Just Plain Ruff

or you get called in early to work and your first call is a bloody GI Bleed Code Blue followed by a 5 hour psych transfer to the only facility in the four state area that will consider taking this guy.

I've also been on it for more than 2 years and have recieved 0 spam. you have to be careful about contacting people you don't really know and asking them to be on your linkd in list. If you get too many "I don't know this person" marks then you could be cancelled or removed from the service. I think that is where the spam is filtered out. Get enough people say they don't know you and you can be out.

I agree with most everyone posting. They effectively have ended your employment with them. You cannot just tell them to "stick it" and expect not to have repurcussions. I experienced the same thing at a previous service which was already mentioned, had a family emergency but they said I was on a call and couldn't let me go. I told them to send a supervisor and they didn't. Other dynamics were involved and in the end I told them how I felt. I left the building(elvis remake) and my next shift I came to work, was not on the schedule. Was told that I was suspended and then got a nice little nasty letter telling me I was no longer employed. They asked for my uniforms back, I called them and said, come get em. They didn't and I got a bill for 600 bucks for uniforms since they had already paid me my last paycheck I still have those uniforms. Anyone want them? So accept the fact that you were employed by them and are no longer employed. Consider it a learning experience and maybe this happened for a reason.

ok poster you asked had a call for chest pain, patient was all gussied up for a night out. We put her in the ambulance, she refused all treatment attempts and when we got to the hospital she got out of the ambulance, walked out of the ambulance garage and high tailed it over to the local bar. PD was called, they met her at the bar door and introduced her to a door with bars. She spent 2 weekends in her new accomodations for misuse of 911 emergency systems. the judge even told her that had she have tied the ambulance up and we had had a real emergency where someone suffered (which thankfully didn't happen) he would have sentenced her to 1 year in jail and a 5k fine. We never saw her again.

Cookie stated Below is a copy of Iowa's Out of Hospital DNR Order. What people fail to realize that this has to be physician signed, that you cannot just state you do not want to be resuciatated. Many people also feel that their Living Will will take the place of the DNR Order. Not so So I cannot tell a medic crew if I am conscious that I do not want to be resuscitated. I then code and they go against my stated wishes. If a patient told me that they did not want to be resuscitated and then the patient codes, do you resuscitate them? Against their expressly stated wishes?

ok I cannot believe Dust did not pick up on this and make this statement. Baywatch paramedics He didn't even ask if they were HOT.

NREMT scope really means diddly if you ask me. The state you work in scope of practice means more. I know of several places where EMT's can transport IVs.

You did fine. I'd have done the same thing if it was me but then again, it's not me. Tell the ALS provider to defend their decision for me to stay and wait when a perfectly good trauma center/hospital is sitting their without this trauma patient. Tell the als providers to get bent.

now kat you are treading on their civil liberties if you do that. It's not against the law to be stupid. If it was miss teen South Carolina would get the death penalty.

http://www.thekansascitychannel.com/news/1...801/detail.html this just makes me ill. This woman should not have kids, ever ever again.

finally a site that doesn't play into the heroes steroetype. everyone can be a hero, it's not just limited to EMS, Fire, police and military.

risky, let me ask you a question, why if you were going to emt school or getting an associates did you go for business administration. There is nothing in a business admin degree that would remotely help a medic except for the basics in science and english comp. Why did you pick that degree program rather than one that fit EMS more like an associates in paramedicine or at least a focus on anat and phys and other healthcare objectives? Just curious.

I was talking to a trauma surgeon the other day as well as another physician(both teach ATLS) and they cited research that fully 50% of all crossover accidents are medically caused. Meaning, the person suffered some sort of medical problem(ie MI, syncope, diabetes etc etc) which caused them to cross the center median. The other 50% is caused either by stupidity or alcohol of which stupidity would qualify for the entire 2nd 50%. Maybe 5% is caused by mechanical failure.

My favorite is ACLS Jeopardy. Whatever idiot or "educator" came up with that idea needs their head examined. and open book test, what a way not to test their knowledge. Again, ACLS, so easy a caveman can do it.

ak I agree. training is very important and should be the first thought here. second, what are you going to do if the patient (baby) exhibits slowing or increasing of the heart rate? NOt much but get them to the hospital. You can let the receiving hospital know of the slowing or increasing but you won't be able to do much about it in the ambulance. Third, cost - maybe a pilot program of a couple different manufacturers. You might be able to try out several different dopplers from different manufacturers for a week or two and determine which is better suitable for the ambulance. Good luck on this endeavor.

the limits are as far as you can get without getting smacked in return or a lawsuit just don't go overboard on the painful stimuli.

just be careful of the twigs and berries with the leg straps.

meal ready to eat comes from the military full meal in a small bag. YUMMY

holy crapola that's funny

sounds like a quick trip to gomerville.

ok, so what did we realize that made it worse than we thought? Kind of cryptic here you know. have you read something in this scenario that the other of us have not?

with the T1 line I can download a 100meg file in 3 minutes or so. with a cable modem the same file is 16 minutes

among other things. the baby drop test is also how you test how fast the dad's reflexes are when he smacks you upside the head.

Holy cow, I couldn't get thru it all for all the stutterin and other noises. I turned the sound off but it wasn't any better. I do think the guy had some good points. One being the ballot box is not democracy. and they way that many muslims/islamists think in reference to the whippings and such. thought provoking as always Michael.

Pmedic I'm curious what did you mean?