Just Plain Ruff

type and condition of location: nice small well kept house. No clutter noted General appearance of patient: flushed face, worried in appearance. From the forearm down you see bruises and what appears to be a rash. Patients posture: straight backed in a chair Skin condition: blotchy in places that you can see. Looks like some mild bruising to what chest you can see that isn't covered with clothes. Eyes look exceptionally bloodshot Vitals BP: 98/40 P: 100 R: 20 O2sat: 98 Cap refill: >2 seconds but you are checking it on her hands You got the vitals in an above post Her general appearance is well kept. Not frail She's Ugandan Recent travel: she went back to her homeland in Uganda 3 weeks ago.

Dude this SUCKS BIG DONKEY BALLS but there are things you can do Is she on your account? If not then what she did was illegal and you need to file a police report and press charges. Was all the stuff that she snagged purchased when you were together or was it after the fact? If it was after the fact, then she's a thief so she needs to be arrested. I'm praying for your situation. Hope that's ok.

Dwayne, you haven't responded to either my updated post nor my PM to you. What gives?

unfortunately you can only work with what you have.

This is a zebra scenario. This is also a NDA scenario. You are a hospital based ambulance service where you primarily work in the ED in the functions of a nurse (budget cuts you know) and you run ambulance calls on the side. Call volume about 350 calls a month. Your transports are around 30-60 minutes from scene to ER. You have a 3 hour trip to get to the next bigger hospital which is a 308 bed general medical facility. Your hospital is a 200 bed acute care facility and your ER volume is around 100 per day. There are smaller hospitals between you and the 308 bed facility. You have all the bells and whistles of a big hospital just a smaller package. Your lab is state of the art, they do everything and nothing hardly ever has to be sent out. Air transport is non-existent in your area. (you won't need them though unless you get this scenario wrong) You have a diverse population of people from all over the world. Many from Europe and many also from Africa. A 45-year-old woman calls 911 for bleeding gums and bruises on both forearms for the last 2 days. For the preceding 10 days she had been experiencing a high fever (which has since broken) and rigors.

Now the outrage has gone too far. Representative Joseph Cao in Senate Hearings has told the BP Exec to go and commit Hari-Kari. http://www.foxnews.com/politics/2010/06/16/rep-cao-suggests-bp-exec-commit-hari-kari-spill/ Did he go too far in suggesting that this BP executive go kill himself? Or is he just expressing the anger of his constituents. I do know this, I'd not be wearing any type of BP uniform in any of the small fishing communities in the Gulf Region right now.

Joseph, what are you talking about. did you even read AK's post?

But according to AMBODriver, it's not about religion, just politics. I'm still waiting on Ambo to post his reasons why he says it's not about religion but all about politics. I thought that they flew the planes into the towers and bombed us for Jihad and Allah's glorification. I admit I am woefully undereducated about muslims, should I be yep, but I'm not. I rely on AK to help me to that path of enlightenment and knowledge. Lord knows he's taught me a thing or two.

Hey Lone, where did you get your avatar? That beating heart is pretty cool. I just put a new avatar on my site.

I'm gonna call ALS and BLS backup with a shot of Firefighters and a supervisor for backup But seriously What are the pill bottles? already asked Primary Survey A B C They say just before he passed out he was breathing really fast. Is he breathing now? If so then let's get him on the cot, maybe provide some prophylactic kerlex restraints after uncuffing him if he was acting strange and scary and nuts? Would hate to be in the ambulance when he wakes up. Vitals would be good Did the RCMP frisk him? Did they find any weapons? "It might be a tumah"

Please delineate what political reasons they had for attacking us. Not arguing the point nor am I disagreeing withyou but I want to know what your evidence or rationale behind saying that this was political versus religious.

I watched in mock surprise a situation that played out in the Orlando Security line last Friday. A TSA agent was wanding a little 5 or 6 year old boy. Not sure why. Mom and Dad were pissed. The guy in leather's that one could say was a biker type of guy was let through. The guy with the I'm flying firstclass attitude was also let through The 35 year old woman was wanded I was wanded next The elderly gentleman since he was in a wheelchair he was wanded The man wearing the turbin and the Islamic outfit(forgive me I'm not up on the names of the clothes) was let through. The teen age girl with short shorts and skimpy t-shirt was wanded There is no rhyme or reason who gets wanded. Does that guarantee that security is random, sure it does, does it make sense? Not really, at least not to me. I've been through the cameras or x-ray machines that show it all and I don't see the big deal other than the comfort factor that someone in a room off to the side is looking at you basically naked but with no facial features. I like travelling for work but when the lines begin to take longer than my flight to my destination then that's when I'll start to re-evaluate my travelling for work. I choose to travel for work so I choose to abide by the rules set in place. If I choose to no longer travel then I won't have these inconveniences.

You left out these Underground churches in North Korea, China, Myanmar and many other countries that are incredibly less religiosly tolerant than the US. Those churches suffer majorly in those countries to the point of death to the organizers. We don't hear much about those types of churches. I've been doing some thinking and I am no longer in total disagreement with the building of this mosque. To be tolerant of other religions we have to take a first step and maybe this will be one of those watershed moments in US and world history that will begin to change the opinions of both sides and build a better world. Not convinced but hopeful.

My suspicion is that your safety officer is not a moron. I'd suspect that your company has it's own requirements and the classes you need to have including defib and cpr need to be taught by an instructor qualified by your company. It's sort of like my old job as a dispatcher. 911 service. No pre-arrival information was ever given by the dispatchers. They just took the call and then dispatched it. When I went to work there, I was told that my medic didn't hold any water there because the county commission would not allow the liability. To make a long story short, I gave pre-arrivals but it was a rarity. I'm sure that your companies liability insurance carrier requires that your company provide the training and they do not take into account your training as an EMT. As a matter of fact, I'll bet they probably wouldn't even take into account a physicians credentials. The safety officer I would bet was following policy which is not a bad thing. How is he supposed to know what you were taught. Sure it's an approved AHA Course but let's not forget the idiots up in massachussetts who paid for their continuing education but didn't actually take the classes. How is your safety officer to know if you really took the class? Honestly, no offense intended here but if you are not using your EMT training on your job which you say your job there doesn't have EMS in it, and you want to continue to work there, just take the classes and get the extra day's pay. Consider it a day off with pay from the grind of your current job duties. I always enjoy training days. They are few and far between so enjoy them while you can. Who cares if they are teaching you again. You get an extra days' pay and the company fulfills it's duties to whoever the heck requires what they require.

Actually you are right partially on the liquid amount. You can go back out of security but you ahve to take your bags with you. You cannot leave your bags so you are going to have the original liquid and then put more in. The max you can take is what will fit in a 1 quart ziplock bag. I can't see getting lots of liquids through. What I can see is that you can pool the liquids if you have more than one person travelling. Put all the liquids together from all your group and you have a lot of liquid. You cannot take any liquid larger than 3.7 ounces per container. I didn't say that we've lost the war, I meant and maybe didn't relay it right, I meant that the particular battle with the TSA being the end result has been lost. Not the war. Either which way, I still think flying is pretty safe relative to other threats. Let me put an example out there. We own a lake house. Our water supply is directly supplied by an underground well. That well house is protected by only a padlock to keep the door secure. We have 25 houses that are serviced by that single well. On a given holiday weekend we can have as many as 25 of those houses full of people. Put 4 people in each house and you have 100 people. One person breaking into the well house and putting poison in the water supply would take out many of those 100 people. The majority of the people on this particular lake are serviced by wells just like ours. A coordinated effort of 100 people could feasibly wipe out thousands of people in one swoop. ONe example. Take another, the Kansas City water treatment plant. Serves about a million people. put some sort of poison in that plant and you get the picture. Our infrastructure is more vulnerable than I believe planes are.

He won't learn until something happens to him. Until then, he'll want you to run no sirens and no lights but when it comes to his family, he'll want you to run l&s. It's a constant thing with these diptards, they demand something but when it isn't to their liking during their emergency then they won't learn. It's like my old service, it's ok to work short until the crap hits the fan and then administration goes and asks why you were working short and they are looking for someones head to roll.

And those should have been used prior to trying to reset the oxygen system.

Hot on the heels of the mosque discussion. Obama likens the oil spill to 9/11 - Agree or disagree Read the article before you respond please. http://www.nydailynews.com/news/politics/2010/06/14/2010-06-14_bam_spill_will_hurt_like_911_it_will_shape_how_we_think_for_years.html

Why do we continue to rely on technology to provide the most important of all patient care tasks. We rely on an electronic system that keeps the oxygen flowing on a ambulance. There are no fail safes in that electronic equipment. If it dies, then so may the patient. The most important piece (one of them at least) is the oxygen delivery system, and to rely on a electronic system without a failsafe which some ambulances still have is just tantamount to stupidity in the making. But the more and more that we rely on technology like this, the more and more we become hooked to it. Just look at cell phones and laptops. But anyway, in the end, it will more than likely be borne out that human error, rather than equipment error was the cause. Seriously, if you can't recognize that your patient is hitting the crapper then I don't know what to expect. But we are of course armchairing this, we don't know what truly happened. I suggest waiting until we hear more abou this. Unfortunately, in the end Road Rescue will bear the brunt of the blame.

Even with the electrical system Oxygen delivery there is a manual switch that you can turn to open the oxygen. There are safeguards for exactly this type of thing. We of course do not know all the particulars of this but I'm going to do something that I don't normally do here. What the hell, Ventillator dependent patient, oxygen, pulse ox don't you check that stuff? What was the attendant doing? reading a book or sleeping? I think that this needs to be laid down at the feet of the medic and no-one else. There should have been back-ups set up. A ventillator patient is inherently dependent upon You the medic to make sure they Don't freaking die. Lose the oxygen, lose the patient. He should not have been trying to re-start the system, you call for backup(your driver can do that), you take out the portable oxygen tank and attach the BVM and breathe for the patient. That's simple aint it My suspicions are they ran out of oxygen, they used the month's old excuse that the system did it last month as a cover and theis patient died. Don't blame road rescue for her death, you have backups in place until another ambulance gets there. Pathetic Now disclaimer here. If it really happened like reported then I apologize to the medic in question but I'm going to be that this medic was covering his own ass and they are conveniently blaming road rescue.

JP there are some in America that say that we have already lost the war. They would say that the actions of the terrorists have changed the very foundation of the current US Government. If you look at air travel and what it used to be like to travel pre 9/11 - minimal security to today's security which I go through every single week I would say that terrorism has fundamentally changed at least this form of our government. It takes me every bit of 1/2 hour to 2 hours to get through security every monday and every thursday night. Sometimes it goes fast sometimes it goes slow. An entire agency has been built around the terrorist activities and keeping us safe. Am I saying that it's a bad thing with all the security, NOPE Not at all. I feel safer flying than I do riding the train or subway in New York or other places. But pre-9/11 there was one thing you went through, the metal detector and your bags went through that x-ray. NOw I have to take off my coat, my shoes, my belt and walk through an X-ray machine that see's me naked. I then if there is any suspicion or a question about what they saw, I get wanded and hand patted down. If I am patted down or chosen for a enhanced Screening, a nice word for pat down get in my space, then my bag gets opened and looked through. If I refuse and make a scene then my name gets added to the no-fly list or a list of unruly passengers and I'm effectively blackballed. As for the no-fly list, a friend of mine got on it just by his name. He was unable to fly for over a month all the while trying to get his name off the no fly list. It took a large amount of attorneys fees and filing fees to get his name off the list, just because someone with his name and birth date was considered a person of interest to the FBI or other agency for terrorist ties or something. He said it took him over 2000 dollars and many phone calls to get his name off the list and they never told him how he got on it. He also lost over 15K in wages over the month he was unable to fly and in the end, he lost the contract because the client didn't want to hear about his no-fly list troubles. They just wanted him on site working for them. It didn't matter it was not his fault, but he lost the job anyway. The terrorist attacks post 9/11 have given us pat downs, x-rays and near strip searches. I can say No you can't touch me or no you can't invade my personal space, but for my saying no and voicing my disapproval of this invasive check, I forfeit my ability to fly to where I'm flying to. That to me is forecably taking away my right to choose. But do I see the logic in why they do what they do. Yep you betcha. But do I like it, NOPE not at all. Remember like I've always said here, it's easier to give up a right than to get it back. If we continue to give things away, there is no way we will be able to get them back.

I'm not saying that the majority stops for that reason. I think that many though do. If you are stopping for completely humanitarian reasons, to help someone then fine but the minute you start bragging on how you saved that person or how you stopped at the crash then that's when you begin to get the hero badge I say kudos to those who stop and better their fellow man but the minute that that hero or I gotta stop gets' you hurt or the patient hurt worse is when you no longer are considered helping, but you are now considered a nuisance. I can't count the number of times over the past 18 years that the bystander made things worse. I'd give examples of the more glaring examples but that's neither here nor there. Once you get in the way or become a hindrance to the rescuers you become a nuisance. I've had many occurrences of this situation when I've responded. But if you stop, kudos for you but for those acting like those of us on this site that don't stop are not stopping for selfish reasons, that's where you lose credibility. Same with those who do not stop criticising those who do stop. It's on a situation by situation basis. But those of you who do stop, do not cry to any of us when you are injured.