uglyEMT

Hate to say it but it will never happen Until we tariff the crap out of our imports we will continue to have them inudate us. I work in the import and export business and my container field is, as of today 8/3 @ 0643 EDT, 15365 exports vs 34446 imports. Almost 2 to 1. Do you know it is cheaper for a company to send raw steel to China and have a chassis made and shipped back then to have a US factory make it? Our biggest problem is we are a cheap society, if we can have something for cheap we buy it, quality matters but price is trump. Back when "Made In The U.S.A " ment something we had both quality and a decent price. Fine you have to pay union wages and such thus driving up cost a tad but dont you think if you would be willing to shell out a few dollars more alot of our problems (economy, jobs, ect) wouldn't be? Take a look some years back when we decided to start importing steel rather then making it right in our own back yards. Over night practically entire TOWNS disappeared, how many American lives were destroyed as a result? Textiles were a HUGE industry here in the US but we decided to start importing due to lower cost of labor thus HIGHER PROFIT MARGINS and destroyed things yet again. I realize I went on a rant and I appologize. Being an "insider" I see the true costs and it makes me sick. Will I pay more for a Made In The USA brand? Abosofuckinlutely. I do check labels and if I can I will do my best to by from the states. Yes i understand that alot is not made here thus I do have to purchase an import but if I can I will buy American. Oh before I forget, if you don't think imports harm anyone and I am just being a synical bastard... In 1961 the People's Republic of China established a state-run maritime shipping company and subsequently signed shipping agreements with many countries, laying the foundation for developing the country's ocean transport. That organization developed into the present-day China Ocean Shipping (Group) Company (COSCO). Oh but wait there is more..... they have a second company, state run again, under a different name China Shipping, The company has grown rapidly: it is now the eighth largest container shipping company having recently acquired a minority interest in Asia Pacific Marine Container Lines of Canada. So all your nice imports actual fund the government of China thus funding their military-industrial complex and their government itself.

Excellent response Annie!! +1 I feel the same way, what is the CC? Is this a rapid extrication or is my patient stable enough? S&S of an issue with the baby? When all else fails.... Online Medical Control!! I have delt with a few patients with a baby on board and didn't have issues with them. Yes special considerations were taken (ie left latral recumbant) but beyond that the human body is amazingly adapted to protect the child inutero. Baring a major trauma to the abdomen or pelvic region I wouldn't worry. Now if there is signs of distress (water breaks, blood, severe pain, ect) then Med Control should be contacted and advised. Then roll the sleves up and get busy

Don't know much about ride alongs with film crews but I have worked on movie sets. Hasn't changed what I do as much as how I do it. Where as in the street, we do what needs to be done without much hassle. On a set besides a director, producer, and assistants asking 30 million questions you have an actor/actress basically hamming it up for whatever reason so doing things tends to be more fustrating and your action more deliberate as to minimize everything going on. If possible I like taking the person back to their trailer or somewhere more private to minimize the on lookers.

Had to find one of my old threads. Besides this 9/11 would be the other.

I'll give it a go. IMHO I think it has to do with the type of person in the different areas. Most rural folks are resiliant and don't see doctors for minor things or will drive themselves so if there is a 911 call its usually for something serious (to them at least) or which they have no other choice but to go by ambulance due to an immediate medical intervention need. Whereas most urban areas folks are less resiliant and or don't drive thus the higher call volume for the medical taxis. BTW this in no means is ment as an insult to anyone just an observation. Oh and Ruff quit the thinking, I can smell the smoke from here debit celing crisis is easy balance the damn budget, go ask Clinton how he did it and gave us a surplus.

I get you Vorenus maybe my example was poor, my meds have my brain foggy lately. Still though even in an ED setting having more hands to do CPR always helps. As engine stated she was exausted thus wouldn't provide good proper compressions thus the need to have someone else jump in. Again I am not saying the medic was wrong just that the excuse was just that an excuse.

OK here goes..... personal opinion the medic was a dick. No gloves? In a trauma room? Come on even a civilian could come up with a better excuse. And it is just that an excuse. Off duty? Another excuse. Would you, as a medical professional, not do CPR at a resturant, ball game, shopping mall because you were off duty? Helping out in the ER, yea it sucks, but as a trained medical technician you are qualified. I have assisted in Level 1 Trauma Centers when asked. Sometimes even they get overwhelemed. On duty or Off if your in a uniform and asked you should assist. Sorry that doing compressions isn't heroic enough or sexy enough or challenging enough for your paramagic skills. Would I report him/her? No, unfortunatly he/she didn't do anything wrong. Sorry if I am coming off as a dick myself, call it early AM, lack of sleep, being under the weather, whatever but after reading the OP I got pissed to hear yet again one of our own doesn't live up to their responsabilities.

We are SO BAD LOL Sorry early AM lack of sleep and still under the weather but this thread made me laugh. We go from something simple to "trauma shears and crevats in the bedroom" I digress.... If your looking for something special for your special lady and keeping in the EMS side of things I agree with others... Trauma Shears. If you want to make it "special" you can have a local jewler engrave them. My wife gave me my pair with my initials on them after graduation and they never leave my side. Another thing you can look into is a Saint Michael pendant for her. I don't know your faith, if any, but he is the Patron Saint of EMT's. I have mine stiched into the pocket of my BDU's (again from my wife)

Ok no collar around? Grab a towel make a roll and tape, instant neck collar. Also works well with obese patients and large neck patients that a collar wont fit properly. Then everything else is still the same. If no towel around have one provider hold spinal precaution while the other does the suction, again if possible keep the patient on their side to let gravity aid in keeping the airway clear. As for the new CAB stuff yes you are correct the pumping is now more important and needs to be done first. Have the second provider try and get the OPA in. If it doesn't go in quickly forget it and hope ALS is close by so they can drop a tube. A secure airway is still important thats where ALS comes in so they can drop an endotracial tube not the little OPAs that just help keep the tongue from blocking the airway. The new CAB is for the everyday folks doing CPR where an OPA might not even be around. Just like they are pushing compression only CPR on the TV PSAs now, it gets folks to help until the rig arrives especially when they know they don't have to do mouth to mouth. Plus it helps when civilians dont have to think about number of compression to so many breaths, just pump away until help arrives. Ruff gave a great example of a 3am stubbed toe so I wont elaborate further. Most folks use it as a metaphore for the late night call that doesn't seem to warrent an ambulance yet we are there. As far as pronouncement at the scene check your local laws and SOPs most places I know of you need to be a paramedic or higher to legally pronounce unless clear signs of death are present (decapitation, lividity, rigor, decomposition). Dont want you to do something bad young grasshopper. Also keep the questions coming. None are stupid except the one not asked.

Matthew if your worried about the C-spine due to the MOI (mechanism of injury) then collar and backboard the patient. Then as other have said let gravity do the work just tilt the backboard on its side and let the blood run out. I have been in this situation before and we did just that, backboard on the side with a few pillows holding it in that position while on the cot. Suction at the ready incase the blood blocked the airway. Thankfully we had ALS close by and got the patient tubed before long so suction wasn't an issue any longer. In the second case, suction like hell, get a tube in all the while pumping like crazy. If the cardiac was during the accident then get him out as quickly as possible, have one provider pump like hell while a second gets the collar on and gets an airway. Don't worry about thinking of worst case scenarios, we all do it. I actually think it makes you a better provider because if you can think of the worst and plan for it you can handle the day to day without much issue. In my case I always thought of the worst MCI I could which was a bus crash, one day I actually had it. School bus with 30 children plus 2 motor vehicles involved one with a mother with a 3 day old infant. Ran the call like I imagined and came out the other side feeling good, sometimes the worst does happen but usually its a stubbed toe at 3am Good luck in school.

On Duty: Belt: Mini Flashlight w. strobe safety feature (great for disorientation) Mini Multi-tool (never know when its needed) Pager Radio when out of the rig Pants: Spare nitrile gloves (usually 2 or 3 pair) Wallet Knife (never know when needed) Shears Pen Light Mechanic Gloves (blue and white helps in MVAs) Pens (usually 2 Bics) Pocket Reference VICS Vapo Rub mini Steth Pocket Mask Off Duty: In vehicle: Radio (portable unit like we carry on duty) Personal Jump Bag (same as what we carry on the rigs) Neck Collar (just one) Jumper Cables Mag Light Flares Fire Extinguisher Emergency Blanket Folding Camping Shovel Tie Down Straps (in winter I add a bag of sand) In my center consol I carry a window punch and seat belt cutter (same in wifes truck) On person: MDI microshield with a pair of gloves attached to my key chain Pager Wallet OK I know it looks like I am a wacker with my vehicle I AM NOT. Being a line officer my squad requires me to carry a few essentials in case I need to respond to a scene before a rig gets there or if I need to be on scene during an MCI or fire standby thus the jump bag and radio (we dont have cheif/captain cars or trucks so its our POVs). As far as my other stuff in my truck, I think they are just basic safety equipment everyone should carry I also do alot of driving (110 mile commute daily) and come across a few MVAs so it is nice to have a few things if need be but thats just me

Ok so my last post was bullsh!t and I blame the person on the other end of the line for my misinformation.Thus I have deleted it as not to spread disinformation I was looking around the site and found the PP presentation. You use your fingers to hold the nose closed!! OK NOW it makes sense. Can't wait to test this out.

North Carolina not Romania LOL My link Still cool name though for a county. Ya'll a wierd bunch Welcome to the City. Pull up a chair and join in. Don't be afraid to post!!!

Ok a few things I noticed... Temp down 1.3 C what is the weather outside? Also the GCS has droped from 6 to 5. I can't tube but ALS would be on this one (less then 8 intubate LOL) Bushy what was the time between the inital assesment and these current findings? Just so I can figure out how fast he is decompinsating. Being he has NSR I am not thinking cardiac. 130/90 w/ a hx of hypertension isn't too concerning at this point. You say he ate for lunch, when was that from this time? Did he take his insulin properly or is he on a pump? The hx of depression is a flag for me especially with the eyes, could he have overdosed? did he have an interaction with any other meds? Being she stated his syptoms have gotten worse recently and the only new hx would be the infection are we looking at interaction vs overdose? I will wait for some of those answers.

There are 3,143 counties & county-equivalent administrative units in total

My ninja skills are strong EMS One article type BVM Snorkel Mouthpiece into Google LOL here is the company's website Numask Nice find Dwayne, definatly going to look into these. I like they have CPAP and Nebs also. Even have a pocket version for CPR. Going to order their sample and bring it to the Med Director's attention, who knows might actually get this onboard.

I was thinking of the whole names thing and remembered a rather good thread from Dwayne our resident pararescueman technical specialist ninja about people throwing names around. Wish I knew where it was...

I was wondering if they used Google Translate for some of those signs. I can't believe some of the signs were proof read and they said, "Yep sounds good to me."

LOL some of those are great. Happiness I don't see anything racist or other, just signs lost in translation. Still trying to figure out what they were advertising for with the Diarehia ad though

I agree. The answer is NO. I would never call myself a medic just to make life easier. I refer to myself as either a Basic or to laypersons just EMT. One difference being I was once called a Medic in a news article as were my fellow EMTs (no medics around at all). I tried to have the news paper redact the story and told them why and the difference between the two. Unfortunatly the editor didnt feel the need to make the change so I wrote a little Editorial piece to at least inform the public. I actually never kept the article because I was ashamed of being called something I wasn't.