Just Plain Ruff

ahhh Grasshopper, got it now. Well it depends on what kind of private or convalescent service transports. Do they just do transports from nursing home to doctors offices or hospitals to nursing homes then I think that they have the market cornered or treatment of grandma and gramps and the bedside manner. But put them in an emergent situation and I am almost positive that they would be hard pressed to treat them to the level of a 911 provider that sees critical patients on a daily basis. Take into consideration this quote from Bruce Lee Be not afraid of the man who has practiced 10000 kicks but be deathly afraid of the man who has practiced one single style kick 10000 times. Paraphrased but you get my thought process. If you take care of hundreds of sick patients on a 911 truck you get pretty good at it but if you only take care of 1 sick patient on a transfer truck in a six month period then you probably aren't going to be very good at it. So yes I do believe that I as a 911 provider do take better care of patients than someone who only does transfers from hospital to nursing home and vice versa. Does that make sense????

And what's "hetter" I am assuming it's "better" and not "hetter" Let me turn this back around to the OP - what is your opinion first? Who do you think gives better treatment? Please give us more to go on than what you have. We aren't being punk'd here are we or is this some research paper that you were assigned?

I'm not saying that doc. But what I am saying is if a patient is on chronic pain management and they need additional pain medicine but let's say that they ran out by mistake or some other circumstances that we don't make them wait for 30 minutes to get them to an ER to give them meds. That's what I'm saying.

I haven't seen him on here yet. Is he here yet? what's his screen name. Is this the same son you and I had long talks about over what he saw his friend go through?

You know for everyone who can claim to know who is a drug seeker and who is not, and you know who I am referring to, (my co-workers who may be on this site) and others on this site, Karma is a bitch and I just hope that you get a sympathetic doctor or nurse who believes that you are in pain and not just a drug seeker. Otherwise, good luck getting any pain medication because, well to them and to you, you are just a drug seeker. Sorry but you brought it on yourself. But I can tell you this, the one time when you are truly in pain from kidney stones or back pain or god forbid cancer pain of some sort and you need pain relief and that doctor or nurse thinks you are faking it or your vitals are just not fitting the person who is in "pain" and you don't get the medication that you rightfully need, I guarantee that your practice will change. If it doesn't shame on you. It's not your place to judge people nor decide whether they get pain relief or not. It's not our place to with-hold treatment based on our judgement of someone. My god man, consider the children. (ok had to throw that one in)

Glass houses my friend, glass houses. And you call your doctor for a refill, he may take several days to get the refill called in. There are a myriad of reasons why you may run out. Yet all you see in this conversation is that if someone suffers chronic pain they should never run out. The best case scenario would be that they never run out but there are times when they do. My grandmother had chronic pain, my grandfather was the keeper of her medication, he was very meticulous about making sure all her medication was fully stocked but one day he forgot to get her refills. She ran out one afternoon and by evening on thursday night she was in severe pain. so much that she needed an ambulance to take her to the ER. The distance to the ER was about 45 minute drive. By your logic she should have to wait because well you can wait for your stinking pizza so she should have to wait for her pain relief. And actually I had a patient in the ER one time ask for a refill for his viagra because he did indeed run out. The doctor told him no. The guy was less than pleased.

Mikey, do you have a chronic condition that requires pain meds on a regular basis? If you do not then you really do not have any room to judge. I have a friend who's daughter is being treated for bone cancer. She is in terrible pain most of the time. She also suffers from chronic pain as well. Do you want to tell her that she can wait 20 minutes for her pain meds because you think she can??? Go ahead and tell her dad that she can wait, I'm sure he would feel differently than you.

Yeah, Terri keeps putting in quarters and getting nothing in return other than the disappointment of getting nothing in return. she stomps off angry after every quarter.

Are you truly serious? I'm not sure why I'm answering some of these but here goes Number 2 - why do you need to give a painful stimuli to a conscious person to determine a GCS? Number 3 - You just don't give in to gossip and why do you need to make the best name for yourself. Your actions speak for themselves, No need to try harder than you need to. Number 4 - STop working extra shifts - why kill yourself Number 5 - Who cares Number 6 - Yes Number 7 - Come on are you that immature? Dangit Mike, Our answers were basically exactly the same. Were these serious questions? If so I'm not sure I want this guy as a partner of mine.

and we take care of patients, not arrest them. Tell us your reason why you think they should be armed?

I have one medication error in my history. Gave 5mg morphine to a pregnant patient seizing instead of giving 5 of valium. Same exact type of syringe, both syringes in the same box, I got in too much of a hurry, looked in the box, saw the valium, reached in and apparantly grabbed the morphine rather than the valium. They looked exactly the same. I looked at the syringe, and my head said valium but the syringe said morphine. so I gave it. The seizure soon stopped. I thought all was well. I delivered the patient to the ED with no seizure activity. Returned to my rig, my partner asked "Why did you give morphine to a seizure patient" and my heart dropped. I just sat down and shook all over. I immediately went into the ER, told the doctor what I did, he said "well no wonder why she has pinpoint pupils" he then told me no harm to the patient. He even went so far to talk to my risk manager after I was done reporting it, telling the Risk manager that he was impressed with the honesty I had for telling him and risking ridicule and reprimand. He said the patient suffered no ill effects, they administered narcan and patient was doing fine and the baby was doing very well also. He recommended that we change suppliers of at least one of the drugs because he took a look at how we had our drugs stored and said that he understood how this error occurred and because of his suggestion, we changed the way things were done. I could have been fired but thanks to this doc's good word I was not. I did get a day of remediation with risk management to go over the drug box and to revamp the setups but I did get paid to do that. It was a definate scary scary thing, I thought I had hurt the patient. Had I have hurt her or the baby, I am not sure how I would have reacted. A positive learning experience. You learn from these types of things. If you do not, then you don't need to be in EMS.

Yes please do because I'm thinking of supplementing my cont education with this course. What better course to take when I can take it online at home. YAY for the win. It's good for hours for the state of missouri and that's really all that I care about, but the education material should be good to, it is Creighton by the way, the schools reputation I hope preceeds it. But please do let us know, sounds like you made your mind up.

Ok, wow, I have popcorn, this is good but in all seriousness. Back in the day when there were moderators on, this discussion would have likely been locked a while back. Once the troll comment or other comments were made it would have been pointed out we don't call each other trolls here and then it might have or might not have been locked. Again, my advice stands, we all need to step back, take a drink of Sassafras tea and end this back and forth bickering and move on to other threads as this one has run it's course. I think this thread since it's past it's warranty should be locked - Admin any chance to do that since you are the only one to do so. If not I foresee my needing more popcorn and soda and maybe even 3D glasses.

Ok, boys, settle down, this seems to have gotten blown way out of proportion to the level of offense that it seems to have caused both sides. Let's go back to our respective corners and look for other threads to respond to.

Triemal, I agree wholeheartedly with your statement. I often cringe sometimes when I see some of the reception that new posters get here. I have at times been one of those people who have given a not so warm welcome and I have re-evaluated and said to myself - Mike remember when you got here and how you were treated by Dust and some others? Not so great but you stuck around and Dust became a mentor. I don't want to be seen as an asshole. I do believe that his comments were "smart ass" but they really weren't far off from the truth in the overall scheme of things when it comes down to how some new posters are treated here. It's like trying to get into a fraternity here, I remember those days as well and it was tough. I'd like to see a less eat the newbie responses and more of just gnaw on them for a bit. But some of these new posters cop an attitude immediately if they don't get an answer they like. Take for instance those who come here with the sole intention initially to have their homework done for them. They don't get the answers they want which are usually the answers to their questions so they don't have to do the work themselves and when we tell em to do research first they get uptight or pissy and storm off to some place google or the other site that won't be named ............."Voldemortlife.com". It's a fine line we travel I think. Treat em too fluffy or treat em too roughly - what's the happy medium. Maybe with the new system and new group of moderators we can nip this initial posting nastyness/ongoing type of thing in the bud.

Nice to see someone was pleasant enough to address my initial questions. Instead, I get everything but. I honestly havent been on this site for months because I was disgusted by how a large group of people have this complex that they can comment and sarcastically chastise people when they ask a question and not even answer it in the process. Looks like someone forgot to take out the trash in EMT City. You wont gain new members with peoples attitudes like that. Seriously, you have that response. Take out the trash??????? You just lumped a large group of us here who responded to your thread into comparisons of Trash. WAY TO GO Tiger. Keep on making friends and influencing people. I am seriously hoping that I didn't make it into the trash heap. Your last response was a smart ass response emboldened by a response from a well known member of this forum.

Now that was good. I really liked it. This video should be required viewing/reading for everyone on this site.

No what I meant was that they were trying to figure out a way to not be associated with her death, not that they weer calling her in the field. Make more sense? Prolly not. But anywho.

not sure what interventions but.... my thoughts are that she was dead on their arrival and they did not want to be the ones associated with Princess Diana's death. That's my thoughts.

I like Al, but I just don't find his videos funny anymore. But damn, those clothes are to die for. I have to get me a set of especially the outfit with the green pants and the pimp shirt. That was awesome. But the video, didn't really do anything for me. But to each their own.

mikey, I believe that your thoughts on Princess Di are correct. I do believe that she was worked on for over 40 minutes but I think much of that time was extrication as well as treatment. Not sure. But I do know that the hospital was waiting on the ambulance and they were getting pretty frustrated with the crews not transporting her. Makes me wonder just how bad her injuries were at the scene that required them to stay and play rather than load and go. Were there some interventions that were required absolutely before they could get her on the road.

Yes, where did MP_EMT22 go wrong, he apparantly did NOT take lessons from more recent graduates from the "I got butthurt from the answers given on EMT city and went to another site that will tell me how cool and awesome of an EMT I am even though I'm an idiot site" MP, I am impressedd with your most recent reply to this post. Mature. If you can get into a UMBC course that's the way to go or get into any of the courses that UMBC has given a site access to - CJC Fire in Blue Springs MO comes to mind as a prime example of a quality site license, then I would do that. But after looking at the Creighton course info, this might not be a bad alternative. Good luck with whatever you choose.

Somehow that's actually the answer I thought you would have. I love that. I also wish that I had that resource as well as many currently available resources. I did great on my nat reg EMT but not so great on paramedic. My fault, I was cocky. But I bit the bullet, found a nat reg refresher course(I took it but it wasn't required to take for me to retest) but I took it any way, I then found a Nat reg practical exam prep course which gave us 3 days of prep (practice practice practice) with actual registry evaluators and then the next two days we took the practical test. I passed with only needing to retake the skills station because I forgot one step in the KED device. Best 700 bucks I ever spent. I truly do wish you the best in your endeavor. Now if someone here would go bite the bullet and pay the 2.99 and buy it, and give a hands on review, you will have some good feedback.

Oh my god Zippy, I read that and all those abbreviations just made my head spin like LInda Blair in the Exorcist. But dammit, I actually understood what you were saying. I need more caffeine.

Actually, I would say that Princess Diana's injuries were non-conducive to life so unless you had Jesus Christ there and Diana was going to be raised from the DEAD then her physician ambulance trip was pretty much doomed from the start. You just don't hit a bridge pillar at such a high rate of speed and expect to survive those types of injuries. Well not many do at least.