spenac

Our nearest Walmart is 153 miles away.

From a medical journal. http://www.medpagetoday.com/EmergencyMedic...yMedicine/13340 "Death of Actress Brings Attention to 'Talk and Die' Syndrome"

What is the Sire and Dam names? Often you want it to be something that works off the two of them especially if registered.

So your saying none of us exist anymore?

Rome nice first response kit. But this case we are talking about a kit for your personal survival if you are in a disaster. Though I do see you could treat friends and family with it if needed. I would suggest you add more food and water to the kit as in a disaster it may be sveral days before you can get food and water.

You guys have Walmart? I must be the only real rural person left in the USA.

Treat her chest pain per chest pain protocol. Oxygen, aspirin, nitro, morphine or other pain med if needed. Nothing beyond aspirin and oxygen w/o an IV.

How do you handle patients with apparent minor head trauma? http://www.sciam.com/article.cfm?id=talk-and-die-richardson "What is "talk and die" syndrome? After a seemingly minor fall on the slopes, actress Natasha Richardson is reportedly suffering from a potentially deadly head injury" "What is "talk and die" syndrome? That refers to the fact that we always worry about people with head injuries that don't show up immediately, which is why we like to observe people after a head injury for 24 hours. Generally when we talk about "talk and die" it's usually a delayed bleed like an epidural hematoma." "Did the fact that she delayed treatment for an hour put her at further risk? Obviously, when it comes to treatment—the earlier, the better. If she had gotten a CT scan right away, doctors likely would have seen the bleed. From what I understand, however, she was examined by a medic, and she was doing fine. We don't typically scan patients unless there has been a more significant type of trauma. It sounds like everything was managed appropriately and this was one of these rare catastrophic events. Even for patients that do have delayed bleeds, most of them tend to do very well, particularly younger patients. They normally don't deteriorate that fast, and one has time to stabilize the situation, control the swelling and operate to relieve the blood clot if necessary."

Guess my doctor likes me more. She always places it on skin.

Look at these to see. http://www.ironduck.com/bag_cat1.epl?ClassID=12 Honestly though if the service wants you to respond they should be supplying you everything including the bag.

If the person is to fat to crawl into a car thats flipped... If the person can't get down to the ground to put on a c-collar or to intubate.... If a person can not do the job which includes the above and a whole lot more they are to fat. Now if they are to weak to lift the cot then they should not be allowed on the job. Basically the determining factor is do you look professional, have proper education, and can you physically do all aspects of the job if not it is time to get out, fat, skinny, etc.

LOL. This has been a fun topic. Really stirs people up.

Rich I did but I responded to the other part of your comments about your Paramedics. I agree neither is better I just pointed out the difference in thinking. Even when doing clinicals in the citys I have to change my thinking because the citys do more load and go to hospital rather than on site treatment.

Lol. Automatic death by firing squad.

Richard they may be real good at what they do as Paramedics. I think the biggest difference is the way we that are more than an hour from the nearest hospital have to think. I have seen several city medics come here and try and leave after the first bad call working on trying to keep someone alive for over an hour. Or the first time they have a cardiac patient and an OB patient in active labor in the ambulance at the same time because no other ambulance is in the area they really freak out. Also based on protocols that I have seen most times wilderness medics have a lot more drugs and treatments that they have to be educated in. Can the city medics do it? Yes some of them can, but others can't.

Be interesting to see how this turns out.

This just made me need to go pee pee.

As you get your Paramedic education you will start to actually understand more completely what you are seeing, feeling, and hearing.

No need to run away. We enjoy people discussing their different point of view. The problem with forums is at times what we mean and what everyone else interpets are often 2 very different things. Just as my comment about skin temp in my mind would also include what I saw. But you and others took that as all I meant. Then we took your statement about vitals etc as your main point rather than what it was. See how confusing this all is. Come back and enjoy being confused like the rest of us.

LOL. You missed my sarcasm, in fact I forgot the smilie. Sorry. But we do do have an out the door time less than 90 seconds so usually have a slight time difference from dispatched to enroute.

Excellent point. Its just like the "save" stats. There are so many variables that are involved that none are accurate. This leads to some services claiming some large percentages but when you break it down they are no better if not worse than other services.

Exactly. Tell them your doing this or that, don't ask if you can. Act like you've done it a million times and that you expect to do it a million more. Don't be hesitant, or acting nervous. Do it like it is what is the standard practice because it is or at least should be.

Not only temp but also skin coloration changes often are seen before you get BP and pulse changes. If I wait till they crash to start treating I am behind and might never catch up.

HFS http://law-chronicles.blogspot.com/2008/10...-deal-with.html

Real EMS stay at stations on recliners watching TV, I mean studying and when toned run out to the ambulance. Actually usually dispatch time to enroute to call is 60-90 seconds later.