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Everything posted by Just Plain Ruff
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Those links are hilarious Hi I'm Gen Oxygen at least she 's sort of hot. But it doesnt' surprise me that one of the biggest oxygen bars is in San Fran. I guess all those idiots out there need to be lifted up (according to the adverts on the bar sites - oxygen gives you a lift up) because they are in Mexifornia
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Yes anyone can get oxygen, it's all around you. You don't even need a prescription. But to get more and 21% oxygen you need some way to give more than what everyone else in the world gets for free. You need a oxygen bottle with 100% oxygen in it. You need a prescription for that amount. But on a serious note - just what are you going to do when your oxygen bottle runs out while you are working a code or whatever? You will have provided high concentrations of oxygen and now you ran out. Your ambulance is still 5 or 10 minutes away. You have now done more harm than you intended because you at first provided oxygen and now you have none. hmmmm does anyone else have a problem with this?
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searching under how to parachute strap in google produces multiple pages but nothing about EMS. I went thru 7 pages and found nothing.
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this is a word to the wise If you are doing some type of strapping or technique that requires a second person to do the same on the other side you better ask that 2nd person if they know how to do what you are doing. Case in point - the first cardiac arrest I worked with a new partner was a GI Bleed that bled out. The other medic started putting in a Internal Jugular Access while I was doing the rest of the care (re: tubing, periph iv, fluid replacement, medications) while fire was doing CPR. When we got both iv's and put the guy in the ambulance the 2nd medic who put the IJ in started driving to the ER. I had never really seen a IJ before and knew not to knock it out, hey I was pretty green (and really really blood red after this call). We transported the dead guy to the ER and the doc called him 5 minutes later. But I asked the medic who was actually in my wedding how he did what he did and he helped me get into a ATLS class so I could actually learn the technique and many others. He has been my mentor ever since. He apologized that he did the procedure without telling me or showing me what he was planning. But the moral of the story is if you know a new technique that might not be out there mainstream then you owe it to the other person to let them know what you are doing. And in the case of the parachute straps, the FF obviously knew how to do this technique but the poster did not so they should have asked if you knew how to do them. Now after re-reading all this I realized that my headache has gotten worse and I'm goin back to the hotel to take some Oxycodone for it. I hate headaches
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it's just as bad as a medic carrying around a full intubation kit, a full drug kit and iv supplies in their personal vehicle. CONTENT REMOVED - ADMIN
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CONTENT REMOVED - ADMIN
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The original Emergency Series
Just Plain Ruff replied to Just Plain Ruff's topic in General EMS Discussion
was just on the site and watched part of one episode. Great quality and good sound. It's a time waster. -
Does anyone know where to find a large number of the Emergency TV show? You know Johnny and Roy??? Scroll down. http://www.fancast.com/tv/Emergency%21/854...h-it/on-fancast
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Falsifying a run report
Just Plain Ruff replied to Just Plain Ruff's topic in General EMS Discussion
yes they did my run reports were scrutinized and criticized for the entire month but they always were spot on so they had nothing to hang me on -
Falsifying a run report
Just Plain Ruff replied to Just Plain Ruff's topic in General EMS Discussion
no I re-wrote the report and in my narrative I put in before the modified pieces that this was the 2nd of 2 reports and I underlined my changes. I fully stated that these were modifications of a already turned in report to the nursing home. They were pissed but I asked them to go talk to legal and get their ruling. They never did. I then shredded the falsified narrative and told them never to ask me to falsify a medical record or I'd go to medicare. Needless to say, I ceased working there on my own decision about 4 weeks later. -
Falsifying a run report
Just Plain Ruff replied to Just Plain Ruff's topic in General EMS Discussion
Heres another doozy 11am on a wednesday, go get the patietn for a evaluation of their j-tube being pulled out. patient fits nicely in a wheelchair. distance of transfer 500 feet from nh to er door There is a beautiful new (fairly though) wheelchair van with the driver on duty. you have to come pick up the patient because they don't do transports to the ER for eval only transports back patient gets a 1 hour er stay - doc looks at tube, puts it back in and patient ready to go. I'm not even finished with my previous 12 run reports(ok that's too many but you get the picture). I'm standing in the ER at the desk finishing up the run reports and the ER calls the nursing home to come get the patient. They want their bed open. Nursing home says Wheelchair van driver is on his hour lunch break and it will be more than an hour before he gets there. The ER says, Ok we'll have the EMS do it. They call our office and say we need a transfer. We do the transfer, patient moves self back over to my cot and all is hunky dory. I then write the report that I assisted the patient to the cot yet that's not freakin good enough. (another call into the sup's office). He says re-write the report. I then ask him this question: What do you want me to do with the receiving facilities copy? Don't we send it to them. He says "I will take care of that part" I told him that I was not going to falsify a patient report so we could get our money. He said do it or you are fired. Can anyone guess what I said or did? -
Did anyone when they saw this first line think of the song by Jim Croce? Bad Bad Leroy Brown Well if I am the only one I'll let you all in on the lyrics of this song. Well the south side of chicago Is the baddest part of town And if you go down there You better just beware Of a man named leroy brown Now leroy more than trouble You see he stand bout six foot four All the downtown ladies call him treetop lover All the mens just call him sir And its bad, bad leroy brown The baddest man in the whole damn town Badder than old king kong And meaner than a junkyard dog Now leroy he a gambler And he like his fancy clothes And he like to wave his diamond rings In front of everybodys nose He got a custom continental He got an eldorado too He got a 32 gun in his pocket for fun He got a razor in his shoe And its bad, bad leroy brown The baddest man in the whole damn town Badder than old king kong And meaner than a junkyard dog Well friday bout a week ago Leroy shootin dice And at the edge of the bar Sat a girl named doris And ooh that girl looked nice Well he cast his eyes upon her And the trouble soon began And leroy brown learned a lesson bout messin with the wife of a jealous man And its bad, bad leroy brown The baddest man in the whole damned town Badder than old king kong And meaner than a junkyard dog, Well the two men took to fightin And when they pulled them from the floor Leroy looked like a jigsaw puzzle With a couple of pieces gone And its bad, bad leroy brown The baddest man in the whole damn town Badder than old king kong And meaner than a junkyard dog
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Paramedic sits up front on transfer, patient dies
Just Plain Ruff replied to EMS49393's topic in EMS News
Actually it's human nature to cover things up so I can see where his response after "HOLY SHIT" was cover up. Get rid of the evidence. After he sat for about 2-3 days he probably realized that "HOLY CRAPOLA BATMAN" I probably should have kept all that stuff. But once it's done it's done. I'll bet he will have no problem getting a job at McDonalds or Wendy's or even Walmart. Who knows, maybe his service will promote him to supervisor, we all know that some people rise to their levels of incompetence. -
Translation - I have worked in the south side of Chicago for eight years. I now live in Southern Illinios and would not give it up for anything. Our response time might be upwards of 10-15 minutes or longer at times but this is the nature of the area I cover. When there is money given to Ambulance services to put an ambulance in every town our response times will go down, but until then we will deal with our long response times and make the best of a bad situation. That's my translation. Guys, this is the third post that I have translated because of attrocious grammar and spelling and just plain "Bad english" as my English teacher in high school told me time and time again. If you can't make a decent sentence then have someone else write it for you but don't run for the office of the president if you do that. It might come back to bite you in the butt. but I digress, Goodness, where to start. Too bad there is not the ability on this site to automatically spell and grammar check every post. Mine would get corrected too at times but in the past month we have had the butchering of the English language like never before. If you want to sound professional and you want to participate in a educated discussion please please please use spellcheck. My spellcheck button is no longer available it says instead "ON STRIKE UNTIL FURTHER NOTICE" and I can't click it. If you are going to post something then re-read it and then read it out loud. If it sounds bad to you and you are the one who wrote it then it's going to sound bad to those who read it. Please help my spellcheck button get out of PTSD and back on the site. Only you can prevent bad grammar.
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Remember the police officer who sued the family when she slipped on water while responding to a drowning? Now we have the British version of the same dirtbag. http://www.dailyrecord.co.uk/news/uk-world...86908-20351465/
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I'm sorry, you claim to have a bomb and you go to a public building then you have to think you might not make it out. The police will be chastised and raked over the coals for this but when you say you have a bomb then it's your own fault if you get shot. It's just like the guy in the plane a year or so ago, he said he had a bomb and the air marshall did what he was supposed to do - he took him out.
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I am one of those once a medic always a medic. I've been out of the business for about 5 years, now doing ER consulting so I'm not that far away. But it does stay in your blood. I worked as a medic in rural and urban ems systems for nearly 16 years and I can say that it is still strong in my blood. My son who is 5 years old asks me why do i still get excited when I hear sirens or see a fire truck or ambulance on the road coming with lights and sirens and I tell him that when he is older and has a job he loved before realizing that I did not want to become a walking back injury that he would understand then. He likes seeing the lights and sirens and if he chooses to follow in dad's footsteps then awesome but no pressure from me. I think he would be more into it if I still worked full time in the field. but yes, once a medic always a medic.
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Falsifying a run report
Just Plain Ruff replied to Just Plain Ruff's topic in General EMS Discussion
by no means did I falsify the run report. There's a lot more to the story that I intentionally left out to keep the indentifying service info private. I know it's illegal but I know this happens more than you might think. As a matter of fact, my wife's cousin came to me just in the past month or so asking me what she should do. -
That weird EMS sense of humor??
Just Plain Ruff replied to jessicaCNAEMT's topic in General EMS Discussion
I believe T.O.D. is Time of Death but it could be Take Out Dil**o -
Has anyone run this type of call. call to the local er for a transport from the ER to the local nursing home. Patient was ambulatory in the ER and did not require assistance from you to get from the er cot to the EMS cot. You write the report like it happened and a few day's later you are called into the supervisors office to re-write your report in essence falsifying the report by saying that you did more assistance than you originally did. (this personally happened to me) What did you do? What should you do?
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Actually Spenac, I agree with you on the refusal of people who do not need it. I really do. But the mentality of the bosses and supervisors which is they call we haul is what you have to go on. IF the boss says, transport every patient even if they are going to get out of the ambulance at the local bar then by all means follow the bosses directives, they sign your paycheck.
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Eric, can you translate this for me? When I went to click spellcheck it went crazy and walked off the job. It said please try again when you have something readable. I have a vague idea of what you were trying to say but it's tough to interpret or understand. Here is my interpretation of what you said, my interpretation is in parenthesis. if you dont work here dont bust it. (If you don't work here don't bust it) ok i do live in louisville,ky and yes i know of whats going(Ok, I do live in Louisville, KY and yes I know what is going on) we do what we can with what we have(We do the best with what we have) if what you got work use it and we well use what worked best for us (If what you have works then use it, and we will use what has worked best for us in the past. oh one more thing are Total Population 715,196 thats just for louisville.ky (Oh, one more thing, our total population is 715,196 and thats just for Louisville, KY. Did I interpret that right?
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Going Level Zero for an IFT
Just Plain Ruff replied to coolparamedic's topic in General EMS Discussion
yes when the CFO get's involved and see's dollar signs, to hell with the general public. When the public calls and complains that it took 45 minutes to get em an ambulance you just tell them that the other ambulance that should have had their call was on a transfer it might start changing things. Or you can send a carefully worded note to the newspaper editor or do a anonymous tip to the newspaper saying "this is joe citizen, I heard the ambulance service in town took a transfer to a hospital 3 hours away leaving our county without an ambulance for that long just so they could make some money on a transfer" Leave it anonymous and let the wheels of public opinion take their toll. Karma is a queen - she tends to come back and bite people in the ass and this CFO is just doing his job.