P_Instructor

Let analyze this very broadly........enter thru door (3 seconds), walk to patient (6 seconds), assess/open the airway (3-4 seconds), assess breathing (7-10 seconds), ventilate if needed (2 breaths each over 1-2 seconds), check pulse (7-10 seconds)......now, very broadly, that's already around 28-37 seconds......they were already out the door within 30????? Heck, I didn't even mention applying monitor to confirm asystole........... Dust, I think you're getting lax and not really blasting them like they should be.....and my meaning of blasting them would be firing them!!!! ULTIMATE FAIL!

In article: "Ambulance drivers typical go about 10 mph over the speed limit, but during winter weather, drivers go 10 miles under the speed limit." I truely hope that this means while driving emergency response and not all the time....... Question......Are there any other services out there that have fluid warmers on their rigs?

Unbelievable. What idiots.

That's why we in Iowa (and I am sure in other states and regions) stress to utilize all the resources available to you. Work as a team, and usually things will go well. I wish the patient the best in her pregnancy.

Nice little promotion for breast cancer awareness. Let's all try to get the 'hits' up for this cause.

ROL!!!!!---I agree on that statement. I was going to post the very same paragraph. How can any institution forward this type of provider (?) without showing competency in their skills in assessments? Wonder, wonder, wonder..........

Maybe he was just preparing himself for calls to the 'bad part of town' and had the pills for 'bargaining power". I agree, what.......?

Sounds like it was almost a 'crappy' call.

Great find.....classic!

Well stated, also if and while driving in emergency response, do it safely, and be extra cautious of the 'other driver'.

Sounds like you did have a sh** shift. All I can say is one can only adapt to their own 'reasoning' in what we can, should, maybe, hopefully do. Everyone has their own reasons, but as pre-hospital providers, do the job you have been trained to do. Be realistic that not all patients may survive (and it is usually the ones who shouldn't that do, and the ones that should don't). Be realistic in your own goals and beliefs, to provide the care that everyone should get. Do your job well and be satisfied with that. I wish I could have been of more assistance to you. Take care.

I agree. Thank you very much for the info. I've got an uncle who was on the USS Raleigh (CL-7) light cruiser when the attack occured. They were docked on the other side of Ford Island. There is a great web site you can go to for many naval vessels (pictures, etc), and in the special section, are photos of the attack from the US and Japanese sides. www.navsource.org To all, please remember this date, December 7th.

JACKSONVILLE, Fla. Emanuel Porter II was supposed to treat gunshot wounds, not die from them. But Porter, a 21-year-old Jacksonville firefighter/paramedic, was fatally shot early Tuesday when a gun went off in the hand of a woman who picked it up from the seat of a car in the parking lot of an Arlington gas station, police said. Fisthnise Saint Breux, 18, has been charged with manslaughter in the death of Porter, who was following a family path into the fire department. Saint Breux, who also was charged with evidence tampering, was being held without bail Tuesday at the Duval County jail. Two other people in the car also were questioned by police. The death sent tremors through the department, where Porter's father is a lieutenant at a Westside station. Porter was at the department's Fire Station 1 on Liberty Street downtown. "Some people it just doesn't click, it takes a little more effort," said his lieutenant, Kelly Dobson. "But with him, never had a problem." The young Porter began at the station in May. "We were just proud to have him," said Dobson, who had to pause rather than let his composure crack. "One thing I always told him here is that we enjoy coming to work here, we have a good crew, we have to live together. And he just got it. You tell him one time is all it took." Porter was off-duty when police were called to the BP station parking lot on University Boulevard North near Fort Caroline Road at 12:45 a.m. He was found lying beside a car in the lot and pronounced dead by rescue personnel. Porter, Saint Breux and two other acquaintances, Mariah Mungo, 16, and Michael Harrell, 21, had driven to the station for gas. They did not know it was closed, said Lt. Larry Schmitt of the Jacksonville Sheriff's Office homicide unit. Schmitt said that when Porter got out of the car, he had a gun and took the magazine out. He then put the gun and the magazine on the front seat. Apparently unknown to Saint Breux, there was a round still in the chamber of the .40-caliber gun. Schmitt said Porter saw Saint Breux pick up the gun while sitting in the back seat and told her to put it down. Saint Breux pointed the gun at Porter's head, said "I ain't gonna shoot you," then pulled the trigger, according to Schmitt and an arrest report. She said the gun went off, but didn't remember pulling the trigger. She told officers she then threw the gun in nearby bushes after the shooting. Porter was focused on lifesaving and the future, Dobson said. He said Porter was taking online classes on his way to getting a nursing degree and was planning to buy a house. One of the youngest firefighters in the department, Porter had his paramedic license and Dobson was urging him just the other day to go to the University of North Florida for nursing studies. "He wanted to get his degree in nursing so he could do that on the side," Dobson said. Porter also was a 2006 graduate of Paxon School for Advanced Studies. One of his teachers, Carlan Shreve, said Porter was excited about what he was doing. "This was going to be the driving force in his life," Shreve said. "A good one has been taken from us way too soon." Joshua Gartenbush, another young firefighter, was with Porter in recruit training and said the work ethic showed there, too. "He was always trying to do better and do his best," he said. Gartenbush is stationed at the Lenox Avenue firehouse with Porter's father, Emanuel Porter. Both the Porters went by the nickname Manny. "He looked up to his dad and he wanted to be as good as his dad," Gartenbush said. Porter represented a "true legacy" within the agency, according to a release from the department. An uncle, Lt. George Bartley, also is a member of the department. Because firefighters live together during 24-hour shifts, they become like family, said department Chaplain Percy Golden, who was making the rounds of stations Tuesday. "It's just tragic," he said. "You don't expect these things to happen but they do. We deal with it. We rescue people, but it's a little bit different when it's one of your own." Copyright © 2009 LexisNexis, a division of Reed Elsevier Inc. All rights reserved. Terms and Conditions Privacy Policy Copyright 2009 The Florida Times-Union

Any good search engine can yield many good photos of these type of injuries. Another resource could be your programs Medical Director. If yours is like ours, he may have a plethra of photos of cases that he was involved in. If not, he may know of other ER docs that may have photo availability. Just a thought. Good luck.

There are a few out there.... http://www.witcc.edu...index.cfm?id=30 I think this is a little to far of a distance for ya..........

Probably 'photo chopped' as in 'porked chopped' into oblivion. Hope they had extra air in the tires on that side.

Our service moved from Diazepam to Midazolam 10 years ago. Versed was much more versatile for our program. Long before nasal, Versed given IM (for status seizure and no IV) absorbs much quicker than Valium. The only initial problems associated with Versed useage were a couple of cases of underdosing for seizure. This problem was readily identified and corrected. It has work very well for us. Good luck, I think you will be pleased with it.

That's just BAAAAAAAAAAAAAAAAAD!

MD......aah, surgeon (yes I know they are MD's also). Agree with you on the outcome....

BITE ME.........Ha.......No, I thank you and hope that your Thanksgiving brings a joy and that this will carry on through the Holiday Season. Yes, make every moment count. Happy Thanksgiving. P

PUHA (poohaa) back to the ED. This is a perfect example of BLS providers recognizing an acute situation. Provide the high flow O's, position of comfort and BLS care and get them back. Dependant on where you are in your transport, consider nearest appropriate facility, and even rotorwing if feasible.

Makes you think if all your unconscious patients are really unconscious or unresponsive....... Whoops....sorry, I guess this was already posted by zzyzx. <A class=bbc_url title="External link" href="http://www.cnn.com/2009/HEALTH/11/24/coma.man.belgium/index.html?eref=rss_topstories&amp;utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+rss%2Fcnn_topstories+%28RSS%3A+Top+Stories%29" rel=nofollow><BR></A><BR><BR><BR><A class=bbc_url title="External link" href="http://www.cnn.com/2009/HEALTH/11/24/coma.man.belgium/index.html?eref=rss_topstories&amp;utm_source=feedburner&amp;utm_medium=feed&amp;utm_campaign=Feed%3A+rss%2Fcnn_topstories+%28RSS%3A+Top+Stories%29" rel=nofollow>http://www.cnn.com/2...+Top+Stories%29</A> <BR><BR>

North Memorial spokesman Robert Prevost said paramedics aren't legally qualified to "question or otherwise make decisions" about whether an emergency hold is warranted. "North Memorial has always followed the practice that it is the peace officer who has the authority to make the transport decision,'' Prevost said in a written statement. "North Memorial is certain that this practice has been well communicated to its staff, but will be preparing a written policy to advise all personnel about it." Roger Schwab, a state regional ombudsman for mental health and developmental disabilities, said the emergency hold law doesn't address whether EMTs or paramedics have permission to transport patients. The statute says only peace or health officers are allowed to transport patients. Emergency medical technicians and paramedics aren't considered health officers under the statute, Schwab said. So as I see it, the police officers are the real medical professionals out there???????

I agree with 'Da Duster". If you're going this far, go all the way. From my recollection, I am not sure if the Registry is even going to offer this exam anymore. Unknown if your state will offer this level. You would be more useful as a Paramedic than the 99I.

Try using a real radio for the scenario. We routinely use this medium with another instructor in the other room acting as medical control. Any scenario can be used, but verbalizing your finding can be one of the most difficult things a new responder can face. If they can't 'paint the picture' for medical control, then they need more practice in getting the point across and keeping it brief. Just a couple of portables could be used. Good luck.