spenac

If boy on boy is not gay what is it? Were you saying boy on boy violence? Or boy-o-boy? Now I disagree with dust :shock: on the EMT-B part, I feel it is a great starting point. It allows a person to get a taste of what we do to help them decide if this profession is for them prior to devoting much more time. I personally would not be in this profession had I not gotten a taste first as an ECA then a basic. I got hooked. I enjoy this field and gave up a lot to go for it.

Our thoughts are with you, your family and especially your grandson. Rev 21:4

So the elevator doesn't stop at all the floors. :roll:

Thanks for all the comments, keep them coming. As far as the straps on the cot, we recently got a new cot. The straps came in a bag for us to attach. Maybe some services have been to lazy to attach them all and thats why they only have 2 sets? We take the cot in the house if the patient cannot walk to the ambulance. We get as close as possible to the patient to limit the amount of lifting and carrying we do. Some houses here have front doors that are to narrow for the cot to go in the house. If to many stairs or can't get cot to them will use chair, scoop, or sometimes just carry patient. I try to use seat belt when possible. I have dislocated a shoulder when thrown around in the back, 2 years before he ever drove again. Have any of you used the harness with bungy cord looking restraint systems? What about the nets? Remember the EMS rule the fatter they are the further from the door they are, the tighter the work space, the more distance you'll have to carry them, the more corners you'll have to try and go around with them, and the more stairs you'll have to climb. O by the way I live at the back of the house up a narrow flight of stairs with a hard right, right at the to of them, down a narrow hall, then a hard left.......... OK not that fat but with my EMS diet maybe soon.

Dust it is hard to get that to sink into some new people that a question is just a polite order, polite mainly for the benefit of those around us. We have a ECA ( first responder ) that has been ECA more than 25 years. Recently we got a couple of new EMT's working part time. I explained to them that if the ECA asked if they wanted something or asked if they wanted him to do something it was his way of respectfully reminding them of what needs to be done. They were well I have more education than him. My response his education comes with many years experience to back it, so listen he might keep you from doing more harm to the patient. He does the same to me and the other's here and almost always he's right. So my point listen to your partners questions. brentoli did you just get a newbie?

Actually it is your $500 dollars because if he doesn't pay it costs you in pay raises, it costs you in taxes, it costs you when you need medical care because you will be charged more to offset non payers. Someone willing to call for no reason will probably not pay and unless your service is into fraud you will not be paid by medicaid, medicare, or private insurance. So we all pay, every non paying transport costs every one of us. I don't mind assisting a person with a real need but I don't want to pay for a persons high dollar taxi ride.

Thanks for the input and complement.

What happens if ALS is not available? Can you think for yourself? In my part of the world basics often have to take vary serious patients the 90 miles to the hospital. Yes ALS should be there but don't become so reliant on it that you just do nothing. Again leave the box of comfort and stretch.

Are you serious, they strap that well? :oops: That is scary.

Just saw this article and made me wonder how do we secure our patients? Do we do it every time or do we get lazy at the end of a shift? Maybe worth a fight um I mean a discussion. http://www.emsresponder.com/article/articl...n=1&id=5388 [web:c80d7c79a6]http://http://www.emsresponder.com/article/article.jsp?siteSection=1&id=5388[/web:c80d7c79a6]

Glad they're working so hard to save the enviroment. :wink:

Anything that aids a student to learn and remember is a good tool. If you feel you should just read a book not going to be a good teacher. Havn't paid close attn to accuracy of this video but if it is accurate why not use it.

It is with sadness I present the following tragedy. Hopefully some was rescued by the brave responders. http://cbs4denver.com/topstories/local_story_143083344.html [web:b18eb9bf1c]http://cbs4denver.com/topstories/local_story_143083344.html[/web:b18eb9bf1c]

Temp 98.4 drug screen clean skin normal color temp good cap refill abd soft prozac 10mg right number of pills based on date filled no cardiac hx no tia/cva hx hx of panic or anxiety attacks ECG was textbook normal sinus even during the event No nausea, vomiting, etc No pain other than the mild headache just before the first event in ambulance Eyes were like they were vibrating or pulsating very fast All vitals stayed same during event except the pupils, dilated non reactive My gut was and is some type of seizure but the rent-a-doc says doesn't meet seizure criteria what ever that means. While we were still at hospital patient had not had another event. Thanks for all the input. Will try to answer your questions best I can. Will let you know what was finally done when I learn of it.

I had a call that not sure what to call it. Weekend rent-a-doc at the ER no help, didn't have a clue. Here's what I had maybe you've seen this before and no big deal. Thanks for your input. Female early 30's. Call patient unresponsive no pulse. Arrived found patient Alert and oriented but a little slow on response. Approx vitals: Resps 16 regular pulse 70 reg O2 98% room air BP 130/70 ECG Normal sinus Blood glucose level 100 Pupils equal reactive Hx of anxiety on Prozac NKDA No drug use, only an occasional drink good motor function, no trauma, no edema, not pregnant, not menstruating ( LMP about 2 weeks ago ) Family said she was walking into the room then said I can't see anything. Family member got to her as she collapsed. Could not locate pulse or hear heart beat. Was about to start CPR when patient had a loud breath and they then found pulse. They said patient had only woken up about 2 minutes prior to our arrival. Response to scene about 10 minutes. Transporting patient. About 20 minutes into transport patient developed mild headache but was alert and oriented talking normal and then just stopped. No response to voice or pain (sternal rub, eye pressure points) Hand dropped on face so more than likely not faking. Vitals all stayed basically the same as above except Pupils dilated non reactive, jaw locked, eyes rapidly twitching, rest of body relaxed. Pulse and resp stayed same. Airway patent and self maintained. After 6 minutes started waking up. This happened again about 20 minutes later basically same thing. On arrival at hospital alert and oriented. Rent-a-doc says not a seizure, but he had no idea of cause. Have not found out if anyone figured out cause yet. What do you think? Any ideas? I'll check with her family when I see them to see what the doctors finally decided.

Did they get lots of volunteers for the clean up.

Post em. Search would not have found as OP didn't use same name in it.

hard headed deep sleeper, off duty ems?

Good video but already listed by someone. http://www.emtcity.com/phpBB2/viewtopic.php?t=8266

No problem thanks for any input.

Dust thanks for comments but as original poster I did ask what protocols said. I do agree we need peoples thoughts on the matter but again I am curious what the protocols are. This is one area we are behind in, we have lots of freedom to think for ourselves on most items. Our protocols say no pain meds for abd pain of unknown cause. Thankfully most times we are able to work with that, in other words if meets criteria for gallbladder pain, etc so then we can treat pain. The one that is hard to get relief for is the pain to entire abd and patient can't localize it. I am working with medical director to reword this protocol and the input will help give ideas of how we should change it.

Scenario what scenario? 8) Definitly lets get back to it.

Those that last do so because they love it. Sadly many get into it for the wrong reasons. Now you will hear those of us that love it gripe about the low pay, long hours and lack of respect given, but we keep on keeping on, hoping and working for changes. Do it for the right reasons you'll do fine.

Man Dust wish someone would tell my OB's they were supposed to wait for hospital. HaHa. But sadly your right so much of what we are educated on are rare in the field. Seems from comments on this site that depending where you are as to what you see and do often. Now for what many have not heard of but is actually a fairly common problem celiac disease. It can present with patients sick to there stomach, malnourished but claiming to eat healthy and ample food, can be deadly. In the field if they don't know they have it we probably wont figure it out. Sadly many doctors don't figure it out for even many years and patients get wrong treatments and just keep being sick. It is actually better understood and treated in other countrys than here in the USA. But the USA is slowly catching up. Celiac disease patients cannot have anything with gluten, the most common gluten product is wheat but also found in many other grains. The reaction to the gluten in short actually causes the patient to not be able to absorb the nutrients from the foods the eat. Lot more to it but one that is worth looking into. Many other illnesses and conditions are aggravated by it. Look into it you might find you could benefit by trying gluten free diet.

Have fun on the site, get the advice, then make an educated decision. As EMS grows and if education expands so will the possibilities. Sadly right now gets hard on old timers. Depending on how they prop me up not to bad but some days a little ruff.