FireMedic65

What a bunch of morons! I agree with you there Dust. Even when I ran fire, someone always looked to make sure the bay was clear for exit. We had a nicely paved pad that kids liked to play catch and kick a ball around on. We didn't care, and they knew better to move when the sirens went off. But there is always that .001% chance one didn't move. I adopted that technique when I started with EMS. Open door while driver got the vehicle started and called responding, while the passenger took a look around to see if it was clear, then hop in and leave, close door with remote. Ignorance is no excuse here. "I didn't see them", is a piss poor excuse, because YOU DIDN'T FREAKING LOOK! *edit* Hope this guy pull through ok, and wins a nice settlement/lawsuit against these donuts.

Herbie, here is an article about the tampon thing. My guess they would do this at their school dances or something. Where they couldn't physically have an alcoholic beverage in hand. Pretty sure the absorption rate would be a lot greater this way too. http://blogs.phoenixnewtimes.com/valleyfever/2009/08/vodka-soaked_tampons_and_anal.php As for the topic in hand (no pun intended). I feel he was definitely in the wrong, according to the story we are getting. Paramedics are not trained (or at least not to my knowledge) to do breast exams. Maybe in certain settings like they are working in a clinic or something like that with proper training. If this happened to me, I would be inclined to tell her no and explain why. We are professionals and this had nothing to do with a physical exam. If she was concerned about a breast implant being ruptured, she could have mentioned so. This donkey sedated her to a point where she possibly could not make a coherent decision. If there were a reason he was going to exam them, then so be it, do the exam.

It's called "DUTY TO ACT". Something also called the Hippocratic Oath. If I am requested to respond to a patient, I go. Plain and simple.

This is just.. terrible. http://www.nydailynews.com/ny_local/2009/09/22/2009-09-22_systemic_breakdown_behind_woman_abandoned_in_operating_room_by_noshow_brain_surg.html Doctors and nurses at a Long Island hospital violated 14 public health regulations in the case of a 32-year-old mom abandoned in the operating room by two no-show brain surgeons, investigators charged Monday. The damning state Health Department report cited Manhasset's North Shore University Hospital for failing to follow professional standards for virtually every step of Jennifer Ronca's traumatic stay on April 10. Ronca, a Pennsylvania mother of three, came to North Shore for two procedures: one for cervical traction, which was performed; another to insert a brain shunt to relieve debilitating headaches and fatigue. Although Ronca was placed under general anesthesia for 90 minutes for the brain shunt, it was never inserted. Unbeknown to Ronca, her surgeon - Dr. Paolo Bolognese - was on a plane to Florida for a family vacation. When the OR staff and assistant medical director realized Bolognese wasn't coming, they reached out to the chief of neurosurgery, Thomas Milhorat. He refused to cover for his colleague. Both surgeons violated professional standards and hospital policy, the report said. Ronca was awakened and told falsely that Bolognese had a family emergency and she would have to come back another time. She never knew the truth until the Daily News exposed the incident on May 6. "This report reveals a systemic breakdown at all levels - surgeons, nurses, anesthesiologists, OR staff," said Mark Bodner, Ronca's lawyer. "It shows a breakdown in patient care that is astonishing in its breadth and scope, particularly at a hospital like North Shore." Among the 14 violations: - The anesthesiologist violated hospital policy and put the patient under prior to the arrival of a neurosurgeon. - The OR staff did not know who was operating on the patient. - The orthopedic surgeon who performed the first procedure left the OR once he was done. Hospital policy says in multiple procedures the first surgeon stays until the second arrives. - Milhorat dictated the operative report, even though he was not in the OR and did not participate in the surgery. Milhorat, 73, and Bolognese, 49, were once the darlings of the hospital's profitable Chiari Institute. Hospital officials suspended them on April 17 for three weeks after the incident. Milhorat, once the highest-paid neurosurgeon in New York at $7.2 million a year, then lost his clinical privileges and was forced to abruptly retire two days after The News' expose. Bolognese, who is not board- certified and who earned $2.5 million in 2007, is still operating. Reached at her home in Pennsylvania, a stunned Ronca said: "What they did to me was deplorable and should never happen to anyone." A spokesman for North Shore said the hospital is reviewing the report and does not agree with a number of findings. Officials have until Oct. 2 to submit a plan of correction to the state, which can levy fines against the hospital. hevans@nydailynews.com Read more: http://www.nydailynews.com/ny_local/2009/09/22/2009-09-22_systemic_breakdown_behind_woman_abandoned_in_operating_room_by_noshow_brain_surg.html#ixzz0RswwjoPb

I'd travel around all over with it. Traveling Jesus killing germs wherever I go!

You have to log into your user account first, obviously. Then click on "check application status". That shows your CBT exam status. It used to show the practical, but it no longer shows mine. Can't find it.

Takes you 4mins to look at all of that? Or do you check your pressure in between each? But yea, that crap irritates mes like crazy. Almost as bad as people tucking in their shirts without a belt! ARGH!!!!

Pretty wicked machine. Not much info on it though. Does it require additives to be put in it? Like you need to add soap to a carpet cleaner. Regardless, it would be a great investment for someone and make available for others to use.

Here is an old topic with lots of discussion on the LP15 http://www.emtcity.com/index.php/topic/14444-lifepak-15/page__hl__lifepack%2015 Personally, I have used one a few times in the hospital setting. Mostly the basic stuff, NiBP, EKG in various flavors, fiddled around with the blue tooth stuff which was all very nice, worked great. Simple to navigate and select features/uses.

Listened to that interview a while back. Good stuff. Surly shed a lot of light upon the CBT that many people were confused about.

Well.. determining a cause for their behavior is part of the assessment. Check vitals, check BGL, check the vag... seems about right.

Happened to me. I confronted them later in the privacy of the station. No public, no patient, no hospital staff. Very unprofessional to get into things like that when others are around, possibly even other co-workers.

Pictures of what you have might be helpful for some people to identify it better. Also, some places are probably still using them!

Touching breasts is alright if you are doing it to attach 12lead, listen to heart/lung sound, assess injuries, bandage... you get the point. Touching them because you are asked to just for fun? OH HELL YEA! But wait until I am off shift. There was no medical reason for him to do that, if she asked him too. Her, not being in the right state of mind possibly. Wasn't it not too long ago, where there were cases of under age teenage girls being all drunk and stupid, but having not alcohol on their breath. They were soaking tampons with alcohol and stuffing them in the usual place. Teen drunk + no booze breath = check the vag? Would that be appropriate then? Seems crazy if you ask me!

Only thing I can reference is personal experience. It is to my knowledge that everyplace you go, it will be basically the same, but different. In the state of PA, you need NO TRAINING to be a firefighter. What I mean is, you can join a fire company, or even get hired on as a firefighter, and immediately start fighting fires. That is, putting on the gear, the SCBA, grabbing a hose line and run into the house. Now, it is the policy of hopefully every department/station that you must meet the minimal training required by THEM before you can "fight fires". As for EMS, no matter what you do, you need training and education. Even if you are a wheel chair van driver or volunteer ambulance driver who just drives. You need EVOC training and a minimal of CPR/First Aid. As far as fire pushing for more education, sure but for fire education. There are numerous classes and weekend "schools" all year round offering training for fire courses. I could post links if you wish. EMS should be the same way if you ask me. Continuing education for EMS is paramount. No matter if you have been doing this for years, or just starting. Everyone should always be learning, training, practicing skills, etc etc. Yes, I know we have to maintain CEU's to keep certs up, but that's very minimal. Most of the time, you can do these credits online, or sit in a class room with a bunch of your buddies and get the credit just for being there. One of the problems I have noticed though, that a lot of these EMS courses/certs are often the same way. Especially the CRP/ACLS/PALS etc re-certs. I sat through an ACLS course during medic school at the hospital, prior to my course at medic school. It was a joke. I won't get into details. Re-certs are the same way from what I have seen. Things become too easy in my opinion. Also, the cost of retaking these classes. Hopefully your employer foots the cost, because they are very expensive. I have noticed also, that if the service does not require you to have the cert, ie AMLS they won't pay for it. Fire companies from my experience are always all about going to training, they get excited. Heck, I did too. I loved it. As far as EMS, not so much. It's all class room stuff usually, instructors/lectures are dry and boring. But it is very important to the patients we do these classes.

Is that what causes Somogyi phenomenon? Or do I need to go back and re-read about that?

Came across this article from a friend on facebook. Sad story. http://www.newsweek.com/id/215353

Good luck

Combined services is alright, but keep the duties separate. I have run EMS out of firehouse, but I had no duties on the fire truck, and they had none on the ambulance. It worked out just fine. When you start combining the "jobs" then you start having problems.

Poor dog.... that's just terrible for the animal and it's owner. Those firefighters are morons

Do they carry the liability the ambulance does? Do they have a medical director backing them for someone to provide medical care? You can't just freelance medical care where ever you want to without having those things. If you stop at the scene of an accident you can only provide first aid unless you are covered by your ambulance service. WORKING some place and providing medical care ON YOUR OWN, is not going keep you covered by your ambulance service. You would need to work under the care of a medical director contracted by the even itself. Then you would be employed by them.

Good point. Showing up on your own and providing medical care could land you in some trouble. If the event coordinator hires you to come on and provide this on your own there is still liability to be concerned about.

So, I didn't win then? Congratulations!

Seems to be that other medical directors all across the country are letting things like what this department is doing, get away with it. This guy is taking a stand and cracking the whips. More directors need to start doing the same. It's time American pre-hospital care starts setting a standard for its self and start making things better by cutting the fat.