spenac

gravy

I'm sure you meant no oral glucose for hypoglycemic patients if they have altered mental status. If A&OX4 you can administer oral glucose to keep them from going down hill.

Thanks. Like the addition you made but will disagree with order. :wink:

Nothing oral with altered mental status. In the field you better be able to document A&OX4 or your systems mental status check or you can find yourself at the end of a lawsuit that you will lose. If they are altered and aspirate you will be screwed.

Maybe if someone sees OP in chat they can ask them to return and address the topics they started. My new service had some crappy ones I'll try and post them next time I'm on duty and see if anybody else has had trouble with them.

So it would seem based on recent discussions here is top 3 for what is holding back EMS. 1. Money 2. Education 3. Nobody can even agree to disagree

My guess is that will be difficult as she is obviously pregnant, so will be hard to determine rigidity. Maybe test for positive heal strike prior to her starting to seize.

But it is a paid service despite the low income?

I believe the way I said it was in jest because of someone elses comment, but your right would be interesting if something like that exists for real and not just in the movies.

I hear you. Seeing death so often sadly we almost become cold. But it does piss me off when people do not follow the wishes of their loved ones. It hurts me more knowing what I am doing goes against the patients wishes but legally I have no choice. My grandfather was illegally revived by an ambulance crew even though they were presented with a legal DNR. He was alert and aware of his pain for several more weeks. Just not right. Respect a persons wishes.

Actually knew( he was in high school when I was in Junior High and I had not seen him in 20 years when I learned of this ) a guy that died from a toothache. His was not caught in time and infection got his brain as well as airway. Family had to take him off life support. I do not have more details, sorry. Good dental health plays a big part in over all health. Actually not a bad idea to take a quick look at dental condition when doing our exams.

Now new ways to piss off the ER staff. But at least they say not to use an ambulance to try and be seen quicker. http://www.cnn.com/2008/HEALTH/01/15/ep.em...room/index.html But what if you find yourself in an emergency room that has long waits and nasty employees? Mason and the emergency room doctors have this advice about what not to do while navigating the ER: 1. Don't forget to call your doctor on the way to the ER When ER doctors hear from a fellow physician, they listen, says Beiser at the University of Chicago. "They'll talk to me professionally and put a bug in my ear," he says. "This guy will now be on my radar screen." 2. Don't use an ambulance unless you really need it "There's a myth out there that if you arrive in an ambulance, you'll go straight back to the doctor," Mason says. "But it's not true. If we can see that you can walk, you may get asked to get off that gurney and go to the waiting room." 3. Don't be quiet If the triage nurse -- that's who makes the decisions about who needs care first -- isn't helping you, don't stop there, says Sayah. "Speak up. Say, 'I need to see the person in charge,'" he says. 4. Don't get angry, and don't lie While it's important to make yourself heard, it's also important to use basic etiquette. "We're all human, and usually when people are nice to us, we're nicer back to them," Sayah says. Lying about your symptoms -- making them seem worse than they really are in hopes of getting attention faster -- can backfire, says Dr. William Bozeman, an emergency room doctor at Wake Forest University Baptist Medical Center in Winston-Salem, North Carolina. "We have people saying they have crushing sub-sternal chest pain, that they're having a heart attack, when in reality they're trying to get Vicodin for chronic back pain," he says. When the staff figures it out, "They may not be very pleased at all and may not treat you nicely." 5. Don't forget the phone If things get really bad, and no one is helping you, look for a house phone, dial zero, and ask for the hospital administrator on call, Sayah says. "Even the smallest hospitals have a hospital administrator or a patient advocate on call 24/7," he says. "Hospital administrators don't want to hear patients are unhappy. Their job is to break the hurdles and move forward."

How true. Other points where we invade personal space is to listen to lung sounds, helping hook up EKG, checking OB patients, trauma patients are naked patients, and I'm sure there are more times we get up close and personal.

So all those things that we thought were just myths and legends are true! :!: Life is much more dangerous than we could have ever thought.

Thanks. Now I just have to find my PDA again.

Any item can become an item used to defend yourself. Lets say you are attacked while on standby and your reading an EMS magazine or even a newspaper. As the person approachs you tightly roll then jab with it the adams apple. It can also be used to help keep a little extra distance or to slap weapon out of their hand. If you are carrying clipboard many ways to use in defense.

suppository

Since the PATRACHEAT called for the CHARGERS to check on the MIDGETS all was not lost when the judge declared the PACKERS WIN.

Still plenty of money to support paid EMS. No justification to remain unpaid.

http://www.dshs.state.tx.us/emstraumasyste...aryActions.shtm

Wow a brain surgeon, kind of. :wink:

Wow somebody recorded my patients.

xenology

only 8)

Not a Y word sorry. Try again.