FireMedic65

nope... none at all

what kind of fuel is he working around?

does it matter? toss em out of the country, citizens or not

what a disgrace... deport them

Sounds like a good idea. Though, I don't fully see the point unless you go through radiology training. To know what you are looking for and what you are seeing. If you are looking for internal bleeding, it can be hard to pick up, especially if you aren't sure what you are even looking at through the monitor. As for movement of the vehicle, I suspect you would get a poor image due to all the vibrations. Usually when ultrasounds are done in the hospital, from what I have seen, you are asked to hold your breath to minimize movement. Not sure if this is for other reasons though.

I was going to make a new post about this because of a case I had the other day. So, instead of making a new post I searched and came across this. My patient, 17yr old fell while skateboarding at a skate park and had an obvious fracture to his right arm (looked like a praying mantis). He had no distal pulses in his wrist and color was starting to fade away. Friends said it happened around an hour or so before we go there and were afraid to call for help because of getting in trouble. Anyway, obvious fracture, absent distal pulses. Negative impact to head (wearing helmet also) followed commands and answered appropriately. Only complaint was the forearm. We were taught way back in EMT school that if there was a fracture and had no distal pulses, we were to "attempt" to put back in the anatomical position in hopes of regaining a pulse. Nothing was taught on proper techniques on how to do so, just that it should be done gently. The same thing was taught in medic school, with no formal techniques on how to do so. I applied gentle traction (after he was given 4mg morphine for pain) and did my best to align the bones back to how they would look normally. Once this was done, the patient said he was still in pain, but it felt better (not sure if he felt better because I was pulling on his 'broken' arm and I had stopped, or it felt better being back in place). We regained a pulse in his wrist and splinted his arm with a gauze roll in his hand. Color returned to normal when we got to the ER, which was about a 50min transport to the trauma center. The reason I posted this, was not to brag, it was because I had questions about doing this. Our protocol states this: "Straighten severely angulated fractures if distal extremity has signs of decreased perfusion" that's all... straighten out. I was curious, if there is any formal training out there to perform these techniques properly, instead of just "attempt". I have not heard of anything regarding this for pre-hospital care providers. Every time there was a case of this in the hospital when I was doing my clinical, I tried to get involved and observe the MD do it. Pretty much all that was said to me by them in how to do it, was what Zilla had explained. Is that all there really is to it? I feel this is not enough though, meaning "attempt to straighten".

The medic did not abandon the patient. Even though he didn't have a hawkeye on the patient the whole time, he never discontinued treatment. If the cop would have taken him away, that is a different story. Technically, I suppose it could have been abandonment, but he was would have been forceabley taken away from the patient. Then, if that had happened the officer would be liable to endangering patient care.

pwnt

I'm going to agree with dust on this one. It makes the most sense. More than likely... something went terribly wrong, and whomever he was with, took off.

I didn't care when he died. I didn't even know about it until weeks later. I still didn't care. But do I make fun of his death? No, I do not.

lol @ sasha grey

I liked the show and pretty much every movie he was in. When I heard, I didn't react much more than 'well, that sucks'. Of course I felt bad, as I do anyone who dies (well, pretty much anymore). It is a shame though how the media does this to families. Last thing I am sure they want is their loved ones life story and death all over the news.

a bit too soon to be making fun of the guy

I was sad when I first heard... that's a shame. Hopefully he wanted to go out like that...

I bet that put a damper in their egos. Lets hope more cities get wind of this and get on board with making things better, instead of having the FD run it all and get everything they want.

hope they get thrown in jail and lose the cell.

Any updates yet on this fiasco?

but the button says NIBP and it does everything for me thanks for clearing that up for some folk though

you should clean that stove top Nice strip though, it had me thinking for a moment when I first looked at it myself.

YOU THIEF!!!!!! No I am just kidding. I should have been more specific, I was being sarcastic in the sense of taking the IV bag home. It's always good to practice doing these things. It's the bad press I was referring to about them being idiots. Come on.. really? I hot pack? I will give them the $2 to replace them. People need to stop whining so much. Over 20years this guy planned the great hot pack heist! He almost got away with it too!

you need an IV bag to practice skills? "OMG HOW DO I SPIKE THE BAG?!!??" idiots... another reason for vollies fail.

I would very much like to read it too. Too many people reply on slapping that NIBP on all their patients and the pulse ox and go from there. Relying too much on machines could lead to trouble in my honest opinion.

"Arrived on scene to find a baby that looked like it was sleeping without movement, we didn't bother to check. We stood around, smoked a cigarette until the arrival of the supervisor. Upon his arrival, he did what we should have done, and did an assessment, and transported.. we smoked another cigarette." sound about right?

I have always preferred taking a manual BP first. Then I will put the automatic dealie to monitor the patient. If the pressure if grossly different from my manual, I will recheck manually. From what I have noticed though, if you keep your equipment taken care of and calibrated it should work just fine. A lot of the time, when using the automatic on say an LP12, if there is a lot of movement, the machine will restart/re inflate the cuff for a more accurate reading. Unlike the ones at walmart or something, these are more high tech and will work better.

I don't know all the facts about the situation. But in most cases, yes.. I would make believe for the sake of the family instead of doing nothing.