Kaisu

I have a friend that works for Native Air. He's a relatively new hire medic, so I don't imagine he was on this training flight. It strikes a little too close to home tho....

Ain't that the truth brother! Just got a write-up from a CYA supervisor for BS. Had the opportunity to write a rebuttal on the form. Meaningless POS but aggravating never the less. Long live corporate ambo!

See now, you can take a few words out of the context of the entire statement and score "points" in the debate. You would score a lot more points if you attempt to understand the meaning of the entire post in the context of the discussion. You are upset with the tone of Vent's posts. Matty is suggesting you look beyond that tone and perhaps learn and grow. Fundamentally, that is what this site is for. The lady knows waaaaaaaaay more than you do about respiratory pathology AND has spent more years than you've been alive trying to get to real solutions to the delivery of emergency health problems. Use the information to become a better provider.

I have an aversion to involvement in patient fetishes. Call me old fashioned.

LOL - the crew sitting around the table at the station (our first downtime since this 48 started yesterday morning) are laughing our fool heads off... thanks for the break.

All in all admin, despite the "who moved my cheese" whining (cause we're EMS - that's what we do) the upgrade is a huge improvement. I was a systems consultant in a previous life, and I know how much hard work this has taken. The inevitable hitches are minor in relation to the scope of the change. Your commitment to this site and to our user community, although often thankless, is much appreciated.

OK OK.. . my bad... jeesh......

Nice jolt to the perspective SA. We have a system here that many in the world would envy. That doesn't mean it's perfect.

Damn ruff - you miss the point - the dude is Hindu, not Muslim

??? where

So how's your BP? Any CAD?

I believe him. Not only is this guy one of the first paramedics in the country, but for the last 25 years he has been the lead instructor at Wisconsin's premier paramedic program. This is a guy that has spent the last 25 years doing 3 - 8 hour shifts per week in a very busy ED with students - yeah, a paramedic program that does NOT send students to clinicals without an instructor. Look up Jeffery B. Clark in the NREMT publication for a profile done about 5 years ago. At that time he was termed a visionary. He has no ego issues that would make him inflate the number. Given that you have the time and the hands to play "mother may I"

So sad. May they rest in peace. My prayers are with family and friends.

The key is getting to the trauma centers and surgeons quicker, within that golden hour of opportunity, as they call it,” Darby said. The fact that he is still quoting this outdated and fully disproved canard of marketing tells me patient care is not even a factor for this dude. We have 3 privates and DPS ranger available to us in our neck of the woods. Ranger is called at night when a patient goes missing in the desert, because they have the equipment and training to go search. They are also called when the cc is snake bite, specifically Mohave green because they have the anti-venom on board and start reconstituting it as they launch. All other times, one of the privates is launched, based on availability and ETA.

Tober said that county firefighters-paramedics previously agreed to ride on an ambulance for one 24-hour shift every 90 days to keep their skills fresh. But East Naples firefighters haven’t done that, he said. So they can't get their butts out of the recliners long enough to run ONE shift every 90 days, yet maintain that their certs are essential for the safety of the public. Give me a break. I can't help myself - much as I try to see both sides of the issue, and no offense to the multitude of fire medics I run with who are competent and committed, Tober is my hero!

You meant prerogative, right? (pretty funny tho - nice Freudian slip)

He made the statement "in cardiac arrest". I just assumed pulseless vtach/vfib because no-one shocks asystole - although they may have 30 years ago. In this instructional setting, everything was taught with the caveat of if within protocols. If I run on an infant in pulseless vtach/vfib, I would shock them. It is in our protocols. As others have mentioned, 2 joules/kg for the first shock, 4 joules/kg for subsequent shocks. I would imagine the odds of me running on an infant in a shockable rhythm are pretty low. I've had one pediatric arrest in 1300 calls and 15/2 CPR restored a pulse.

If you look at his profile and read the 4 posts he has made, you will quickly determine that the individual is looking for people to help him get out of India. One of his posts sounds very much like the email scam messages that are looking for money, etc. I am pretty sure this is what got him banned. Just a guess on my part but I wasn't responding to him because my BS detectors went off.

Although anecdotal and not a controlled study by any means, my paramedic instructor with 35 years in the field (NREMT patch number 5) has shocked about 300 infants (under 1) in the field and in the ED. ROSC = 0, but he says shock 'em anyway - what have you got to lose?

I did an IM glucagon on a brittle diabetic with bleeding from the dialysis port. Could not find a line. Glucagon worked very well.

I use firefox on XP and it works just fine. Check your security settings, especially your firewall. Admin might shed some light on it too.

sample size of 29 - bah humbug.. not enough to draw any conclusions. The study of people in car crashes would be interesting tho.. could contact hundreds of thousands of them and ask for DNA.

You better make absolutely sure you have a patent line if you do this.

Why would you question this thread? I'm pretty sure that if you are not interested, you don't need to read it, much less comment on it.

My first critical call and I missed something too. It tore me up. I got a great deal of support from my EMS family but it took time for me to feel better about it. One of the things that helped me was that I knew I would NOT make the same mistake twice. The protocol for that type of call is forever seared into my soul. I knew that I will use what I learned on that call to save someone else. I later found out that the mistake was meaningless as the patient was doomed. Perhaps if you follow up on the patient, you may find information that will put your .01 into perspective. The other thing is a psychological point. It is hard to accept that sometimes you cannot do everything right and people die. Your overall responsibility in the situation is very small. You did not create the illness/crisis and I am certain that you did the best you could at that time. By raking yourself over the coals, in a way you are trying to control what is essentially uncontrollable. It will happen. Take this as an opportunity to be a better provider and learn from it. Forgive yourself and move on.