whit72

Look someone stole his watch........lol I would agree, where is the O2, looks like he has some decent burns on his upper extremities, possibly inhalation burns? I believe I see someone carrying an IV bag. My god my eyes hurt.

Ace wrote: kindly post proof to back up your statement (I've put it in bold so there's no confusion) so that we know you didn't just imagine the information and scenario. Thanks, I assume the scene isn't safe until its prov en otherwise. Maybe the words burning rubble isn't proof enough for you. That works fine for me. Unsafe. Ace wrote: Pot calling the kettle *&^%$??? No, I just don't pass judgment on a whole profession after viewing one photo.

Ace wrote: Ma'am, we regret to inform you your husband is paralyized and in surgery because the FF-EMT's were stupid... Maybe it should go something like this. Ma'am, we regret to inform you your husband is paralyzed, because HE is stupid and should not have to tried to blow himself up in a building, requiring firefighters to have to risk their own safety in trying to rescue him, in that rescue attempt they were pulled from the building prematurely due to a collapse warning. They understandably were not able to immobilize him properly due to the scene not being safe. So when you are on the phone with your attorney planning how you would like to sue the departments involved. Maybe you should place a call to the fire dept. and EMS agency an kindly apologize to them for having to put themselves in harms way because you husband is an idiot. Now kindly go back and sit in your chair, and if the knucklehead lives, you might want to think about a donation to the fallen firefighters charity. I am not a firefighter, nor due I aspire to be one. However I understand and respect the risks of their profession, the risks all of us take in the public service field. When we have mastered our profession, then we can sit in judgment of another.

mediccjh wrote: Today's contestant comes from New York City. Our contestant(s) have a glorious history of being the heroes of everything, and never doing anything wrong When you lose three hundred or so firemen in one shift, in an attempt to rescue innocent people from burning towers, Yeah I would say the word hero's is fitting , what I would also say is they deserve the benefit of the doubt. How come you did not post the article to go along with the picture? Do you know the circumstances surrounding the call. Maybe the place is on fire. Maybe it is about to collapse. Maybe there could be a-thousand reasons. I wasn't there. So I don't believe I have to right to critique whats going on.

What are the symptoms of dilantin tox. I have seen slurred speech, dizziness, loss of balance, and rapid eye movements is there a symptom that is exclusive to dialntin tox. ? I heard somthing about overgrowth of gums. Is this a true indicator? Is that just a sign of prolonged use?

Monster medic wrote: agree with all the replies.I don't understand how your state health departments would let a person be able to upgrade there levels without a CLEAR understanding of a very basic skill That's pretty funny. Pt assessment basic skill. I don't think so. One of the most difficult things for new ems professionals to grasp is, Who is sick and who isn't. Who needs treatment and who doesn't. Its easy to read the signs and symptoms of chf or copd, seizures, cva's in a book. Rattle them off till your blue in the face, If you don't know what they look like or you cant identify or differentiate them. Then it really doesn't do you much good to know how to treat them. It takes some people years to figure this out. Some people never do. It comes with experience, you will be fine but it doesn't happen overnight. You are already smarter the half of the new graduates, you Identified there might be a problem. You didn't sweep it under the rug and pretend it didn't exist. Good luck, I am sure you will be an asset in this field.

We have all been fooled at one time or another. We have people in our system that listen to the scanner when the first two trucks in our station go out, That's when they call, flop around on the ground, piss themselves, blow some spit bubbles, oh there good, if we didn't see the performance multiple times a week I am sure we could be fooled more often. What there hoping for is mutual aid or a transfer truck in the area that doesn't have any experience with them, or a less experienced provider, that will reach for the med bag a little quicker. Its a a game to some of these Pt's. Some have perfected it. They are experts at deception, seizures, pain, injuries whatever might get them a narcotic. You do the best you can. Like the Doc said just don't become the supplier.

What if it's the chiefs beer?

Wait I think I know this one. Kawasaki disease- Is it the inflammation of the arteries, mainly in children? I also believe it affects the lymph nodes somehow but not sure exactly.

I use that statement all the time "how are you donig today" sometimes not my best choice of words. I was dispatched to a residence for laceration to the hand. When we arrive I find a elderly female seated on the couch with a blanket over her lap. When we situate the chair and ask her if she can stand, she whips off the blanket revealing bilat. above the knee amps. She kindly states what do you think. I kindley reply let me get this chair a little closer. and we can help you. Felt like an idiot, wasnt the first time, sure it wont be the last.

Fiznat wrote: So I guess we were fooled. ...But I dont see how we could have avoided it here-- the patient was incontinent to urine, and was COMPLETELY unresponsive to pain. It really blows my mind that the patient could have been conscious and have NO reaction to the sternal rub or IV, nevermind urinate on herself. On top of that, it seems incredible to me that the patient was able to maintain these "fake' symptons for us with 3mg on Ativan on board. Youd think by that time she'd be completely snowed. If they were not pseudo sz. As far as the mother stating the sz lasted 45 mins its possible she did not recognize a postictal period, it may have only lasted a few seconds. In an emergency situation we know time seems like its standing still. We always hear what took you so long, even though we were there in 5 mins. So her over estimating the time, maybe. We are not capable of determining who is faking and who isn't all of the time. You have to trust your judgment. In this situation I don't think you had a choice, you made your decision to treat them( I believe the right decision). This 17 year old deserves an Oscar. Weigh the risks and benefits. Benefits of treating this pt ...good. Risks of not treating this pt.....Bad. The incontinence, frothing at the mouth, a conjugate gaze. For someone without a seizure disorder to mimic a sz to that extent, they left you know choice. I would question someone not treating this pt. Lets see faking a grand mal seizure for 45 mins. Difficult Throwing a temper tantrum. Easy They both will get you ativan in the ER So maybe she is real good at faking sz's, but not that bright.

Hey ACE Little secret for you. Don't really care. Neither does anyone else. But I will humor you. Ace wrote: Not only does he not answer the ? but Here’s his responses provided below…!! I was commenting on the issue, not answering a question. Unlike yourself I do not have the answer to everything. Ace wrote: I’m still waiting on the evidence this person has to support the above point…!!! What above point? The new guidelines were implemented on January 1st. What more do you need to know. Ace wrote: UNFORTUNATELY FOR YOU, the entire practice and profession of medicine disagrees and also, medicine is ‘evidenced based’ now, so your claim is ludicrous at best!! But for giggles for the group, why don’t you post ‘PROOF & VERIFIABLE EVIDENCE’ which shows-supports your claim When you are a little older then 28 you will understand that not everything is black and white. Well I have some evidence for you. I have yet to meet the 28 year old that knows everything, including you sir. My 12 yo nephew can quote articles and studies, does that translate into him being able to do this job, I don't think so. I am 100% sure of one thing, you have an ego problem. Whatever the reason, but you should probably get that figured out, Cause whatever the case a EMT or medic (whatever you are, It seems to be a big secret) with an ego problem will cause more harm, then the good he will ever do. Little advice, its about Pt's. sir not about you. So check that ego at the door. You will thank me in the long run. Oh and I will admit you are probably 100 times smarter then me, and probably more educated then me. You have certainly made that apparent. In this forum you are the man.....however we don't do this job in cyberspace, and out there buddy you couldn't hold my lunchbox. Godspeed ACE.

Thanks Whit

We see people and care for them for maybe 15 minutes, in my area at least. This is a team effort these people sometimes require hospitalization for months and months. Multiple surgery's, treatments, and rehabilitation. People mistake the fact because we sometimes take them out of a dangerous enviorment or perform a treatment that makes them more comfortable, that we are actually the ones saving them. Untrue. We start the process of saving a life, we do our part, whatever that might consist of. Then we transfer them to another member of the team, which in turn does their part, then transfers them to another team member, and so on, and so on. If everyone in that chain does and effective job in their time with that pt, then yes hopefully a life has been saved.

Another article. http://www.streetdrugs.org/pdf/fentanyl.pdf

Understandable. However I only comment on what I have seen with my own two eyes. Nothing I have heard about or someone told me they saw. What I experience. Mostly for the fact that if I speak on something I haven't seen I will forever be jinxed and proceed to have to go on at least twenty of those calls in the next week. So that's what I base my opinions on: This is EMS unfortunately half of what I see out there can not be explained in any study. EDITED That's what the big issue with Glucagon was. I have seen how beneficial it is. Never once witnessed any negative side effects. Everyone disagreed. That is your right, but do not try tell me how I shouldn't be giving it. If you can not give evidence in your experience to discourage it. Don't dig through multiple studies trying to find one that disputes the fact that it is beneficial. I am sure I could find a study to discourage most of what we do. That's just the world we live in. It is not an exact science, there will always be different opinions on what is right or wrong.

AZCEP wrote: The AHA 2005 guidelines have been in effect since January 1, way to go Whit. You got something right. Since that statement, you've accomplished nothing in the form of usable information. Imagine that. As far as usable information someone asked a question I had an answer. I am not a self proclaimed know it all, when I see something on this board I have experienced I comment on it. What you do with that information is up to you. Also another point on the heroin issue. We were told that the problem is not with prescription Fentanyl it is with the powder form being created in labs.

Sorry about the punctuation still trying to get the hang of this. Here is another article I read when this scare began. http://www.csac.counties.org/images/public...tanyl_alert.pdf

Fentanyl can be produced in powder form. In are training it was based on the powder form. We also have the patch lickers around here.

PRPG: Here is an article from one of your local papers. http://www.nj.com/news/jjournal/index.ssf?....xml&coll=3 This Steve Marcus executive director of the New Jersey Poison Information and Education System was also quoted in a piece of literature, that was used in our in service/notifications. All I was stating is it was going to be a fun summer. Deputy ACE decided he would chime in with more of his useless garble. By the way he will let us know when he sees fit for us to begin implementing the new AHA guidelines.

VS-ER asked a question. ACE hijacked the thread. Again ace dancing around the subject. The new AHA guidelines are in effect and are protocols have nothing to do with that fact.

Ace I believed you did the hijacking as usual. Check your track record Rid so the fact that these people do not live in most circumstances, wouldn't skew a study that was being performed in these areas? I believe this is not a normal standard of deviation. I understand that we have cases in areas which are normal deviation, but when half of your cardiac arrests are due to a certain factor it does not represent the population as a whole.

ACE wrote: As I'm sure you're already aware, the AHA has 0 say on either the 'PROTOCLS' or practice parameters which you are so fond of referring to, and or the changes to them or the way in which you practice in EITHER OF THE STATES IN WHICH YOU ARE CERTIFIED OR LISCENCED! So again, My protocols have nothing to do with the fact that we do CPR in accordance with AHA guidelines. Sorry again. The fact that you do not agree with me. Dosent change the facts. With this issue or the previous one. The new AHA guidelines are now in use. So stop trying to pick a fight and admit you were wrong on this one.

Dial the number sir its a 24 hour information line. Like you stated before be armed with the facts before you insert your foot. You want to argue. I want you to know your facts. Good day Sorry for hijacking the thread.

Here is the number for the AHA. AHA: 1-800-AHA-USA-1 We wouldnt want the fact to get out around here that you just might not know everything. It will be our little secret.