spenac

Me too. Give the chainsaw BOB going take her lower half off. :shock:

It will not hurt you. Your education should cover these events so when confronted with them you will just do it. There is no valid excuse to stay at basic for x number of years before going for paramedic. Nothing I experienced in my many years as a basic and intermediate have improved my paramedic education experience. If anything it has harmed from bad habits I have picked up.

Thats for sure. Thats for darn sure.

Wow speculation has led to some great educational comments that might in fact prove my speculation wrong. I guess it is good that we discuss theses matters here even if we do not have all the facts.

Well everyone knows I hate to speculate but perhaps he had no seat belt on and was reaching for something when the impact occurred. Definitely another thing to keep in mind wear your seat belt and no DWD.

It is not that complicated if you stay on top of your education and get practice. The biggest problem in all cases listed were they failed to confirm placement and to monitor placement. I hate that so many here seem to want to dumb down what we do. If anything our scope of practice needs to expand. Yes more education is required so most will fight that at all cost. Why not RSI? If we are going to RSI somebody we understand they will not make it to the hospital if we do not secure their airway. They will be dead if we do not attempt. At least we give them a chance. Intubation is not a complicated skill. Have I ever missed? Yes but when I attempted to confirm placement I found the error and quickly placed another tube. I have seen the same by Doctors and other experts, so it is not just an EMS problem. The problem in EMS seems to be to many do not know how to check and confirm placement and even fewer know how to monitor placement. Confirmed multiple ways and monitored all the way to the hospital is the key. Another point that has been brought up is intubating going down the road. Why? I have been thrown around to often to take that chance. Pull the ambulance over and do it right.

My question is while mistakes appear to have been made in the 3 cases, why does it not address all those alive today because we had it available? http://www.star-telegram.com/state_news/story/593026.html [web:8e6edb1e75]http://www.star-telegram.com/state_news/story/593026.html[/web:8e6edb1e75]

It is dumbed down to get people to take these low paying jobs. Why increase pay when we can just run a cheap quick class and hire these new people cheaper? The few good quality schools have to work hard to get students because most just want the answers to the test so they can go to work. I am having to work to pass my classes. I ask paramedic students from other schools questions and they have never heard of it most of the time. Do I need this info to pass the NR test ? No, but I need it to be a good healthcare professional.

OK I hate you now. I want to go to the Bob Page EKG seminar. Love his book. OK don't really hate you just envious.

Ruff good comments. I addressed the low standards of education on many subjects. The nitro for low levels definitely needs addressed.

My school does. I have to be able to identify the axis (RAD, ERAD, LAD, etc). Not just the rhythm. Maybe I should have gone to the 10 week school that promises you will pass NR paramedic exam. No not really. If I screw up it's a long way to the hospital. I like memory aids but to make them effective you have to have a good foundation. Yes you could probably pass the test but once in the field not much help if you do not know what in the hell it really means.

Maybe I'm not the one full of hot air? Perhaps others need to put their money where there mouth is. I really hope more comment. It is a joke. I would hate to have to dumb down that much.

Northern. Nope it is everywhere. Yes this is a minor detail but guess what it illustrates the bigger picture as to why there will be no improvement in EMS. We can not agree on anything. We care nothing about anything but ourself rather than the whole of EMS. It's been this way so I see no reason to change. And for your info, Florida is actually a northern state you know. It's full of snowbirds and northern retirees. Not really a place for true southerners there anymore.

Yes. Sorry. I could not resist. The stress of learning the 12 lead is cooking my brain.

If life were at stake I would just have to take the chance on getting sympathetic jurors. In my remote area I would probably not be able to even reach a doctor. So if it was let a person die or perform a butcher amputation, I would do the amputation. I hope I never have that choice to make. In my time in the field thankfully we have been able to get patients removed and to the hospital in one piece and allowed doctors to removed the crushed mangled limbs in the hospital.

My understanding was non healtchcare would be compressions only to buy time till an ambulance arrives. We would still bag them as well as compress them as healthcare providers.

How do we know it will help if even the instructor does not remember it? Isn't the point that it jog your memory? Or is this just one good to help pass the test then forget? Never heard of it. Sorry not trying to be rude.

http://www.lohud.com/apps/pbcs.dll/article...377/1019/NEWS03 Injured Rockland EMT Bonnie Ames remains in intensive care By Steve Lieberman The Journal News • April 18, 2008 A Rockland emergency medical technician whose arm was amputated remained in intensive care yesterday with other serious injuries. Bonnie Ames, 21, was hurt Monday when the Regional EMS rig she was a passenger in hit a truck parked on the shoulder of Route 59 in West Nyack. Westchester Medical Center doctors continue to treat Ames, who remained under sedation following surgery to amputate her right arm, said Raymond Florida, Ames' boss at Regional EMS. Florida said Ames' parents wanted her medical condition and the specifics concerning her other injuries to remain private. "They are still taking tests and treating her serious injuries as best they can," said Florida, executive director of Rockland Paramedic Services and Regional EMS. The rig's driver, Scott Millar, 19, of Haverstraw, is to be released from Westchester Medical Center today and will be transferred to Helen Hayes Hospital in West Haverstraw for rehabilitation, Florida said. Millar has a head injury and fractures to his lower back and neck, Florida said. He was to be released yesterday, but doctors decided he should go straight to Helen Hayes. The accident shocked the emergency medical responders. Many of them are spending their time at work and at the hospital with Ames and her family. The Ames family is staying at a local hotel, paid for by Regional EMS. Ames lives in the Orange County community of Florida, where she's been a volunteer firefighter and a volunteer with the Walkill Ambulance Corps. She's worked for Regional EMS for the past 18 months, as has Millar. Clarkstown police were still investigating what caused the crash. Millar was driving to Nyack Hospital to set up for the day when he went under the overpass to the Palisades Center, police said. The ambulance hit a flatbed Kamco Supply Corp truck parked on the shoulder, police said. The truck driver, Sam Lalmahabir, 46, of Richmond Hill, Queens, told police he had pulled over to talk on his cell phone, Clarkstown Sgt. Harry Baumann said. The police were still looking to re-interview Millar. Florida said he doesn't know what caused the crash and he was leaving the determination up to the police. He said the rig was monitored for speed. He said the electronic monitor indicated the vehicle didn't exceed the speed limit of 45 miles per hour along that section of Route 59. "I know they were within the speed limit," Florida said. "We're cooperating with the investigation. We will let the professionals with the police determine what happened. Our main concern remains our people."

If I am in a wreck I would expect that everyone would critique it and strive to learn from it. That is what we do here. It is understood that we are all concerned with those injured and killed in events like this. Yes it hurts when we know the people involved. If we wait until an official report is released no discussion will ever take place. If a report is ever released it will be inconclusive or cause unknown. In this case neither one will probably clearly remember the events. So again our discussion would be based on what is seen and read. I am sorry for them and their familys. Trust me we all feel the pain. But we want to help others avoid the mistakes that sad to say probably led to this accident. We do wish them the fullest recovery possible. But that does not diminish the need and actually the responsibility to look at and discuss all possible causes so that perhaps another accident like this is avoided.

Where? I do a 96 starting monday and work with 3 different partners. 2 of them work great. The other one I just can not seem to get on the same page with.

Have you ever butchered an animal? Sadly in the field with the limited education we had our amputations would be more along those lines than how a surgeon would do it. I hope none of us are ever placed in that situation. Now c-section. Not that hard. Especially if taking a live baby out of a dead mom.

While I tend to be full of hot air, I have been sharing that hot air by making suggestions. I wonder if anyone has posted get rid of all levels except paramedic? :twisted:

Good point. Work them in the field. If they respond take them to the hospital. If they don't call the funeral home. I have only worked two codes going down the road. One coded when we had multiple patients in the ambulance. Worked a few minutes and called it. Never stopped the ambulance. The other was a hostile environment so we loaded and drove the 3 - 5 minutes to the hospital and continued running the code in the ER. It is just not a good thing to do. Run L&S to transport a dead person.

Rid I hope more states follow the example of your state. Wow never thought I would ever say something like that about Oklahoma.