ambodriver

some medics gotta have it their way.....ya know. p.s. fast food sucks and being in shape is good mmmkay

With the information provided I don't think I would have intubated. If he is spitting then he should a good gag reflex. Let 'em puke but be ready to suction if you need to I guess. With such a long transport an anti-emetic would have been nice....for the medic assigned to clean and the pt.'s airway. I hate dealing with drunks, especially when they are puking. What a waste of time.

NYC EMS gets 12$ an hour?!?!?!?! That is shocking....and an unlivable wage.

I've seen nebulized narcan for the person wheezing after taking heroin. The pt. was also lethargic but alert enough to fight off an IV attempt. "I just want my albuteroll bitch!" It worked, albeit slowly. By the time the ambulance got to the ER there was one pissed off druggie. http://www.jem-journal.com/article/S0736-4679%2802%2900723-0/abstract

We are well represented here. Yes it is true that high volume areas can be stressful. However, we work 24 on 72 off......those 3 days off are more then enough for me..to even work a 2nd job at a private company. Yes, I am looking for a good pay, benefits and doing something I love. I believe I've found that balance. In time if I am toasty and bitter maybe it will be time to retire and enjoy an easy part time gig. Changing careers would be fucked up as I am already vested in my pension. You are right though...so many different factors, and everyone is unique. Just thought I'd hrow my 2 cents out there.

Nebulized narcan. Yes? No? Why or why not? Effective or ineffective?

The problem with private services is that for the most part pay horrible wages with horrible benefits. It's not all about the money--but we need to live comfortably and make a nice wage for the services we provide. The FD here has single role medics working in the fire dept. I think this is the way to go. We get the benefit of the union without being forced to be FF's and pander to that BS. Private and contract EMS here pays about 15$ an hour. Pretty hrd to raise a family on that. Single role medics on CFD get paid about 75K a year and get a pension. We deserve the pay and bennies. This is a tough job and to make a barely livable wage doing it is a joke. Can things be better with municipal EMS? Yes. Single role FD medics are the way to go imo. I'm not experienced with private EMS outside this area. Do any of them pay good wages with good benefits? Let me know some places that do if you know any. Thanks,

When I first started out as a EMT I worked the privates, as most people do around here when they first get their certs. It was horrible. Nursing home staff that were clueless, rude. Nursing homes that were dirty (99.99%), gross, and negligent. I hated it, but payed my dues. I couldn't do IFT's anymore. It's not what I'd like to do. I became a medic to be a first responder so I will stick with that. Also the privates around here pay like 12-15$ an hour, which is a horrible barely livable wage. just my 2 cents.

don't volunteer. get a job with a private service to learn the ambo and get comfortable driving.

I'm not sure about long term transport with patients, or interfacility pysch transports, but if someone is extremely hostile, or if I think they will be hostile our protocols allows 10mg of versed IM. This is only if they have to go with us to the hospital and are not a refusal. (i.e. suicide attempt etc. etc.) I am quick to use it...I have a daughter to go home too, and at that point I don't care to struggle any longer with them. I find it weird that pysch patients are being flown in helicopters via EMS, that's crazy!

I've got a person who goes 1-2 times DAILY for BS. And theres nothing we can do. Then we have someone that calls for a lift assist at least 3 times a week if not more. It's ridic. I'm waiting till we miss a serious pediatric call while wasting our time with these drains of society. Aero, I like your call to be involved with these communities, but in the ghetto areas I work in, people are pretty much hostile and don't give 2 shits about us. They'd rather berate us on a scene then help in most situations. I've stopped the "paramedic teaching moments" because most of these people are too ignorant and too far lost. I wasted my breath for so long. If there was a better reception for us I'd be more then willing to get involved, but the truth is the gang bangers, basketball players and fake gangsta rappers are the true role models in the ghetto

Sorry to be so late in posting been awhile since I came to this site. A year after the 9/11 attacks Bin Laden released a video tape saying why he ordered the attacks. IT was all over the news stations etc. He said it was because of our support of Israel and unjust policies in the middle east. I don't even need to post a link to this as it is common knowledge. Do none of you remember that video? This wasn't someone attacking our "freedom" or our religion (muslims died in the 9/11 attacks in the towers), this was about the USA's political stance in Israel. I.E. supporting Israel's creation after WWII which led to the Palestinians being shipped out of the area and sent to live in refugee "concentration" camps in Syria and surrounding countries as Israeli's made their own homes and took over. You don't see Al Qaadea targeting religious shrines, or all "free" countries...just those that support Israel. I see a lot of people seemed to have taken offense to my post and continue spouting the BS of this being a religious attack. I also love how everyone turns into an expert on Islam out of the blue. To the person who told me to read the Quran, thank you very much, I have read it mutiple times in it's true form, Arabic. Anyways, I don't care if the build a mosque near the 9/11 site. But I would caution against it because people are gonna deface it as soon as its built. It's just not a smart idea with the anti-muslim backlash after 9/11. p.s. again I have to post this before someone calls me a terrorist: I do not condone the 9/11 attacks, I think the terrorist are slimey POS's that should be tortured and burned alive!

Not to be devils advocate... But the terrorists attacks were not because of religion, but because of political reasons. I don't see how so many people here think this is a religious attack. It really shows an immaturity to the topic. The 9/11 atacks were political in nature. And of course, I have to add this in...b/c people will start calling me an american hating terrorist if I don't. I don't condone any of their actions, they were sick POS's. But it makes this situation a lot easier to understand if you know why were were attacked. Not because they hate our "freedom" or because of our religion. It was strictly political and if you can't grasp why then there is no use really talking about the subject anymore is there? That being said I don't care if they build a mosque. Not all muslims are terrorists. But the fact the terrorists were muslim will make it a hard sell, especially those ignorant enough to this this was a religious and not a political attack

Yes bottom right. Remember to add me as a negative. Thanks in advance for your compliance.

yea, that or the treadmill

UGh. That's pretty fucking sick. These types of guys get what they deserve in the end. I betcha you'll be working him as a traumatic arrest some day in the near future. You did the right thing though. Sometimes hard to take our feelings out of it..especially in this case. We have all (well at least I have) been guilty of getting pissed and yelling at patients and their stupidity...but this one really takes the cake. I'd probably give him a piece of my mind for sure.

It's quite embarassing that our house has two fat ass medics...with sometimes questionable hygiene. On top of that...one of them sucks at lifting and easily gets out of breath. Great to know he won't be able to have my back. Get in shape people.

lol. You know I'm reviving these posts...they show up on the bottom of the page while reading other threads...sorry. I'm on a mission to get -100, thanks for your help!

someone needs to work on their cardio...heehe, but if you have a long transport time, I'd call the patient on scene if I was able to

I'm stingy with the pain medicine. Problem is we have too many young doctors throwing MS at everyone. Now people expect it. If someone is hurting bad I'm gonna make them MOREfine (cheesy), but every claim of pain doesn't warrant me treating it. Flame if you want but I'm really sick of lots of these BS calls for "pain" and they walk to the ambulance and talk in a nice controlled voice "I'm hurting 10/10". All to often in the ghetto and I'm not about to be the pusher man for bullshit.

http://www.ems1.com/ambulances-emergency-vehicles/articles/818785-2-killed-in-Iowa-ambulance-crash/ This is horrible. Remember always pass on the right, even if it makes you go around further. Be safe out there guys! 2 killed in Iowa ambulance crash2 dead and 3 injured in collision Thursday KCC1.com Photo courtesy KCC1.com Rescue crews arrive on the scene of the crash that killed a patient and nurse BOONE, Iowa — A paramedic with significant injuries fought to save her patient and an ambulance driver on Thursday following a crash in Boone County. Rescue crews arriving on the scene said the paramedic, Wendy Baker, told them her co-worker in the back of the ambulance was dead. Baker then continued to move back and forth treating the patient in the back of the ambulance as well as the driver. "She was working so hard I had to physically remove her from the ambulance scene because she didn't want to give up her patients," said Boone County Deputy Brian Pontius. "I don't even know her name." Officials said the patient in the ambulance died as well as the nurse in the back of the ambulance. The nurse, Sheryl Stoolman, 53, had worked at the hospital in Carroll for more than 26 years. Officials said the ambulance ran into the back of the semi tractor-trailer as the vehicles rolled down Highway 30 near the town of Beaver at 11:26 a.m. The roadway was closed in both directions as multiple rescue crews worked to move the victims to hospitals. "The semi driver was going to make a turn," Deputy Pontius said. "He checked his mirrors to make that turn. He realized the ambulance was behind him running red lights and pulled to the right. The unfortunate part was the ambulance saw the semi and he also pulled to the right and they hit each other. The ambulance hit the back of the semi." The ambulance driver was flown by air ambulance to Mercy Medical Center in Des Moines. Officials said the ambulance was taking a patient in critical condition from the St. Anthony Regional Hospital in Carroll to a Des Moines hospital. "In an ambulance situation, the personnel in the back don't wear seat belts because they were attending to a patient," Pontius said. Two people are dead following the crash and three more injured. Norbert Hoffman, 75, of Carroll, and Stoolman, of Carroll, died in the crash. Wendy Baker, 45, of Carroll, and Robert Genzen, 46, of Manning, were injured. The driver of the semi, Dennis Good, 49, of Ogden, did not have serious injuries. Witnesses said the Carroll County ambulance's entire engine compartment and cab were completely crushed. The paramedic is recovering at the Greene County Medical Center in Jefferson. The Carroll County Sheriff said she is doing well. The crash investigation will likely be turned over to the Iowa State Patrol. Republished with permission from KCC1.com

Yet again...this forum shows its ugly face and "We are better then you attitude" We have no idea the conditons behind this accident. Maybe the medics already cleared the intersection but the motorcycle guy came up too fast too late. And who cares if they work for a FD......I'm single role on a FD and it's fucking great. I don't need you bringing me down in your little fight for attention. lol i just saw hold old this thread was....sorry to drudge it back up..wow

also, more reason that B's shouldn't be doing anything with any drugs!

Hey Ruff I agree 100% everyone here LOVES to hate on people. Let's face it EMS is a cruel place where we eat our young and always try to one up each other. I didn't earn my -30 rep. points for sugar coating and not saying how I think it is. No one really knows what happened.....I wouldn't be so quick to judge w/o having the whole story here. That being said.....determining death should include a full assessment...including a strip....and cold dead patients..need to be worked in some cases Stay safe out there guys/gals

I think one Kotex can absorb about 10cc of paramedic/emt whining before it explodes all over you