Arctickat
EMT City Sponsor-
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Everything posted by Arctickat
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Needle decompression in crashing status asthmaticus
Arctickat replied to akroeze's topic in Patient Care
MO might play a factor in my decision. oops, cookies are done baking, more later. -
Chuckle, yeah, it's kinda easy huh?
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$220.00 $2.20/km $40.00 / half hour waitng time.
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Wow, $750 bucks for a transport in the county? We're less than 1/3 that...in fact, I think I'll go start a new thread on this.
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I couldn't decide if I should put this in Funny Stuff or here. http://www.c3softworks.com/JOHN/Santa_EMS_...008/default.htm
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Ummm, compliance with ANSI Level III visibility regulations?
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I'm not sure what it's like now, but 15 years ago I did a ride-a-long with the EMS Service in Auckland, New Zealand. The city population was just under one million and they had 65 ambulances. Nine of these ambulances were two person ALS crews, the remainder were single person BLS units. They would go around picking up clients and transport them to the hospital by themselves. If they needed ALS intervention, the BLS driver would call for backup from the ALS crew.
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Age .. is it really THAT important?
Arctickat replied to Barefootedkiwi's topic in General EMS Discussion
Oh yes, I get those all the time, then we have the prairie dog. It peeks out then pops back in repeatedly until you can find a restroom. -
Just google the words "Bougie" and "intubate", you'll get dozens of sites, many with good research to back you. Take it from me..it took 2 years and submission of over 30 studies and 500 pages of documents all summarised to finally be allowed to use a transport ventilator. Even then, they wouldn't allow it for BLS use, even though studies confirmed BLS providers could oxygenate better when able to hold a vent mask with 2 hands vs. BVM with one during respiratory arrest.
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Age .. is it really THAT important?
Arctickat replied to Barefootedkiwi's topic in General EMS Discussion
Well now, let's see. There's: •Runny stuff that squirts out when you think you only have to fart and you can't change underwear so you have to go commando. •The horrible runny stuff that cramps you up so bad and comes on so suddenly that you have to crawl to the bathroom and have it explode out of you, then you're there for 15 minutes wiping the splashback off your entire butt. •The stuff that hasn't really made up it's mind..comes out runny with a few hard chunks in it. •The good one where it comes out in one big lump and slides so smooth that there isn't even a residue when you wipe. •The day after the 5 alarm chili, where it burns once again and nothing short of a maalox enema will ease the pain. •The ones where they come out and stick to everything so that wiping uses half the roll and is like trying to get playdoh out of the carpet. •Then those hard little balls that all clump together like gravity pulled them together like a tiny asteroid. Sometimes you're lucky and they are dry, so they just plop out one by one...but... •There are those that clump together, and you know it has to come out, but you're afraid to push because it feels like a freaking cactus the size of a watermelon and it's so big it won't come out without persuasion. The ones where you'd rather stick a finger up and digitally remove it piece by piece because you know, in the end, if you leave it to go on its own, you'll be wiping up blood from your traumatized anus and dealing with roids for a month. Yup...I think I know my stuff. Anyone else got more? -
Cameras In the back of your rig ?????
Arctickat replied to crotchitymedic1986's topic in General EMS Discussion
One thing to add to Richard's comment. Regardless of who intercepts and posts a wireless signal over the internet...the feed is going to be traced to one source alone. The emergency vehicle that was on scene. My patient compartment cameras are hard wired and do not transmit, the recorded content is considered a part of the patient's confidential record. The videos in them do not see the light of day or even get reviewed unless the patient or surviving family raise a legal issue. At that point the video is given over along with all the other documents listed in the subpoena. Although it hasn't ever gone that far...it is our policy. As I mentioned before, we've had two accusations which were quickly recinded when the complainant found out they had been taped. -
Perhaps they are reticent to permit you to use a piece of equipment when you are unable to spell its name properly, even after several subtle attempts to correct you? Here are some meanings for boujie, http://www.urbandictionary.com/define.php?term=boujie Here are some examples of endotracheal bougies. http://www.metrohealthanesthesia.com/edu/a...asticBougie.htm http://en.allexperts.com/q/Anesthesiology-...-Intubation.htm http://www.healthsystem.virginia.edu/inter.../intubation.cfm Please don't interpret this as a facetious remark, it is not meant to be. I simply want you to succeed in your attempt to obtain approval for such a device and presentation accounts for a significant portion. Consistently spelling the name of the device incorrectly indicates to those evaluating your research that you did none at all, otherwise it would be spelled correctly. Their next logical step would be to prohibit the device being used if even the medic who applied for it to be added could not be bothered to research it first. Edit to correct multiple spelling and grammatical errors.
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Paramedics with the Sheriffs Department
Arctickat replied to vcfd35s's topic in General EMS Discussion
Just for the sake of eliminating confusion and because sarcasm does not translate well to the written word, I would like to make it clear that my previous comment was sarcasm and that I am not a proponent of these multiple hat wearing careers. -
Why not get one of these? http://www.res-q-tech-na.com/ or this http://www.intubate123.com/newtest2/3pgr.pdf or this http://baobabmedical.com.au/portablecolourvideo.html even this http://www.cja-jca.org/cgi/content/full/51/6/642 Okay, I'll stop now.
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It is odd that Louisville doesn't make EMS an essential service...Being declared an essential service would prevent you from having the ability to go on strike. Edit: As a side note, legislation just passed this year that made EMS an essential service.
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Paramedics with the Sheriffs Department
Arctickat replied to vcfd35s's topic in General EMS Discussion
The one big advantage for wearing more than one hat, is that the city doesn't have to pay two people to do two jobs. You get your 30 bucks an hour to do both and they save money. -
Cameras In the back of your rig ?????
Arctickat replied to crotchitymedic1986's topic in General EMS Discussion
Same here, but virtually wasn't good enough for them. To be honest, I couldn't see what the big deal was, it wouldn't have been all that different from what the bystander at the scene would see. -
Cameras In the back of your rig ?????
Arctickat replied to crotchitymedic1986's topic in General EMS Discussion
A city near here tried that with a remote operated dash cam on a fly car. The medic would park the car in a position that the trauma team could access the video and operate the camera remotely from the hospital. 2 issues that canned the idea were that the trauma team really didn't want to be bothered and that there was no way to be confident the wireless transmission could not be intercepted by someone wth similar technology, resulting in a breach of patient confidentiality and a red face for the organisation. -
Perfect Ambulance Design ...............
Arctickat replied to crotchitymedic1986's topic in Equiqment and Apparatus
Here's what mine have: I'll think on more....Wife is calling for movie nite. -
Naw, we have that solved. Our navy outsourced to a shopping centre in Edmonton...it has a larger submarine fleet with newer subs.
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Cameras In the back of your rig ?????
Arctickat replied to crotchitymedic1986's topic in General EMS Discussion
Fortunately, if video from the back of my ambulance gets out I know exactly who is responsible for it...and I will punish myself accordingly. -
Yankees trying to talk like Canadians is soooo cute!!!! It's Aboot, not aboat. Aboat s a thing that floats on the water for people to ride in. Sometimes they are really big and are called ships. Another kind of boat can actually sink itself and travel vast distances underwater, we call these submarines.
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Glad to be of help.
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I suppose one would have to consider the opinion of the Department of Labour...no? http://www.jenner.com/files/tbl_s20Publica...eer%2012.05.pdf
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Handling a maternal cardiac arrest situation-rural EMS
Arctickat replied to Riblett's topic in General EMS Discussion
If your partner were to develop diverticulitis and he was going to die without the surgery right now, would you risk everything to save him and do a colectomy in the ambulance?