spenac

http://www.elpasotimes.com/newupdated/ci_14347798 El Paso man among 3 killed in McGregor Range helicopter crash By Darren Meritz / El Paso Times Posted: 02/06/2010 01:44:32 PM MST McGregor Range helicopter crash Three dead in helicopter crash at McGregor RangeHelicopter crashes at McGregor RangeEL PASO - The three-member crew of a Southwest Med Evac helicopter died on Friday night when the aircraft crashed during a training flight at McGregor Range. The helicopter's pilot, William Montgomery of Avondale, Ariz., and two paramedics, John Sutter of Las Cruces and Anthony Archuleta of El Paso, were killed when the aircraft crashed as it prepared to land, according to officials from Omniflight Helicopters, Inc., the aircraft's operator. The helicopter was not transporting a patient. Details of the crash remained sketchy this afternoon. "The cause of the accident is unknown at this time," Anthony DiNota, president and chief operating officer of Omniflight, said in a news release. "There are many questions that need to be answered." The crew was participating in a training scenario involving a simulated medical evacuation. Investigators from the Federal Aviation Administration and the National Transportation Safety Board came to El Paso today to determine what happened. Officials from Omniflight Helicopters, Inc. also were at the crash site. Southwest Med Evac, a unit of Omniflight Helicopters, is contracted with Fort Bliss for emergency medical services. Read more about this story in Sunday's El Paso Times. Darren Meritz may be reached at dmeritz@elpasotimes.com; 546-6127.

Good job old man. Ignore people like Dust, Dwayne, Spenac and you will do fine.

I have met and worked with many at Southwest. My thoughts with the families and friends of all touched by this event.

I don't think that is going to be of any help as that is where he said he read about it. But hey thanks for playing. We had a discussion here a year or two ago about National Park EMS you might be able to use search and find it.

You can have my socks when you pry my cold dead toes from them. There that makes sense now.

Who's the jack @$$ putting negatives for me voicing my opinion? We need to end the popularity contest.

Ruff, Sorry to hear that. Texas is NR but not required. Might check with Granbury EMS http://www.granburyhoodems.com/ They seem like good people when I did ride outs there. It's about 80 miles west of Plano. Plus it's close to the home of real Dr Pepper. PM or email me if you want more information on way out west Texas.

Yup that just shows how unprofessional fire fighters are. Also very racist. 2 thumbs down.

First this news was already posted in news feed. Second why do a strip? Asystole is a workable rhythm.

Another EMS fail. Who would have thunk it with all the edumacation we has?

Well that was misleading, he was wearing seat belt. Now he should have been secured with cuffs and a cop in the ambulance as well. That is where this fail occurs, not with seat belts.

No I'm saying it's stupid not to do a proper exam because you may cause some pain. If you are not willing to risk causing some pain you should even drive as you are just as likely to cause pain and discomfort with the bouncy ambulance ride. So do your job and do a proper exam. A proper examine requires seeing, listening, and yes touching.

Do those of us with no life and millions of posts count as premium?

Wow 2 people telling you its a duplicate. Theres a shocker.

Wow he has 2 of them. Wonder if anybody will waste money on them?

Whats sad is New Mexico is advanced compared to many states as regards to EMS. This black mark is just the result of a dirty old man that's selfish desires overrode any professionalism he had. Of course he apparently had very little professionalism since he was arrested for theft while this investigation was going on. Finally bad enough his family member that was his boss finally could no longer cover his transgressions and had to fire him.

How does the wife and kids feel about being away from home, grandparents and other family, friends, etc? If they are not happy all the money in the world will be worth nothing.

I've seen numerous hospital EKG techs do that. That claim as long as it is over the correct landmarks it does not change the EKG. I would think extra tissue would intefer with the quality but what do I know I am just an under educated Paramedic.

Que? Entiendo nada. Paramedicos no necesito inglish. pinche gringos. Oh and no I have never heard of USA Paramedic exam being in any language but so called English.

My problem would be the lack of compressions. If you ever get to study more in depth and hopefully observe it in a controlled setting most healthy patients after a minute still have great O2 saturation levels w/o being ventilated. Current ACLS and even lay person CPR is focused more on compressions as it takes 11-15 proper compressions to get circulation going properly so with ever 30 second stop in compressions you actually have about 38 seconds of no or limited circulation. Current ACLS guidelines do not even require intubation they state something along the lines of effective ventilation's. So if effective ventilation's can occur with an OPA,LMA, combi or other with other means w/o interrupting compressions no problem.

Well pain meds then after assessment same idea as you say for painful transport. No difference.

Maybe we should not transport as we could wreck or hit a pot hole and cause the patient pain.

http://www.emsresponder.com/print/EMS-Magazine/CE-Article---Abdominal-Pain/1$11559 EXAMINATION The patient exam will include observing the patient while conducting the physical assessment and incorporating their history. As patient assessment begins, observe (inspect) the abdomen for any bruising, asymmetry or other abnormality. The exam may include auscultation, palpation and tapping. Review your local protocols for abdominal assessment details, such as recommended technique and which components of the exam should be included. Table IV provides examples of assessment demonstrations that can be found on the Internet. Depending on a variety of factors, such as the patient's level of distress, distance to the hospital and presence of potentially life-threatening conditions, auscultation may be considered. Auscultation can help to assess the activity of bowel sounds, which may be described as clicks and gurgles. If auscultation is going to be done, consider performing it prior to palpation. Begin palpation with gentle and shallow pressure, then progress to deeper assessment. Gentle palpation is recommended first in an effort to reduce the chance that the patient will tighten his abdominal muscles. Palpate each quadrant while keeping possible organ and system involvement in mind. As palpation occurs, observe the patient for abdominal guarding, resistance or rebound tenderness. To assess for rebound tenderness, palpate the abdomen deeply and then quickly release the pressure. If the patient reports increased pain when pressure is released, he has rebound tenderness, which represents aggravation of the peritoneum and may indicate peritonitis. Obtain a complete set of vital signs early during the patient assessment. Vitals should include heart rate, respirations, blood pressure and temperature, when possible, and should be reassessed every 10 minutes, or more frequently as needed. Assessing for orthostatic vital sign changes, also referred to as postural changes, may be considered, especially if volume loss is suspected. To perform this, obtain an initial set of vital signs while the patient is either supine or sitting, then ask the patient to stand and retake his vital signs. Orthostatic changes can be noted by an increase in heart rate of approximately 20 beats or a decrease in blood pressure by up to 20 millimeters of mercury or more. Positive orthostatic changes may indicate volume depletion. A 20-10-20 rule may also be considered: a decrease in systolic blood pressure by 20, a rise in diastolic by 10, or an increase in heart rate by 20 beats per minute.23-25 Assessing for orthostatic vital signs is not recommended if the patient's initial vital signs reveal tachycardia and/or hypotension when sitting or supine. Distal circulation and perfusion may be assessed to compare the color, texture and temperature of the legs. Check pedal or popliteal pulses for the presence of peripheral pulses.

UPDATE http://www.kwes.com/global/story.asp?s=11812879 New Ruling for Eunice Fire Chief By: Sarah Snyder NewsWest 9 EUNICE, NEW MEXICO - More fire chief fallout in Eunice. The state health department sent down a surprise ruling. The New Mexico Department of Health told NewsWest 9 on Tuesday that Doctor Alfredo Vigil suspended Ron Grogan's paramedic license for a year effective January 4th. The State Licensing Commission made that recommendation a few months ago after allegations that Grogan inappropriately touched a female patient on an ambulance run. Grogan appealed that decision and last month a state hearing officer sided with him saying the state could not prove Grogan acted inappropriately. On Tuesday state health officials suspended the license claiming that the woman was heavily medicated and couldn't make sound decisions and the touching was not for therapeutic purposes. The state says those are both requirements for having a paramedics license in New Mexico. Grogan can appeal the ruling within the next 30-days with the state district court.