armymedic571

Plus one for "Forward" thinking....

Chief..... Stop hib hobbin and get on with it. I currently work with a retired chief who is one of the best EMT's in our service...... I will echo the statement that it is more your attitude and physical ability than your age, that services look at...... You get my vote....

That is incorrecct. Death is still a suitable punishment in the military for certain offenses. Murder, Rape etc. However, like most states that have the death penalty, it is extremely hard to get that point without further contoversy. Although it is an option, the more realistic scenario would be that the offender would get life on prison. Also, just as an added bonus. In the "Manual of Courts-Martial" (UCMJ), death is not only a punishment, it is also listed under type of discharge....... That is incorrecct. Death is still a suitable punishment in the military for certain offenses. Murder, Rape etc. However, like most states that have the death penalty, it is extremely hard to get that point without further contoversy. Although it is an option, the more realistic scenario would be that the offender would get life on prison. Also, just as an added bonus. In the "Manual of Courts-Martial" (UCMJ), death is not only a punishment, it is also listed under type of discharge.......

Nope for being ignorant...... BTW, your last post isn't funny. That is serious business were taking about, and your using it like a punch line. FAIL. CHBare, I went through school in '96. I am fairly sure it was 14 weeks long. It's funny because I made it and now I can think back about my time there. In reality, the curriculum is horrible and incomplete. Not to mention condensed. I have sent several letters to the US Army Medical Center and School. But all I got back was a thankyou letter for being a concerned NCO. Figures.

Plus 1 FM65.... I have a cat with three legs.....but that is another story. Seriously, I think you post is honest and well stated. Thank you... AM 571

Dude........ What part of the stupid tree are you from? "A different breed of EMS"......are you serious! Listen guy. Many of the current practices in civilian EMS come from the Military. HOWEVER, many of the military's current practices have been taken from Civilian EMS. I going to ask you nicely? Please think before you type...........please. As far as not wearing gloves in Combat. Yes it is sometimes unavoidable, but to say that wearing nitrile gloves makes you a target.....ridiculous!!!!! Wearing that excessively large trauma bag makes you a target. Trying to be a hero and using a laryngoscope on a night OP makes you a target. Pretending to be Audie Murphy instead of doing your job, makes you a target, and get you and other killed. Are you tracking here???? AM 571 OUT!

Accountability.......what a concept.... Isn't ironic. Sad but ironic that some people find this a new and unheard of trait....... Doc, your advice is the type that most people should heed, but probably will not. If you are a Medical Command physician, good for you....

You all make me laugh. When I went through Sam it was a 14 weeks program.......Key word here is DISCIPINE........but that is another topic. I will agree that it is a different ball of wax. Not a whole lot of room to learn...just sink or swim....

Ft Sam. Love that place. Its more like a vacation than a duty station. to answer your question. I am currently assigned to the 28th ID, Div Surg Cell. Pushing papers in not my bag.......I can do the work, but whew.....I hate it. Before that, I was with HHT 2/104 CAV (RSTA), 56th Stryker Brigade in Taji, Iraq. Later AM 571

Doc D. Welcome to the city....... AM 571 here...... I have 14 in with 10 of those AD. 4 tours to the sand box. I know Taji and Sadr better than my own neighborhood. To be honest, I just put in to go back to AD. Anywho.... Be cool, stay safe, and remember to duck! SSG K.

I think when you look at "MOI", the only one that through really suggest serious injury through case study and research is "ejection from a vehicle". As stated in previous trauma guidelines, ejection from a vehicle increases mortality by .......( I think 25%)...... The point is Mechanism by it self is an assessment tool for what "could" be wrong with the patient, not what is wrong. The exception to this is MOI plus significant physical finding. I personally feel that transporting emergently based off of mechanism is just as ridiculous as transporting CPR in progress. But that is just my opinion. Not to mention, why are we transporting emergently? If they are (the patient) that critical, why not call for aeromedical if in the appropriate setting. Obviously, I wouldn't call for them if I could get them there faster while being safe.

Dwayne. Plus 1 for a proper thought tree (your words) haha

I see. I am already home. I just passed through a few months ago from up north. Be safe....

Are you on your way for stay?

CH, Most excellent art work. Great scenario..... J

If I recall, AMR had the contract in Pueblo....but that was several years ago.

CH- With our left sided neck hematoma, is there any sub Q air? Eventhough there seems to be good compliance bagging, I would still consider the chest needle decompression. Just a thought.... In the event that it is a hemo... I don't think it would be necessarily beneficial, but would wouldn' t lose anything either.... J

Since we are on this topic. Does anyone else use Etomidate? Not only does it have a rapid onset (1-2 minutes), but it has a shortn half life (3-5 minutes) for those fearing Trismus. I understand correctly. Can't Etomidate inadvertently reduce ICP??? I am not 100% as to it's mechanism of action.

That's common....I guess the real question is what is based on medical fact and what is anecdotal fear......? It is going to be interesting when the next set of recommendations come down.

Kiwi.. Question that is slightly off topic. Do you prefer Midaz over Ativan and diazepam as its onset time is slower than the other two?........OR is that all you have in your pharm kit?

Mike, You are correct. Lets get back on track. I missed when Kiwi stated that are patient was having an active seizure. In this case my priority would be to arrest the active seizure. My benzo of choice would be ativan IV, or diazepam. Then, I would control the airway. I still ned to disagree with you about the etomidate though...... Trismus is a possible side effect from the administration, and usually when it is given to quickely. As I stated before, under the right conditions, I would still consider it if possible. However, as you stated if the conditions were not present, I would go straight to plan B. Which for me would be nasal Intubation. Hope that clarifies my thought process. J