Just Plain Ruff

why are we surprised that the liberal drive by media(yeah I stole that from hannity) sent you that response back nor should we be surprised that the article was "fair and balanced" (stolen from Fox news) which in all intents and purposes was not fair and balanced. Does it surprise anyone that newspapers have lost 40-60% marketshare over the last 10 years to other outlets. The newspapers are a dying breed and whatever they can do to dig up dirt to sell papers they will do. I concur with the idea of writing about substance abuse in newspaper people and lump them in with the entire media outlets. That would cause a stir but then again, you'd be lucky to get even the local town paper that has a circulation of 500 to print it. No one else would touch it.

wow another condescending post from our favorite poster. Again you did not answer my question as to how long have you been a medic? But I'm not expecting a reply from you. After all I'm just a cackling hen. credibility shot. by the way, did you even read the last paragraph, the patient responded with the albuterol and increased oxygenation or are you too wrapped up in your all mightiness that you choose to read only what supports your cockamamie theories? I will ask you another question, do you think that the monitor could have even had the ability to cardiovert this rhythm? I've been on many scenes where the patients rhythm was so fast that the monitor was unable to capture where it was supposed to cardiovert at. Again I ask you, how long have you been a medic?

i support a 2 year degree I've got a BA in Admin of Justice, EMT-P, have had instructor ratings in many disciplines, and I now have a master's degree in project management.

Outstanding post Brock and I'm sure the cardiac experts will weigh in on what you have had to say. I agree, you treat the patient and not the monitor. You treat the underlying problem and the external findings will often fix themselves. It sounds like the treatment of the respiratory issues began to fix the patients problem. So was cardioversion wrong on this patient? Probably not but if you follow your protocol religiously and allow for no deviation or thinking outside the box then you run the risk of missing something, and that something may be a critical or fatal error I too would probably have treated the respiratory issue rather than immediately considered cardioversion. The question I think on this would be the following. Could the cardiac monitor have cardioverted this patient at all? The rhythm was undetermined, could the monitor have even caught the places it requires to cardiovert? I am not so sure. This was a very critical patient and would have taxed even the best medic out there but we have to learn to think around the protocols and around the monitors and treat the patient. That's my 2 cents for what it's worth.

now if we could only get a spell check on those run reports Ive had to review.

Laura, that was funny the huked on fawnix comment; bravo and +5 to you I admit my spelling is not the most stellar at times but you gotta admit it's not that bad.

There is your problem. This organizer is not willing to provide professional coverage and their insurance only requires them to have 3 first aiders. They are expecting you to carry the coverage and they won't have to. What a win for the organizer. The liability to you and your group is huge. You are putting yourself, your friends, and your company in huge jeopardy and leaves it in your hands. the organizer is getting off easy. If I were you I'd re-evaluate working with this guy and maybe for future events you might want to make the organizer foot a portion of your liability insurance premiums. I agree with AKROEZE to not do this event or do it under the organizers umbrella and not your own. I am betting that since you posted this in October that the event already happened so if it has already happened, tell us how it went.

Yeah the condescension and negativity and "I'm right and all you guys are wrong" attitude is really frightening. I would never refer to mnemonics to prove my point. I would also never refer to someone as an ambulance chaser like he did to me. I am going to place a wager here on three things. 1. this thread will be locked soon 2. He will never say how long he's been in the field. (but his comment that he's taken care of a handful of critical patients leads me to believe he's a new medic) 3. this will be the only thread that he posts on from here on out. In my opinion, if he doesn't come out and say how long he's been a medic then his credibility is down the crapper. be safe, god speed and take care all.

i may have mis-read the aeiou comment by fire. I was taking the literal approach and looking at the vowels and spelling as the base complaint fire had towards the issue because he has made comments on grammar and such on this thread. Especially the ENGLISH comment he made. I'm still waiting to hear Fire's resume. He called me an ambulance chaser and alluded that I was ashamed of being a medic. He also tried to explain things in an earlier post and likened him having to treat me as a grade schooler. So in my eyes your credibility is shot due to refusing to answer my question when I answered yours. You even posted after one of my posts asking for his level of experience yet he has not answered my question of his level of experience. Are you really a medic or do you just play one on tv.

Firefighter your grammar is not stellar either. So before you cast stones of grammar and spelling look towards yourself Again you have not posted how long you have been a medic. Are you embarrased by your lack of experience or whatnot? Come on come clean

You still have not answered my question Firefighter523 how long have you been a medic? One other question, you are touting how great your system is, just where do you work? Either you didn't see my question or you are refusing to answer my question.

well let's see in response to the post about who actually has a degree I have a bachelors I have my EMT-P I have my Masters in Project Management Count 1 for higher education

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fair enough fire but you still didn't answer my question as to how long you have been a medic. I appreciate the fact that you are an agressive patient advocate. I like that. take care be safe and god speed

Fire, you really must think we are stupid. The statements you made in your posts was inflammatory as well as insulting. I concur that I was insulting to you and I apologize but your statements were just so out there. Yes, I will concede the point that you are your patients advocate but there are times when you just have to let the patient die. But actually you really have to ask the patient what they want. If you try to force or tell them that you have to do something and you do not ask them then you run the risk of "assault and battery". I do agree that we have to be our patients best advocate but there is a limit. You never did answer my question, even though I answered yours with my experience as a medic, you have not addressed that question. It was asked by at least one other person on this forum other than me. I would suggest that you read each post that you make and see if there are pieces of that post that might mislead others into believing what I for one as well as at least two others read. The way you post on these forum's directly affects your credibility. If you post badly or make wild statements then your credibility suffers. I know that you might think that this is just a silly forum and your credibility doesn't matter here but it really does. You never know who you might meet in the future. I would also ask you to go back to your medical director and ask them what their views on Implied consent are or what their views on providing a treatment to a patient when they have told you they don't want the treatment in the first place. I could go on and on but I'll stop there. I think that we should just go our separate ways and agree to disagree on this. You have your firmly held beliefs while I have mine. We just operate differently. I do apologize for calling you a name and I hope you will be big enough to apologize for your condescending attitude towards me and others on this thread. If not no harm done. God speed and be safe. Michael

I think you make a great point. RSI is a skill that needs to be practiced and utilized. I used to work part time in one service that had a call volume of 500 calls and fully 1/3 of those calls were transfers for a local hospital. The level of critical patients were about 5-10%. I can count on one hand how many required any type of consideration of RSI. Intubation is a skill that is learned and without practice that skill like any other skill will degrade in competency. If you don't perform those skills then you lose competency, not saying that you lose the skill ability completely but your skills get rusty. RSI is really meant to be a one time deal, if you paralyze a patient and can't get the tube then what are ya gonna do??? BAG em that's what and that is not an optimal position to be in as a medic.

Admin, you are so right, I did apologize for that though. I realized that I was getting a little bit to wrapped up in this. The line of thinking by this person just frightens me but I promise not to name call anymore even though I want to. Hope your day is going great Admin? Be safe, god speed and take care.

I don't have to put my title in to prove myself. My posts prove my level of professionalism. Maybe I shouldn't have called you an idiot because I don't like to sink to that level but you are just beyond belief. If you honestly believe everything that you have stated then there is no hope for you. I just hope that your service recognizes your beliefs and takes appropriate action by remediation or maybe best case scenario - prodding you to leave this profession. I don't doubt that you are a good person and want to help but EMS does not need renegade paramedics who think that just because they are called to a patient that whatever they the provider says goes, to heck with the patients wishes. That thinking is just dangerous Maybe you should go to your original medic instructor or better yet, go to your medical control or legal department and ask them the following questions 1. What is implied consent? 2. If a patient tells me not to do something but I know that they need what they said not to do, can I still do it? Go ask those questions and then come back here with the answers. And you have not answered my question - how long have you been in EMS?

OH MY GOD, XXXX(Edited out with apologies to Firefighter) and yes patients can hear you when they are unconscious I am also not the one who started this. If you would have read any of my previous posts you would have seen my resume but here we go I've been a medic for nearly 15 years. I've worked in rural and urban systems. How long have you been a medic?

Implied consent has nothing to do with this. The fact of the matter is that you sound like you are a renegade paramedic and that you would do something to someone without telling them what you are going to do. OK here's the deal, I fear for your patients. You obviously didn't read my post about people being able to hear you when they are unconscious. You are dangerous. As for the threat, there was no threat towards you and if I did threaten you I would come out and say it point blank and not do it in a veiled manner but again there was no threat to you. STEP AWAY FROM THE KOOL-AID and think before you accuse people of things. All I was saying is that if you cardioverted me without telling me or not giving me sedation if my BP would allow it I would search you out or any other provider out and have words or yes, I'd clock you. You seem to be in the mindset that you can do anything that you want to a patient and to hell with the patient. You don't seem to understand the notion of my rights as a patient. Maybe you should talk to your legal department. If a patient tells you to not do something then you DON'T do it. Period. To do what the patient said not to do is assault and battery and much better medics than you have been tried and convicted on that charge. I think you need to review your last post to me and re-evaluate things. That's all I have to say about this.

go to images.google.com and search for fractures I found at least 15 pictures in the first couple pages alone. long bone fractures, skull fractures and a picture of a fracture in the earth. http://images.google.com

he he he he said "bonification" but seriously a 2 year degree is just a start. Once we have attained that standard, grandfathered people included, where do we go from there. initial education is great but what's the next step We have decided 2 years is the base. How do we expand and get the recognition and respect we should have.

I sent him a PM requesting more info. I even put in the PM how he should fashion the post. Description and asked him why c-spine was not taken. Hopefully he will re-post with more details.

People who have been unconscious or in a coma for years have reported after coming out that they heard everything that was said in the room. Just because someone is unconscious or has an AMS it does not mean that they cannot hear you or know what is going on. How many diabetic patients that had low sugar that you reversed came back and said, I could hear you guys but just couldn't respond. I think that we need to explain what we are doing to everyone including the ones who we DON'T think can hear us. let me tell a little story about an incident that happened to me i took a phone call from an irate father of a patient. he wanted to talk to the doctor. I set up the transfer, dialed the doctor's sleep room and asked the doc if he would talk to this asshole of a father. The doctor said, sure. I concluded the transfer. the phone rang again and guess what, it was the father and he had heard everything I said. He was pissed. I hem hawed around the issue but in the end all I could do was say "IM Sorry". I asked for his forgiveness, he gave it and it was all good. I had no idea that he could hear what we were saying but since then, I've known that someone can always hear what I'm saying. So long story short guys and gals, explain to the patient what you are doin even if you don't think they can hear you. Because they might be able to hear you. Give sedation and pain meds whenever possible and Gosh darn it, listen to your patient, if they say NO that means NO.

nifty check your pms