Just Plain Ruff

We had to remove about a 10x10 part of a patients wall because not only was his family the proud owner of a bariatric patient but they were also hoarders and we had ZERO ability to get the guy out from his back room Parents enabled this guy and would go out and buy him thousands of calories per meal and not do anything about helping him address an issue that he had been educated on - overeating. He was proud of his 735 pounds and had plans of getting larger. He even had a girlfriend who was half his size. One day he didn't eat anything and his sugar bottomed out, even though he took his insulin and lantus, metformin and Victoza that morning which didn't help us in getting his sugar up. He also had a horribly infected foot caused by an ingrown toenail which thus caused him to get beginnings of sepsis. So we could not get this guy out of his room through his door, the window was a 4x5 window which didn't help. So we just cut a huge hole in his room wall, backed up a flatbed trailer to the hole and took 11 of us with a tarp to get the guy to the flatbed. Same amount at the hospital to get him off the flatbed. It was the longest 10 minute ride to the hospital I ever had. so embarassing for the patient, we tried to give him dignity during the transfer but by the time we had cut the hole in the wall it seemed like the entire town was there to watch. sadly, 3 days after admission he passed due to sepsis from the infected foot.

Yeah, I believe your training center needs to be attached to a Recognized training site and unless you can meet the requirements of the AHA to do that, it is very very difficult. why not go this route, not be a actual training site but a satellite site under an existing Training site, something to think about.

AHA recognized courses or other type? I have a couple of people in my home state of Missouri that do this. they do not do AHA CPR courses because of the need to be attached to a recognized training site. They do a generic style first aid and CPR course which are all over the place. I think you need to determine which groups courses you want to teach before you go any further. I wish you luck but it seems that you would already face some stiff competition with all the EMT training centers already out there in California.

well I'm not really working in EMS - I'm actually trying to get a Trauma Analyst position so hopefully will get good news soon. but I know that many of the agencies in my area have dedicated Bariatric units. For transfers especially they will send the bariatric unit as well as a fire truck to help with lifting. As for on scene (non hosp), the responding unit will get there and determine if it's bariatric and they will call for the bariatric unit. I think KC MO has 3 Bariatric ambulances so the response time isn't terrible unless all bariatric trucks are already on calls. As for smaller services who cannot afford to purchase or man a designated bariatric truck, hope fully they have a network of fire departments/first responders who can help out. That's what I know. I do have a couple of friends on different departments in the KC area that would probably be willing to chat with you if you have further questions.

don't you mean for most departments - DEMOTION or punishment.

First Troll post of the year from VAN, the winner of the most irrelevant post of the year so far. You made a post just to say that paramedic is worthless. You are a troll and have no idea what you are talking about. "Buddy fuckers and the like", that's rich. did it take you all day or a week to put that one together. Go away until you have something of worth to tell us. such negativity, makes me wonder if you wanted to be one of those zero to heros and were turned down based on your facebook posts. Go away

has no-one here done any grant writing?

I'm working on opening a Youth Center in a area of my metro and I'm looking for anyone who has written grant applications that might be able to help me? I"m having a bear of a time finding grants on grants.gov and maybe someone has tips and tricks on how to search this behemoth of a grant site. I'm needing about 300K(maybe more, maybe less) to start this center and open in June. ruff ruffems@gmail.com

Absolutely agree Anthony,

You did not post in the wrong thread, when did you fly for lifeline? I was in Clinton Mo from 1992-1997, 2007 and then again in 2010 lake of the ozarks amb - 1994 or so MEMSA about 5 times but since my parents own a lake home at the ozarks, I was able to stay at their house and then drive to the conference, it was only a 35-40 minute drive from their lake house to Tan Tar A or I would just take their boat and park in a boat slip. so much fun, I so miss it a lot, but I'm mostly retired from EMS now. do you guys use Cerner or some other application for the EMR?

I have the feeling that this place will never be like it was 2 years ago. We're lucky if we get 3 new posts a week and most people posting post on previous threads. Facebook has really hit this place hard.

Ok, two weeks into this, NO interest. Someone else will have to spearhead this. Closing out the offer.

This post is 4 days old and not a single response. I think the interest in a reunion might be zero.

Sorry but I'm still doing CPR as it's not a legal document. Simple as that. I think that if a person is going to have this tattooed on their chest then they better have a DNR in paper on their person at all times. I know that's a big requirement but if you want me to honor the ink, you better show me the paper.

One thing, if only 5 or so people agree to a reunion it's going to have to be Kansas city or it won't be worth the effort honestly. not trying to be a debbie downer but the effort to put something like this on is tremendous and takes a masters degree in event planning.

Ok, so the title is a misnomer, it's more of a 2nd bi-decade EMT City reunion. I'm going to be putting out a couple of suggested locations, only one of the locations I'm able to coordinate and also a couple of months for the reunion. I can pick the places we meet depending on the months we decide to meet and the food but of course only if this is in Kansas City. Nashville and or Colorado springs or elsewhere needs to be coordinated by someone else. This is simply the beginning of a discussion and there is no guarantee this will get off the ground, we already tried this one time 5 or so years ago and it flopped. So Respond back with three answers here see the end of the post for the questions: Locations(locations not all the way to the coast and one smack in the middle of the country) 1. Kansas City MO (this is the location I can coordinate) 2. Nashville, TN 3. Colorado Springs, CO Dates: (I'm out for June too much crap for work) February 2018 April 2018 July 2018 Questions to answer 1. Could you make it to a reunion and are you interested in something like this? 2. Which of the three cities is more preferable to you. 3. Which month is more palatable? Answer these three questions - I will keep this post open for a month or so to gauge interest. And then if enough interest is there then we can move on to step 2 - which is pick the city and the date and begin determining the cost. Private questions can be sent to ruffems@gmail.com

I have so much stuff going on with work that someone else would really have to do the arrangements. I'm willing to travel somewhere for this. But I'm also willing to set up partially the reunion but someone else needs to help with arrangements and deposits for venues and places and food. It can be done but I just cannot do it all.

I'm interested but it would have to be within driving distance of the metro area of KC MO. I'm getting pretty poor in my old age and I'm just not able to afford any long trips anymore. A 1 day drive one way, then a day for the reunion, then an overnight and then drive back would be about the extent of what I could afford. My days of having crap loads of frequent flyer miles are over, it's back to poor civilian life for me.

If you care to share those pictures I'd love to have some of them. Being one of the charter members of that group, I'd like to have some of those memories. Damn that weekend was fun. AK, Dust, Dwayne, Mateo, mateo's mightily pretty cousin, AK's ever accomodating wife, AK's exceedingly polite and really really smart kids, and the clubhouse we took over and spent many hours playing pool, trading stories and the picture to end all pictures that AK shared. I'll never forget it. AK, one of the few great EMS God's that still remain. There will never be another EMT City reunion in my lifetime and I just turned 50, so I don't have that many years left.

AK, how the heck have you been? it's been like 2 years or so since I've seen you here. I hope all is well. And I tried to tell the person that they needed a doc straight away, but doesn't seem like they liked any of our answers so far.

I didn't know that there were Level 1 trauma centers in Springfield MO, Cox or St John's? I used to work down at one of the Lake of the Ozarks amb services which sent you guys a lot of customers via helicopters and transfers from Lake Regional. Bob Page taught some of my EMS courses out of that area. Good group of people down there. take care Ruff

Or demanding 15 year old, 8 year old, and 6 year old. Not a moments freaking peace. haven't had a disturbance in the force in I don't k now how long.

I didn't have to ask for it, my GF just gave it. Thats the difference I guess between being married and single. It's given by the girlfriend and obligated by the married. ha ha

Hell no brother, but I did get a lot of ribbing from my co-workers saying it was a rookie mistake, problem was, I was still kind of a rookie.

Well to be honest, I did give her the means and the opportunity, so lessons learned. But once the docs realized that my wound was not through into the chest cavity, they cancelled the activation, they sutured my wound and gave me 10 days of Vicodin, keflex and a tetanus shot. The police were no freakin help, around where I come from, psych patients who try to kill you don't get charged. but I did get a bunch of sympathy nookie from the girlfriend at the time. That's a TOTAL win.