Just Plain Ruff

Now that we got that out the way, Welcome Fenta. Another German representative to this international band of brothers and sisters.

But what about the rectal probe of the alien ship that crashes and you get called to the scene and you find the abducted human with the probe still in. Do you remove it? How can you be sure there aren't any more probes that came off the initial probe sort of like the knife referenced in a post above like the klingon knife but it's an alien rectal probe. Removal or stabilization???? Now if you are immersed in the Matrix and you come across Neo and the spiders are getting close and he's about to be attacked and your only hope for humanities sake is to rescue NEo and get him out of the room but the probe is still in his head, do you remove it? or stabilize it? I know dead horse but any one of these two thing could happen to any one of us here on the city. Apart from calling an ambulance which is a given, what do we do, the fate of humanity rests in the correct answer to both the above questions. Question number 1 the fate of the world and question number 2 the fate of the matrix. You have to answer correctly. What do you do?

You might also want to get in contact with the Burning Man Event. They can help you figure out what you might need as well. I went to one of their events and it was well let's just say entertaining and pretty cool. NOt as a provider mind you but as a participant. Am thinking of going this year again as a participant.

No, I think it's partially laziness on not grabbing a pillow. How hard is it to not grab a pillow. Also, if someone who has not been a patient in the ambulance and has wanted a pillow where there has not been one available and has to either have held their head up for the entire ride or put their head down at a uncomfortable angle, they don't have any idea what the patient goes through and their discomfort. I think that someone said "Walk a mile in my shoes" or something like that.

I heard Galls is having their semi-annual sale. Get their gear while it's hot.

Guys, I'm a medic so I'm here asking, If I came across a person with a dull shiny object impaled in them, could I remove it? OR should I call an ambulance or what? I seem to have forgotten. But this one time in band camp.

This course will explore new breakthroughs in the treatment of patients during cardiac arrest and after successful resuscitation, including new approaches to cardiopulmonary resuscitation (CPR) and post-arrest care This course is Free. You have to set up an account. The course starts in July. It's offered through Coursera but the instructor I believe is from Penn State. Sounds like a great course. I don't know if there is a participant limit but this is probably a course that many of us won't regret taking. I did have a bit of trouble setting up an account but I sent an email to the coursera admins and I suspect that might be rectified over the next couple of days. The course starts July 7. https://www.coursera.org/#course/cardiacarrest Ok, I was able to sign up for the course and an account. It just took a couple of attempts. Maybe there are many people trying and it's overloading their servers. There are a lot of cool classes being offered through coursera over the next couple of months. Here's one more for you budding medic students. Fundamentals of Pharmacology Emma Meagher, MD In this class you will learn how drugs affect the body, how they alter disease processes and how they might produce toxicity. We will discuss how new drugs are tested and developed prior to them being used for patient care. We will describe how personalization of medicine will become a common day reality in patient care. https://www.coursera.org/#course/pharm101

He's a mod, he's got some filtering software that Male mods have installed on their computers. It picks up on that sort of stuff.

That was pretty good. Do they have any more commercials like that. That was actually pretty well done.

and if you needed a candy bar shoved up your ass you'd have a long line of meaty fingered people from the city here stacked up ready to stick a twix up your behind, I for one would be the one walking miles to go get help. 1C or Dwayne can be the one who can do the honors.

What is your standard for your staffing for your city? I would think 1 ambulance for every X number of people and X number of first responders per X number of people. I think there are like 60 ambulances for KC MO and they have 500+ thousand people. there are 10 ambulances for independence and there are 110K people. Those are ball park figures from a ex employee. For a county of around 24K there are 3 ambulances on duty so that's 1 per 8k So those are average numbers. Sorry can't give you actual numbers becuase numbers will absolutely massively vary. I think there are more than 875 ambulances in the city of new york and using 7 million people as a rough number population wise I'm sure there are more than 875 ambulances on duty (not always available) in New York at a given time.

I dont' see where I said no PR...... If I'm unresponsive and all you have is a candy bar and your fingers and we are way out in the boonies then put the candy bar up my ass. If it saves my proverbial ass and keeps my brain from frying from no sugar then I don't give a crap which of you sticks it up there. brain before pride I always say. But I don't ever hope to get to that point and no I don't ever hope to get to the point of needing a candy bar up the chute. Just make sure that the one of you with the smallest fingers draws the shortest straw ok. Besides, I don't go camping without the supplies to get me through. I actually went camping last year with a group and trained one of the campers I was with on how to start an IV on me just in case I had this problem happen. It just proves that you can train anyone to do a skill. I have a Diabetic kit in my firstaid kit. 3 amps of d50, 1 amp of glucagon, I have a box of Lantus and enough IV fluid to rehydrate myself and two others for 2 days. All prescribed by a licensed doc friend of mine. My prepper kit will have much much more when I get it set up. I also have zero problem starting an IV On myself. I give myself shots every night so starting an iv is not an issue. the iv hurts a little more but insulin against the wrong nerve hurts just as bad at times.

Hey Admin, I already have a dropbox account. I don't think I can help you on this.

My thoughts are that the homeowner didn't pay his yearly dues thus his house didn't qualify for savin. But I'll bet the chief is also the mayor? Maybe if you sent those photos to your local news agency??? Or maybe even the national news.

You know I'm a diabetic, I've not hit the hypoglycemic stage yet and I hope to never get there. My sugars have usually run around 140 - 180 fasting. I know that doesn't seem particularly high but when you run them continuously for months and then every once in a while you hit a number of let's say 80 or 90 you get a little flubbered. The key to my diagnosis was stepping on a lego and cutting my foot and it didn't heal for 5 months. My wife after 3 months said "dumb ass we're going to the doctor and getting an A1C done" and guess what. It was 9.5 Now I'm diabetic. My numbers are now 7.4 or lower a bit. Depends on how compliant I'm with my meds and sodas and food the month before. So when I run 140 - 160 for the week and hit a number of 80 or 90 I get head aches like today and my sugar is 95 so I go grab a soda. I only know that it's a matter of time before I wake up somewhere and see a paramedic surrounded by a bunch of firemen who remind me of a bunch of guys who frequent the city here all wanting to stuff things down all the orifices they can find but all the while pushing an amp of D50, I'm going to wish I had excercised a bit more. But to get bck to topic, please don't put anything in my mouth if I'm unresponsive, I'd rather have a IO needle in my tibia than a aspiration pneumonia that puts me in the hospital for a month rendering me unable to work. If the EMS books say nothing by mouth to a person without a GAG reflex, then please do what they say, don't put something in there and disregard the books, there's a reason for them saying that. Evidence or not. Now, YOu should not have any problems getting an IV On me, I have pretty damn fine veins, my heroin dealer told me so,er I mean the anethesiologist at my PPUV surgery (find that on the internet) told me that my veins were garden hose variety.

If you can't get a vein, you cant give it rectally and you can't give it orally, then do any of you have the ability to drop a NG tube, and give it diluted slightly and down an NG tube?

no happy ending. Never offered wouldn't take it if offered. I knew that was going to be one of the questions asked when I posted what I did. Maybe some people get them but I've never expected them so I guess if one was offered I'd probably be too shocked to say yes. Besides, that would make me unfaithful to my wife so my answer would obviously be NO. It's a pretty nice place, plush leather chairs, 60 inch HD TV's to watch the games, you get your hair cut, your massage and whatever other grooming you are getting done at the time. The stylists do not mix your drinks for you, that is your job. They are not bar maids. The only room you can drink in is the Pool table room, the sauna and where the liquor cabinet is. They actually fine you for bringing liquor out in the other areas because some of the members bring their son's with them who also are members. It's my one place I can go for 2-3 hours on any given day that I can relax. My wife is completely cool with it as long as it is only one time a week. We discuss which day I am going to go. My work allows me to be home one week and then travel the next so I am pretty much able to choose the day and time which works very well for me and my sanity of travel and kids. I truly believe that a massage a week keeps much stress away.

You know I go to this salon that only admits Men. I spend quite a bit for a hair cut and massage. I also have a membership in their men's club there. They do not allow women to join the men's club. I have my own bottle of scotch there and I spend about two to three hours a week there. It's my own ME time. With my membership I get a one hour massage and get to chat with other men who are pretty high up in society, one of them that I spoke with the other day was a city council member of a medium sized city in the KC MO area. I could probably spend that money elsewhere on something else but I spend that on myself. Women are not allowed in this particular salon but they are employed there. NO men are employed there except for the manager and the owner.

Yeah I believe they might be one of the Alphabet soup entities some letters of the alphabet that come to mind might be a m and R or some letters near those.

My thought is that the applications would only increase by a couple but this is by invitation only so even it they opened it up to women by invitation only that there will be a very finite number of invitations going out to only a select few, like maybe 15-20 people that they might want. I mean there are only a small amount of female CEO's out there anyway that are of any note anyway. How many woman CEO's can you name off the top of your head that are in the fortune 500? I only know of a one and that's the IBM CEO. Now name any of the Black woman CEO and that number goes down exponentially. How bout Hispanic woman CEO's??? See how those numbers would drop even lower when you get to minorities Not to make this racial but the numbers don't lie.. The amount of White CEO's who get invites outnumber the minority CEO's by a significant number so we shouldn't be surprised that this disparity is there. What about this question - Would it be an affront to the CEO of IBM if her husband was offered the membership????

really, one of my friends first jobs he had was that if you were in an accident it was common knowledge that at fault or not, you just packed your gear and left. You were terminated on the spot. How's that for fairness. Even if you were rear-ended. One of the guys my friend had he was working and had parked the ambulance at the hospital, had a guy drive his pregnant wife into the er parking lot, failed to put his car in park, the guy got his wife out, the car kept goin and hit our ambulance. The damage was minor and he reported it, The supervisor drove over to the hospital with another crew member, PIcked up the original driver, drove him back to the ambulance base and they fired him. Sucked to be him. After my friend threatened to let loose some skeletons that the service had in their closet, he got the job back. But he was eventually terminated a couple of months later. It took em a while but they got rid of him. He did eventually let those skeleton's loose to the state though. Medicare had a heyday with that service.

hopefully you aren't the tester for that protocol huh Dwayne????

Fair enough Dwayne, but that's how I want to be treated when I'm working. That's not to say that when I'm out in the public and some person comes up to me and says "hey, what does a medic do that an EMT cannot?" or something to that effect, then I'm going to give that person a pretty good education. But when I'm working on a sick patient I'm not really caring what the general public at that particular period of time thinks of what I can and cannot do. My concern when working is not to shatter the myths of what medics are able to do versus what emt's can do. During patient care activities is not when public education should be focused on unless you can spare an educator but maybe after the fact. What we can do is focus at maybe the grade school level to spend some time with students educating them as to what we do. Rural areas can't be that difficult to do this but in the urban areas there is where the challenge might lie. I don't have all the answers but my thoughts are that when I'm doing my job duties it is not the time for me to worry about the publics misconception of the differences between a medic and an emt. AS long as I can explain what I'm going to do for the patient and the patient understands who I am and what I'm able to do for them then I think that I'm performing my job well. Maybe that attitude and thought process is the wrong one but it's worked without issues for the last 18 years without problems and I find no impetus to change something that works very well at this stage of the game.

I'm a paramedic, you can call me joe, you can call me moe, you can call me Henry, but don't you dare call me late for dinner. As long as you don't get in my way of taking care of my patient while on scene, I'm good with you calling me whatever the hell you want to call me. I know what I am, I know I'm a "Paramedic" Not a doctor, not a nurse, not a CNA, not a glorified doc in the box, I'm a paremedic. So just let me do my job, I'll let the morons on the side of the road figure out what an emt is versus a emt I versus a emt-p or any of the other dozen's of other alphabet soup variety "medics" there are out there. Just let me and my patient alone and we will get along just fine.

What is your service doing to curb distracted Driving? The NTSB and all it's affiliates want texting gone, they want hand's free phone calls only. A town in California (I think) just made it a crime to make any type of phone call in a car. What is your ambulance service doing to curb distracted driving? What about when driving to the scene of an emergency? There is a 2nd set of eyes in the front (the passenger) but what about when the driver is alone and driving emergent? Who is helping him/her stay drivinng safely?