Just Plain Ruff

Put a body condom on the stuffed animal and use hand sanitizers and for God's Sake - cover your mouth. How many times do you touch a doorknob each day, how many times do you pick up a phone and make a call, how many times do you touch the tv remote every day? Each of those I am sure have more infectious organisms than a stuffed animal. Can we make the Firemedic rule, you get the stuffed animal, spray him with lysol before you send him on his way.

Let's resurrect Fred again. Just like the resurrection of the baby in Dusts post. I'd be game to put him in a position as a medic bear in my service for a couple of days and then send him off to his next assignment.

You should be assessing the same things either emt or medic level. But in your toolkit you have different items if you are an EMT and different items if you are a medic. Comparison here rapid heart rate > 200 you have on the medic side - 12 lead, cardiac monitor/defib/cardioversion, pulse ox, bp/vitals, IV, oxygen, medications On the EMT side you have - pulse ox, bp/vitals, oxygen It depends on what tools you have at your disposal. As a medic your evaluation should cover the same things as the emt but when you recognize as a medic a lifethreat which a heart rate of 200+ is definately something that can be a lifethreat then your toolkit is much more robust than an EMT's. But the EMT and medic should both be able to recognize that this patient is sick and needs interventions that may be beyond the capability of the medic or emt. Don't get into the false belief that because you are a medic that you don't use your bls skills in addition to your ALS skills they go hand in hand. AS an EMT, your options are to get that patient to ALS interventions as soon as possible. You work with what you are given and if you utilize what you have and your brain then you should be able to treat and help most everyone you come into contact with. Remember, it's not about YOU!~!!! it's about the patient.

If I get this job I interviewed for today, I will be contacting personally those who offered suggestions. I like some of them a lot. I have my own ideas which will be very easily implented but I wanted more. Any chance to get that anonymous survey from who posted reference to it. thanks

Hello all. I need some help. I have a new opportunity as a EMS manager and I need some ideas as to how to increase morale and make life for the staff members better. I have many suggestions but I need to know what is working out there and what is not. What I'm looking for is what as a manager that I can do for the people who are working under me. Incentive programs, attaboys and the like. Nothing too outrageous like more money or more time off. Those won't work. I need some things that provide positive reinforcement to the staff without breaking the bank. Thanks in advance.

I may be dense but can someone help me out here. What is respiratory shock?

Lone, now I see a whole new side of why you are who you are.

Seriously, 20 bucks isn't much. For me right now it's the difference between groceries and membership but after I get back on my feet, then I'm sending at least 20 bucks. AS for stuff to sell, get ready ebay members - it's clearance time. I've already got my list of stuff to sell.

Ak any chance to work for you? I'm really in need of a job and I'm willing to travel to get it. PM Me if there is a chance?

Original poster - check your pms. But Island EMT is right - there is nothing prehospital that can be done for this patient except put the ambulance in drive, drive fast and let the hospital know that this is possibly a brain bleed. Even with your report, what will happen in the ER is the patient will be put on a bed, then taken to CT after a short delay and then maybe operated on or if the bleed is close to the surface like a subdural or epidural bleed do a burr hole and evacuate the blood. IF it's an artery deep in the brain like a Berry anyeurism, there is no way to stop the bleeding (if I remember right) and the best that can be hoped is for the bleed to tamponade itself off. Lone star is one in a million odds and he beat them. the other 999,999 are dead.

Where did I condemn it? I just read through all my posts and I don't think I ever condemned this topic. I pointed out the absurdity of posting something like this but I did not condemn the topic. I don't do that. You need to show me where You think I condemned this topic. Do I disagree with Crotch on this one? Yes and no. Do I tell him not to post and condemn his post nope not at all. You sure you read my posts right? IF you are saying that with my last response about being a business owner and not wanting to hire someone of gay or lesbian lifestyle, then I guess you could say I condemned the topic but you missed the point of my post. I as a business owner, which I am and I have two employees, my wife and myself, if I don't want to hire a gay or lesbian person then shouldn't I have that right? Should I be forced to hire someone who I do not agree with and whose lifestyle I don't agree with? Nor should any other company in America be forced to hire anyone. I am finding out there right now in my line of work that past mistakes or past performance on a job has relegated me to being passed over for contract work simply because I left ONE project early to get away from a toxic work relationship but that freakin doesn't matter to anyone. I left a project early so I'm not hirable(Not sure if thats a word). It's the same for lifestyle choices, if the company you apply to doesn't like your lifestyle then hey, they shouldn't have to hire you. People here have long said, what you post on Facebook or Myspace will come back to haunt you. If you are gay and people know it then it will come back to haunt you. In my eyes there is no difference, you put out there on myspace those indecent photos or those inappropriate views and comments on myspace and it will come back to haunt you, if you put out that you are gay or a lesbian then it's bound to come back to hurt you at one time or another. I'm rambling but I did not condemn the thread.

Mud thanks for that post. Everything I've read about safety over in Abu Dhabi is leaning me to being comfortable over there. The companies that I've been talking to have multiple people (expats) over there that have families. My wife is not comfortable going out in a foreign country without me so I'm pretty sure she won't get into any set pattern of movement. I only entertain the Abu Dhabi opportunity as a last resort. The job market for my industry SUCKS BIG DONKEY BALLS right now and I'm really hurting for fundage. I'm possibly gonna go work for Wal Mart. Who knows. I know I just need a freaking job and if it's over there then I know they pay well so that's where I will go. I've always said "its not how much money you make but how much you love the job" but I don't believe that anymore. I've become jaded.

But let me ask you this. If I am totally offended by anyone who practices that lifestyle. If it goes against my religious beliefs that marriage or a relationship is between a man and a woman and not a man/man or woman/woman then why should I not have the right not to hire someone of that lifestyle. Why don't I have the right to hire or not hire a gay or lesbian or a transvestite or transgendered person? I mean it's still my company right? I should have the right to choose shouldn't I? I'm not taking government money or state money so I should not have to abide by their requirements right? IT's my company right? If their lifestyle completely goes against my belief structure then I should not have to hire them even if they are more qualified than the next guy right?

You have 90 minutes to edit it I think. IF you are within that limit then there is a edit button towards the bottom right of your post and you can edit there.

You haven't apparantly read the original post I'm referring to which has to do with the first time you worked with a homosexual partner. Read that thread and you will see what I'm referring to. ORiginal thread http://www.emtcity.com/index.php/topic/13867-male-homosexual-partner/

I am looking at it this way. I think this person is a relative of this dead lady. I am probably wrong but this is very suspect. Why 4 years after this womans death is this being investigated? Wouldn't it have been prudent to investigate this more recently than 4 years. I smell something else too. This is a very respected site on the net, we have had this happen before with someone wanting to know info that we might be able to tell them. The last time I think it was a daughter or son of a victim and a time before it might have been similar. I hope that this person just wants basic info and not info that they can take back and say "Hey see, even the professionals think that the supervisor acted badly" he he he he "I got em now" Plus from a previous post from the OP, the woman reported it to her supervisor but was not forthcoming as to what the supervisor did. I've had people report to me that they had a severe headache when they were working, did I send them home? nope, only if they wanted to go home. But people work with headaches every single day. To find her supervisor liable in her death by not sending her home then hey go for it. But if he sent her home she would have just died at home. At least someone found her. Another thing, Did the supervisor say "you need to go to the doctor" or whatever, did this woman heed his advice and go or did she stay at work and ignore his advice The OP has not answered the specific questions that have been asked of him/her. Which are what is your level of involvement in this. Why are you investigating this now instead of 4 years ago. My ending thought is that this is involving a wrongful death lawsuit that is threatening to cost his company millions of dollars and he and his company are scrambling to find some fault other than their own if there is any fault to be given. People die every day from these things, Lonestar is the exception and that is good. But people die from these things every single day and you know, sometimes it's just your time to go. EMS would have been only good enough to get her a ride to the ER and let them take it from there. A good medic with good differential diagnoses skills would possibly triage her to a stroke center but most would take her to her hospital of choice. NOt much more to do in the back of an ambulance unless other symptoms were present.

ok, I've been out of Full time work since November. Of course I've done some part time EMS work and also some occasional consulting work. The opportunity in Abu Dhabi is either not going to happen or it will be a few months down the road. Each opportunity that presents itself seems to blow up in my face and each of the opportunities that I've lost says that there were higher qualified candidates or they are delaying the start of the project. That's all well and good but I need a freaking job now. I am stuck with the possibility of having to relocate to get a job and to sell my house would be an impossibility in this market right now. So I'm in a quandry and I don't know what else to do but keep on keeping on and applying but this is really starting to wear on me. So if anyone knows of good places to live in the Philly area, the Lake Mary area, the phoenix area or the Plano Texas area I'm all ears. I don't have national registry so I'm kind of forced out of working in a registry state. I don't knwo what states are non-registry. For those who don't know what I mean, I need a state that doesn't require the registry racket to get a license in their state. I'm getting to the point where I'm at my whits END.

Thanks ITXTME

Do what I always did, say something to this effect "Yes Sir, I will take this information down, discuss it with the crew members in question and if appropriate action needs to be taken I will indeed do so. I apologize if this incident upset you and you bet your fricking lame lazy ass that I will get right on it. Just as soon as I finish watching my grass grow another couple of inches" But seriously, just either say I'll check into it or please submit your complaint in writing as we do not go on verbal complaints. All complaints must be in writing. Or you can just say "We're sorry this inconvenienced you in any way" It's easier and costs you nothing to say "Im sorry"

He go to ER now, he been dead for Foh ours. He taking up space, no candy for you mistah! You been here four hours, he go now. To the ER. He eat us out of house and home. We need the bed for anothah patient. He go now, rigor or no, he go now.

Why are we so vehemently against firefighters being medics but no one is bitching about cops being medics and vice versa. If we are against firefighters working as medics then why not the OUTCRY that has been so prevalent on this forum regarding police officers being crosstrained as medics.

I'm OFFENDED at the word Drunken Can't they be politically correct and say alcohol overloaded patients? Drunks are people too!

Back to the original question, there are gloves in the medical kit. Usually a small pair but a pair none the less. The kits are pretty well stocked with the basics but only a 500cc bag of fluid. I had a guy who took too much blood pressure medication, his pressure crashed and he was nearly unresponsive. His bp was 60palp when I took it. had them open the med bag, started the iv and realized that there was no other fluid in the bag other than the 500ml. He responded after 400ml's but what if we needed more. I actually talked to the medical control and it was basically my decision to divert the plane from it's original destination. I said we were ok to make it to our destination (memphis) and the guy did fine. EMS Was waiting on us. That being said, you will be required to provide medical licensure before you start treatment unless it's a code so make sure you have your license in your wallet or carry on bags. The flight attendants said that they would have allowed me to treat him even if I didn't have it but that was a lot more paperwork. You are practicing your skills under the auspice's of the medical command that the airline has set up. jsut my experience

When was the first time you worked with an openly straight partner of either sex? Did you enjoy it? Did it make your stomach turn? Where they of different color or nationality and if so how did you deal with it. I can remember my first time working with a straight male partner. It was so awkward, I mean I had previously only worked with a homosexual male or a bisexual female. I remember having to defend the questions of my co-workers who were stuck working with the lesbos or flaming homos. They all wanted to know, "Dude, what's a straight person like" I am thinking of leaving EMS because it seems that every partner that I work with is either a straight male or straight female. I miss the days where I could walk into the station house or the ER and know that the person I was going to work with was a flaming liberal homosexual and I was fine with that. in Homage to Crotchity medic.

Holy crap this is still going on?