Juice
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Iowa
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Popo Bramble of Willowbottom
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External defibrillators breathe new life into CPR
Juice replied to kodiac_x's topic in General EMS Discussion
The plant I work in has 7 AEDs and since the plant is expanding, we look to purchase 2 more. -
Was I wrong to open my mouth in this case??
Juice replied to Connie31079's topic in General EMS Discussion
I guess you just need to have big boobs! :downtown: -
Here, you must be a paramedic by the end of your first year to be a fire fighter. You must be a fire fighter 1 by the end of your first year in order to be a paramedic. So the paramedics leave to make better money in another town after the city paid for their schooling because they don't want to be firemen.
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If the company you work for has protocols that allow you to do glucose tests, then you can. Your mother-in-law may work for a company that doesn't allow it or may not work as an EMT at all. I am guessing that she corrects you alot. Better find a job and get out of there ASAP. Some people have a tendency to put other peole down and keep them there. Congrats on the baby.
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I have taken burn creme/ointment out of the first aid kits at work (30+ kits). People seem to think they should throw burn creme on right away when that can do more damage in the first half hour or so. The creme holds in the heat. A dry, sterile dressing is the best course of action and to help cool the burn, an ice pack on and off will help alleviate some of the pain. If the creme is already there, I would put a dry, sterile dressing over it to keep out contaminates and if the pain is too severe, maybe an ice pack on/off. I do still have burn creme in the safety office and allow employees to use it on small burns or healing burns with a clean dressing. I have found that they respond well to triple antibiotic ointment instead of the cremes. My .02
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I have taken burn creme/ointment out of the first aid kits at work (30+ kits). People seem to think they should throw burn creme on right away when that can do more damage in the first half hour or so. The creme holds in the heat. A dry, sterile dressing is the best course of action and to help cool the burn, an ice pack on and off will help alleviate some of the pain. If the creme is already there, I would put a dry, sterile dressing over it to keep out contaminates and if the pain is too severe, maybe and ice pack on/off. I do still have burn creme in the safety office and allow employees to use it on small burns or healing burns with a clean dressing. I have found that they respond well to triple antibiotic ointment instead of the cremes. My .02
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Falls are quite simple. Trip and fall while walking is considered a same level fall. A fall to a lower level is just that. The distance from one level to another. Whether it is a roof, ladder, scaffold, etc. Some common sense is required for treatment. A 4' fall for a guy that is 5'8" weighing 350 pound can be a very serious fall.
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When I worked my clinicals, I started out in triage seeing all of the patients that came to the ER and assessing their problem, vitals, etc. The 2nd night I was on the floor and had a couple ER nurses like you had. I started out by helping them. By this I mean cleaning the cots and counters after the Pts were discharged. They seemed to appreciate that and actually called for me when there were patients with conditions that would of great benefit to me. By the 4th night, I was recording data on charts, following the ER docs around and actually felt accepted. Sometimes it is best to start at the bottom (changing sheets, cleaning counters) to get to the top. My .02
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Isn't Canada a suburb of Detroit?
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I work as a safety supervisor in a large factory and make 69,500.
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Pesky bystanders and stupid people who want to take CPR...
Juice replied to cotjockey's topic in Burnout, Stress, & Health
cotjockey said nilly-willy hehe -
One Technological Advance You'd Like to See in EMS
Juice replied to UMSTUDENT's topic in General EMS Discussion
I know! Let's just change the name of the web site to paragodcity.com How is it that these topics get turned into Basic bashing all of the friggin time. Just put real doctors on every ambulance and get rid of the paramedics too. All of the vollie basics that go on to paramedic school NEVER respond to calls because they work in the big city on REAL calls and get paid to do it. Just get rid of the basics and the vollies and then the paramedics can come save you in a half hour or so. Don't worry though, that bleeding will stop eventually. Just hang in there. Basics, regardless of what you say, still know more and can do more than the average citizen. I don't say we know even a fraction of what a paramedic knows. I know paramedics are highly educated and I am damn glad there are paramedics out there. But what Basics can do is still 100% better than no care at all. I agree that paramedics should be paid much more than they currently are being paid. I am sure eliminating basics would change that. Hmmmm maybe that is the real underlying reason why you don't like basics. You can change the education requirements to Basics needing 2 years and paramedics needing 4 years and you will still be here bashing basics because you have a higher education. Like I said, just put doctors on ambulances and there would be no need for paramedics either. -
I know my boss is wrong by trying to avoid a recordable injury at the sake of the patient. He has never worked on a crew. Only has Basic status because it is required. "Bob" is a volly. He was always trying to prove the instructor wrong or the book wrong and now the NR practical test wrong. I tried to talk to him after that and explained my reasons for the cannula. He said that it didn't matter. Everyone gets a NRB@15L. I asked him about how hypoxic drive works. He said it still doesn't matter. With that, I left. Bubbas co-worker told me that he usually takes his inhaler 3-4 times a day depending on physical demands. I did check all the vitals and gave them to the medics. The environment was actually better where I was treating him than outside of there. No chemicals or fumes. He said he was having an asthma attack and when I asked on a scale of 1-10 how bad it was compared to his worst, he replied 6. He denied any chest pain, dizziness or any other symptoms. I didn't get far enough to get the lung sounds as ALS showed up so I let the pros do their thing. I just posted this because I don't want to start second guessing myself at a patients expense.
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Here are the people involved. My Boss. Safety Manager and also EMT-Basic (8 years) Myself. Safey Supervisor and also EMT-Basic (brand new) wishing I could make this much money as a paramedic. Safety Office Clerk EMT-B for 6+years Bob (not his real name). EMT-I99 expired last year after 10 years. Took Basic with me and failed NR Cardiac twice (no certification right now). Bubba. Patient We get a call to respond to assist a man in the plant. ALS is probably 4 minutes out. When I arrive on the scene, I see Bubba is having trouble breathing. My boss has the pulse ox on him waiting to see if he wants to give O2. The Clerk is standing in the background. I ask him what the problem is and he struggles to say he has chronic asthma and his inhaler went empty. I asked him if I could give him some O2. He said NO and that he didn't like the mask. I asked if I could use a nasal cannula for comfort. He agreed. I told my boss to give me the cannula and set the O2 at 6L to start I showed him the pulse ox and said this is how much oxygen is in your blood (72%) I told him the O2 may not help him breathe but without it he could end up in even more trouble. We watched as the sat came up to 99%. He tolerated the cannula well. I turned the O2 down to 4L and held 99% consistently. Out of nowhere comes "Bob". "Is he COPD?" He yells. I said yes. He yells "He needs to be on a NRB at 15L!" I told him to leave as he is no longer qualified to make medical judgements. He gets POd and starts complaing to all of the gawkers about my treatment of the patient. ALS shows up. He doesn't want the ER. He agrees to a breathing treatment on site. The Medics left the cannula on the whole time. My Boss sayd that he could be OSHA recordable because I gave him O2 and I should take time in the future to be sure patients need it first. He uses the pulse ox to determine O2 requirement. Bob says I didn't give enough. I felt I was right since he was in distress and COPD. Whats your take on it? p.s. Dust please don't jab me for being a Basic.