spenac

Welcome to chat and the site. Please help us by using punctuation, etc.

Welcome to the city. How old are you? What grade are you in? We look forward to helping young ones as they look to the future.

This is a spin off of another thread about 12 lead and MI. Someone said many transplant patients do not know they are having an MI. So now I want to know more. Please help the students by giving more info. Thanks. According to Rapid Interpretation of EKG's by Dale Dubin "transplant patients therefore have two SA nodes, each producing P waves." What other changes are noticed? What should we expect or look for?

Dwayne that is just funny, sad all at the same time. That is why I say it is a coping mechanism. Even the jokes about the smelly no real need to be in my ambulance patients. It helps keep your sanity. It is not that we actually find humor in their sad state it is just how we separate ourselves from the reality that is our job. These things we laugh at would make others mad and thus should be kept in house away from the public. Think about what we say while people can hear us. One day 3 crews were eating and all of a sudden several tables worth of people got up and moved. The ambulance service can no longer go there. Some of the people you just go drive thru because you can't get them to shut up.

Next time the boss starts chewing your butt on public airways. Interrupt him and politely tell him to wait till you get back as there is to much static to understand his/her professional conversation. If they still continue the public butt chewing, Interrupt and tell them to shove it. I will not tolerate anybody jumping down my throat in public. That is totally unprofessional. Sounds like you work for a lousy piece of crap of a boss.

My guess is Time Of Death.

Welcome to the site. Please read and follow the rules. We also ask that all try to write as the professional they are or hope to be.

Sick. :shock:

I say we should be able to refuse anyone that does not need the ambulance. I hate the you call we haul mentality. I am a healthcare professional not a taxi driver. As far as refusing treatment or transport of someone because of there health condition such as TB, HIV, Hep, as a healthcare professional I say treat them. Perhaps extra precautions are warranted, but you still treat.

Heres a qoute from EMSPROFESSIONAL that seems to fit at this point of the discussion. "A professional can be defined as: a worker required to possess a large body of knowledge derived from extensive academic study, with the training almost always formalized. Professions are at least to a degree self-regulating, in that they control the training and evaluation processes that admit new persons to the field, and in judging whether the work done by their members is up to standard. This differs from other kinds of work where regulation (if considered necessary) is imposed by the state, or where official quality standards are often lacking. Professions have some historical links to guilds in these regards. Professionals usually have autonomy in the workplace—they are expected to utilize their independent judgement and professional ethics in carrying out their responsibilities. This holds true even if they are employees instead of working on their own. Typically a professional provides a service (in exchange for payment or salary), in accordance with established protocols for licensing, ethics, procedures, standards of service and training / certification. The above definitions were echoed by economist and sociologist Max Weber, who noted that professions are defined by the power to exclude and control admission to the profession, as well as by the development of a particular vocabulary specific to the occupation, and at least somewhat incomprehensible to outsiders So an EMS professional should have education, be able to work w/o immediate supervision, have to attain and maintain certification as required by a group other than government. Obviously changes are needed for us to meet that definition. So what is professional EMS? Only a dream. " http://www.emtcity.com/phpBB2/viewtopic.ph...ghlight=#137140

An oldie but a still funny.

http://www.emsresponder.com/web/online/Top...reatment/1$7158 Report Describes Errors in Texas Crash Victim's Treatment Brian Chasnoff, EXPRESS-NEWS STAFF WRITER San Antonio Express-News Facing assertions that a critically injured car wreck victim still was breathing, paramedics nonetheless ignored police officers and argued with a medical examiner's investigator, insisting that Erica Nicole Smith was dead, according to a medical examiner's investigation report. Paramedics then begrudgingly consented to take her to a hospital hours after the Dec. 16 collision, the report said. Smith, 23, whose injuries were so severe, the report stated, that her brain was exposed and gray matter was "coming out of the ears," died about 34 hours later. In the days after the incident, San Antonio Fire Chief Charles Hood incensed some in the community with statements that paramedics had not erred at the scene. He also told the San Antonio Express-News that they'd sought Smith's pulse but could not find one. Weeks later, Hood revealed that no one had checked for Smith's pulse and that at least one paramedic had violated the Fire Department's written protocol by judging Smith dead merely by looking. Reached early Monday, Hood said he could not immediately comment on the medical examiner's report. He could not be reached later in the day. Completed last month, the medical examiner's report provides a detailed account of the emotionally charged events that followed the fatal wreck. Just before 4 a.m., a Pontiac GS driven by Jenny Ann Ybarra of Seguin veered into a lane of oncoming traffic on Loop 410 near Rigsby Road and collided head-on with a Honda Accord in which Smith was the front-seat passenger, police said. Ybarra, 28, has been charged with intoxication manslaughter. The first paramedics to arrive at the collision were Michael Collins, 39, and Mike Gardner, 35. Collins treated Ybarra, who was complaining of back pain, while Gardner tended to two other victims in the Accord: Sabrina Shaner, the driver, who police said was intoxicated, and Amber Wilson, a passenger in the back seat. Both had suffered minor injuries that included a facial laceration, a twisted ankle and three slipped discs, according to Lisa Smith, Erica Smith's mother. Erica Smith, her brain exposed and blood streaked down her face, was left untreated in the Accord. Gardner, a paramedic with nearly six years of experience, told someone to place a yellow tarp over her body at 4 a.m., the report stated. About 30 minutes later, police called for a medical examiner's investigator, who arrived at 5:14 a.m. As the investigator walked toward the Accord, a police detective and an evidence technician told her that "EMS had come to the scene, pronounced the victim dead after seeing her condition, then left the scene despite police having pointed out to the paramedics that the victim continued to take breaths," according to the report. When the detective lifted the tarp, the investigator "could hear and see that (Erica Smith) was breathing short, shallow breaths," the report stated. The investigator asked police to request that paramedics return to the crash site. Around 5:45 a.m., paramedics William Bullock, 33, and Jeremy Huntsman, 30, arrived at the scene, where the investigator told them that Smith still was breathing. Huntsman "advised me that the victim was dead, and that Dr. (Donald) Gordon would be upset if they hooked up the monitor to a dead body," the report stated. Gordon, a professor of medicine at the University of Texas Health Science Center who has authorized the standard medical operating procedure for the Fire Department, did not respond Monday to messages via phone and e-mail for an interview. At the scene, the medical examiner's investigator repeated that Erica Smith still was breathing. After calling a supervisor, Huntsman agreed to "check the victim out" and later told the investigator that he'd call the Fire Department to free Smith from the car, "but if at any time during this process she stopped breathing, they would halt the process," according to the report. Huntsman, Bullock and Collins were de-authorized as paramedics for an indeterminate length of time and transferred to the firefighting division. Gardner was permanently barred from working as a paramedic in San Antonio and also moved to the firefighting division. Chris Steele, who heads the San Antonio Professional Firefighters Association, could not be reached for comment Monday. But in a previous Express-News article, Steele emphasized the severity of Smith's injuries when speaking about paramedics' actions that night. "If people see what we saw, they will understand what we did," he said. All four paramedics were in the 21st hour of a 24-hour shift that began at 7 a.m. the previous day. The additional firefighters arrived at the scene around 5:55 a.m. and pulled Erica Smith from the car using the Jaws of Life -- a resource that should have arrived with the first wave of paramedics but did not because a Fire/EMS dispatcher miscoded the call as a non-high-speed auto accident. Hooked up to an electrocardiogram, Erica Smith "continued to have vital signs" that included a heartbeat and blood pressure, the report stated. Emergency responders placed her on a gurney and loaded her into an ambulance. According to the report, when the medical examiner's investigator left the scene at 6:19 a.m. -- nearly 21/2 hours after the collision -- the ambulance in which Erica Smith lay still had not departed. bchasnoff@express-news.net Erica Smith's Case Dec. 16, 3:50 a.m.: Erica Smith and two friends are involved in a crash on Loop 410. The friends are taken to hospitals, as is the other car's driver. Smith is left for dead. Dec. 16, 5:14 a.m.: A medical examiner's investigator arrives after being called. Smith is still breathing. Dec. 16, 5:44 a.m .: Another group of paramedics arrives to treat Smith. Dec. 17, 2 p.m .: Smith is pronounced dead at Brooke Army Medical Center.

You mean you can not check level of glucose? Here even our ECA's ( First responders) do that. All it does is provide hospital a baseline to work with. I disagree with giving basics IV and D-50 etc. But another so simple a monkey can do it item to help advanced care providers to compare, no problem.

The dark humor that many develope is just another coping mechanism. The nurse probably has never been exposed to some of the things seen in the field or the ER and has not had the need to develope this type of coping mechanism. I see it also comparing 911 EMS to Transfer jockeys. Those exposed find ways to cope and some of those are shocking to those that had no need to find a coping mechanism.

Just checked Dust hasn't edited it yet. Probably waiting until the public forgets this discussion.

Nice to know you. Reporting admin to himself is well, grounds for automatic banishment. Bye. Have a great life. Hasta. So Sorry, byebye.

A witness said the 8 year old sprang to his hands and knees in order to avoid being hit. Those kids will need mental health care the rest of their lives. The mother had been investigated several times even loosing the kids for a while. Some people have no business making more people. I hope the kids recover physically and mentally. http://ap.google.com/article/ALeqM5h2kKR8A...YMgusQD8VC5GC84 http://www.dallasnews.com/sharedcontent/dw...p.4879fa8d.html

"Some have asked, if brave enough, why I push everyone as hard as I do. I push everyone around me to be the best they can, to practice until they get it right, and then practice it more, so they can rely on their training and be confident in their skills. I admit that sometimes I come off way to hard and demanding, but others say that if I chew them out for something they did wrong they will never forget how to do it right. A lot of them don't know what happened, and the ones that do, know why I push them so hard. God forbid, even though I know it happens, that anyone will ever have to go through what Kevin had to go through. If I, or someone I have trained can be there to change just one persons life I will be happy." Wow, a truly heart wrenching, eye opening article. So many in EMS forget that we are dealing with human lives, they actually develope the taxi driver mentality. They do not strive for education. They settle with the least effort to draw a paycheck. Most get away with it because as we all know most calls, especially in citys, can be transported w/o any real aggressive treatment and let the doctors do the real medicine. This attitude when confronted with a real patient leads to bad treatment, wrong choices in care, etc. Yes we are all human and even if we are the highest educated person on earth can make mistakes. Sadly in EMS mistakes that could be avoided are common place because so many choose the minimum. Get educated and keep the education up to date so you can give the best care possible. Then, God forbid, you make a mistake at least you know your mistake was just because of human imperfection and not because you were an uneducated jerk.

www.techproservices.net Simple site but tons of information about courses, about instructors, etc. You read their site and know what you are paying for. http://www.westtexas.tstc.edu/sharedcode/p...t_dept_name=ems Another site that tells you what you are getting. It tells you the various options. The degree you get. Etc. Now maybe you can fix your site to compete with ones that actually provide EMS education.

Congrats. Now when are you starting your paramedic course?

The problem is with the content that fails to inform potential students what they offer and why they should chose them. It is not with the fanciness of the site. With your attitude me thinks you have an interest in the company beyond student, but I could be wrong.

Trap them with whats right vs's whats legal. Darn those tricky bastards. Had the guy taken one dose for a injured family member and written it up as a treated and no transport I would have no problem. But to supply his familys meds is just stupid. If she had that many headaches she needs professional help. As to the trick question, anyone that tampers with the drugs needs to be locked up. They risk the patients health. They cause other providers undue stress when meds fail to act as they should.

Thats better but still not sure it tells me all I need to decide if I want to consider them for my education. Length of courses. Clinical sites. Maybe some testimonials. What kind of degree will I receive? Accredited?

Inquiring minds want to know. But Ruff perhaps he is someone that just comes here to blow off steam. After some time perhaps he will feel safe enough to expose his opinions in a more serious fashion. His initial insecurities may go by the way side and he may share his educated insights. At least we should hope I am right.

Many have the pass fail by end of the day. Just keep checking.