uglyEMT

Go to expert level... Tell whose driving by their siren pattern BTW if your ever in rural NJ and hear yelp,wail,wail yelp,phaser,phaser,yelp air horn. Just wave, I'll wave back I have a few to add. (mostly for vollies but they are still funny) You park facing out with the wheels turned twords the building. Your family understands why you eat all courses at once while on a duty night You can tell the rookies from the veterans by the number of lights on their POV (insert stickers too) When someone says look at the porcupine, you immediatly look for a cheif's / captn's vehicle You insert Ten codes into normal conversation You know all the Ten codes You annoy your spouse by saying clear right at intersections I have some more but have to get some work done LOL

Well this thread popped back up and I now have a real life situation Dispatched to a male with groin pain. Get there there is blood on the bathroom floor and the guy waiting patiently wearing jeans. I ask the simple question, whats the blood from? Oh I had a cathader removed earlier today was his response. I asked was he bleeding still and he said didnt think so. I asked if he would mind if I checked him out. He allowed me to and dropped pants right there. Very little blood at that point but I still put some gauze and tape for the transport. So I guess there is a time to expose and check. I did it tactfully and with the utmost regard for the patient's respect and feelings.

Dont know if its a strange habit but I always put a piece of tape on my leg to write on before I get out of the rig. I started doing this in class as a way of taking notes during exercises and just made the leap to vitals on calls.

Ruff I dont think the union would or will. Its against every rule that their is about patient's rights and privacy. Plus just too much bad press about it. Now for the other asshats in the dept that were their that night? I think maybe the union will try with them. Basically use the excuse well they were just talking who doesnt do that. If there is a culture inside this dept of this sort of thing then I think the state agencies should step in with oversight and see just who is responsible for whatever else there is an revamp this dept. Start at the top because aparently the officers aren't watching their subbordanits. I think its todays YouBoob mentality. "Oooo this will be an awsome video, let me upload this right now. Shit, my twit didnt update, my Assbook status changed though from head up to foot up." Slightly off topic its just like hearing about all these suicides from cyber bullying. Folks are loosing all common decency because of how UNsocial networking is becoming. It takes nothing to post something and not care about who it may hurt because of the feeling of ananmity that one has through there keyboards.

I think the main reason why you hear about infedlity on the job is what are job entails. Long boring hours interspersed with shear adreniline. I think the bonds we form with our partners (crew partners not spouse) make it increasingly likely something will happen if both parties are less then morally correct. Think about how it is coming off the adreniline of a particularly serious call, now team that up with a partner that you may find attractive and have shared alot of time and experiences with and you get a recipe for something to happen. im not saying it should or will happen but the ingrediants are there. I noticed in school even, as some students got particlarly close due to touching and probing that goes into class. It happens I guess. Me, no this hasn't happened nore will it. I love my wife and can keep it in my pants long enough to just wait till I get home. Plus I have the moral fortitude to believe in the vows my wife and I shared and wont break them for anything or anyone. I think the reason more folks think EMS stands for extra marital sex is because of A) Television and If it does get around and the press picks it up its headlines that spread like wildfire.

Whats bad with this video as well is what was said on the video. I read an article on EMSworld that stated the vocals were more disturbing then the images. Apparently this is a crew of assholes, but just the video moron is suspended with pay. http://www.emsworld.com/web/online/Top-EMS-News/Georgia-First-Responder-Suspended-for-Videotaping-Crash-Victims-Body/1$15076 I think phones should be banned from your person while on duty! If a loved one needs you in an emergency contact dispatch and patch it through or notify the crew and stop by a pay phone. With all the recent developments of social networking blunders I bet you will see things change inside our profession as far as cell phones and such go. As far as this fucking stupid moron goes... strip him of all his certifications, bar him nationally from ever getting them again, sue his ass off, once he pays up take him out back beat him sensless pull out the LP12 bring him back repeat. maybe around the 4th or 5th time he might get the message. Oh yea video tape it for his buddies to see (last line was sarcasm folks)

what was the first thing you were taught in basic school? BSI BSI BSI say it with me BSI ok all joking aside. When it comes to goggles go to Lowes or Home Depot or local hardware store and get yourself a pair of clear safety glasses. They look like sunglasses, have shatter and impact resistance, and protect your eyes all day long. Mine were like 5 bucks and weigh nothing. I wear them anytime I have a patient, actually check that, all the time actually:coool: I have grown so used to them being on my face I actually dont know they are there. They do make smoked (great for outdoor calls or driving in bright sunlight) and a miriad of other colors (I wear yellow at night or in inclimate weather). Its funny because I think I have most colors out there in my day pack and swap out as necessary. I think it all comes down to what others have said and Dwayne said elliquently that those folks that dont I really dont want to know. You are the most important person on scene remeber that!! Next is your partner then the patient. It takes but a second to take proper BSI precautions but can take a lifetime to get over the consiquences of not! Your getting excellent advise from all on here. Thanks for the great question that gets everyone thinking and chimming in

I know this LODD isnt purely EMS but felt it warranted a posting. This officer died after his police car crashed into a utility pole. The cause is unkown at this time, he was not responding to a dispatched call. What makes this unfortunate is hours earlier this officer saved an elderly gentelman's life after he began choking on a piece of steak at a local steak house. After proforming CPR while awaiting EMS units he was able to get a pulse on this gentleman. Hours later he himself passed away. Prayers go out to his family and friends. http://newyork.cbslocal.com/2010/10/25/teaneck-police-officer-dies-in-crash/ http://www.northjersey.com/topstories/teaneck/102510_Teaneck_police_officer_dies_in_crash.html arrangment information is available on the second link

Thanks for the reply maverick. As far as I know we would be based at the aid station and only riding up moutain on snowmobiles if necessary. Altitude is not a factor here as the peak is just above 2000. NJ isnt known for its high terrain LOL I understand about learning and becoming proficent in cold weather injury and illness, which would be a plus for me anyways, the place will be giving a "course" on them then its on the job training basically. The questions I was having, and still do, is what is it like working for a resort? Is it like a corporation where they look at bottom lines vs actual necessity? Is the work place environment competitive or more like a close nit family? I guess just the basic questions anyone would have about a new job. I understand every place is different and all that but just looking for basic info thats all.

Thanks guys and gals Kiwi, mate, thankfully we dont have to worry about this one LOL Actually then again who knows I could be a pawn in there sick game To everyone else, yes not looking foward to ICS and CBERN, I here its totally dry and repetative. Oh well, it has to be done, I will be better for it afterwards.

No problem Herbie Its all good. Hopefully once I am the 1st LT I can get things done and make myself and my squad better for it.

Thanks. Means alot LOL as my avatar says Im a Volly LOL My pay bump is a new plate changing from the squad name to part of the name and a 1st LT on it instead also I go from a handheld radio to a car mounted porcuepine anyone. Its more of the responsiblity that I wanted. It was never about the pay. As a 1st LT I am in charge of supplies and the rigs. I finally get to take care of a few things that were bugging me. Nothing huge or major just anyoing to me LOL Plus after ICS and CBERN I will be placed on the OEM call list for MCIs. Get better connections with the LEOs and FD. Its about the extra training and knowledge thats my pay bump. Before the ICS and CBERN plus one or two others would be out of pocket, now being part of my duty its covered by the squad so is the time away from duty.

Thanks. Yea I will try, I have been readin course descriptions already LOL

Well it finally happened last night. At our monthly business meeting the nominations were read out for next years positions and officers. I have long wanted the 1st Lieutenant officers position withing my squad. I have busted hump to show I can do it and tryed my best to learn from the previous one. He is stepping down to to time in the position, we try and rotate them every few years to get new blood and insight into them. Last night when the names were called, to my surprise I was the nomination for the position:thumbsup: I had compition for the spot with another member but I guess the committee felt I was the better candidate. Well now we get voted in then the induction dinner, yada yada yada. Then the fun begins time to go through ICS courses. Well its good anyways. I get my CEUs plus the ICS knowledge which always comes in handy as I recently found out (fire monkeys no offense but how many chiefs do you really need at a scene?) After ICS I have a few other CEUs our SOPs say I will need. Well I just figured I would let you all know my excitment. Its 6hrs till duty shift and I have my probie with me tonight. Being I am in a good mood think I will "play" with him tonight:devilish:

Excellent points ERDoc. I did not realize that once I leave my jurisdiction my protocols no longer apply and it reverts to highest level of training. I always assumed that I follow the protocols of my state liscensure no matter where I go. Thanks for the heads up! as for the law. Under article 28 of the Warsaw Convention 1929, the passenger can choose one of four jurisdictions to sue, namely: - The place of incorporation of the carrier - The place where the carrier has its principal place of business - The place of destination - The place where the carrier maintains an establishment through which the contract was made. the following link is all about inflight air emergencies as related to medical personel. It is a very good read and covers all the topics discussed for both national and international travel. No more guess work now hehehe http://www.hkcem.com/html/publications/Journal/2003-3/p191-196.pdf

Ruff while researching for a different threa I came across this. http://www.hkcem.com/html/publications/Journal/2003-3/p191-196.pdf The cabin pressure in commercial aircraft is adjusted to the equivalent of barometric pressure at the altitude of 1,500 to 2,500 meters (5,000 to 8,000 feet) above sea level. At these pressures, there will be a reduction of the partial pressure of arterial oxygen from 95 to about 56 mm Hg in healthy individuals. This represents a 4% reduction in the oxygen carrying capacity. The arterial partial pressure of oxygen can be maintained to a certain extent by hyperventilation. Altitude is particularly poorly tolerated by patients with pre-existing hypoxia. Pressurization of the internal environment of the aircraft increases the total air pressure, thereby increasing the inspired as well as alveolar partial pressure of oxygen.9 As a result of the decreased pressure, air and gas in body cavities expand, as described by Boyle's Law (volume of gas varies inversely with pressure). This can manifest in a variety of ways as the trapped gas expands. (Table 1) The low humidity, usually in the range of 10-20%, may cause discomfort in some passengers, with symptoms such as dry eyes, dry nasal mucosa and exacerbation of reactive airway disease While ascending through the first 9,000 to 18,300 meters (30,000 to 60,000 feet), the external temperature decreases in a linear fashion, at an average of 2 degrees Celsius (3.6 degrees Fahrenheit) per 305 meters (1,000 feet).9 From reading that passage Ruff looks like it more do to expantion which thus can cause increased pressures. Old Boyle's Law

Ruff I am not a flight medic but I think I can laymen term out the reasoning. Pressure plain and simple. Ever been on a comercial aircraft and they didnt equalize the pressure just right and it felt as though someone was squeezing your head? Well now picture if there is a bleed in the brain, the increased intercranial pressure is causeing the bleed to get worse. You dont see the pressure thing as much on acent because your going from higher to lower atmosphieric pressures thus requiring the plain to add pressure to the cabin, so on the decent this added air pressure is what causes the increase. I know its not medical or basically anything more then what i know about air travel but I hope it helps. I will try to find some medical literature to back up my statment.

Thanks guys for the heads up. At least I know now that under special circumstances Medical Control would all a basic to make a code call. Well hopefully I never am presented a scenario like this but if I am I will answer the call to the best of my training and advise medical control of whats going on and listen to them. Thanks again guys!

SHHHHHHHHHHHHH great time to go turn the genny on now.

SHHHHHHHHHHHHH great time to go turn the genny on now.

Having a wheelchair bound father I know this all too well. Most of the time its because they are worried about explosives being stuffed inside the pipes of the chair. The whole pregnant and elderly i just dont get. I was in Maine and watched a TSA agent ask a mother of an infant to dump the breast milk!! Not joking here the baby was actively drinking the milk from a tiny bottle and the agent made her dump it. When the mother asked what to do now the agent said doesnt care no liquids get through this station. I just think they should either search everyone or just profile. Are we really that timid now adays that if you actually ask a person of certain decents or from certain locations or with wierd travel arrangments to step aside that everyone will be up in arms and lynch you? I think we are just too freakin PC!!!

Thanks CBEMT. I just remeber a medic once saying an epi pen might help. Being a basic I dont think I would legally be allowed to call the code anyways let alone push meds so it looks liek a divert and doing one hell of a long CPR course. I have wondered, since the begining of this thread, would med control allow a basic to make the call especially if after several minutes of CPR and the AED saying no shock advised. I do know there is a protocol about CPR that if you can not continue due to fatigue then its OK to stop but then again yes I can stop but doesnt mean the other folks involved would. Things that make you go hmmmmm