Just Plain Ruff

and there are three of these dirtbags who say that it was the decoy that made em do it. ONe guy even asked "How much trouble am I in???"

they also caught a new york city fire fighter, a cop and I believe a judge but I am not sure on the last one.

Watching just a sickening thing take place on dateline. Pedophiles/Sex offenders trying to meet young girls and a young guy on line and then coming to their house So far a volunteer firefighter Teacher Tae Kwon Do teacher and others Dateline has done these shows over and over again and these idiots still don't learn. Amazing that there are people like this out there in the world. And now a congressman wants to take away the restrictions of pedophiles/sex offenders from living within a certain distance from a school. He says it will make them easier to track if they live closer to a school or that's the jist of his thoughts. anyone have any suggestions - please keep it clean guys.

Does anyone have experience with Emergency rooms that have some type of ambulance tracking system. what I'm asking is have you seen any ER's that have the ability to track ambulances as they come in to the ER. Can you private message me with the information of what hospital you have seen this in? I'm trying to contact a couple of hospitals to see how they set up their computer screens in order to provide the best product for the emergency room I'm working with right now. thanks .

Guys, City dwellers, I'm sorry for continuing this thread and egging this on. I will no longer be posting on this thread. The reason I will stop posting is that I cannot expect a civilized answer from Fire and any answer that I give will not be right in your eyes. So city dwellers, this is the last time I post on this thread. I choose to let it die a slow lingering death. I'm off to bed so I can get up to meet a doctor in the ER at 0300. Gotta get their computer patient tracking system up and running and he's helping me map out the process flows in the ER. Good night, god speed and be safe

I promise to stop. sorry guys

one more climb and hide inside the clothing displays you know the circular racks of clothes. When someone looks at one of the items say "Pick ME!!! Pick ME!!!"

right on Rid, if there's no detailed job description then he will fall under the same guise as a patient transporter or a gopher. You can still do cpr on the patient but you will not get to do it after the code team gets there. as soon as you become a integral part of the team there more than likely you will be able to get more into patient care. Don't expect to be allowed to do anything until you prove yourself. I speak from experience on that. Even though I was a paramedic and had been for about 3 months I was still watched over like a hawk for about 1 month so they could be sure I could do what I said I could as well as do what my cert's allowed. Good luck, I found in my past experience that working in the ER is a great place to get experience and do things you would not be able to do in the field. You get free ceu's and access to docs, nurses, resp therapists and the like. You see more patients and more types of patients than you will see in the ambulance unless your daily call volume is much higher than the number of ER patients the ER sees. Remember this, in a given shift you may run 6 calls but you may see 6 patients in the first 2 hours of your 12 hour shift in the er and you will be able to take care of or have a part in the care of all 6.

Actually Fire, your demand for my treatment of this patient you posted cannot be given. I need more information. how old is this patient? any cardiac history any other history Meds that they are taking what led up to these signs and symptoms there is more than one way to treat these signs and symptoms and you gave me such a cryptic scenario that there is no way I can answer this. It depends on the patients circumstances and what is going on with them overall that I need to know.

If you cannot answer nicely then why should I post the reply? No matter what I reply or post you will break down and prove that you have nothing else to post other than negative comments. You have no idea whether I have or had a meeting or not. don't presume to know me. With your past comments to me as well as others on this thread, I don't think anyone can provide you an answer that you will approve of, or will admit to being correct. This is just a pissing contest now so I will end it. say what you will about me not posting but I don't think you can be fair and balanced and admit if whatever I post even if it's dead on spot on correct you won't be able to resist the negative posts. I'm done with your insults and negative comments.

I'll answer like you have in the past CARDIOVERT and thats all I'm gonna do. NO matter what anyone else tells me is the right treatment or a alternative treatment. To begin with because I have a meeting in 5 minutes and I'll give you the rest later. Airway - make sure clear and open Breathing - assess and treat life threatening breathing problems. Circulation - I'll address this in a subsequent post as the meeting is now starting.

Nick, we need more information on this. 1. is it Washington DC or Washington state. I would definately contact your state dept of nursing and see what their rules and regulations are. I would think that if the hospital has bylaws or policies and procedures set up and they have been blessed by the state in their most recent survey then I think you will be ok. I've worked in two hospitals in Missouri as a medic(for Fire's edification) and in Missouri you are allowed to work as a medic in the ER with all it's respective abilities(skills) but you practice under the RN's license in the ER. The only thing I was unable to do was to spike a bag of blood and that has changed since I started, we now can spike blood. But if you are an EMT I would think that you should have no problems with being able to perform skills. Good luck and god speed.

Fire, I believe you told Brock not to respond if he didn't have the correct answer. You are like John Kerry and his flip flops on everything. The only two things you seem consistent in not flip flopping on is the fact that you insult every one of us. And second, you are firm in your belief that you cardiovert before correct the Airway and the breathing. Insult us all you want and continue to believe that your way is the only way or take the highway. What frightens me is that you refuse to back up your claims that you are a medic. Let me ask you this scenario how would you treat a 6 year old pediatric patient with a tachy rate of 220 and resp rate of 66? Would you treat the rhythm or treat the airway issue? I can't imagine that you would answer this question as you have not answered anyone elses question except with nasty replies.

I know I'm gonna catch hell for this as well as may get booted but I don't really care right now. here is the text of a pm that fire sent me. Again with the insults and personal assault text begins here Removed at the request of the poster - Admin TEXT ENDS here Ban me if you want but this had to be posted. Insults and not a bit of constructive criticism. this also shows this yahoo's disdain for all of us on this site.

Scatrat LMFAO that was funny

Firefighter523 I'm calling you out. I do not believe you are a medic. I think you are reading your treatments out of a textbook Nothing in your posts have proven that you are a medic. I think you are overstating your level of competency Prove that you are a medic. Several people including myself have asked how long you have been a medic and you have refused to answer but you continue to quote textbook responses. time to put up or shut up.

Well I'm done asking the questions of this so called perfect paramedic. He has never once responded to any question that I have had except to be condescending and rude. I have also sent him two pm's which he has never replied to. Common courtesy would be to respond to questions asked. Apparantly responding to simple questions asked of him is beneath him. Or maybe he just isn't responding due to the fact that he will be shown as a newbie medic with A LOT TO LEARN both about common courtesy among other things. so I'm done with this perfect paramedic who's you know what doesn't stink. Bleh

I find this a good use of resources. How often is it that you actually need 4 firefighters on scene along with 2 from the ambulance? I think it's a good utilization of resources. Free up the engines to fight fires and rescue calls and put the smaller fast response vehicles on the streets. The public is still getting their money's worth. I've been on several calls where a full engine complement was on scene wiht me. I was unable to release one of the firefighters due to patient condition. That took the engine out of service for one patient. There were many times that that engine could have been the first arriving unit on a structure fire yet they were out of service working a medical call. It also meant a longer response time for other pumpers and a bigger fire. I agree with this whole heartedly. In the city of merriam Kansas, they have bls ambulances that respond with the als crews. This frees up the fire engines to run what they were designed to run - fires and rescues. I think in the end everyone will benefit. Great article.

Michael, once again you prove how funny you are. I laughed out loud with the nurse practitioner comment. ha ha

Thunder, that is exactly the point we're trying to make.

Ok fire, in deference to you, no I do not routinely give beta agonists to patietns with sick hearts but I was simply responding to this scenario where they helped this patient. The way I'd be managing this patient would be 1. Controlling this guys airway 2. Reversing the breathing problem with an albuterol treatment and getting my intubation supplies ready. 3. I'd be putting on the defib pad/pacer pads on this patient also. 4. I'd be on the horn with medical control getting additional orders if needed this is one very very critical patient and I'd be correcting the deficets as they present to me, Airway first - is it open Breathing second - is he breathing or how's he breathing. Take the signs and symptoms and presentation of this scenario and you get a breathing treatment and more than likely ventillatory support. Finally you get to circulation - once you start a treatment you wait a reasonable time for that treatment to wait. In my opinion cardioversion could be considered but only after you begin to treat the underlying cause which is respiratory failure. It's amazing how the body can respond which is proven in the outcome of this scenario. If I was a green medic out in the field I would have probably taken one look at the rhythm and said OMFG we gotta cardiovert this guy but after a little more field experience I would look towards underlying causes rather than going to electricity. But then that is the way I'd treat him. The good thing is, it sounds like this patient survived and that's what counts. Was cardioversion wrong? who knows, we will never know if it was wrong because the medic in question in the scenario Brock reposted didn't get to cardioversion.

Ok fire, in deference to you, no I do not routinely give beta agonists to patietns with sick hearts but I was simply responding to this scenario where they helped this patient. The way I'd be managing this patient would be 1. Controlling this guys airway 2. Reversing the breathing problem with an albuterol treatment and getting my intubation supplies ready. 3. I'd be putting on the defib pad/pacer pads on this patient also. 4. I'd be on the horn with medical control getting additional orders if needed this is one very very critical patient and I'd be correcting the deficets as they present to me, Airway first - is it open Breathing second - is he breathing or how's he breathing. Take the signs and symptoms and presentation of this scenario and you get a breathing treatment and more than likely ventillatory support. Finally you get to circulation - once you start a treatment you wait a reasonable time for that treatment to wait. In my opinion cardioversion could be considered but only after you begin to treat the underlying cause which is respiratory failure. It's amazing how the body can respond which is proven in the outcome of this scenario. If I was a green medic out in the field I would have probably taken one look at the rhythm and said OMFG we gotta cardiovert this guy but after a little more field experience I would look towards underlying causes rather than going to electricity. But then that is the way I'd treat him. The good thing is, it sounds like this patient survived and that's what counts. Was cardioversion wrong? who knows, we will never know if it was wrong because the medic in question in the scenario Brock reposted didn't get to cardioversion.

What about seeting up a membership program. There are lots of those out there. I'm sure you can find the information you need or just call MAST Ambulance in KC MO they have a membership the citizen pays a set amount a year for his family. Thsi covers every ambulance call they require. The insurance or membership covers the cost of the ambulance. What I find funny is that we think healthcare is free. It aint. But we think it should be. you can maintain non-profit status if you put the money gained back into the service and not put it as a profit. that's the extent of what I know about non-profits. New Jersey is a different animal if I read it right in the past posts on this forum. There has got to be a way to find this information out for y ou all.

again, you refused to answer how long you've been a medic. If you read the article posted above you would see that the patient got better, or apparantly you glossed over that. have you ever thought that the rhythm was caused by the respiratory problem and not the heart itself. Oh wait, that would go away from letting you use your fancy new toy. I didn't realize that you skip over airway, then breathing. What the heck, why don't we also skip over circulation and just transport. Oh wait a minute, that wouldn't let you use your fancy machine to cardiovert.

well as far as I'm concerned, this patients airway is not stable nor is his breathing stable. Fire, If you follow your mnemonics that you are so fond of touting then you seem to have missed the first two of the three mnemonics A-airway B-breathing and you jumped right to C - circulation But then again, you sound like someone with this cool toy and you are gonna shock the patient no matter what. No matter what a differing viewpoint is of yours you come back with negative insults and will not take anyone's opinion into consideration. Oh well, some never learn until they learn the hard way.