Vorenus

None, taken. Just hard to concentrate on the subtitles if you`re understanding the language and the text is not the same as the written.

Ain`t that funny if yeh understand what they`re actually speaking.

Can`t really comment on local procedures, but that seems kinda wrong...?!

The text implies he remains in jail and that the bail is 1 million bucks - quite a figure. Dunno if you refer to any additional information on the case you have viewed, though?

Lol. All too often heard. Street experience can help you in a variety of situations and comes in handy in nearly every call. Without a profound education, your street cred only helps you to best carry your patient and to best handle your equipment, as well as move at an emergency situation, though. You won`t be able to diagnose or treat different sicknesses only with experience. That`s the point, where for example the cranial nerves come in handy...

Just make yourself usefull, ask what you can do. Hang around the docs and ask alot of questions. Don`t worry about not having done an ETT yet, in my first days I was mostly in the oral and maxillofacial surgery OR, you can imagine there aren`t alot of intubations suitable for a student, but in that time I had time to get deeper into the basics and all the things that are important and happen throughout ETT. Just don`t stay quietly in the corner, you won`t benefit from that.

Around here, BLS drives if BLS/ALS; with ALS/ALS you change after a shift or whoever wants to drive.

LOL. I haven`t heard of the thumb rule so far. Makes sense.

The word "obvious" is actually the most important word here - those are just secure signs of death. This has nothing to do with the apprehension of a found situation with clinical judgement, recognition of possible futility of a resus or provider-based decisions. The PHTLS takes a different approach, including certain pathophysiologic patterns, most importantly a traumatic death which was found dead at arrival.

I hope you`re gonna find peace and hapiness eventually again! Take your time for the things that are important to you!

I dunno, 2 hours doesn`t seem to be too much, although if it really worries you, check with your physician, maybe do some labs. As to peeing in pat. home: Of course it`s suboptimal and whenever possible you should avoid it - but I`m not going to piss in my pants, no matter what. If you`re in a demanding situation, the adrenaline is going to wear of your need temporarily anyways. I respectfully asked wether I could use a pat. bathroom once or twice before.

I bet a thousand bucks more people have been hurt by knives than by spoons... so what? Still sucks for the one`s that got the spoons, doesn`t it? Sorry, but I can`t stand those kind of arguments, they are neither valuable for a discussion, nor do they have anything to do with Evidence Based Medicine.

First of all - you really need to take care of your sentence strucutre, grammar and most importantly: some punctuation would be nice. I`m really not fanatic about spelling, but if you present yourself in such a way around here, you can`t expect to be taken seriously. To the question: Ask at your local station wether you`d be able to do some third-rides before joining in earnest, that should give you the overview you`re looking for. Otherwise, just scroll a bit through the forum, there are lots of topics about this. I hope this points into the general direction you were aiming for with your question - but honestly, I can`t be sure since it`s hard to read anything reasonable out of that mass of seemingly randomly added up words.

True enough, having fun in the classroom doesn`t mean, that fun has to consist of stupid giggling and immature behaviour. I for one, often had lots of fun during classes. A buddy of mine and me always tried to be better than the other one. So each of us always tried to give the better answers, be the better one during the practical exercises and stuff - only to, you know, mock the other one because you were a tad better. We also played Medicine Jeopardy and tried to outrun the other. Like: "Complete Right bundle branch block, left anterior hemi-block and a 1st class atrioventricular block!" Answer: "What`s a trifascicular block!" I can`t really remember who won most of the times (but Ì`m sure it was me... ).

True enough. Although, with a suspected Apoplex it`s recommended to lower the BP, if it`s higher than 220 syst. or 120 diast., although not under 180 syst. Without a really high BP I wouldn`t take steps to treat HTN in the field if you have neurologic symptoms, regarding the compensation mechanisms that fall into place in this cases.

I can see your point. Still, in my opinion, if there`s no medical reason for not letting them walk, it`s really just fantasizing about the worst possible outcome of a situation, which has per se nothing to do with a practical treatment plan. Following that point, we`re back at "every patient is carried".

That`s exactly what we were talking about beforehand. It`s all a matter of ass-covering vs. clinical judgement/valiable need. Although I see the reasons for those moves and true enough, I have never worked in your region under the condition of everyone suing everybody and anything over ridiculous bullshit - still, you gotta take it as it is: being safe facing legal (reasonable or not) liability. It has nothing to do with "giving them your best service" or best patient-care if you carry them around if they don`t need it.

I have no real set concept regarding this. I guess +1 gets posts that are really thought through, correct and have some real effort put into. I seldomly give -1, the posts that get this are mostly BS...

That would either mean that you`ve been not too judgemental about that decision beforehand, or that you`re now letting more pat. walk than good. I`m sure you meant the first one. Sry for nit-picking.

We don`t have a service policy. It`s more about general recommendations and your own clinical judgement. As said, if I suspect any diagnose which would make it possibly harmful for them to walk, like AAA, etc following your abdomnial example., they don`t - otherwise they can. I really see no need to carry every bloke down to the ambo if there`s no validable evidence to do so, especially with an onset of pain (for example) of some time during which they have walked around independently - they can make the short walk to the ambo then, too. A lot of the "carry-everyone-down-to-the-ambo"-attitude is mainly ass-covering, which is surely understandable to some point, but in the end ìf it`s not needed, there`s no point to ruin your back.

(Haemodynamically) stable folks without suspected spine injury, cardiac or neurological disease who feel fit to walk - they walk. In general: those who aren`t able and those who could take harm of it shouldn`t walk.

Well, we carry Diazepam tablets (those are obviously not for the I-will-kill-you-and-rip-your-body-apart-Blokes ). Aside from that, we have Midazolam and Haldol, although I`ve never used Haldol/seen it used. Had some blokes who were fit for a dose of Midaz, though.

Yeah, just relax. First days can be kinda unnerving, but best is just to lay back and face the inexorably. During training it was pretty annoying - various hospital wards, and every time you got settled in you had to leave again to be the total newbie on another ward, again.

We use Midazolam only in combination with Ket in RSI, otherwise we use Propofol (in haemodynamical stable pat.).

First of all, I actually believe I make more than one minute good with driving with sirens - surely not on country roads and maybe not in rural areas, but in a bigger urban city, definately. Unfortunately, around here we don`t have a "Call category", like, say, the UK, where dispatch already gives you certain conditions concerning your driving to the pat. So, unless obviously not life-threatening and not benefiting from a fast response, I drive with blue lights to the pat. After assessment, that`s a totally different question. I drive lots of pat. towards the hospital without sirens, since they wouldn`t benefit from it.