Just Plain Ruff

You are too young to do this job. But seriously, don't let the age thing get to you, one of my best partners was 18. Lack of life experiences allows you to grow with every single call so don't waste this opportunit. Sent from my SPH-D700 using Tapatalk

My understanding of the facility is that it is one of those smaller than small hospitals. Sent from my SPH-D700 using Tapatalk

This happes to me to. I think that the website when it refreshes it thinks that you've seen the topic headlines once and it considers them as no longer new to you. Sent from my SPH-D700 using Tapatalk

Methinks someone needs a taste of basic training. Doc. Come on sugar coat it for him. He might actually take the advice if its sgar coated Sent from my SPH-D700 using Tapatalk

I am in total agreement with you but I just put the DA comment out there because I'm sure that what this situation would be considered a crime by the DA in jurisdictions where the participants age was less than the age of consent in that jurisdiction. If I was charged with statutory rape each time I had sex in high school I'd still be doing some hard time (no pun intended). This is not about morality here, and yes both parties should be charged if one is. It's much easier to go after the guy in all of these situations because all the girl has to say is she said "no" and that's all the DA has to hear. I don't remember reading about a female being charged with statutory rape any time in the near past becuase it's just not "cool" or the "In thing" to charge a girl for rape. Remember, some mentalities still say that men cannot get raped by a girl. But back to the duty to report, we are required by law in MIssouri to report molestation and abuse to the State division of family services and if a girl(under 18) says she was sexually assaulted then the state of missouri considers that abuse and it's a reportable act. I do not know what the age of consent in missouri is, I think it's 14.

Actually it did sound negligent but you are correct in saying I don't know much about paramedics in canada. I trust you that you managed the patient as well as or better than most doctors out there. So the only thing I was surprised as why did the doc not return when the patient crashed for the final time. But I trust your treatment of the patient as I know you from this forum. I used to work in a small town a long time ago where the ER docs were the clinic docs. We had standing ER orders for everything and even standing orders for the scenario when we don't have a freaking clue, and once the standing orders were done we called the doc and he may or may not have come in to see the patient. There were times when the doc would say discharge the patient, I'll be in later to sign the chart. (lawsuit waiting to happen if you ask me) I know that you are placed in much higher honor than our paramedic counterparts inthe US. I for one would not want many medics I know to manage a patient in the hospital setting without a doctor present. That would be bad. I know you did the right thing, the right treatments and in the end the right thing happened to the patient.

I'm really disturbed by this whole deal. You were told by a doctor who was not there and only talked to you on the phone to stabilize the patient and transport? Then when the patient crumped the final time the doctor did not even come in to see the patient? Did the doctor ever come in to see the patient? Had he been there at least once? I'm just trying to get a handle on the lack of physician involvement.

For those of you who are saying no crime occurred, I'll bet the District Attorney in that particular jurisdiction would disagree with you if the kids were under the age of consent. I do remember a young man who was 18 who had sex with his 17 year old girlfriend. he was charged with statutory rape and spent several years of his life in prison. So yes it does matter.

This link is from Medline. Great info. Shows all the symptoms per snake type The best phone numbers or resources you can have are the national poison control number and the number to the hosptial nearest you that has snake bite capability. I have had a single snake bite patient in the ambulance and it was a copperhead bite. We transported the patient to the ER, cool compresses on the bite, elevated the extremity and kept the patient calm. It was a moderate envenomation from a baby copperhead (they give all their venom in a true bite) and the hand by the time we got to the er was starting to turn black and blue. We had a 45 minute transport. Thsi was before we had the widely available helicopters that we have today. The patient ended up with 2 fingers removed and compartment syndrome in her hand. Needed decompression. Spent 9 days in the hospital and went home alive. Here's the link http://www.nlm.nih.gov/medlineplus/ency/article/000031.htm

Noone said you didn't do your homework, and I don't see much flak. We gave you some pretty good advice. Plus it seems like you already have your mind made up. But to add to the constructive Non-flak advice here goes 1. I am partial to the mosby or Brady paramedic book but it's been a while since i needed either books. I do have them in my library. 2. The best anatomy book by far in my opinion that is written at a undergrad level is Gray's anatomy. The pictures are worth the cost of the book. Good luck in your future school endeavors.

Yes definately to number 1 No on number 2. I asked a local police officer and he said that it was completely up to me to report or not. I would definately document the drugs I saw on my run report.

For our medic students: What is this rhythm interpretation? Rate: Rhythm: Regular, irregular PR Interval: QRS: yes or no P waves: Yes or no I will try to post one per day or every few days. I have over 300 to choose from. I have multiple 12 leads to post also. Hope this helps out those in medic school and those who have been active in the field for a while. I still have issues on trying to upload from photobucket so I hope this one works. ECG 1

I took this from Golf Digest and made it applicable to this discussion. Feel free to respond. How to practice fearless EMS/Paramedicine 1. Measure risk versus reward 2. Think twice before performing that intervention 3. Bold medicine is risky - see number 2 4. Don't compound mistakes 5. A "benign" intervention does not mean less risky 6. Don't try skills you have not been trained in 7. Be true to yourself and your patients 8. Reduce risk by learning from past mistakes 9. Know the difference between risks and gambles 10. Don't let your partner tempt you.

I agree. If you are looking to go the medical school why not take a bachelors degree program that will help you get into medical school The bachelor of EMS I don't think will give you enough of the pre-requisites to get into medical school. Correct me if I'm wrong but I don't see a bachelors of EMS giving you chemistry, biochem, biology 1 and 2, a&p 1 and 2 and any other pre-med level classes except maybe a&P and biology. I see a bachelors of ems as giving you management style classes on EMS and the occasional medical class. I could be wrong. I do think you are going about it the wrong way if you are wanting to get into medical school. It's sort of like the guy who went to the Gates bbq rib tech when he really wanted to be a master chef for a french restaurant in paris. I don't see that the rib tech classes will teach you anything about french quisine. Just my 2 cents. Plus you will save a lot of money if you forego the ems classes because I'll bet the medical school won't accept a lot of the credits you get when in ems education.

I believe the venom registry out in Arizona has the Dr. Sean guy who is the snake expert. I think the registry is run by the Phoenix fire department and a major hospital in Phoenix. I also believe that if you have a major snakebite that they will fly the venom directly to you if there is time to do so. IF you are anywhere within like 600 miles of the location where the registry is you can get enough antivenin flown to you. I think the doctor will even come along to help your local docs deal with the situation. It's similar to the Diver Alert Network. I did a websearch for this and couldn't find it but I am not in a good place to do a indepth search. ok, I did a exhaustive search since my plane isn't gonna be here for another 2 hours. http://lomalindahealth.org/medical-center/our-services/emergency/programs-and-divisions/venom-er/index.page The venom registry is out of Loma Linda. Here are links to specific venom residencies. I had no idea there were specific venom residencies. Cool. Great resources on the first link.

I was going to post my response to this out in the open but I think a better dialog will happen via pm's. So I sent my response in a PM. The entire site doesn't need to see our replies to each other even if they are not negative. I know how much we all like watching other people's conflict, know what I mean? But honestly, the intent of that original thread post that I deleted was not to focus on the religious aspect but more along the lines of what my friend has learned over the time that he has been in EMS and some of that learning and knowledge he attributes to God. He also I felt had some good points in how we should act towards others regardless of their circumstances.

NO I'm not saying that. I never once said anything of the sort. I said I thought he was practicing a form of fearless medicine NOT that you need God to practice any sort of medicine, fearless or not. I thought in the back of my mind that someone in this group would pounce on the Christian references but I said, no, the group would see it for what it was worth, which I thought was this persons way to practice fearless medicine on his own terms but I was wrong. Why whenever someone posts anything remotely religious on this site that it gets hammered and discounted? I'm done and if I can delete the above I will, I don't want to offend anyone's delicate sensibilities.

Although this is not really practicing fearless paramedicine I got this email today on how to make yourself more valuable to patients, co-workers and management. I thought it was interesting. I think that we could interchange EMS with nursing on this one. I think that the message here can be applied to each and every one of us. No exceptions. It's slanted to be from management to employees but seriously, this does apply to us all. Starts here Skills for a New Economy: A Message to All Employees (Part One of Two) We are living and working in tough times. The healthcare industry is changing, budgets are shrinking, and a national emphasis on quality means our outcomes need to keep getting better and better. Even organizations with a strong culture and talented employees can't afford to relax. There is an unprecedented need for excellence at every level, every time. What does that mean for individuals? It means every employee needs to consistently show his or her value—to bosses, to coworkers, and to patients. Here's the message leaders need to convey to staff members: To gain the sustainable excellence we'll need to meet the challenges that lie ahead, we all need to take ownership of our individual roles and our organization's mission. So how can an employee show value and do his or her best possible work every time? Here are a few insights and suggestions to share with staff: Hone Your Ability to Transfer Your Value across the Organization. As the external environment gets more complex, an individual's ability to survive and succeed is directly related to the ability to connect the dots, show insight, and communicate well with others. It's important to show value to peers and leaders, inside and outside of your department. Here's how: Understand the group you support. Know your audience. It's important that we all learn to manage our time with consideration to the time of those we work with. Have a nose for money and opportunity. Be efficient. Look for opportunities and be known as a problem solver inside the company. Periodically attend other department meetings. It's amazing how a different perspective changes the way we view things. Not only does this help us understand how what we do affects others, a fresh pair of problem-solving eyes in the group may help resolve the problem. Offer insight. Be an active participant and share key learnings with those not in the meeting. Connect what you do to revenue. While it isn't possible to do with every job, most positions do connect to revenue directly or indirectly. Understanding this and being able to articulate it can help show value. Understand the external environment and the need for a culture of always. Knowing the state of our industry, it's important to create a culture of always that constantly implements best practices—every time, on every occasion, without exception. Step outside your comfort zone. Sometimes people are too close to a challenge to see a solution. A fresh perspective—yours—can help others in the organization "connect the dots" in a new way. Being willing to boldly offer insights from an "outsider" point of view is a great way to show individual value. Own Your Professional Development. When we make a conscious effort to learn new things, professional development happens organically. Seek out structured professional development and training while keeping in mind that some of the most effective growth happens in day-to-day interactions. Here's how to make it happen: Evaluate your personal brand. Do you like what you see? If not, it's time to make adjustments. If you do, it's time to take your personal brand to the next level. It's important for employees to be self-aware and to get their unique talents out there. Search out best practices and use them. Studer Group has spent years inside our National Learning Lab of nearly 800 healthcare organizations researching, harvesting, and refining the best ideas for maximizing human potential. Become familiar with the theories and enable them to work. Take constructive criticism well. Honest feedback is a critical part of professional development. Think carefully about how to respond when feedback that is less than positive comes in. Duplicate yourself. Mentor and teach whenever possible. Not only is it good for the organization (it frees you up for other things), it is incredibly rewarding. The tips noted here focus on an individual's personal value, brand, and development. In Skills for a New Economy, Part Two, we will focus on how each employee can take these skills to the whole company through maximizing profitability and communication.

Do you want these nominations in PM form or as a reply to this?

I don't have a copy of golf Digest so I can't see what they were trying to talk about. My opinion is that it's not to be fearless to do anything. I think it's more like having the fortitude to do what needs to be done yet taking into account the ramifications of what we are doing. RSI terrifies me if you ask me. I consider myself a pretty good intubator but once you remove the ability of the patient to protect their airway, to breathe and to move then that gets my butt in a significant pucker factor. I don't expect that "fearless" means to do things without fear. I look at it as knowing the consequences of my actions and being able to use that knowledge to be a better medic. more to follow after I think on this more.

Honestly 85% of the quality of your emt course should come from the student and their understanding of the material. You are in college, you are taking 100 level courses that go far beyond the depth of material that a emt class will go into. If you can pass your first semester of college then you can and should be able to pass EMT. I will go and look at the link you posted but they only want you to see what they want you to. Call them and see if you can observe a class or two. Sent from my SPH-D700 using Tapatalk

That was classic.

Could this be one of their support vehicles?

Excellent reply Mike The only way you are going to know if it's right for you is for you to try it. Remember the life cereal. Mikey Liked it so the other kids ate some too. If you get into it and find that you don't like it then no harm no foul, what are you out, 4 months of classes and a couple of ride alongs? My advice is to get the class taken, utilize ALL the ride time you can. In my EMT class I spent every weekend riding with the Crews as soon as my instructor said it was ok to start to ride. I think I did over 400 hours of ride time. That's what helped me get my first emt job. It also cemented my commitment to patient care/healthcare as a career and I went on the paramedic and then I have moved on further to automating Emergency departments to track patients from triage to discharge. You never know what you can do or cannot do until you try and do it. You are young, you have many years before you truly have to make up your mind what you want to be when you grow up. Why pass up this experience. Who knows, maybe you will be the next Dwayne, me, paramedicmike or AK to name a few.

I've seen people die in a mini cooper and I've seen people die in a huge ass hummer. Depends on the wreck. Size does matter, especially in porn, er another discussion But truly, I like a car with more metal around me. not necessarily the largest car but one that is bigger than the one that hits me, as long as I don't get broadsided on the drivers side. I have a Ford Freestyle and a chevy cavalier, which one do I want to be in when I get creamed - the ford. No two wrecks are the same and someone my survive in a smaller vehicle while the dead one is in the large road rhinocerous that rolled after hitting the smaller vehicle. Airbags, crumple zones, airbags, seat belts, airbags and seatbelts. Get where I'm going with this?