crotchitymedic1986

I am challenging the room to have a debate on any subject, but it must be a courteous debate with no name calling or insults. I realize that I am the worst one at keeping the debates civil, so if I can do it, you can do it. Choose any subject -- i will take the opposite side, and then others can join in. It might even be fun, if we can actually keep it civil.

Ok, so you dont like my suggestions -- lets hear some better ones.

All i can say is be careful what you ask for. Our service did this as a courtesy one night at an accident scene, and from that day on, cops figured out, i can call an ambulance here and get it drawn (all drunks -- not just MVC drunks), or I can drive the perp to the ER, wait 30-45 minutes, then transport him to jail. They opted for the ambulance.

Here are some more: 6. Patients have the right to be treated by competent personnel who have received regular training. 7. Patients have the right to be transported to the most appropriate facility (in their area) for the condition that they have. 8. Patients have the right to have a pillow and blanket. 9. Patients have the right to not have their body parts exposed for the whole world to see. Ambulances will carry gowns to cover female patients while a 12-lead is being performed.

But in the meantime, you will love getting up several times per shift to go draw blood. You Texas EMTs had better get some language in there that states that the police have to bring the patient to your station, versus you having to respond to the scene.

I will have to do some research and come back to you. I just remember we had two pediatric patients in our area with this syndrome, that we transported about once a month, and the Nurses at the pediatric hospital always made a big deal about not getting their sats up to the "normal" level when we called report, because most EMS folks would slap someone with a 70% O2 sat on high flow.

this should get you started: http://www.nytimes.com/2005/06/28/politics/28scotus.html

No problem AK, this is how this one will play out. Defendant hires a DUI lawyer, calls EMT who drew the blood to court: Attorney: EMT Doe, could you please describe all of the training that you have received in the area of "Chain of custody of blood samples" and the "proper technique for gathering evidence to include blood and DNA samples" ? EMT: I have none sir. Attorney: We would ask the court to throw out this evidence on the grounds that it was improperly obtained, and since the EMT did not follow the rules for chain of custody, this sample could be anyone's blood sample. Judge: Case dismissed.

We had a nephrologists give us an inservice on this topic years ago, but i do not remember all the correct points to do before you stick. The one thing you can do is look at the site itself, as there will be an obvious place that the dialysis nurses have been sticking. I remember that they either use the ladder technique or the button-hook technque. THose who use the ladder, move the injection site upwards ever so often, so that one spot does not get worn out. The other theory is to use the button-hook technique, where you use the same spot over and over, so that you can move up later (tomato tomoto). Either way, you should be able to clearly see the spot that is presently being used. Do try to be as sterile as you can, and use betadine and alcohol to clean the site.

You need to be careful with oxygen admin on this one, it is a good idea to find out what his normal sat is, as it may be 70-80%. You can kill him with too much oxygen. He needs to go to the hospital that does transplants or atleast has a good cardiac program (not the local band-aid ER with an oncall doc).

yes i am an ass man, unfortunately diabetic ass is rarely sexy. Anywho, I have no problem placing one (did it in the ER frequently), its just that the ambulances that I worked on didnt stock them.

I would love to see those 12 steps ITK, i have a few suggestions: 1. Remove scanner(s) from home and car. 2. You may not wear any clothing that references your profession on your off day. 3. You must learn to have an intelligent conversation that doesnt start with, let me tell you bout the call i ran last night. 4. When you do tell people about your calls, you will no longer be able to embellish those stories (funny how they seem to be the only medics who run 3 shootings a night, every night). your thoughts .............

Sorry, i have found that a search of anything on this site, brings up 10,000 threads, of which the first 9,999 have nothing to do with the topic you are searching.

what if the monitor shows vfib but the patient is alert, talking, and normotensive ?

very profound ......... makes sense

works better than glucagon.

yes, but that NG tube might go in the lung --- my tube only has one hole to hit, and i dont have to listen to ass sounds to make sure its in the right place.

I dont see why people see rural as a problem. I purposefully chose to live in a rural area, and I knew when i moved there that i wouldnt have cable tv, delivery pizza, trash collection, or a fast response time from public safety.

I did meet Lord of the Whackers once at an EMS conference. He had a star of life tatoo on his neck (about 3inches tall). But whatever you do, dont be a whackerphobe, whackers are people too. You should start a "You might be a whacker, if................." thread

I think it is ranked apprpriately, especially if you are talking about EMTBs. Everyone that chooses EMS as a career should strive to make it to Paramedic. This is true of any occupation that has an "entry level". No one should stay at the level of FF1, CNA, Patrolman, or frycook. If you do, you limit your earning potential and job satisfaction.

Shamelessly hijaked from the SI thread: Lets say that your Director has decided that you need to develop an " EMS Patients Bill of Rights" for your service, and will print this list of rights on the front of your uniform shirt, so that every patient gets the chance to see it (not all patients make it to the back of the ambulance). Or if you prefer, you could print these rights on a piece of paper that is handed to each patient and signed for. What would be your top 3 rights that should be listed ? For instance: 1. The RIght to be transported regardless of illness/injury, or ability to pay. 2. The right to have a supervisor or another ambulance respond if you do not like the crew you got. 3. The right to have an interpreter if you do not speak english. 4. THe right to be transported in fully functioning ambulance with no mechanical problems or equipment issues. 5. The right to be transported via stretcher instead of being asked to walk to the ambulance. Your thoughts (funny or serious) ?

Let me put it this way. I remember a hospital CEO that did not believe in having a "patient advocate". Why, because he felt that all of his employees should be patient advocates, and that if you had to have someone to be intermediary between the staff and the patient, they you had royally screwed up. The same is true of this document. At the point that you need to put "patient rights" in writing, you have shown how poor your organization is.

I would be willing to bet that you cant find a single patient who has ever read the whole paper or sign that states their rights. Walking into a hospital is no different from walking in a burger king. I do not need a list of "rights" to ensure that I can order my whopper with cheese.

we understood your statement, but the question is not about the care the patient gets 3 days later, we are talking about the care they get or do not get at the time of arrest. If given the choice between arresting in the back of an average ALS ambulance, or in the average ER, I pray that I am in the ambulance.

And why is it that women rarely shoot themselves and adult males rarely overdose ?