spenac

Easy icebreaker for the patient that runs out to meet the ambulance is: get on the cot and shut you mouth. lets go. :twisted: Just kidding.

In my area we have interstate posted at 80mph, so should we run 90mph? At some point we have to realize we are driving big, top heavy bricks that are not designed for raceway speeds. Slow down so you can treat the patient and more importantly get back home safe.

Perfectly summed up. In my area I get patients that are treated by, for lack of better english word, witch doctors. I disagree with the practices, but I do not refuse to treat the patients that choose to try them before dialing 911. So Ruff I'm with you. Treat em all or quit.

Take proper precautions, just like you should for all patients, and take care of business. Would I prefer to not treat? Yes. But as a professional I will treat all patients to the best of my ability. Just as in the other discussion the risk is very small if you take proper BSI.

Excellent and true reply. At this point we just go round and round. None will change their mind based on what we say here.

This now should be moved to the funny section. :twisted:

Get a rope.

Your English is good. We do not have standing as Paramedics in the USA. People still expect us to do it for free. We are not respected at all, often because so many do the job for free.

I have had patients with all the signs/symptoms of an MI but have normal sinus rhythm. Get to hospital they are positive for MI. The only thing an EKG does is give you another tool to help confirm your diagnosis, but not rule it out. As already mentioned, treat the patient not the machine.

I always commend posts that are well done.

DwayneEMTB excellent post.

Better ALS transport than BLS. Sadly to often we only have one Paramedic per ambulance. Perfect world would have at least 2.

Yup and if you do get a call it's hard to make a stumped toe look like a serious call. Sadly it often takes a serious incident involving one of their family members when there is no ambulance available to make changes.

This was posted a few months back, but I don't recall by whom. It was interesting to hear how many grains of rice some scored. Has anyone actually researched whether the starving people actually get the rice?

Now thats the job I want. There definitely needs to be specialized EMS in racing. Being familiar with the cars, the safety equipment, the speed, etc could be a real benefit.

Only 400 calls a year and they have 6 stations? Really doubt with 400 calls that you will have very many sleepless nights. I'm just guessing but you probably meant more. Since they don't seem to care I say change jobs.

:help: Another us vs them. :laughing3: :headbang: As with anything in life if your divided you are not giving your best.

And now three is just plain annoying. :shock: Sorry I did not catch that it had been pointed out. Thank you for pointing out my mistake. Have a great day.

We had a few good discussions about these. A quick search should get you lots of information.

Go rectal with oral glucose. Less chance of aspiration.

Your post just reinforces why I strongly feel we need a more medical style uniform rather than a cop shirt. We had a good discussion about EMS distinct uniform a few months back on here.

Please no air turbulence. Ouch.

I just checked the table and it has a GCS of 3, maybe more don't know if you score the roaches on it as part of the table. :shock:

Here I started it. Sorry a month late. Promethazine Hydrochloride Drug Classes: Antiemetics/antivertigo; Antihistamines, H1; Phenothiazines BRAND NAMES: Adgan; Anergan 50; Antinaus 50; Pentazine; Phenergan; Phenoject-50; Promacot; Promethegan

http://news.yahoo.com/s/ap/20080304/ap_on_...WxbzbRSXbpH2ocA Paramedic slain at a Florida Wendy's By BRIAN SKOLOFF, Associated Press Writer 12 minutes ago WEST PALM BEACH, Fla. - Paramedic Rafael Vazquez left a training course on how to help when several people are hurt at once, and went to lunch at a nearby Wendy's. He became exactly the kind of victim he was being trained to save. As Vazquez stood at the counter waiting to exchange a promotional toy for his child, he was shot point blank in the back by a gunman wearing a jacket, tie and baseball cap. Four others were wounded by gunfire during the lunch hour rampage Monday, and the 60-year-old gunman — Alburn Edward Blake of West Palm Beach — committed suicide. Investigators were still unsure why Blake, a handyman and maintenance worker, chose the crowded restaurant, and why he decided to kill in a seemingly random attack. "This was not a robbery. He didn't demand anything," said Paul Miller, a Palm Beach County sheriff's spokesman. "Looks like this was just another random shooting like we've seen around the United States." Miller said Blake had no relation to anyone at the restaurant and no suicide note was found. "We don't know why he picked this location to do this horrible deed," Miller said. Vazquez, the slain off-duty firefighter, "probably didn't even see him," said Palm Beach County Fire-Rescue Deputy Chief Steve Delai. Vazquez's wife and child were outside in the parking lot when the shooting began. Vazquez, 42, was on a lunch break Monday and had been attending a course called "Strategy and Tactics," after being promoted to lieutenant in January. Delai said the course teaches officers how to "manage large-scale incidents like we had today." Witnesses said Blake entered the restaurant and went to a restroom. He appeared nervous when he emerged and killed Vazquez. He died at the scene without ever uttering a word. The injured — Louis Rader, 65; his wife, Antonia, 62; Vanessa Soto, 16; and a 43-year-old man who was not identified — were hospitalized in stable condition, Miller said. Two others had minor injuries, including one person who was hurt while running away. Bob Bertini, a Wendy's Inc. spokesman based in Dublin, Ohio, called the shooting "a senseless tragedy." The mayhem unfolded on a major suburban road lined with strip malls, car dealerships and fast food restaurants, about five miles from downtown West Palm Beach. Josh Maynard, 30, said he and his 20-year-old brother Jerry hit the floor when Blake opened fire. Jerry Maynard said the shooter held his gun sideways, repeatedly pulling the trigger, and said nothing. He emptied at least one clip before shooting himself in the head. "I just saw a lady with a little boy in her arms come running out screaming, 'Somebody's shooting!'" said Sandra Jackson, 43, of Palm Springs, who had been getting gas across the street. One customer, who authorities called a hero, kicked the pistol away from the gunman after he'd shot himself, then started first aid on the wounded. Neighbors described Blake as a quiet man who "kept to himself." Public records show that Blake owned a maintenance and handyman company until 2003. A 1996 story in The Palm Beach Post showed that he accidentally ran over an 18-month-old girl with his van, leaving her seriously injured. The story said he had a young daughter, who would now be a teenager. Michele Grippe watched police search Blake's apartment after the shooting. "The only thing they took out of the house was a bag of pills," Grippe said. "Right now, I'm really, really shocked." Vazquez's wife was a law enforcement officer, a corporal at the nearby Palm Springs Public Safety Department. The couple had one child together and four from previous relationships. "It's just tragic," said Palm Beach County Fire-Rescue Captain Don Delucia.