Just Plain Ruff

Ok, I did a google scholar search and found these results. the bottom three are actual articles but the top one is the main page for the search. For everyone who is doing research or wanting more information on things such as studies, this is where I always go. They have pages and scholarly articles that main Google doesn't reference. On the last link, it didnt' show up very well so make sure you cut and paste the entire link to your browser address bar. That link is based on Australia but you could do a contrast between countries. http://scholar.google.com/scholar?q=declin...p;hl=en&lr= http://www.pubmedcentral.nih.gov/articlere...i?artid=1335865 http://www.springerlink.com/content/w61h5448p5h1154h/ http://www.ema.gov.au/agd/EMA/rwpattach.ns.../2FaheyWEMA.pdf

yeah I think Resq has a point. Before you go off to read dubins or whoever's books maybe you should get a firm understanding on the rhythms that present on an ordinary monitor screen before going off and learning to interpret 12 leads. I also agree with Dust. I think your efforts could be better spent reading anatomy or physiology books or even a text on scene safety or what not. I had a number of students in my paramedic class who started to read books on the ALS level and were arguing with the instructor that that's not what they read. It's all good to read up and be knowledgable but Get the basics down and then go for the advanced. I would have taken a partner(EMT) who knew anatomy and illness processes over any emt who knew EKG's but did not know the basics. It's great that you are wanting to keep learning, I commend you with that.

It was recommended to me by a friend who is in a management role. He said that even though the reviews have said it's mainly for managers or aspiring managers, he found a lot of good out it for every EMS member.

Dubitably dubin in my opinion.

ok, I'm going by the number of articles posted. I believe that might be threads in EMT city speak you can see the number on the home page. in the middle of the page. Its sitting at 72304 Once that hits 75000 that is the number I am going to use. But thanks for that.

just post 2718 more posts and you will

If someone is going to appoint themselves grammar police they better have excellent grammar. I belong to a number of forums and there is always a half dozen people on those forums who appoint themselves as grammar police. When you read their posts you can't understand why they are critiquing others grammar and spelling when theirs is just as bad. I reviewed run reports for my previous job and was appalled at the lack of good writing and was told to drop it since most of the medics writing the reports had been writing reports longer than I had been alive(whatever). So I did. No-one got taken to court but it is only a matter of time. My opinion is that if you are critiquing grammar and spelling then yours must be better than average.

We are coming up on 75000 posts on this website. I'd like to propose a contest. For the person who comes closest to the 75000'th post I will provide them with this book http://www.emergencybookstore.com/item_det...Code=1887321020 I will have it shipped to your address when I determine who came closest to the 75000 post. I have discussed at one time with the admin and he said that there was no way to determine who hit 75000 or a specific number so I will be checking the website and the closer I see it coming to 75000 the more I will check it. I will do my best to get the person closest to 75000. We only have about 2000 posts/replies left so let's get posting. Thanks ps. Admins if this is not appropriate please let me know and I'll drop it but I think this would be a good way to get more traffic to the site.

NREMT did I read you right that you might run hot to a standby? I hope I read that wrong. AS for running hot with this stable patient - tell your partner to STEP AWAY FROM THE KOOLAID!!!!!!!!!!!!!!!!!! He was wrong simple as that. If he can come back and say why the patient warranted it with signs and symptoms to back it up then he can start to drink the Kool aid again. If he can't then I'd get the heck away from him and let him kill someone other than you. It's your licensure/livelihood on the line if you kill someone running hot when their condition didn't warrant it. As for services that run hot to every call, that's bad news just waiting to happen.

lots and lots of articles can be found here: http://scholar.google.com/scholar?q=tyleno...UTF-8&hl=en I have found that Google Scholar gives quite good information.

we have room for 3 patients in the ambulance 1 in front seat 1 on bench seat and one on stretcher. maybe one more on the medics seat you have now covered all the available areas on the ambulance and you have more patients. Once you reach your limit of taking care of the patients you can handle with no belief that more resources are gonna get to you any time soon you've done all you can. I had a call where we were the only ambulance int he county and we had 4 trauma codes/drownings from a car wreck we worked 2 of them and called the other two. We were the only ones on scene with our nearest next ambulance was 45 minutes away and no helicopters flying. They all 4 died and were all under 17 We met our limit and we took the two that got out of the car first by fire. The other two died in the car.

That is the question that several of us have posed to Timmy yet he has not responded.

honestly, I don't see a national system working here. There are too many people who will want their own piece of the pie and the old adage "Too many cheifs and not enough indians" or too many cooks spoil the dinner. I just don't see a national ems system in the US we are too fragmented.

well that helps a lot. Maybe what the supervisor was complaining about was the fact that a 2nd unit was on the way. We cannot second guess especially if the information isnt there for her to give to us. As long as the patient got taken care of that's really all that matters right?

Marty, you took the words right out of my mouth. During my google search I found quite a bit of newsgroups inthe alt.creepyawards.net style. Some of those were really really scary. For the original poster- please let us know why you wanted this information

yes that will be the biggest issue to get nurses on board. we will have to train the paramedics to be nurses - lots of money involved there. If the requirement to be on the ambulance is either basic like it said and nurse medic level, and the requirement would start with the next round of schooling then that might be doable but it's going to be a huge feat to get done. One other thing I see is the netherlands showed in the article 1900 or so nurse medics. Thats as many medics as there are in the state of Missouri. Take that times 50 and then the issue comes up "HOw the heck do we do this????" :shock:

Dust, didn't you read the nursing comment I made. I think thats a great idea but I don't see where we are going to get the resources to pay for that transition. Do we offer a grandfathering in phase or will it be mandatory. I can see the nursing schools jumping on this. I am re-reading the article as I skimmed it earlier and I'll say I'm corrected. I'm prinitng it now and will re-read it in more depth tonight. I'll concede your points as what you set out to do. There is still a lot that they do over there that we do but they seem to be better organized.

Nice article, inflammatory post What I read in that article is not new at least I don't think so. What I mean is this. They staff their ambulances with nurses and basics - ok, I worked at a service whose second responding ambulance usually had a nurse and paramedic They send doctors out on major calls - we have a local childrens hospital that used to send dr's on the helicopter to pick up the patient and they still send doc's on their ground transport units. So not new in my area. The list of drugs - not overly large but nice. I worked in a system where they were beginning to admin thrombos. 12 leads are the norm. Certain procedure such as needle cric's chest decompression, RSI and the like is the norm for progressive systems anymore. I don't see anything truly revolutionary goin on in the netherlands. If you want to spout off saying that the netherlands is best and that we have to get our act together please provide some cognizant ideas that we can implement. Until you offer some suggestions you are just another of the many people who complain about things but don't offer suggestions to get those complaints done. one could say - let's start by putting nurses on every ambulance. Who pays for this. What about the medics who have been out there for years and now the new rule if we follow the netherlands model, we have to put nurses on every ambulance. Who pays for it? Who helps them get thru classes when they can't find someone to cover their shifts.

http://www.vandenberg.af.mil/~MDG/selfCare/emerg/e3.htm http://www.suicidereferencelibrary.com/test4~id~1208.php http://qjmed.oxfordjournals.org/cgi/content/full/93/11/715 now if you are wanting to inject battery acid into something but not a human there are scores of sites out there that talk about injecting battery acid into like plastic and molds and stuff.

ok, the question begs to be asked, why would you inject someone with Battery acid. I've heard of drano in the vein but never battery acid. Was there some reason why you asked this question, did you have a call related to this or is it just curiosity. I would think that battery acid and skin,vein, artery, system,heart = BAD NEWS BATMAN

and lets' not forget to add that there is a small commuter plane that crashed 100 feet from the wreck and a train carrying nuclear liquid waste derailed and the entire scene is covered in about 2 inches of green glowing soup. To top it all off there is a greyhound bus about to come up on you at 80 miles an hour without properly working brakes. Glad I wasn't there.

1 hour to als intercept - I'd be in the ambulance on the way to the hospital.

Asys, that was classic. put that in the whacker post ok

all I can say is this HOLY CRAPOLA BATMAN THAT HAD TO HURT

Nu EMS Girl, step away from the kool aid and take a chill pill When you say the supervisor said you cannot do that and then there's nothing behind that statement then we have a right to question this. This was a bls call plain and simple and it should be in the BLS Section. Should we all post in the ALS section because our services provide ALS Care even for a bls injury You said that a 2nd medic on scene with you said the supervisor chewed you out for nothing, there is more to the story than you tell. The Question that has been asked before a number of times is why did the supervisor tell you you couldn't do what you did. My assumptions would be (and they are assumptions only) 1. The supervisor was saying you couldn't let the patient leave 2. OR the supervisor said that you couldn't let the splint go since equipment goes missing all the time. We are sorry things are not going your way or going good at the service you are at but coming here and snapping at everyone who requested more information when your information was sketchy at best make me doubt that we got the whole story.