firedoc5

Weight 110 Kilos

I got to wondering, did the guy taking the pictures try to intervene when he saw something not right? Or did he just let the dummy keep doing what he was/ or wasn't doing?

And don't forget the War of 1812. :booty:

Called to apartment of a very frequent customer. However it is not her. Upon arrival find a female, late teens, early 20's in the bathroom on the stool stating she is having heavy bleeding. Patient about 110K's, state legs are too weak to stand for very long. Bleeding had been going on for approx. 30 mins. When asked denied possibility of pregnancy. Not time of the month for her by two weeks. BP: 110/70, Pulse: 90, Resp. 20. Skin warm and dry to touch, good color. Asked when last had intercourse she said about two days ago, no problems afterward. Slight "cramping", less than period cramps. Stool full of blood. Did not flush prior to our arrival. No pads available at home.

I believe we went to the same school on this, and a lot of other things apparently throughout the City. :occasion5:

It's not at all complicated, just seems absurb. I'm not that simple minded. :tongue3:

Good call. :thumbup:

It's very rare but there has been instances where the two minute CPR had converted the dysrhythmia. The compressions may have impacted the heart to correct it's self. Also, beginning the CPR you do the Look, Listen, & Feel assessment. This can further confirm that they are in need of AED. Make sure they are in full arrest, and not just unresponsive. I've seen where someone has panicked by someone becoming unresponsive and started in CPR causing unnecessary trauma. And if AED is utilized when not needed then you can have a full arrest on your hands. I'm sorry, but I still don't fully trust a computer to say whether a rhythm is shockable or not.

Try to put them in the most comfortable and relaxed position so they are not tensed up.

CHAOS is exactly how it was on the Dept. I was on. He was one of those guys that things would be going smooth, things were getting done, no complications...he would arrive and start barking orders. It was like he was trying to keep you from doing your job. And not only on scenes. Whether it was station duties, inspections, hydrant testing, hose maintainance, etc., he'd have to throw a wrench into the monkey works somehow. I think he got off on it. Most of us knew he was a power tripper and knew that every now and then he'd have to flex things up.

"Ohio" - Crosby, Stills, Nash, & Young

WOW. This sure got serious for being a joke. :homework:

Drug allergies tell me what not to give to the patient. (just kidding Sometimes when someone has had a medication too much they can develop an allergy to it. Like me, I can't take aspirin or Motrin anymore. I think I use to take those Goodies headache powders too much at one time. Now it will kick my asthma into gear. My father can't take penicillin anymore. He took it for many years with no problems, but after some dental work we found out that he apparently developed an allergy to it. Many drug seekers are walking PDR's. I've known some that have got a hold of one and researched it quite well. They'll look up anything narcotic or any kind of "pain med" and get all the info they can so they can try to convince a doc that they had it before and that it is the only thing that works for them. They don't realize that they are just hanging themselves. Docs see a red flag when a "civilian" knows so much, too much.

Sounds like a bit of over kill on the picture takers part. His reporting, either in writing or a meeting should have been enough. Maybe it was out of frustration or something where he thought he had to "really" show how bad this guy was, but it was uncalled for. There were times I felt like taking pictures due to incompetent care, but I just reported it. There were a few times though that after getting to the hospital I've pulled the nurse or doc over to the side of the patient to point out a few things. But that was usually regarding what an EMT/ First Responder or Rescue personnel did prior to our arrival. I'd point out what was done wrong and what we did to correct it.

I'm talking about when someone asks someone what their job is and they are told that they are an EMT-"what-ever", they wouldn't know fully what they did, other than a Paramedic. Sure they know of EMT or Paramedic, but may not know what A, I, D, I 99, etc. is or what they can do or can't do. Or they see a patch or name tag with any kind of initials they have no idea. They only know they work on an ambulance. And to many, if they work on an ambulance, they must be a Paramedic. It is confusing to the general public on a whole, especially the very young or the elderly. My brother-in-law still burns me up :angryfire: when he tells people that he use to be a Paramedic. I'd correct him and say, "No, you use to be an EMT-I." He says that by saying Paramedic it's easier than trying to explain EMT-I to people.

Maybe it's the location of the call. He might have had to pass by the scene to get to the ambulance building. We had a problem a long time ago with EMT's who were on call but didn't want to stay in town. They might have lived five miles out of town. Several times we'd get a call and I'd walk/run to the ambulance building on foot and beat the "out-of-towners" who had to drive. It was something really frowned upon, but at the time we were really hurting for any EMT's. And sometimes we got our butts burned because of that. We'd even get people on call that would risk going shopping somewhere, hoping to not get a call. Since we'd only get 15-20 calls a month, they'd risk it. And some of them got caught with their pants down. Eventually all that came to a screeching halt. Largely due to myself and one other being willing to be scheduled for about 80% of the time. Since we were right in town, and didn't worry about going other places while on call. The others were told that when on call they had to stay in town. If they didn't like it, tough. And were told to not complain if they thought they weren't getting enough ride time. And in some cases, they were dropped altogether.

Good job, Lady. Sounds like between the call itself and what has been said here, it is a good learning experience. Take what you've learned and build on it. Don't get discouraged and not go for becoming a Medic. We've all been there. We had to start somewhere. For no more experience than you had in a peds. seizure patient, you did well. Airway and breathing, and you caught the cyanosis. Some will get tunnel vision or side tracked and miss it. As a basic, O2 and keeping the airway clear is most of the battle. I'd been running "Code 3" (what was our "Code 1") from the start. I see your reasoning to run a strip for the ER doc, but unless it is a suspected MI don't bother with it. As far as the parents. I myself would have had mom ride up front and dad follow. Ideally you could have had both parents follow, but I know that's not always acceptable to worried parents. Keep up the good work.

The biggest obsticle in teaching the public is that there are so many certs. on different levels. So many in fact that it's hard for us to keep them all straight. :roll: :oops:

Congrats and good luck. Need any help, just post us all here. 8)

Hopefully most places were already doing this in the first place. I know some agencies have argued in the past that the reflective material on turn-out/bunker gear was enough. I always disagreed with that. Vests are the best way to go.

I agree with you, Ruff. I think some actual Medics get bent out of shape when lower level EMT's are called Medics. And when they do, they don't like it. On the volly service I started with, and my father later became coordinator of, when they got their first hand held radios, they started using Medic numbers when they were only EMT-A's. On my days off I'd come over and help. I didn't care. They had to use some kind of identification on the radio. I think that was the only time they called themselves Medics.

I'm just saying it should exist. "Un-making" laws because there's no funding? I just don't understand.

You said it better than I did. Very good.

"Dream On" - Aerosmith

Within the NPS or other agencies, any medical personnel may be considered a Medic, but only in their organization. Outside of their system, be it the State or National certification they are not. I've known of some places that even non-EMT's are still called Medics. In our system, way back when, an EMT-I was called a Medic. But for trauma radio their Medic number indicated what level of certification they were. An EMT- I's Medic number started at 200, such as Medic 201 and on up. Paramedic numbers were "Medic 001, Medic 10 and so on. MICN's had numbers of 100, 101... I think it's still the same there.