Just Plain Ruff

First off see that little red x at the top of your computer screen, that's the door, let it hit you in the ASS as you click it. No one here will miss you But I suspect you will never leave and will continue to post your wealth of knowledge to edumacate us dumb buffoons as to the real wisdom of the Johnboy version of medicine. Nothing we say will change your mind so I suggest that this topic be locked so Johnboy can go on and let another EMTCity member know his absolute knowledge of EMS. I'm sure we're all waiting with baited breath your next set of posts.

Amazingly I am sure that there are people here who consider you an idiot but will not stoop to your childish level of personal attacks.

No I don't disagree but what I take umbrage is that you started this thread as a vindictive way to keep the previous thread going but from a different perspective. You have nothing more to offer in the original thread other than insults and name calling so to detract from those shortcomings, you post this drivel directly at a single medic on this forum This is an immature attempt at getting a rise out of others. I know of no one who has been fired for inappropriately placing an IO line because all mine and my coworkers IOs have been justified. If you follow your protocols and guidelines then its not inappropriate. I do know of medics being fired for other things but not what you are getting at. Id appreciate a intelligent non-name calling response from you if possible. Sent from my SPH-D700 using Tapatalk

The first clue he will have when he's wrong will be the boss saying. "Clean out your locker and get out" The next clue will be the process server serving him with malpractice suit The third clue he was wrong will be the judgement against him And the 4th clue will be that now that he has been found negligent he won't be able to find an employer in his area that will touch him with a 10 foot pole. I want to see that. But what he won't ever realize is that he was wrong but it won't be his fault, it will be everyone elses. I will make sure my crocodile tear supply is fully stocked. Sent from my SPH-D700 using Tapatalk

Now you really are talking stupd

No indicated for any unconscious patient? Vtach with a pulse but unresponsive you wouldn't give lido to after conversion? Code situation - oh they are unconscious they don't get lido I also have had plenty of patients who were unconscious who have said that they felt pain. Why am I arguing with you? I sometimes wonder where we get some of these people. Sent from my SPH-D700 using Tapatalk But you didn't show where with lidocaine that unconsciousness is a absolute or even relative contraindication. Sent from my SPH-D700 using Tapatalk

Wow, now you are just talking stupid. In the last three services I've worked for and my current service, Lidocaine is given via the IO (EZIO especially) to limit the painful response. It makes no difference in my protocols that the patient is conscious or unconscious. Are you saying that we should not give lidocaine for pain relief in an IO just because they are unconscious? Or are you saying in the bigger picture that your problem with Dwayne is that he gave lidocaine under any route to an unconscious patient? I hope you are not saying that. You are right in saying none of us knew what the glycogen stores were but the IO wasn't wrong. What if the patient was having a stroke and needed TPA or venous access? An IO was not inappropriate. I think that maybe you are unfamiliar with the EZIO and therefore you do not know or understand that this is a very good alternative access routes. I have placed 30 EZIO's in patients over the past several years and I have never had a adverse reaction. Are you sure that your resistance to the IO is that it's often considered the IV of last resort and maybe you don't have the experience with it that others on this site have. There are many times that you will be called on to do something outside the box, consider field amputation, in field C-section(yes it has happened),Field Trach, pushing drugs that are not in your protocols, transporting the patient who clearly is refusing and is competent yet you are ordered by medical control to transport. If you go by field protocols then none of the above will fit and you won't be able to do any of the above so by your logic, if you do any of the above then you should be fired. So let's hope that you don't have to do any of the above because you WILL be fired and your boss will be considered a Saint, by your own logic. You still haven't given the references that Glucagon IN is the standard. PUt up or shut up. But you won't provide those references because you are focused on Dwayne and not listening or reading anything else. That is what we call tunnel vision and it seems like you have gone into the tunnel.

Full frontal nudity - bah, nothing to get so worked up against. I want to see the naked female but keep the naked dong away. I don't really see what the big deal about nudity is. I mean when you can see most anything in most primetime TV or on cable and even on late night HBO you can see the ARt of Porn where almost everything is shown. No parental controls for kids who want to see this stuff. I personally will try to keep my children away from this type of stuff for as long as I can but I am a realist and I know that eventually my child will see full frontal nudity. I just can hope that he will ask me about it at the time he sees it. I don't want him getting his information from planned parenthood or the local school system. I hope to be the one that he comes to after he's seen this stuff Am I going to freak out when he does say he's seen this, NOPE not in the least.

WOW WOW, it seems as if Johnboy's true colors come out and he has to insult and curse in a post towards Dwayne. Let's examine this He cites that the standard of care for Glucophage is Intranasal He hasn't give us any of the background information on how it's standard even though he has been shown that the literature is many years old. He calls Dwayne and Ass clown - that's original He seems to fear the IO device - I wonder what his opinion of the FAST1 Device is or the BIG Gun is? Like Mike said in his response to the RSI comment and Mike is spot on - is Johnboy even able to RSI? If he's not able to then I think that speaks volumes if true When someone starts to curse in a thread in response to someone also on the thread it usually means the person is threatened by what is posted by that member and the person swearing at the other usually has nothing left to give except for cursewords and insults. So Johnboy, where are your sources, where is your background proof that Glucagon is standard or do you just have insults and calling others names. Come on, you seem more intelligent than this, you aren't in 6th grade on the schoolyard. But if you insist on acting like a 6th grader who doesn't have anything more to give than insults and cuss words but I'll bite - "my daddy can beat up your daddy" Annie, listen to the voice of reason, when someone comes out swinging with an emotional response and cursing people then that's all they have to give to the conversation. Insults come with the turf of someone who has nothing else to provide to the discussion. I'm betting my next paycheck that Johnboy will not provide any responses to the questions that have been asked for proof and him citing his source that IN glucophage is the standard - It just won't happen.

I have also done some pretty extensive searching of the web and many on this site know that I'm pretty thorough and have multiple search sites that I use and I have found a single article written after 2009. Not much from 2003-2009 and lots written before 2003. I'd be curious as to how many services are using this Intranasally? I have a couple of friends in some pretty progressive services and they are only giving Narcan and Versed IN, glucagon isn't even on their radar at this time. So far from you have been "It's the standard" which is long on boasting and short on substance. You have not produced any sources that show it as a standard or sources that prove that the time of onset is any better than IM Glucagon. I and others are awaiting your reply.

Come on Dwayne, at least a 4 year bachelors and a 2 year masters in EMS. That's the minimum you need to understand the gcs. I use it but mostly to make sure my narrative is in linewith the requirements for my service on documentation. Its that little sound in the back of my head that let's me know that I need to make sure this patient is watched a little closer but its a number and I tend to rely on my patient rather than a number. Its an adjunct in your treatment plan, and your treatment should not be based solely on the advertisement of this number. Treat your patient not the number!!!!!! Sent from my SPH-D700 using Tapatalk What about the old guy who always presents with a 7 or 8. Do you intubate him or go with what you see???? Sent from my SPH-D700 using Tapatalk

Awesome AK Now let's see the invention from the other poster on the glasgow. Sent from my SPH-D700 using Tapatalk

Wow finally a thick skinned new member. Seems to be a rarity in these parts these days.

Every narrative I write has the GCS for example GCS of 15 (4,5,6) in that format

I'm in agreement with those who say, no way no how. The patient is entitled to privacy and the trooper violated that. I would have asked for his probably cause as to why he needed to see the paperwork. He better have a good reason for wanting to see it. I don't buy the "he might have been looking for a wanted person or whatnot". It doesn't sound like he made himself clear and that to me is suspect that he might be on a fishing expedition. I'd have asked that he provide me a valid reason to search my ambulance and then i probably would have allowed him but he better have a pretty good reason. As the medic, I would have been on the phone wtih my company asking what they would allow. I'd then also be requesting his supervisor. It all would be documented in my EMS report and reported to my superiors for further action. In the end, if the trooper gave me good reasons, my company said go ahead, then I would have acquiesed but I would have had the support of my company in allowing the trooper to see the patients records/paperwork. Sounds like just from this write up that the trooper overstepped his bounds.

Yppers, arrive this sunday night.

My time is really only available in the evenings. I arrive in Denver at 8pm and then have to drive to CO springs so I'll be in Co springs after about 10pm sunday night. so I think sunday is out. I will have monday and tuesday night free. I am possibly going to be needed on thursday also so Wednesday night will be an option.

nope not purposefully. And that quote you are referring to was an attempt at humor pointed towards the poster who was worried about their safety with two women crews when they were posted in seedy parts of town. I find that you are more in danger of the domestic disturbances where both parties are still there than you ever will be posted in a seedy part of town. Is the danger there? yes it is but come on, when's the last time you read or heard about someone attacking an ambulance with 2 females in it? Plus the times that we usually have a rider observing, we get one call or two that are just plain run of the mill calls.

Anyone up for dinner and a Colorado EMT City get together? I arrive Sunday night and fly out Wednesday night.

The only reason why Nurse Hathaway needed to get her ride time in the ambulance was that it enhanced the story line. No nurse in chicago or anywhere else is required to get ambulance ride time for ACLS and TNCC unless those who are running those courses are requiring it. But I have no problem with nurses riding out with me. I also think that nursing students could get a good exposure to what we do before those in the nursing profession on the floors and the ER get a hold of them and make them jaded towards us. I see it as a win win situation until a crew of three women (two female medics and one female nurse) get killed in a bad part of town.

I have a couple of ECG strips and 12 leads I want to post but I can never seem to get them to post right, no matter what I do. I need a quick tutorial on how to do this. thanks

Ok, I have the ability to compare an android tablet and an Ipod side by side. I have a Ipod 1 - 64 gig and I have a Nook that I've loaded a Android operating system on the SD card and have it load to that system So far I'm impressed with both but since I really like the android operating system I'm leaning towards the android. Unfortunately the ipad screen size outdoes the nook because well, the nook is a ebook reader and it's a 7 inch I think screen. The Ipad seems much bigger. I also do not like the lack of a SD card which limits the number of movies I want to put on the Ipad, but putting videos on the Ipad and the android is wicked simple. The nook (modified) runs Angry birds without issue. So does the Ipad I think that if you are looking for a nice stable OS then go with the Ipad but if you are OK with putting up with some force closes, then the android will be for you. If you have a Nook and want to have it boot to the Android 2.2.1 operating system, let me know and I'll point you to the files you need. Ruff

Echoing Herbie My wife spent two days in the hospital for URI and hyperemesis with the pregnancy My daughter went to the er not once but twice, once for ear infection at midnight and the 2nd visit same time but this time she had croup. (all in one week), and then she developed a rash from the amoxicillin she was taking and that visit she spent at her doctors office. My son spent one evening in the ER with a fever of 104.5 and ended up with Bronchitis Me, not a sniffle, cough, retch, rash, or any other problem. The minute I return to Florida, today, I have a cough and a fever. Could I have gotten sick at home to keep it at home and also enjoy the 30 degree weather with the snow and rain, NOOOOOOOOOOOOOOOOO, I have to go to sunny florida to get sick. The sickness gods have a sick sense of humor. At least I am sitting in a quiet office, drinking fluids and just a flight of stairs to the ED Fasttrack where I have a good relationship with the fast track docs, if I get sick. Sickness gods, you are a fickle bitch.

I went to Vegas about 6 months ago and tried to bet on your demise and they didn't have good enough odds. But I went ahead and put down 1 dollar on February 29, 2011. Needless to say, I didn't win and in fact was out a buck.

I do not disagree with you Herbie. I also have back pain after I've worked with a female partner, even with the electronic cots. Unfortunately, I've had back pain after working with males because well, damnit, they sometimes also can't lift. Wussies But seriously, The company has the right to require whatever crew staffing that they want in my opinion. What I bet is this, the company has had a situation in the past where a 2 female crew didn't call for a lift assist and both or one of the females was permanently disabled and is costing the company a big hunk of change. Is it right to require that, I'm not the boss nor a worker for the said company so it doesn't affect me one way or another. AK, your knowledge on discrimination from a employer's perspective is pretty up to date so maybe you know something I don't but as an employer I think that if they have policies in place that this couldn't be considered discrimination. What would be interesting to find out from Crotchity would be the state that his friend is in. Maybe that would help us out.