P_Instructor

Welcome and good luck with your studies....

"It's the three important things about emergency medicine, which is never give up, never give up, never give up. Because there's always hope." That is cold!!!! My link I hope the link goes thru...

Another Louisianna EMS tragic story. My heart goes out to his family, friends, and co-workers.

Bravo to you. I applaude your ideals in patient care and comfort. I however cannot vote on the second item, within 5 minutes. This is just me, as it will be dependant on patient pain tolerance and the conditions involved. Wrong....NO.

UC????? Ummmm...California, Canada, Connecticut, Colorado, Curacao......What's 'C'?

I understand now, and sorry as I was depicting the Registry Paramedic Trauma Assessment (which I do also use for the basic to tie the whole picture together)....Maybe if we keep 'hammering' their heads, they will put the collar on themselves.....

You do as you feel fit. Concerning when the application of the collar is performed, as long as the c-spine is being adequately maintained, the c-collar may be applied after the initial head-to-toe. This will afford the opportunity to discover any injury to the neck with palpation. As an evaluator, this being performed after the first exam does not constitute a critical criteria fail. However, the collar does need to be applied for trauma prior to LSB immobilization. A cervical collar does not provide immobilization, the care giver provides this with proper technique and securing.

Excellent response!

I agree with 'Lone'...Hopefully your partner is providing manual cervical stabilization, and I emphasize the word stabilization, and properly before, during, and after the log roll. The cervical collar does not mean you can release the stabilization until fully secured to the backboard. Of course this is provided after all physical exam has been performed. The c-collar does assist with the neutral alignment when providing this manual stabilization. As when placing the c-collar itself, whenever you think necessary, as long as the c-spine is being attended too.

There are many free sites you can look for regarding grant/scholarship/etc., however, I can't think of them right now. Maybe check with your local community college financial aid personnel. They may be of assistance in your request. Look for previous EMS benefactors also.

Dependant of what your laws state, here it is a manditory reportable case. We do not investigate, just report to the proper authorities. It is their job to investigate and then make recommendations, etc. Yes you are correct, and it does suck.....many of these patients do 'fall through the cracks'.

Personnally, I would take the time to clean and linen the bed. This is the way I perceive the job, to help those in need. However, this also can be a potential elder abuse situation, that in our state must be reported. Do not confront, but realize the situation and try to do the best with what you have. If the primary care giver cannot do the job, or is unwilling, this needs to be reported. Provide what the patient needs. Yes, I know, not all services will do this, but do what you can for the patient.

Looked all over, best I can tell everyone is to wait for 50 years before they list this years nominees.....sheesh.

You can search the list of nominees. I feel Chinese dissident Hu Jia would have been a better choice, but again, that is my opinion.

I stand corrected and apologize to you. I just feel that it is too early in his administration for what he has/has not accomplished (yes I know he has to jump through the senate and house hoops) for what he is honored with. My opinion is that Obama does not have the foreign experience dealing with global issues; true he is trying and gaining respect, but I feel there are other national figures that may be more deserving. I would like to see the list of individuals that the commission reviewed for this honor. If you have that info, send it to me, I will review, and based upon the info, either bow to you or stand by my (not completely clear) statement.

I guess it may boil down to what your Medical Director wants. We use NaCl for everything because of capatability (note: usual transport time less than 20 mins)

Minimum 80 hours ride along and completing orientation checklist for familiarization of all aspects of operations (protocols, rigs, maps/locations/streets, etc.) and also testing to include physical and knowledge. This period can be extended at any time if new hire not comprehending, until competence is met. Then placed on probationary period until fully knowledgible with service. This is just the minimum. There are many other facets/criteria that need to be met.

Way too early and not appropriate. Seems like politics are getting into everything, everywhere....

In the future, use the REPORT POST feature. This guy has posted in 3 places and no one notified me....AK

It was I.....P_Instructor. I have PM'd you. Thanks!

Ditto, you need medical direction to practice as an EMT.

This would be for the school nurse to administer per parental and medical authorization. If as EMT - NO, not within your scope. As caregiver, and authorized, I am not sure; this falls under other state legalities.