FireMedic65

I haven't had the chance to get to a place to see if they can do it or not yet. Hopefully sometime this week.

hate to tell you this.. but there are tons of them

It is pretty ignorant for people to say one person can make a "diagnoses" and another person cannot. Confirmation is of course required though. But who does the testing? The doctor will order the test, but a technician will do the actual testing. The doctor or whom ever will look at the results that confirm the tests. If a person comes into the ER complaining of, lets say chest pain. Labs are drawn up by a lab tech or ER tech. Those blood samples, are taken to the lab, where the lab technical will run tests on them. They are run through a computer and the results are printed. What diagnoses did the doctor make? None if you ask me. The computer did. For those who are out in the field, doing pre-hospital care. I could not agree with ERDoc more. FOR THE MOST PART, paramedics are not morons. We are educated and trained very well. People will argue with the education issues on how long a certain program is. I am sorry so say, but it's not the schools fault for what you don't learn. Education in medicine is what you put into it. You are in a highly professional field where peoples lives are at stake. If you don't have the maturity to LEARN ON YOUR OWN, and not be spoon fed information, maybe this isn't the field of work for you. ERDoc, and all others, I am not saying that is what you were trying to say, those are my words and my opinion. We often come across patients in the field who are having difficulty breathing. We don't just slap on an o2 mask and blindly gives medications to these people. We assess them. We listen to lung sounds, we do a 12 lead, we do capnography or sp02 at the very least. We ask questions, we check their medications, etc etc. We form an an educated "guess" if you will on what is going on with this patient, and we treat them appropriately. What much else can the doctor at the hospital do? Aside from ordering an x-ray and looking at it to confirming what the x-ray tech already knows, but isn't allowed to "say" what it is, and ordering lab work. The nurse already knows what tests should be run, and usually has them ready to be drawn up before the doctor can "order them". All that being said, doctors, nurse practitioners, physician assistants are ALL a very important part of the profession. They are all highly trained and educated, as well as every other hospital/ems employee responsible in patient care and testing. I am not putting down any position or level of care. We all have our place. Saying one person can say "ok you are sick" just because they have more schooling, is just silly. Everyone should know what is going on with their patients to a certain extent.

98 degrees Fahrenheit today... DAMN YOU FAT PEOPLE!!!!!

I'm a big fan of working out for a few hours, running a couple miles... then go to burger king for a super sized triple whopper. good times

Talked to Ruff for a few mins in the chat. He said it was pre-hospital. Used the bigger needle because of the patients size. Meds and flush went in w/out a problem, but the line wouldn't run. I thought it was because the possibility of the IO being in to far due to the size and the end was on the other side of the cavity in the bone. When 'forcing' in the fluids it worked but when just gravity from the drip set, it wasn't enough force. Any other explanations would be great because I am also curious.

You should be able to hook up the IV drip set right to the IO catheter. Push meds through it just like an IV. Or did I misunderstand you?

I am sorry for slavery. I really am. But here is a news flash. I DID NOT OWN ANY SLAVES! I am tired of people throwing the racism card and slavery towards people as an excuse to act like assholes. Yes, it happened. Yes, it was silly. But people forget it was a white guy who fought to free the slaves. I think a few people died fighting for it too...

That's a shame.

why does everyone have to be so racist? grow up already!

some things are just a given I assume this asshat ran out of gas. The engines momentarily restarted a few times, but didn't stay running. According my my pilot friend, he agrees.

That article was pretty useless. I could have written that exact same thing minus having the names of the people the location. It was obvious the engine cut out, it was obvious he landed on the road. That reporter sucks at reporting.

awesome

made me laugh a little

After you insert the IO you draw back back to see if you get a fluid return. If you do, then you inject that back in along with your 10cc flush to check for infiltration and ensure the IO is placed properly. Also, DO NOT let go until you have it secured down. NO air bubbles in your drip set. Both of those are fails.

I took my paramedic training through a college program. There was the option of a 2 year degree in EMS, or a paramedic certificate. I made the wrong choice.

It's possible they will make all new providers who haven't done the schooling yet to do so. But I assume all others currently certified will be grandfathered and possibly given so long of a window to get up to par.

try this link. Lists all states and their levels of care/certifications in America. http://en.wikipedia.org/wiki/Emergency_med...s_by_U.S._state

mmmmm cheeseburger! *drools*

I have been involved in situations where they went really well, and really horrible. What made a difference you ask? TRAINING! Everyone must be on the same page and follow the chain of command. The officers in charge of their delegated duties must know what they are doing, otherwise things will fall apart. Sure, you can have a triage officer screw up, or a treatment officer get overwhelmed, but if you had done proper planning these people won't be alone in their designated areas and have help. The command officer though, has a very hard job and hopefully knows what they are doing. If you have untrained people trying to handle the situation, it's a disaster. You don't want that. We ran a mock scenario here awhile back. It was for a haz-mat. It was a complete mock up. Department response, patient actors, a vehicle leaking something nasty, etc etc. The first go around, they had untrained people try to handle it. I don't mean newbie firefighters or anything like that. I am talking people who have been doing the job for awhile. They were relatively untrained and grossly unprepared to handle it. From fire, to EMS, to PD. It fell apart. No one really know what to do as a whole. Everyone was trying to do their own thing to assess the situation and work through it. It failed big time. After that, it was discussed with the EMA people, then it was done all over again. This time with the people in the departments who were trained to handle it. It went much more smoothly, but still had it's problems. After that, people got the hint for the need to train for such things that almost never happen. Hopefully more people get the hint.

People are going to go where the money is. No matter of what the locations level of care is, they will go to where the money is.

I will gladly send you copies of my goodness in ekg's when I have scans.

wow... who would have thought that a train station full of people were also professional dancers! what are the odds?!

whoops... typo

I refuse to cut it