools are the way you could probably get away with one of the accelerated programs we all gripe about since you already are educated and experienced.
  6. The bra maybe some delays, but I wonder if it has more to do with mens attitudes of being afraid to hurt a female. Perhaps they are scared they will press to hard and so are hesitant to get started. As to the women not doing not sure why they would delay starting CPR more.
  7. I hear you. Here in Texas we try and control certain animal populations for the good of the environment and people file lawsuits trying to stop us. Disney movies are to blame they convinced people that animals talk and think like humans.
  8. A lobster thats like the size of shrimp.
  9. Heck if your going to risk lawsuit by BLSing it why not just deny transport all together? I mean if it qualifys as BLS they could be just as well taken by family member to the doctor, save patient money and keep ambulance available for real emergency.
  10. For those that argue it isn't rocket science would this be proof that women shouldn't be in space, thus should not be in EMS? http://www.ajc.com/services/content/printe...19/shuttle.html :wink:
  11. Actually they can get insured but the service pays more. So by allowing younger equipment operators they are taking money that could go for a pay raise.
  12. Sorry mate don't speak aussie, its a roo. Hey careful around AK he's a real ratbag. Do you throw any yabbie on the barbie?
  13. Actually reread it it was both those getting cpr and those performing cpr that women did worse or got worse.
  14. Maybe men are better than women at least in CPR: http://www.emtcity.com/phpBB2/viewtopic.php?p=191746#191746
  15. Interesting information proving men are better than woman :twisted: . J/K but it is food for thought: Kemeny, A., Silver, A., Quan W., Freeman, G., & Babbs, C. (2008, November). Differences in chest compressions provided to male and female victims of out-of-hospital cardiac arrest. [Abstract]. Presented at the Resuscitation Science Symposium, New Orleans, Louisiana. Researchers reviewed data from 203 cardiac arrest patients treated with the Zoll AED Plus device. Most of the victims were male (70%). Current CPR guidelines stress the importance of beginning CPR as quickly as possible after identifying the arrest. After placing the defibrillation pads on the patient's chest, rescuers delayed initiation of CPR for an overall average of 13 seconds. However, females waited significantly longer than 13 seconds much more often than males (65% vs. 45%, p<0.0001). We have all been taught that the proper compression depth for adults is between one and a-half and two inches. Before the first countershock, females were significantly more likely to receive shallow chest compressions compared to males (68% vs. 45%, p=0.002). After the first countershock, compressions became more forceful overall but females were still more likely to receive shallow chest compressions compared to males (58% vs. 47%, p=0.07) but the differences were no longer considered significant. Finally, recent research suggests that in order to optimize the success of a defibrillation attempt, the interval from when the chest compressor stops pushing until the AED operator delivers the shock should be less than ten seconds (the hands-off interval). In this study, the overall average hands-off interval was 23 seconds. Females waited longer than 23 seconds (without chest compressions) much more often than males (61% vs. 46%, p=0.009) for delivery of the shock.
  16. The rule I think has been the hardest for me to accept is basically that any irregular rythm with no p-waves and basically normal QRS is afib. Until I caved in I missed similiar EKG's on multiple exams. Definitly try to get a longer strip and eliminate artifact if possible, but for exam purposes most books etc I have seen will call similiar afib. Sorry not more help.
  17. Oops, did she get some pure uncut or not cut as much as usual heroin?
  18. I did hear that you can get a cruise cheap in the somali :twisted: area.
  19. HFS - Hysterical female Syndrome Yes I'm good I know it. :twisted: Ok for real. Scene safe, no gas leaks, no CO2, etc? How does patient describe it including how she has her hands? What are her vitals? Skin color, skin temp, etc? EKG, 12 lead? Medical HX? Allergies?
  20. Aint no dame gonna tell me nuthin. :twisted: Actually I see no problem with calling a female-female. Perhaps saying girl could seem I'm questioning there age, but again being way to sensitive. Honestly at work I usually just say the other medic, I don't sex them. If they're that hard to figure out as to male/female not my problem.
  21. Another topic goes the way of the no real point arguements. :violent1:
  22. That is stupidity to lie. They deserve it. When I have done an intubation even as a student the doctors and techs have documented my name. They deserve it for fraud. Most small towns in my area have one respiratory tech or higher. If they are not available or run into trouble they do ask us medics to attempt. In the paperwork I have seen it lists each person that made an attempt or that was successful. I hope no doctor, doctor of anesthesia, respiratory tech, medic, etc ever gets the attitude that they are the only one that can do the job. Sometimes it just needs another person to try. Not to brag I'm good. But I am also not stupid enough to think that I will never run into a patient I can not intubate yet someone else can.
  23. Umm yup and get a medic fired or slowly pushed out. Small town politics are tough. If the EMS crews are doing a good job intubating the patient is not being harmed. So if you are ready to move report, if not be prepared for a job change. But even with your statement I have known of some darn good doctors and respiratory techs that would ask certain EMS people for help on difficult intubations because they had a rep of being able to get the hard one with less trauma to the patients, if they were handy. So even if our education sucks some actually do have the skills, those also though usually have gotten educated.
  24. Here are some discussions about it or similiar. Maybe you can PM some that are involved that posted. Sorry not more help. http://www.emtcity.com/phpBB2/viewtopic.ph...highlight=imert http://www.emtcity.com/phpBB2/viewtopic.ph...highlight=imert http://www.emtcity.com/phpBB2/viewtopic.ph...highlight=imert
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