Just Plain Ruff

Again AK you give me things to think about. I didn't think about it from the perspective you gave but I still would be uncomfortable having my child in a homosexual run day care. I know that there would be no ass slapping or anything like that. I don't think that with my son being 8 and having formed a somewhat well formed world view I would expect that he would be OK with the situation but the questions he'd have would be I guess more uncomfortable for me to answer than him to ask. unfortunately you cannot guarantee that there would be no showing of the homosexual lifestyle such as their partners coming into the daycare and no different than heterosexuals, kissing good by and all that. I think that the questions he would bring home would be more uncomfortable for me to answer if you know what I'm tyring to say. My son is adopted, he has a gay brother(birth family). He knows that his brother is Gay. He asks about him and says that he loves his brother but does not like his lifestyle. Mattie (brother) is a openly gay homosexual and he does not care who knows it. My son says he loves his brother but does not like his lifestyle which he believes is wrong. I'm sure that's my and my wifes influence on him but he is old enough to make his own decisions on this type of thing. I can guide him in what my beliefs are and his mother also but I think he's making his own decisions pretty well.

Where did you get that I called you a anal manager? That was not directed at you. I also don't see how you can jump from not keeping a truck clean with how I take care of patients. After I put the ambulance through the drive in car wash it looks as good as it did if I washed it. No need to take offense to any of what I wrote. My patient care takes precedence over keeping an ambulance clean. I like a clean ambulance but seriously, making the jump of not having a clean ambulance and it directly affecting how I take care of my patients is a stretch.

Your ambulance is ready to go.

Time for one of my contests again. Previous winners got some pretty good stuff. Build your own paramedic school. Tell me what you would have the students learn and what classes you would have them take. What would the clinical hours in the hospital and out be? How many hours for each subject or key area of study? I'll look for a nice prize in my stack of EMS stuff that I never use anymore. End of contest is January 5th. The sky is the limit as to this.

Well I got 5 of 5 correct and 5 of 5 wrong both times.

PMH - negative recent cardiac workup. No stressors - she's a typical Housewife of New Breckenshine (She is a very pretty lady) She is on a SSRI for what the physicians says is anxiety She is saying she's feeling worse, getting a little green around the gills.

I know. Your response was just the one I chose to reply to. The previous poster resurrected it, I'm sorry if you thought I focused on you as restarting it.

5 out of 5 on two different tests. I better go get the college guide to writing and review.

You are dispatched to a nice home on a reported lady having a panic attack. ON arrival you are greeted by this womans husband and her daughter. They say that she has panic attacks all the time and this is the worst one ever. Police were not dispatched on this call to assist you. You are a EMT/EMT-P unit. Your next closest unit is 2 hours away by either mutual aid or your 2nd out unit which is out of the state on a long distance transfer. Helicopter is a 50-60 minute flight and your closest hospital is your base facility which is 100 beds and does have a cardiac center rating. It is 45 minutes away since you are way way out in the county next to the red barn where you missed your turn the first time. Get it - you are rural. your first responders are very basic - no emt's there but one of them can drive the ambulance. Go for it.

I do believe I would have a problem with an all gay provider daycare - either male or female. I'm gonna catch hell for that comment above but it's not what I want my child exposed to. Sorry if that pisses anyone off. But although I don't have a problem with the person who is gay, I do have a huge problem with the lifestyle that they lead. We believe in our family that sex and marriage is between a man and a woman. Not a man/man or woman/woman.

Jax, it is definately your location. Where I work, EMS is not predominately fire based. There are fire departments in towns who run fire and ems but most places are still run as private or public EMS agencies. These places you do not need to be a fireman. There are plenty of places you can go to not have to be a fire man.

maybe the 24/7 was me but I didn't mean it that way. what I meant was that the poster is going to think of the call a LOT. If it lasts more than a week or so with them reliving it over and over then they need to get more help than this forum can give. I also think that we are jumping way ahead of things when we start telling the OP that they need help when in fact they might not need it. We are also jumping the gun by saying that this call seriously messed with their head as we do not know that for sure. Let's not get this poster too out of whack until they get a chance to talk to someone about the call. At least let's give them the benefit of the doubt before we call them nuts!!! by the way Merry Christmas everyone

But I do see the posters point about not being able to sometimes. Some new emt's do not yet have the confidence to go on to medic school. They think that being an EMT even if it is as a dispatcher, or a transfer jockey will give them the confidence to go to medic school. Sadly, I know of a lot of emt's who are still working transfer or dispatch because they have waited too long that they are set in their ways and will always be a dispatcher or emt transfer member.

I knew why you washed it so often. I was just trying to say in my head "GAWD I have to wash the rig again, I don't wanna" I hate winter weather only because of this issue here. You have to wash the ambulance so often. I still like the drive in car wash. but if you are 30 miles from one then your rig is gonna get dirty again. I actually worked at a service one time that required we washed the ambulance after every single call unless back to backs. It was quite tedious but the manager was an anal asshole.

I guarantee that seeing someone tell a family member that their loved one has died does not require being in the field prior to being a medic. I stand by my statement of that thinking being wrong. Nothing prepares you to tell that type of news to a family member, no matter how many times you see it done. It depends on how you do it. Can you parrot the person you saw do it previously, sure you can but you need to get your own flow and rhythm. To think that you will be comfortable doing it or you will be used to doing it after working in the field, that is wishful thinking. So what happens if you are working as an EMT and you never get to see this telling someone their loved one has died thing happen. I know plenty of EMT's out there who have never run a cardiac arrest because they are on a transfer car only. Are you saying that unless you get the examples you alluded to in your post, that you should hold off on being a medic until you get those examples? A good paramedic program should prepare you for these examples. Your 400 hours of ride time in an ambulance with a seasoned paramedic should prepare you. Being an EMT prior to getting your medic is just wasting time if being a medic is truly what you WANT to be!!! As for "nothing in EMS is easy" I disagree with that too. mike has it right, it's not rocket science. You see something happening to a patient and you give them medications or support to help them through it. That's easy. See v-fib shock and drugs, that's easy. CPR - easy, hives - they get benadryl. What is not easy is to understand why something is happening to that patient and being able to correctly give the right treatment. EMT school does not adequately prepare you for understanding the reason why this is happening to the patient. Disagree with me or agree with me, either or, it's your life and you can do whatever you want to do with it. you didn't read all my post did you? Here is what I said Now if you do not have the financial means to go to medic school right out of emt school then by all means get a job as an emt and save up the money. But if you can go directly to medic, I don't know why you would wait.

Not a t-shirt but a sign on a pickup truck this was a truck that you would call to haul away your heavy trash that the trash company wouldn't take. "No for Hire!! Private Individdle" At least his rates were cheap

Why would you wash the ambulance three times when you know that 5 minutes after you get done washing it it's gonna be as dirty as it was prior to you washing it the third time? Sort of defeats the purposes of washing doesn't it? I take it to the drive in car wash, pop in 1.50 and have 6 minutes to wash it. This gets it clean, not spotless but clean. It also takes less than 20 minutes to dry it.

Holy thread resurrection Batman But seriously, I don't think the OP is here anymore. I also think that with the original post the guy was trying to start a service but he didn't realized how deep a hole he was going to get in. I have a close friend who is starting an ambulance service in Missouri. He's 1 year into it and it's still not running yet. I think his venture capitalist is in the hole for about 2mil so far and I'm not sure if it will ever actually get off the ground.

I would say that thinking about this call on the OP's end 24/7 is a normal response to the situation. That being said, if you don't begin to stop thinking about it in a reasonable time then it's time to ask for help. My first three calls on my first shift were a pediatric code, an adult code and a seizure. I thought about that ped code for weeks and I did not know the resources available to help me. I can still after 18 years see the parents faces, see the kids open mouth while I intubated him. I even remember the dog howling in the other room. Sadly the kiddo didn't make it. Nor did the adult. Had I known what resources were out there I would have taken advantage of them but I didn't and now I'm freaking nuts ha ha ha You are normal for thinking about this call. Waht you have to understand and be able to recognize is when it's gone on too long. I don't know what that timeline is for you or for anyone else, it's a personal number. Remember that there are people out there in EMT city land and also your community who have gone through what you are going through right now. Keep a positive attitude, do not let the job define you and leave your work at work and not bring it home. Take care.

I don't understand why you wouldn't just go on to medic school right after you get your emt? The reason why you have over 400 hours of clinical time on the ambulance (that was my number of hours needed in my class in 1990) is to get to train with a seasoned medic. To say that you need the experience as a basic to tell someone their loved one has died or what not is poppycock thinking. Let's look at it a different way. Do physicians start out as nurses because they need to get experience in taking care of patients? No they don't Do nurses start out as medics so they can learn how to take care of patients and get experience? No Why would you waste(my choice of words) your time working as an EMT when in the end you are going to go to medic school and learn it all over again? I sometimes wonder why we even have EMT certifications but a friend of mine said the reason why we have EMT's is for those emt's to be firemen and also IFT transfer crews. Why waste your time by so called learning to take care of people as an EMT when your time and effort are better spent going to medic school. Now if you do not have the financial means to go to medic school right out of emt school then by all means get a job as an emt and save up the money. But if you can go directly to medic, I don't know why you would wait. I love the EMT's I work with, they are truly the best. don't get me wrong. But most of them are unhappy because they didn't go to medic school and are stuck driving the ambulance and not getting to do patient care. Once those I've worked with have gotten their medic they are a happier bunch. This is all my opinions and some may agree, others may not but take these words of advice however you want to take them. But my opinion is if you are on the fence about going to medic school versus getting your "feet wet as an EMT" then I say get your medic. Or you can be a driver for a year and then get your medic.

and still no link

Armymedic I have not served it was not the path I took. But I do have infinite respect to our military. My opinion on this means nothing if you ask me because I am not serving. But what does matter is what the troops say? Do they want this? Is this repeal something that was forced on them and the military doesn't want it or will it be another set of orders that is followed because that's what soldiers do? I tend to think that it's a little of both. You can criticise the order or the repealing of don't ask don't tell but in the end you (collectively as soldiers) will continue to do what you do. You will continue to fight for our country, fight for the freedoms we enjoy and go about your daily business of protecting the USA and the world. It's what you do. I for that applaud you. You have my continued respect and admiration. Thanks for your service to all the military men and women on this forum and in the military. Michael

probably using the flash light to show the veins in the back of the hand. light on the palm and veins up top. But seriously, hot enough to burn the hands. I'd be pissed if this happened to my child. Don't burns to the hands and feet constitute a trip to the burn center? note to all medics and EMT's be careful with what you use out there. Who would have thought that a flashlight could cause burns to palms of hands and soles of feet. If the time you take to get an IV results in a burn to the hands or feet then you should go back to school and remediate. Remember the rules, DO NO HARM

This was forwarded on to me from a close friend. I think these are really true. As 2010 comes to a close, it’s an ideal time to reflect on how strong your relationship is and how you can make it even better in 2011. One of the best ways to build a stronger bond with your husband is to understand how your man really thinks and feels. And he should do the same for you. After interviewing more than a thousand men, researchers uncovered these 5 truths about men. So ladies, here’s what your guy would like you to know but would have a hard time telling you. MEN WOULD RATHER FEEL UNLOVED THAN DISRESPECTED. A huge thing for guys is to feel that their wives respect them publicly and privately. Men thrive when they know that their wives trust them, admire them and believe in them. The research indicated that men would rather sense the loss of loving feelings from their wives than be disrespected by them. OFTEN, A MAN’S ANGER IS A RESPONSE TO FEELING DISRESPECTED BY HIS WIFE. He may not come out and say it, but if he’s upset, he’s probably feeling stung by something his wife has done which he considers disrespectful or humiliating. Maybe she spoke down to him in front of family or friends. Whatever the argument is, try to see where respect, or a lack of it, may fit in. That’ll be your key to solving the issue. MEN ARE AFRAID THEY’RE NOT CUTTING IT IN LIFE. Not just at work, but at home, and in their role as husband. The antidote? Affirmation. Affirmation isn’t just flattery. Its feeling validated. When a man feels that his wife is on his side, he’s much more confident in every area of his life. MEN FEEL THE BURDEN TO BE THE FAMILY PROVIDER and that’s the case whether the wife earns more or not. That expectation can make them feel stressed, because it’s been hard-wired into them over centuries. It’s also an emotional burden. So, the best thing a woman can do is show appreciation, and be encouraging and supportive. MEN REALLY DO LOVE THEIR WIVES. The vast majority of men really do appreciate the companionship, the kindness, the laughter, the nurturing, and the cooking. They just aren’t very good at TELLING you about their feelings. Keep these 5 truths in mind when interacting with your sweetie, especially when discussing items of conflict. Focus on showing respect, appreciation and support for the man he is and who he strives to be. In doing so, you will be doing your part to create the loving, happy relationship you both deserve Sorry forgot to put the source Tips from Relationship Expert Val Baldwin-www.valbaldwin.com