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Everything posted by Just Plain Ruff
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So what do the services without automatic door locks do? Case in point, on a critical chest pain call, working the patient up and getting ready to go and many of you will send a fireman or first responder to get more oxygen or another piece of equipment. All the doors are locked. The compartments are locked also. The person finds all the doors locked. Delay in patient care right? Do the responding agencies know how to unlock your rig? If they know this then the criminals know too because all they have to do is watch you or someone in your service open the door with the hidden button to unlock and they know now how to rob ya! So locking the doors is a deterrent but it's not the end all of security.
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yeah, but I'd never ever ever call an ambulance for a broken toe. I'd take a cab or wait till I could get a ride. When I'm out of town I always have a car so it's a moot point. But I can say that driving with a broken toe on my driving foot was torture. But yeah, the stubbed toe call at 3am is any call that could have waited till the doctor's office or till they could have gotten a ride. But all in all, if your taxes support EMS then why can't you use them whenever you want. I once had a call for a lady with a small lac to her earlobe. I ended up transporting her, her two children and her spousal unit to the ER in the same ambulance all for minor complaints. She actually told me this "I already owe you guys 5 thousand dollars which I can't pay, add this one to what I owe" I had to bite my tongue on that one but I did.
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Yes it does indeed equal WEMT And, CAT + DOG = muskrat
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worked in independence missouri a number of years ago(think late 90's). Went to a KC Ks hospital. Were in the er dropping off a patient. Drove back to indpendence, caught a chest pain call and arrived on scene only to find our monitor and oxygen had been yanked as well as both our pillows. HAd to call another ambulance. About 4 weeks later, our manager got a call from a local pawn shop asking if we wanted our cardiac monitor back? He bought the monitor for 200 bucks and I think we bought it back from him. So yeah, from that day on, I do lock the doors, theres too much paperwork involved.
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I broke my toe when working down in Miami Florida. I was at the hotel and I was walking to the bathroom and WHACK, smacked it on the dresser. Got to the bathroom, extreme pain, looked at the little toe and it was at a 90 Degree angle. So off to the ER I went at 3:15, they took an x-ray said it was a fracture dislocation, injected a topical anesthetic to the area around the toe, then went pull/yank and put it back in place, taped the two toes back together and I was off. Took all of 2 hours (in miami I think that's a record ER time) and I was back at the hotel. So it is pretty darn easy to get a stubbed toe at 3am
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Since you were the only one who participated I'll send you all three books and the bonus. PM Me your address For the record, the website I used was a link from Medline called One Pill Deadly Ingestions http://reference.medscape.com/features/slideshow/deadly-ingestions?src=mp I misread the medline reference, I thought these were the top 10 most seen poisonings but they in reality are the top 13 medications which cause the most deaths and negative outcomes. Here are the top 10 list Oral hypoglycemics Beta Blockers Calcium Channel Blockers Alpha 2-Adrenergic agents Cyclic Anti-depressants Opioids Buprenorphium Lperamide-Diphenoxylate Salicylate Quinine and Quinidine Camphor Podophyllin and Colchicine Acetylcholenesterase Inhibitors I have to add Acetaminophen as to the liver damage. Thanks for playing Wendy. Doc, I waited for your list but it never came.
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Ill go out on a limb and say AK Sent from my SPH-D700 using Tapatalk
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So maybe he works for LAFD? He hasn't answered that question even though I've asked at least two times for the answer.
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The owner of the gate actually has to buy that option. Who's going to test every gate in the city or coverage area? They don't buy em because they don't face any consequences for not buying them.
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Only 3 days left on this. Better get your entry in.
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ShockDoc, you keep making me laugh, thanks for the humor at your expense. But seriously, If there is someone needing help, I'm going to use Law enforcement and Fire to get through the gate. Simple as that. Human life trumps property any day in my book. But try to get a key, it will save you the time and expense of replacing the gate or your service replacing that gate. Why not go to the home association in question and ask them for a key to put on the ambulances. I know of many services who have a huge ring of keys in their ambulances and fire trucks just for that occasion. Number the key and put the number in a book.
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You can pm them or just post them. If you and someone tie then whoever I like best, er I mean, whoever gets their submission in first will win.
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I'll add, Barnes and Noble usually have an EMT or paramedic book in their stacks of stuff. That could be a first place to go get your whistle wet.
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Washing a cut with water
Just Plain Ruff replied to Good Samaritan's topic in Education and Training
I don't purchase the antibacterial stuff. Vigourous hand washing with soap is more effective as those high priced soaps. Of course that depends on who you ask and whether you ask my wife. She'll tell you "every little bit helps" -
I have a couple of books that I'm either gonna throw away or just give to goodwill. I tried to post this last week but my computer konked out on me. So here goes again They are (and I'm going by memory) 1. PEPP book 2. A recent ITLS book 3. At least one EMT textbook(3-4 years old - probaby hasn't changed much in that time) I'm offering them to the winners of this contest question. What are the top 10 poisonings/overdoses that Emergency Departments are seeing in the past 5 years. I have a specific web site I am taking these from and it's very well respected so the list I have is the list we will use. I will pay all shipping charges. contest ends Friday night at midnight. Bonus prize if you get all 10. (not telling what it is but it's nice) Time starts now.
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Sorry Bushy, You can add to whatever I put. Or just take my Awesomeness as Gospel.
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Echoing Shock doc - never tell the patient that you have come up with a diagnosis. It will likely be wrong. Seen it tons of times, patient is told they have A going on and it ends up being B. Always use the Could be, Might be , possibly be level of thinking. Now if the patient is showing a AMI on the 12 lead, or the femur is bent in half, then maybe you can tell em they broke their leg. I never give the patient a diagnosis - as that's not part of my job to diagnose. I can think what it is, put my impression in my report and go from there.
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Hi everyone. I just wanted to let you all know that I have a new piece of equipment that I use on every night scene as long as the patient has been pepper sprayed and handcuffed. It's only used for low light situations where I need much more light than a silly ole mag light or scene lights on the ambulance. http://s4.photobucket.com/albums/y136/ruffems/?action=view¤t=tron.jpg And if anyone can get this to show in the post let me know how to do it. I never get it right. If anyone wants to know the supplier of my AWESOME new uniform let me know. Ruff
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Washing a cut with water
Just Plain Ruff replied to Good Samaritan's topic in Education and Training
I am a type 2 diabetic. I have cuts that sometimes won't heal for weeks. I have one right now that is in the final stages of healing, just a pink area around the wound itself. I used no antibiotic cream or anything other than a daily shower and washing my hands as often as needed. Im not dead yet. Sent from my SPH-D700 using Tapatalk -
360 joules to the power supply, one mg epi and a full dose of levophed and if that doesn't work, call the hvac guy. But seriously, call the hvac guy. Sent from my SPH-D700 using Tapatalk
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Hey LB, I'm from the KC MO area. Good to see you on here. I would seriously get into a emt class. The knowledge from the emt books or whatever reading material that you were given advice on is only as good as the class that goes with it. It only really takes 2 nights a week for about 4 months, or a little bit longer. You will thank yourself and me and Richard for having you take the class. It will allow you to put all the stuff you read in the book in a semblence of order. Who knows, maybe you will embark on a new career or whatever. Good luck. Just don't go rob the pharmacy to get the narcs when you can probably buy em off a high schooler somewhere in your town. ha ha
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No Experience EMT Job Resume?
Just Plain Ruff replied to Amanda Hughes's topic in General EMS Discussion
Here's a great format demographics section (centered) include name addy, phone number and email You can include or decide not to include a summary of what you can provide to the right company and what you are really looking for. Next include your Work experience. As an EMT applicant you shouldn't really have any EMS experience unless you volunteered. So go with your past 4-5 jobs unless you've worked at the same place for years Next give your education info - what schools, what you studied and when you graduated. Include your current classes at the top of this section Next put this sentence in References: Upon Request Do not make the resume more than one page. I repeat, NO More than ONE page or it most likely will end up in the trash. (I know this) If you would like to put together something or a list of your jobs and education, along with your demographics I'll fire you up a resume and send it to you. I'll even do the resume in two or three different styles, such as functional, chronological and one other. The key to a successful resume is this, each resume should ideally be written to the job you are applying for. If this job is in Orange county and you got your training in Orange county you can put an emphasis on that. It the job is for a tactical medic job, then any tactical EMS and other types of that classes should be emphasized. No longer is it safe to send out a generic single option resume. Mix it up, focus it on the job applied for and you will be way above and ahead of the rest of the applicants in the gene pool. One other thing, NEVER NEVER NEVER lie, not even a little white lie. the other thing is if you have a facebook or myspace(get rid of the myspace account) then you need to clean it up. No offensive posts, take politics, religion and all that out of your facebook page. Get rid of all the pictures that your mom would not like to see if she were on facebook. If you have inappropriate pictures on your facebook page and I was doing the hiring, I'd put you in the NO pile. It shouldn't matter a whole hill of beans but it does. My email is ruffems@gmail.com My offer is valid until midnight tonight -- JUST kidding. Michael -
One more question Shock Doctor - what state are you from? Or are you from out of country? I'm not following the RA theme at all.
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Paul Protzenko killed in Afghanistan
Just Plain Ruff replied to island emt's topic in Line Of Duty Deaths & other passings
Island EMT, my condolences to your entire crew and extended group. When you say killed in an ambush by an afghan officials bodyguard, are you saying he was working with Karzais brother who was just killed? Prayers and thoughts from the Ruffems family. -
Just curious. What does your service say about you carrying OC? Do they have a problem with it on a liability front? What does your service say about you carrying a taser? What happens if you tase someone and they continue to come after you? and you are injured? Would your service pay for your medical bills for OC'ing someone and then suffering the consequences of your actions? I'm just curious because my service I worked for Pre-retirement said that absolutely no OC or tasers allowed on duty.