ERDoc

I hate to say it but I do see the potential for riots down south if he is found not guilty.

I'm also not a fan of a test that gives a dead person 3 points, but that is just semantics.

"For example, oral contraceptives are available through high school public health nurses for a small fee or free from a doc if you have a drug plan." Wow, WTF???? Do you have any idea how that slippery slope is going to lead to promiscuous preschoolers? Sex should be between a married man and woman. Before you know it there are going to be Canadian preschoolers having babies of their own. You guys have no sense of morals or decency and that explains a lot. Good thing we have our guns down here to keep your horny preschool boys away from our daughters. I agree that capacity should be based on the pt and not the age, but that is what we have. I know 21 year olds who probably shouldn't be able to make decisions for themselves, let alone their kids.

We're they saying they thought it was a terrorist attack? I know post-911 everything was terror related. The reports I heard were that there was fatigue of the tail that led to separation when the crew tried to regain control after hitting some bad wake turbulence or something similar.

You've got my attention. What eyewitness testimony are you talking about?

Also note, that in NYS, once you have delivered you are considered able to make your own medical decisions. It does not revert back like trimal pointed out in WA or OR.

I agree with you Richard. Look at how many people are still questioning Sept 11th and TWA 800. Although, I have to agree with questioning TWA 800, but that is a whole other thread. As for AA 587, the pilots got shafted and aren't around to defend themselves.

I had read somewhere (don't remember where) that they had the autothrottle engaged so didn't notice the loss of airspeed until it was too late. I hate to Monday morning quarterback but it sounds more like human error and loss of situational awareness. As for the ILS (instrument landing system), even if they are doing an instrument approach, once they can see visual markers, they are supposed to go by what the visual markers say. Rwy 28L had Precision Approach Path Indicator (PAPI) lights which visually tell a pilot if they are too high or too low and look like this: I'd be curious to listen to the voice recorder to find out what was going on in the cockpit. Here is another interesting article: http://www.wired.com/autopia/2013/07/asiana-214-landing/

It has been reposted with some changes here: www.resqrev.blogspot.com Welcome to the City, Lauri. Yes, we all have to meet the same requirements to become certified but how do you assure that everyone maintains their skills? How does a volley who runs 1-2 calls a month really stay competent? Granted, at the EMT level it is not as much of a big deal as it is at the ALS level (EMT-CC in NYS where this blog is from). Having been on the receiving end in both a volley and a paid system, I can tell you that there is an obvious discrepancy.

We get hung up on it, because it is the law. We don't make it, we just have to follow it. Here Richard http://www.empirestatecoalition.org/main/legal/emanc.html http://www.nyclu.org/files/thl.pdf Something that I found interesting is the part about an emancipated minor signing a lease. The landlord has to honor the lease but the minor doesn't.

The media keeps making a big deal out of the "junior" pilot only having 34 hours. They seem to forget that he has over a thousand hours flying experience and also completed many hours of simulator time before he was allowed to fly it. Obviously something went wrong (whether it be mechanical, human or both) but to say it was because of his inexperience I think shows how little the media actually understand how the aviation world works. You don't just say, "Hey, I want to be a pilot," and get thrown into the cockpit of a 777.

Agreed, I was just saying that just because a kid is still does not mean he/she is circling the drain. When kids don't feel good, especially younger ones, they will get like this. Can it mean something bad? Absolutely. I work in a peds ER so I am well aware of people who specialize in kids.

I disagree with this. I have seen plenty of kids who were in distress just sit there without circling the drain. Sometimes they just feel so crappy that they don't want to move and feel better cuddling with a parent.

Not sure, some of us didn't need the extra practice

For the basics, Dubin can' be beat but I know you are looking for something more advanced so I would recommend http://www.amazon.com/12-Lead-ECG-The-Art-Interpretation/dp/0763712841/ref=sr_1_1?ie=UTF8&qid=1373109414&sr=8-1&keywords=garcia+EKG It is set up in 3 levels for readers of different levels and has hundreds of examples of EKGs, not just 1 or 2. PS-Admin, did I do the link right so that you get credit from Amazon?

LOL, yeah, it's that bad. Like I said, the VAC I was with was pretty progressive and looked for ways to improve. We finally decided that the best policy was an EMT and anyone else. That way the other person could drive. You had to be "driver certified" to drive but that was waived in the event there was no one else to drive but they were not allowed to go L&S.

Mari, that is because you haven't been with a volley on the east coast. At my VAC, if you didn't have a crew chief, the ambulance didn't move, even if you had 5 EMTs. Luckily we saw the problems with this and did away with it. It was actually pretty funny at times. We had this one 21 year old stereotypical blonde who they made a CC (I'm going to use the abbreviation since we've established what it means in this thread). No one had much respect for her (it was deserved). People who were much better EMTs than her would pretty much ignore her on calls and do what they needed to do. She would come back to HQ after the call with her face crunched up and stomp around saying, "I'm the crew chief. You are supposed to listen to me." I think she was one of the main reasons we got rid of CCs.

The job is to get the pt the oxygen he needs and it sounds like you did that. I'm going to assume CC means crew chief and I don't know what his problem is. There are all of these stories and myths that get propagated in EMS that need to stop. I still remember my EMT training where we were told to do the cup method IF the pt would not tolerate a NRB. It seems to me like your CC forgot the IF part. You did fine and got the job done. Don't let his misunderstand shake you. If he gives you any slack, refer him here. We'll set him straight.

Too much emphasis is put on the GCS. It's whole purpose was to assess trauma pts but it has been distorted to all pts. There are plenty of recent literature that shows it is not all that useful (I'll let someone else search for it if they want). It's pretty easy to calculate. About the only time I use it anymore is when EMS is bringing in a pt to decide if the trauma team needs to be activated (trauma surg designed the protocols so we play by their rules). As for burns, as others have said it is always going to be an estimate. How would you suggest getting a truly accurate measure? Even with the rule of 9s, it's an estimate and no one ever gets burned perfectly within the divisions.

Why would something on paper be any different from this (assuming it meets the legal standard in the state)? I would have trouble honoring it but I wouldn't feel right not honoring it. I wish we had a few lawyers on here (wow that was painful to say) that could give us the legal side of things. I would imagine however that there is not much presedence for something like this. This is a great mental excercise so let's keep it going.

It depends much more on the person than the profession.

Sorry boss. I was just trying to help him understand why he is getting the response he is getting and that it is not an opinion isolated to this website.

This forum is intended to discuss prehospital emergency MEDICINE, not how much can I buff out my car. Maybe some of these would help: http://www.masscops.com/forums/whacker-central.124/ http://www.gotoquiz.com/the_ems_whacker_quiz http://www.centralpafire.com/forum/showthread.php?6487-You-might-be-a-wacker-jokes&s=bd7c7fccfb0e040490f94e72e4aab088 http://www.urbandictionary.com/define.php?term=ems.&page=7 http://forums.studentdoctor.net/showthread.php?t=122101

That's a good point but this could happen to any of us. It could easily happen at a family BBQ or a Super Bowl party.

Mickey, to answer your question, it depends. If you are so drunk you cannot walk straight, do nothing. If you are a little tipsy I think you are in a gray area. You will be faulted if you do nothing. You will be faulted if you do something and screw it up. I think you are safe keeping it on a first aid level but anything more than that and you are asking for trouble. Alcohol and sharp object should never be mixed.