uglyEMT

I noticed by the Jeep grill next to interests Ok then you know how the Unlimited's are, the 4 door feels more stable on the highway FYI if you haven't driven one yet. Wife went from the 2 door sport to the 4 door. Didn't want to hassel with the seat and the baby in her arms. Still have the 2 door though, if she lets me I want to turn it into a trail rig But doubt it.

Wife just got the 4 Door Wrangler. Went with the Sport over any of the upgraded versions. Absolutley loves it. I can say it does have a ton of room, with the back seats folded down it has more space then my Xterra and with them up you still will fit those hockey bags. Heck with them up it fits 4 80s plus our two gear bags when we go diving. The dog likes the ride too, nice big wide back seats for her.

IMAX 3D is definatly on my list. Glad to hear independantly its worth the price

Awesome PSA AK. Glad to see in the behind the scenes video how it did affect some students. Hopefully they will keep it with them and not become one of the statistics. Very nicely done production, it should go National!!! Having my wife share it on FB.

From what I could find around the web looks to be 1199. Out of all the alloys it has the lowest amount of Fe in its composition .0006 to be exact. It also has a high tinsel strength 16700 psi and high yield strength 16000 psi but has a low hardness 31 thus allowing for its easily bendable shape but great strength when applied. Also the thickness comes into play. (Densoquick 2, PEHA, Germany) did a test and found "The suitable radiolucency was found in the Al control sample thickness up to 3mm , and the highest rate was for part 1mm in thickness". So I would assume again that SAM splints being as thin as they are are between 1 and 3mm thick Al 1199.

From the horses mouth alloy is the key term here. I am looking into it a little more and will post back. Seeing if I can find which alloy is used.

Happy wife is a happy life Here have your friend listen to this, might help http://www.youtube.com/watch?v=WwRrKaq0IyY

Maglight! A trick a retired PD officer showed me. Buy a 4D light, pull the spring from the cap, put in 3D cells add the spring with a piece of foil behind it touching all sides, then add some sand or lead shot behind all that and close the cap. Heavy as all hell but effective, or so I am told. If you don't want to do that at least get a 4D light, the added length from the end of your hand is usually longer then anyone's reach to your body. Another trick I was taught by an old salty medic, a blast from the O2 tank to the face (no not hitting them with the tank) is usually enough to stun and or stop an aggressive person. If the Maglight is not an option try getting a smaller flashlight that has a strobe function. If it is a separate button feature even better. It wont stop the person but will disorient them long enough for you to get out of the area or if in the back of the rig move out of the line of fire so to speak.

Welcome back. I can't imagine the pain you are fighting. Please read my signature and hopefully the words will give you some strength. They have for me in my time of darkness and doubt. Hang in there brother... no need to even think about the dark side or the easy way out. Hell if it gets that cold and dark give me a call and we can walk through that darkness together, I'll hold the torch for you. Stay strong brother.

Being your from Australia I don't know if they have started or are light years ahead (probably light years ahead)of us but try looking into hypothermia treated cardiac arrest in the pre-hospital setting. We have started the procedures here and its evidence based.

Always verbalize then go over everything again... can't remember where I heard that before Seriously though make sure you verbalize everything besides letting the proctor know what you are doing it is also a tool to help you remember how to do it. It also helps your test partner know what you are about to do and in case you or they miss something the other maybe able to spot it and take corrective measure so as not to fail the practical. You may run into uppity proctors that fail you on the most mundane thing, don't panic. On the next take try and remember what you failed on and do not repeat it. If you must, try and get a different proctor. As an example I had a proctor that failed me for not tightening the strap on the traction splint "sufficiently" even though I explained that I didn't want to hurt the "patient" by tightening it even further. Second attempt I did it a little tighter she still failed me. Finally got a different proctor and passed with flying colors. Afterwards I asked her why she failed me and blatantly stated its her decision to make if I pass or fail.

Thanks Island. Glad to hear you do work with divers on occasion and know where the recompression chamber is. Are you mostly doing it in a standby capacity in case of an emergency during training or are you dispatched along with the PSDs? Got to love cold water junkies Might have to come up your way for some lobster now that I think about it Another thing I do want to stress to others is you don't just have to be by the ocean for Diver Emergencies. All 50 states have some form of diving spots from quarries to caverns to lakes and rivers. Some may not realize just how close they are to one of these places.

Hello

Thanks Arctickat. Scubanurse that's something I am trying, hopefully, to educate folks on. Hopefully others get involved in this thread and we can spread the information. I was amazed during my refresher when the instructors breezed through (basically one sentence) diver emergencies. When they asked if anyone had questions I raised my hand and said what about asking for a diver profile or calling DAN and got the deer in headlights look. I think as providers we should know about these things. DAN especially. For those wondering what DAN is besides what I mentioned in the OP think of it as calling Medical Control. Pick up the phone, call the DR's and get specific help. The hand off from diver to higher care is something I hope we discuss and enlighten folks on. Just because they are not(I am generalizing) EMT's they shouldn't be dismissed as not knowing what to do. They should be looked at as an asset and their assessment should be used in the EMT's differential. The EMT might not understand what a Diver Profile is but the diver can communicate what it means. I would like to think of the hand off from the diver to the EMT the same way as an EMT to a Medic. Hopefully we can, in this thread, communicate some of our knowledge to others and get everyone thinking about this. Side question: Scubanurse did the girl know she was preggo? I know when my wife became pregnant the first thing off the list was diving. It was funny calling DAN and asking about it, it was right before a big trip we found out, and the Dr's saying their was no clinical studies about it but being diving is a choice why risk it. Needless to say we cancelled the trip, hoping to go at another time, really want to see the Galapagos.

If this is like a micro chip or similar data storage device maybe a few recent medical charts or labs? I was thinking more last night.... Maybe stent placement (if any) Major surgeries Not that it would help much in the field but if this device is staying with the patient might help in the hospital getting the info more quickly. As for your question of medic alert jewelry placement. This is where I have found all of them on my patients. Neck Wrist Ankle

Do we have the same frequent flyer??? I almost burst out laughing when he said that to my Medic. Had a patient that actually hurt herself on certain days becuase she liked a certain EMT and found out his schedule. Needless to say a schedule change was ordered and the local ED got her the help she needed.

This is now on the ALS side of things, I will transfer care to my Medic and assist. Had to look up the meds, concur on the possible TB. N95s and notify Dept of Health for possible exposure. Have dispatch call ahead to the ED and let them know as well, possible isolation procedures upon arrival.

Sorry scuba needed to quote you! Its not selective. in·teg·ri·ty ( n-t g r -t ). n. 1. Steadfast adherence to a strict moral or ethical code. On the tank thing.. either go to a company that actually fills D tanks like Resinger or go to a welding supply company that fills oxygen cylinders and hope that the O2 is filtered and clean. Either way Im pretty sure you will do whatever is cheaper.

Guess its kind of like the Vial of Life. For me it would be, in no particular order: Name Emergency Contact Allergies Blood Type Pertinant Medical History (COPD, Cancer, the big things) Current Meds w/ Dose Dr.'s Name and contact probably some other things I can't think of right now but should get you started.

Um its called personal integrity. Cheating is wrong if you have it. As a health care provider one would think a person would. Your example of cheating on a Spanish test or class.. what happens when someone who knows you took the class asks you to help translate a spanish speaking patient thats in distress? Yea guess that was insignificant.

I'll drop an NPA. The snoring resperations sounds like he may still have a gag reflex and I don't want to deal with asperation at this point. Want to start getting my vitals going. Collapsed, twitched around Im thinking seizure and is presenting post dictal. Lung problem? Are we talking chronic lung problem (emphiasema, lung cancer) or acute (pneumonia, infection). What meds are around? This could help us if the bystanders can't. Whats his temp? Could we be looking at a high grade fever induced seizure? If so start breaking those cold packs out.

Hey everyone. Was thinking about some stuff while reading and refreshing the old brain. I recently became a certified rescue diver (not public safety diver) and while I know we don't deal with the in water emergency as EMTs / Medics we do take the hand off. So with me learning the in water side I thought about the handoff. I went back to my text books and protocols and came to find a little bit of disconnect between the two. In water besides applying O2 or if necessary CPR and AED a rescue diver or higher certified diver actually does quite a bit that I feel the EMTs or Medics would benefit from but do not seem to be taught or have protocols for to even think of asking for. Every State has some form of scuba diving so even if you are land locked chances are you have local scuba diving. So my purpose of this post is two things. 1) Let you know what I do as a rescue diver that I believe is important to the handoff. 2) Hear from you all about what you were taught or what protocols are in place in your area. Ok first, what I do. I want to preface this with the understanding when I am talking about the rescue diver I will be talking about a non EMT (any level) trained diver. The rescue diver is trained to handle diving emergencies from the bottom all the way to the surface and take over on the surface until higher care can be involved. They are trained in O2 therapy, no airways just NRB and pocket masks, CPR, AED and neurological deficiencies. Also we are taught to at least know where the local recompression chambers are. We also have the Diver Alert Network which are physicians trained in diver emergencies and available 24/7/365 anywhere in the world if needed. The other thing all divers follow is a dive profile. What our maximum depth will be, how long our bottom time at depth will be, what kind of gas or gasses we will be breathing, and total underwater time. This is a part of the diver emergency that I know wasn’t in the text books or even in our local protocols to even ask for. I think this is a big disconnect, an emergency at 20 feet down will be different from one at 60 feet or one with different gasses used. Also the neurological side is important. We use a check off slate to track deficiencies such as pupils, eye tracking, AO, and breathing. We also have a slate for tracking signs and symptoms of Decompression Sickness (the bends). We recheck these vitals every 5 minutes. Again I know I was never taught or have in our protocols to ask for these. I think it is important to let others in EMS know that these are available to them and should ask for them to aid in giving the best care possible. Even knowing where the nearest hospital with a recompression chamber is could possibly change the decision for transport options. Hopefully this information can and will help you in your area if a diver emergency happens and I will answer any questions as best as I can. I would like to hear from others if they knew about these things in their area or if they are in your protocols and if they are what they are. Thanks In advance everyone

Welcome to The City