Arctickat

'cause when she gets to 69 she has a frog in her throat.

Why can't Miss Piggy count to 70?

Did you read my post? Those sound levels are just road noise, not the siren.

heh heh

Problem here is that OSHA here doesn't require us to have hearing protection. Also, what about the patient? For those agencies that have hearing protection for the crew, is there any for the patient as well?

A few years ago I conducted an evaluation of various ambulances to determine if hearing loss could be a risk for paramedics. It's a very real possibility, not from the siren, but simply the ambient noise during travel. A brand new ambulance with zero equipment in it was just below the threshold for long term exposure. However, an equipped ambulance that had over 60,000km on it would be in the low 90 dbs. With the siren on it didn't change much unless the siren was a roof mount like back in the 1980s. Looking at this chart, exposure to 90db for 2 hours can cause hearing loss. When I travel at highway speeds with my ambulance, we are well over that threshold for 4 - 5 hours. I wanted to conduct actual evaluations over a 5 year period with rural medics, urban medics, and the standard norms but I couldn't find an audiologist to assist me. Here's a little more info, This may be frivolous, however, there is a definite risk. http://www.dangerousdecibels.org/education/information-center/noise-induced-hearing-loss/ http://www.nidcd.nih.gov/health/hearing/pages/noise.aspx

GEMS is a great course and I would highly advise it to anyone who deals with geriatrics regularly. http://www.gemssite.com/

Actually, you have it backwards. A torn limb will tend to bleed more than a severed limb because the arteries are unable to quickly constrict or develop clots as well. In a clean cut the artery has the ability to constrict immediately and will often withdraw into surrounding tissue because of its elastic nature. A jagged and torn blood vessel is unable to do that as effectively. However, this is simply a short term problem because the body will also respond with vasoconstriction in the global sense and restrict blood flow to all of the limbs, not just the damaged one.

I don't understand, is this just one EMT or multiple? Your first sentence states you were assigned a new EMT, then you go on to say "they" or "their"

http://www.emseducast.com/archives/1031

Welcome to nursing.

I don't see this being used until the percentages become higher. All it's good for now is to confirm a bleed, but there is too much room yet for a false negative and missed deeper or smaller bleeds. 3.5 cm isn't very far into the head. Until it's more reliable to rule out the presence of a bleed I can't see it being used to treat stroke. Also, at a cost of 19k for a device, I can't justify such a purchase when it'll make no difference in the treatment we provide. I'll keep watching though. STEMI treatment is becoming more and more common in the field, with TNK, Plavix, Heparin, and more being added to our arsenals.

Well, not quite, but this seems interesting. As the 12 lead did for STEMI treatment in the field, do you think this could eventually be used for treating a stroke in the ambulance as well? I have a message into the company regarding the cost, but has anyone here seen or used one?

Only if a doctor tells you how to do it.

Nurses...sigh, Graduate Nursing school and suddenly you can't think things through anymore. Got a doctor nearby?

Congrats. It's not much of a challenge when one can go to your profile page and see your name history that shows every name you've used on the site.

But some of the greatest Shipwrecks in the world.

Welcome to the City!! Feel free to jump into any conversation which interests you, or to start one of your own.

Congrats!!!

No luck for you!!! You haz skillz.

I've been researching both Tranexemic Acid and QuikClot and I'd prefer tranexemic Acid. The data supports the drug far better than the dressing. However, now that the risk of burns has been eliminated from the dressing, one could use both!!

I'm still perplexed. If I recall, there were 2 unexploded devices but the video images only indicate the boys carrying one bag each. That means there must be someone else involved, doesn't it?

I'm thinking he means respect the uniform, even if you don't respect the wearer.

Can't speak to most other countries, but Canadian colleges must have a fitness component to their curriculum to obtain accreditation.

EMS Personnel Reported Killed in Texas Fertilizer Plant Blast CNN was reporting Wednesday night that rescue officials fear the number of casualties could rise as high as 60 to 70 dead. "That's a really rough number, I'm getting that figure from firefighters, we don't know yet," Dr. George Smith, the emergency management system director of the city of West, told CNN. "We have two EMS personnel that are dead for sure, and there may be three firefighters that are dead." http://www.emsworld.com/news/10923448/ems-personnel-reported-killed-in-texas-fertilizer-plant-blast