Just Plain Ruff

http://www.emsresponder.com/features/artic...n=0&id=7058 This article will make you re-think your approach to pain control. Excellent article.

Actually I'm going to have to disagree. Many people would have problems putting their beliefs aside. Core beliefs are pretty hard to put aside. No matter what people say, no matter if they say they can put aside their beliefs it still comes down to how they feel about a certain person, ethnicity, sexual preference et al. You can treat a person medically without issue but in the back of your mind that core belief is still there. Minor things that you don't see yourself doing, come out. Your tone of voice, your actions, your distancing that all comes out subconsciously(sic) and I would bet that you dont' even see or notice yourself doing it. It would be interesting how many people here would say they could put them aside yet if video taped on a call with someone of the type we are talking about, you could probably point out the little things that are done without the person knowing it. I'm sure that the person doing the things I talk about would see it in their mannerisms and actions. Be they not so subtle or be they very very subtle. I'd like to think that I can put aside my racial and other stereotypes or biases and I'll bet I'd be near 99% in doing so but there is that 1% that would prove me to be biased I'm sure. I work with a lesbian colleague. Great person, wonderful kind hearted person but her lifestyle I disagree with significantly. I asked her this the other day, since we are rolling off this project tomorrow - "did you perceive any different treatment or attitude towards you that I didn't exhibit with the other straight co-workers?" She said yes she did but she said that it was very very minimal. She said she knew my views and understood them but she still said that I treated her a little bit differently. For the life of me I felt that she and I were very very close friends yet I still treated her slightly differently of which I did not notice it. I endeavor to do a better job of treating everyone the same. I think that falls into the 1%. Just my ramblings.

I can't remember what the guy was shooting at him for though. I'm gonna have to go rent it again. Remember Iron Balls McGinnis?

I knew Dr. Jermyn in passing only. What a voice for EMS. I am saddened today by his passing. Three cheers for a true EMS and Emergency Medicine Champion.

see dust's just a misunderstood soul, searching for his place in the world. As soon as he finds it he will shout from the rooftops "I am here" and as soon as he get's his name in the phone book he will "Be somebody" Dust, when do I get the invite.

your first call grasshopper will be a bus into a river with 45 90 year old patients and then you will have a plane crash right on top of the bus and then a train will de-rail landing on the bus which is now on fire.

I'd go to the station, change the locks today, right NOW and tell them that their services are no longer needed. Then I'd contract out with some service who wants to run calls. http://tennessean.com/apps/pbcs.dll/articl...9/NEWS/80519051

speaking of organ harvester groups I have a friend who was working for a organ procurement company. He had a vehicle with lights and sirens on it and he was travelling on the highway and came to a toll booth. He busted thru the toll booth at 85 miles per hour and by the time the highway patrol caught up with him they were really pissed. He lost his job and paid about 2K in fines.

Gaelic, I admire your support to your fellow firemen. But you are talking about a new firefighter who held the ladies legs, and talked her thru childbirth. Good for him, way to go mr fireman. He was there as a team member. I don't see you applauding the entire group of people who were there, you are just applauding the green fireman and you are chastising all of us for criticising the new guy. If I mis-read you and you did in fact applaud everyone on scene then I apologize but.... I don't think I've seen you saying great job to all but only to this one firemen.

so dust, if you say that the fire service is destined to be extinct then where do we turn for someone to put out our house that's on fire? Surely you don't want us to turn to volunteers!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Maybe after the fire departments are extinct the EMS systems can come and take their places.

actually I believe we've had at least 5 discussions of this type in the past year. The search function works about 1% of the time when I want to look for something. I'm not a grouch and I do owe you some prize for being so good, Here's a cookie!!!!!! I agree with Wendy, my brain is my most important piece of equipment and my 2nd most importance piece of equipment is my common sense. All other equipment is relative.

haven't we been here done this before.

if he was trained to hold her legs and talk her thru it then by golly, he did his job extremely well.

you can still take every 12 lead and look at it. EAch 12 lead has a single rhythm strip at the bottom. That you can use to study.

Wendy you are so correct and your voice of reason again astounds me I hope that wasn't all directed at me and I'm sure it wasn't but I've been in the field long enough to have seen both the "I'm the medic and I'm the one in charge" groupthink all the way down to "we ahve to work as a team and if you don't you are out" I do know that it is human nature to scatter when the shit hits the fan. It's second nature to many of us. I just was saying that as the medic, as the highest level trained person on scene that it is your responsibility and your butt on the line. If you don't listen to your partner and it goes bad then it's your butt. If you listen to your partner and it goes bad then it is your fault. it's the nature of the beast that we take on this role of authority and in the end it is my license on the line and if I don't agree wiht something or a suggestion from my partner then I didn't do it. We of course talked about after the call but unfortunately my patient my responsibility my care. They are not mutually exclusive. I have been in several situations where everyone but your's truly was running frantically trying to cover their own asses after a call went bad. In the end, I was the one suspended for 2 days or fired, in the end I had to face the patients attorney and mine. In the end, I know that I did right with the patient and there was no lawsuit moved forward but as for my so-called team-mates who so quickly abandoned ship when the weather got bad, what goes around comes around. You have to be able to take the responsibility along with the increased accountability or you are not worth the paper your medic license is printed on. just my 2 cents, adjusted for inflation - .004 cents

management 101 people You cannot be good friends with the people you manage. You cannot be good friends with the person who manages you. There is a reason why many good agencies do not allow husband and wives to work in the same department and NEVER in a supervisory capacity. The same goes for boyfriend and girlfriend. Never get involved with your supervisor and as a supervisor NEVER NEVER Get involved with someone you manage. It will be nasty all around if a breakup occurs. Teamwork is good but remember, the medic is the leader and all the teamwork in the world means crap if the team doesn't back or support the leader. This sounds like a novel concept, team building in paramedic school but in the end, whose butt is on the line? Yours, as the medic, who has the highest level of training and something goes wrong, you are called on the carpet to justify or explain why it went to hell in a hand basket. Teams have a tendency to break up and go silent running when someones butt is on the line.

Man forced to sit on toilet during flight. http://www.news4jax.com/money/16251850/det...132008&ts=H At least he didn't have far to go when he needed to go. Puts a whole new meaning on Shitty seats.

i know it is. I was just reflecting on it. Every single email from these yahoo's I get has this stuff. Funny thing is, My spam blockers nail em every time, albeit it's only because I've put in some custom content that nearly 100% of the times moves it to my junk folder.

Ok here is a text of a email Spamemail I received. I highlight the items in red for a specific reason noted below hello buddie, Ashamed of last nigh? She is laughing at you? Don't let her laugh. Get your magic weapon, Bluepill. Prove that you are an outstaning guy. Enjoy every second with your girlfriend. She will surely appreciate you. You can save upto 80% on Bluepill and all popularmeeds Hugesaving because the solutions is directly from manufacturer. http://docs.google.com/Doc?id=djx72jb_0d8sp6ghp Don't miss the opportunity Regards, Writing - many online lessons and activities learning the writing process. Many forms of writing are included on this page, such as expository, narrative, summary and the 6-trait writing style. Lee's Summit School District site. plsportalliveurlpageenvironmentalpolicyTopics in the History of Gender and Sexuality KueflerAsian American, pardon man End email text So I ask you this, what kind of nut job writes in such superb english in the body of the email yet puts a definition of writing styles in the email.

whatever you put out in a video will be a welcome addition to what is out there now. I don't think there's much out there at all to be seen. so go for it, any topic you develop and video will probably not have a comparable alternative. Just make sure it's medically sound.

got called on a car wreck, sort of car on its side. Occupant pinned in the car by the legs under the door. He's got his hand in his pocket We arrive, pd arrives and fire gets there. Patient is sort of out of it but not due to trauma, just sort of there and no emotions if you get what I'm trying to say. The smell of gasoline is really really strong. We ask fire to check the gas tank of the car and they say it's not leaking. hmmmm why is the smell so bad near the patient and the interior of the car. The police then get a radio report that this person was trying to commit suicide, that witnesses say he poured gas all over the interior of the car and was gonna wreck the car to start a fire. The cop comes over to tell us this information and when the patient hears this he pulls a bic lighter out of his pocket and starts to try to light it. Well the fight was on, he did get it lit but apparantly there wasnt enough gas vapors near the lighter. It took three of us and the car to keep him subdued and to get the lighter. Turns out that after we got the car off the guy his pants were covered in gasoline as was the interior of the car. I can't imagine what would have happened if he had ignited the gasoline like he wanted to.

and when in doubt, you can always run a marathon and perform cpr in it.

I agree wholeheartedly with Dust but he said it better. I from the get go with your initial post knew that there was some sort of learning disability there. I think it had to do with spelling, grammar and all caps There is nothing that anyone can really add to dust's post. He basically said it all. the questions Dust asked are how much are you studying, per night? Very valid question. The other question asked, what is your learning disability? I hope you can get thru the class but if you can't don't look at it as a personal failing, look at it as 400 or 500 bucks well spent. If someone can't get thru emt school then what makes them think they could get thru medic school. With or without a learning disability if you can't fill the requirements of the class or the job then like dust said, you should not be doing the job. There are aids out there to help you through class but you have to work extra hard. Look on the bright side, if you pass the class with all the effort it takes for you to address your disability and such, then think of how proud you will be and it's a tremendous self esteem builder. Good luck.

exceptional paper vent excellent post. thanks that taught me a lot.

I agree, the standard transport times I've been used to in the past have been of the 1 hour or so variety and I've never had a patient get their resp drive knocked out. What I'm curious about is how many on this site have seen this "Phenomena"