spenac

What is the difficulty with placing a helmet on in the patient compartment? I wish we had them as I have actually suffered multiple concussions from being thrown just from a bad road or bad driving while taking care of patients. Now I have to wonder will I end up like the old football players. We are not talking double digit concussions being a problem but single digit according to news about football players. When you factor my concussions from cowboying, fighting, sports, etc I am well into double digit serious concussions. Had I bothered not to "Cowboy Up" and would have worn the gear you see so many star rodeo people wearing now I would have limited many then, and with a helmet in the patient compartment I would have probably not have suffered any in EMS. As to how to auscultate etc many have ear openings. So not an issue or you could put them on just prior to going in motion. As to interfering in a code. How? They do not add that much to your head size and you are not transporting while doing CPR per current ACLS. As to the crap of where will it stop? I hope the movement for safer working environment does not stop. Honestly this reminds me of the super hero complex so many here bash fire fighters and vollys for having. Yet now its ok as because requiring someone to have safety equipment infringes on your rights. HMMM double standard seems to me.

My first sentence is very blunt and to the point so there is no confusion. ( I.E. They are dead. ) I have had to go to peoples houses and tell them of the death of a loved one. To many try and sugar coat it and then you have the family ask so will they recover. By being blunt they have no doubts that the loved one is dead then I can start comforting and helping them as needed. I have had many that have had death notifications thank me for coming and helping them. I have had some that sadly have been notified of other loved ones deaths by other people say they wish that the other time ('s) the person telling them had been more clear and direct like I was as it made it easier. So while it may seem cold hearted to be blunt it apparently is better in my experience.

Me thinks you will never be answered. I do think we should walk most patients so we limit the wear and tear on our backs.

Interesting the way some things never seem to change. This reminds me of the tear away safety vest that is required by law on highway wreck scenes yet many still do not put them on. I guess looking cool for the possible cameras is more important than safety.

I will not give you all the answer just part then the research will be easy for you. Take a look at the current ACLS guidelines and you shall shall see rolling codes are not acceptable. As to proof you can not provide proof that every compression while rolling is quality. In fact I am positive if it were monitored you will have some shifts where you barely compress or even completely stop when your partner takes a corner, hits a pot hole etc. Just because you feel you do not miss does not make it so. Seriously start at the ACLS guidelines then follow it for the research.

I guess the experts that determined it was a bad idea are wrong then? There was a reason for the changes in guidelines besides the book company wanting us to buy new books. Every bump you hit that causes even a small pause disrupts circulation. Then it takes 10+ compressions to reestablish circulation so your quality can be hurting that extremely small chance of getting ROSC that the patient has. Plus in the field we do everything that the ER doc is going to do so why risk disrupting circulation. Work them where they are at then call them in the field if no ROSC. If ROSC start you medications as you now travel to the hospital.

Depends on the call and the patients family. Sometimes getting them involved calms them down. Plus educating them as time allows can instill more trust and confidence you as the Paramedic.

I did not say stop the ambulance. I said you do not transport an active code. Yes I would transport a patient with ROSC but if they coded yes I would stop so that they get quality CPR. Almost every ambulance in my area has them. But we are very rural and help is not available in a timely fashion. If you don't find a way to transport them you have an hour or more wait for the next ambulance to get there. Pretty much every Type 1 or Type 3 has them available as an option from the manufacture.

We use it to carry our second or third or fourth patient. One on the cot, 1 or 2 from roof hooks, and one on the squad bench.

If you notice the crash test dummies have full movable safety harnesses yet did you see the head in a low speed crash smack the cabinet. It honestly is not a bad ideal to have them on for those in the patient compartment. As to CPR you should not be in motion while CPR is in progress so should not be a problem.

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http://www.youtube.com/user/ParamedicSafety#p/a/u/0/gkWBbBl54NA

I believe the OP wants to know about something like a motocross helmet not a fire helmet. Something that would protect you if you are thrown when your idiot partner slams the breaks because they were not paying attention. Fire helmets are designed more if something falls on you not for an in motion crash.

Excellent. Belated congrats.

Doubt it but this crap sure makes it harder for us that need one to have one.

Donde la fiesta?

Jane Dinsmore is a nice person and it really seems her school is taking off, I'm really happy for her. She really is a pioneer of quality online EMS education. Chat some days gets busy, I will pop in once in a while. As to notices I believe you can change something under your profile to get notices of replies.

Did his service offer support if you reported yourself for drug use? Why did he not seek help? Why now that he is going to prison does he see the light? Why did his service not do random drug screening which would have caught him and perhaps saved his cousin life long scars?

I suggest for additional motivation to stick with any program whether fat loss, muscle gain, or both that you start posting your before pictures, then every week or 2 post update photos. This will be like an extra push to stick with it so you don't look like a quitter with your peers. You can post with face blocked out so no one knows who you actually are if you want to be anonymous.

I have never seen this show, but I tend to not watch medical shows as I get annoyed by the mistakes rather than getting a break from reality which is why I watch TV. If I did watch I would not expect it to accurate of the everyday EMS work because that would be boring to watch. I do hate hearing that it depicts EMS to just be one big orgy. I am happy to hear they are not a mother may I system like Emergency was. I hope they decide to make the Paramedics super educated with extreme protocols so maybe it will inspire the slackers that currently make up much of EMS.

Then your parents income should not come into play when applying for money.

Even though his standards are to low I applaud him for not allowing the pressure to cause him to lower them further. Honestly this is another example of the public having no real clue what EMS should be they think of us as taxi drivers not as medical professionals.

Piece of advice for anyone with teenagers do not claim them as dependants junior or senior year so they will have a better chance of getting financial aid. Might even build a small apartment so they even live at a separate residence.

Well why not?

Speaking from experience online you still will be doing long clinical hours. So if a person wants to be a Paramedic sadly family time will suffer.