Just Plain Ruff

Please don't tell me this plane diverted to little ole Wichita international and national airport???? But seriously, one dead family member on the plane and then another one probably heading that way, I'll be sure to recommend diversion especially since that plane has more than likely run out of medical supplies. But you said you got called to the airport. carry on.

But didn't Paul Pepe tout Houston's EMS system as one of the greatest at one time? I think he was instrumental in their profound out of hospital code save record. Or am I thinking of someone else? I actually met Dr. Pepe one day at a conference, he appeared to be a pretty good guy.

Wait a second, so the protocol is that you send a fire truck to the scene to assess whether an ambulance is needed? Is that what I read? So what had to happen is after the lady said she ran over her daughter (how the hell did that happen - whole different thread), she calls 911, the dispatcher dispatches a fire truck first to assess the situation and then they call the ambulance? Sounds pretty F'd up. now if this truly is what happens in Houston now, and we are only getting the newspapers side, and of course news agencies are never biased or they always print the truth, but this seems to be a horrible process. Sounds like the a new SSM system to me. child run over by a car, let's just send a pumper and let them decide if the child is in need of an ambulance. But in the cities defense, the ambulance did arrive in less than 9 minutes which is a pretty damn good response time even for this type of system process. Where I used to work, response times out of the city were routinely 10-20 minutes to get there. If the furthest area of the county we went to were upwards of 30 minutes.

Mike, did I? I searched my past posts and didn't see anything that's why I thought that I didn't. I think that I was just in spacial fugue over the past couple of weeks with lots of stuff going on apart from the baby.

Is this where the coast guard and san fran fire come in?

On October 10, 2011 at around 2058 my wife and I welcomed a baby girl into the world via a c-section. Katerina Ann Ruff 7 pounds 15 1/2 ounces Absolutely beautiful. Pictures to follow. Ok, here are the pictures. The gallery isn't working well today so I am linking to my facebook album of her best pictures. https://www.facebook.com/#!/media/set/?set=a.10150420462951163.416300.673191162&type=3

There is also a national shortage of Stadol. If your hospital or service still has some stadol, count yourself lucky. My wife just delivered our baby and she only really responds pain relief wise from Stadol. There was no stadol in the hospital so they went with Nubain. After 30 minutes of intense labor with her being dilated to only 4cm, and nubain wearing off in 20 minutes for her, she demanded a c-section and got one. Had a beautiful baby girl, delivered 10/10/2011 at 2058 (or somewhere areound that time)

1400 at one service 1200 at another service I used to work at

I started in the ER as a medic and worked the ambulance as well, just like this article. Nothing like pissing the ENA off regarding putting medics in the ER. Our nurse manager had to justify to the ENA (28 years ago) why medics would work in the ED and take away jobs from nurses? Her main response to their questions was that in a rural hospital with only 8 beds, getting a nurse to work there was damn near impossible and until the ENA could get her some nurses to take the night shift where they might only see one patient in a shift, then the ENA needs to butt out of the hospitals and her decision. The ENA went away. Now they have EMT's, medics, PCA's, techs and nurses all working side by side. It seems to work well. In Missouri there are things that medics can do in the hospital based on their licensure that nurses aren't allowed by the hospital to do, eg intubate and some other things. Medics in Missouri are also able to spike a bag of blood which 10 years ago they were only allowed to spike the bag when they were in the ambulance. More on that in a later post.

No I had to do all that. that's why it was my vacation class because I was so AWESOME at it. My Criminal justice classes were the tough ones, especially when I had to commit a crime to get into the criminal justice system to write a first person essay on the in's and out's of the prison system. Now that was the tough class. (ha ha)

removing the trolls would just get us new trolls in different clothing. Personally I like the trolls. Keeps discussion lively. Funny thing is that those labeled as trolls usually already know they are trolls.

i also got my EMT while taking my BA classes. I found that EMT was my vacation style class if you know what I mean.

Had a doctor barter with a amish family to provide ortho surgery to their son if they would build him a new detached garage. I think he got the better end of the deal.

Supply is way higher than demand for EMT's nearly uinversally and in many areas in the country it carries over to paramedic too. On the contrary, in my line of full time work, the supply is way below the demand so my industry (my area of expertise especially) is having a banner year in terms of wages. About 40% higher than what they were pre-economic downturn. I'm making the most of this opportunity because I know it won't last forever.

Had a call on a woman down. On arrival found an obviously dead female. INstructed my partner to snap a picture of the scene prior to my entering it. Blood all over the floor, bloody handprints on wall, smeared blood on mirror that was shattered. Woman's head nearly cut off the cut on the neck was so massive. The murder weapon was next to the woman - a shard of the mirror. This was when I was first badged a medic and I stupidly entered the scene. The killer had left and actually had been stopped by local PD about 7 blocks away but of course stupid me didn't know that. The picture was taken because we wanted to document the scene prior to our footprints and medical equipment being in the house. PD rolled up just as we were leaving the house. I gave them the SD card from the camera. Was I stupid to enter the scene before PD, yep but their ETA on our arrival was over 10 minutes so Superman here went in. Have never done that again after the Ass chewing that I got from the Sergeant. Sometimes it takes the removal of an entire butt cheek to have things sink in.

NO NO NO I'm not going to go ask that same question again. Be serious here and not just try to stir the SHIT pot. he said it was none of my business and that's that. Like Doc said, did you even read my answer or are you asking me to go ask again since it doesn't support your argument? I can tell you how many errors I have reported and that's none this year because I do not believe I have made any medical errors this year. But then again that's all in what you consider medical errors. I've made NO errors this year that have cost a patient his life or could have done so. So I guess that as far as my care is concerned then my service has had 0 medical errors reported to it. oh yeah, I was driving from the scene to the hospital and I took a left when I should have turned right and it cost the patient an extra 4 minutes to get to the hospital. I did report that to my supervisor though. In the spirit of reporting all errors that I've made.

I asked my management about the revealing of mistakes by medics to patients. He basically said that it's none of my stinking business because it involves personnel matters and legal matters. Short and sweet and to the point. So I can't answer your question.

If my families care was helped in the showing of the doctors the scene or injuries or the damage to the car I have no problem with a photo being taken. What I have a problem with is the yahoo idiot who doesn't delete the photo upon showing the doctor and it goes on the internet. Anyone remember the case regarding the dying woman in the car or she was pinned between two cars and it made it to the internet. that's the stupidity that I'm talking about.

I am not part of the 1% and NO they do not represent me. I'm embarassed by these people. I read somewhere that police are using thermal cameras to take pictures of the camp at night. One image showed that almost every tent on several nights in a row had no one in it. According to what I read, the occupiers were seen to leave at dark and return at dawn. I would suspect that they are heading back to their warm houses or apartments. I know people don't like Rush Limbaugh but he did have a good point today. the occupiers are saying that those that have should give to those that don't have yet they are bitching and moaning about giving some of their food to the homeless. In this case aren't they the have's and the homeless people the have nots. Seems hypocritical especially when most of that food is donated to the occupiers anyway>!!!!! The occupiers on Tuesday also received free haircuts from hundreds of barbers and stylists all over the country.

The Nook has a textbook application now. Not all textbooks are available though. But any format that your textbook comes in can be converted either one way of the other. Epub to mobi back to epub etc etc. But for the money, go with the IPAD.

I as well would want the patient to know if the error I did cost them thier life or caused significant damage. But I want to be shielded from some financial costs thus the reporting to the correct channels. If the error costs me my job, then so be it but I'm not so quick to report the error to the patient.