Just Plain Ruff

If they were in the Baywatch country they could have the Hoff! and that big boobed blond - forget her name.

hmmmm If I have the need for an IV and it's going to save my life and I might get some chemicals in my system that are from leeching from the bag after microwaving, I think I'll take the IV over the minute amount of chemicals any day of the week and twice on sunday. Agreed Vorenus, but you are killing two birds with one stone by covering them up. Warming up and protecting modesty. A win win situation

I remember your first posts, I said to myself, if they put 10000 dwaynes in a room they might eventually after a million hours get the collected works of Shakespeare, Michael Moore, George Washington and Ben Franklin. But then again maybe not.

But dwayne, on the cold baby, babies tolerate heat loss much worse than we fat adults. I would have covered the baby up as well but left the chest exposed for CPR. But why not put the blanket on the legs and a small stocking cap on the head. Not like you are doing much to the legs or scalp unless you are doing a scalp vein access or IO on the legs, then you can cover around those areas. And Romney, answer to your question, I cover them up for dignity as well as warming. How many cardiac arrests or bad trauma where we don't cover them up and they arrive at the ER with a low temp? So yes I cover them for both reasons, many more times they are covered because they feel cold to me so why not warm em.

In answer to your topic which is a question - undeniably we make them worse sometimes. But sometimes we make them better. I always have covered my trauma patients with a sheet after I've done the exam and splinted obvious fractures and covered open wounds. I'm sorry but patient dignity did not cease when they get injured? It takes minimal time to cover a patient. nuff said

I think there are a couple of reasons why patients who got loaded in the car had a better out come. 1. They were thrown in the car and driven directly to the hospital thus saving the waiting time for the ambulance to get there, assess, load and go and drive to the hospital. The wait time, the assessment time and the load and go time were cut out. 2. The patient didn't have to rely on the medic to be the one that doesn't dick around on scene. 3. If a crime scene the patient didn't have to wait for Police to clear the scene before letting the medics in. Saving a few minutes. 4. The speed of the car would be much faster than the speed of the ambulance for obvious reasons.

So in other words you were asked to file charges on the patient because more than likely the police officers involved who heard the distinct threats of suicide didn't want to get a judge out of bed and do a 96 hour hold on the patient. They relied on bullying you into filng charges so they could put him in jail and let him sleep off the drunk. I've been down this road with the police in the town I worked in many times. They don't want to file the affidavits and wake the judge so they pressure me or someone else to file some sort of charges or do their work for them. I would not have filed charges on the guy. What he did was not illegal in my state. I'm sorry you got caught up in this situation, next time stand your ground and don't do the cops work for you. It may make cooperation a little more difficult in the future but that too shall pass. I have stood my ground a couple of times and it didn't mess up the long term relationship we had with the cops in our town.

Whatever will work would be the way that works for you.

None, but I don't beleive the scenario said the driver was injured so why are you packaging the offending driver? And why are you offended at that driver, he didn't hit you!!!!!

I'd bet he doesn't

Actually Aussieaid, that quote was not directed at military contractors at all but I can see where you could have gotten that impression. The original quote was based on consultants in any industry where if they don't have the solution they just keep on billing and billing until the project runs out of money or what not. So the original quote was "Consulting - if you aren't part of the solution there's plenty of money to be made prolonging the problem" So I apologize about inferring it was for military contractors because it wasn't meant that way. But on the flip side, I'm sure that it does indeed apply to at least a few contracting groups who are only in the business to make money and not to really be part of the solution. I'm sure that's a low number but you can't deny the portion of truth to that though.

Line 1 seems especially poignant.

Yeah I actually have to rate myself downwards on the decaps, I did compressions and then walked over and ventillated. Took me a minute to realize oops, There goes my perfect score.

Here is my diagnosis percentage 1. Stupid - 100% 2. Member of the people of walmart sect - 100% 3. Redneck - 75% as some rednecks in reality do NOT actually have red necks. 4. Sniffles - 100% 5. Sneezes - 100% 6. Head anus conversion - 80% 7. MI's - 101% without the monitor, only 57% with the monitor 8. Mad Cow disease - 100% with the cow, 0% without seeing the cow 9. Decapitations - 100% 10. Complications from a Vasectomy - 100% 11. ICP number - 43% 12. Blood pressure (within 2 measures of standard deviation using the Sheldon Cooper method)- 98% with cuff, 75% without cuff using radial pulse, 60% using femoral pulse and 10% using pedal pulse 13. Cancer - 5% unless it's skin cancer and then I have a 85% correct diagnosis rate And finally, my greatest diagnosis success to date That Flaming is Nucking Futts and talking out his derriere (see number 6 above) - 97%

And somehow I'm sure we will find somewhere else to put those troops. Anyone want to take a guess on where we are going to go next?

We are missing the biggest point here. The doctor said this. If those factors hadn't come in to play, Dreyer said, the ambulance may have arrived at Welland three to five minutes earlier. 3-5 minutes earlier. My reading of this is that they only delayed transport for a minimal time to start the IV. 3-5 minutes in my opinion will not make the difference in survivability. Plus the findings of the doctors was that the patient suffered catastrophic injuries and would not have survived even if she was taken to one of the trauma centers listed in the article. So the question is, did the delay cause patient harm? I find according to the article that it most likely did not. I also think that in order to restrain her or do what they needed to sedate her that I would have probably stayed on scene for a few minutes to do it right rather than down a icy road where everyone on this site knows that icy roads DO NOT make good rides.

Yes Richard that was my story on the pictures in the er. But he was a IT consultant on a project I was associated with. He had never been in the er before other than as a patient. I wanted to beat his ass but that wouldn't have been good. So I let the hospital deal with him and they did quite severely as well as his consulting company did the same.

What made your list for the top worst sayings of 2011 My top has to be "Just sayin" because it allows you to be an asshole but gives you a Mea Culpa when someone calls you on being an asshole My couple of worst sayings in my meetings with clients are 1. Take it off line 2. Put it on the parking lot 3. What's the timeline? Those are mine. The saying I hate the most coming from my son is "Fricking" He uses that every time he gets frustrated and angry. I'm trying to wean him of it.

A favorite quote "Contractors - if you aren't part of the solution, there's plenty of money to be made prolonging the problem"

But see AK, you have the help. Some people only have what they arrived to the house with no matter how hard they ask for more help. I also would have been calling for either first responders, fire, or another ambulance. I think that if I got to the decision point of intubating the patient without calling for additional help is where we fail the patient. Now if the patient crashes on the way and it's just you then you go with it but you call for help at that moment. Plus, I have the ventilator so that does free up a pair of hands but you still in the end have a critical patient that would benefit from the extra hands. I loved the scenario, it was a outside the paradigm (para dig em) scenario.

yeah I'm Captain Kickass ver 1.0 which in 3 months will be Super Captain Kickass verson 2.1232.1212.2332.545.0

NO PICTURES IN THE ER without patient permission. PERIOD. He should have been removed from your class and his phone should have been scrubbed and any pictures deleted. Personal experience - was working at a hospital in delaware over a 2 week period supporting the ED at a EMR conversion. Had a very overzealous new support tech who had never worked in an ER nor had he been in many. Each time a trauma or code came in he bootscooted over to the trauma/resus room. One particular patient was a 90% burn. The proverbial crispy critter but still breathing on scene and quickly coded on EMS arrival. They worked this patient. I caught him taking video and still pictures of the patient care. I went to my supervisors and they confronted him. He denied taking pictures but he did give them his phone for the hospital to review. He had a hidden photo folder(thought is was unfindable) that he had been saving pictures to for 4 days. They found the photos, reset his phone back to factory settings and relieved him of his duties. He told one of the other ED support staff that he was posting the nasty photos to a couple of internet sites. So because of this Asshole, each person working on the conversion had to surrender their phones for the duration of the assignment and we got them back at the end of each shift. I do not support photos in the ED nor on scene unless they provide some sort of value to the patient care experience. If they don't provide value - do not take the picture. Plus I do like the above posters comments, why are medics taking pictures when they should be taking care of the patient?

So Mike, If his signature line says even firefighters need heros, just who are the heros to firefighters? I mean if you listen to the mantra and vomited back up rhetoric from those who hold firefighters in the highest esteem which puts fire fighters on this pedestal that no-one other than other firefighters can attain, just who would the hero's be for firefighters.

you do know in that picture of Hillary above, she's only parroting the Howard Dean scream!!!!!

But those are the ones who will come to you at the scene of a multi patient trauma incident and tell you they are a nurse and begin to help you thus bringing the scene which originally was one of controlled chaos to a full cluster fuck of mother nature proportions.