WolfmanHarris

Do you think oxy-clean will take the products of decomp out deep pile carpet?

I consider 24's unsafe in all but the slowest areas, 48's I can't even imagine. Actually I don't think that would be legal under the ESA. Anyways, I'd suggest not trying to fix unfixable shift. 48's are a mistake. Push for 12's or at least 24's first before someone dies falling asleep behind the wheel. Come on, even MD interns are getting away from the 36 hour shifts.

Agreed. Back when Crotchity first joined the forums and him and I weren't getting along, one of the threads got quite heated and I suddenly found myself dwelling on it while I was doing other things. That was clue one to give my head a shake and do something else for a couple of days.

Okay let's not just make fun of Dust. Let's make fun of... Kiwi. umm... this is all I've got at the moment. Tired.

For sure. I wouldn't have done it if I didn't like the guy. I just found it hilarious that he was catching flak on the other thread for being "mean" when he was perfectly supportive and nice. Actually, it reminded me a bit of this: AND, that I should stop having Youtube and EMTCity open in separate tabs.

In that thread, not at all. But it did bring to question, so how does everyone picture Dust as a caricature in their head? For me it was kinda like this. Minus the "Jewman Group" (though it still seems strangely appropriate) and the 90210 part. And of course since turnabout is fair play, maybe we should make this a "Post Your Best Caricature of A Member" thread?

Interesting. But it does beg the question, why use a sharp on an actively seizing person when you can go intranasal? Am I missing something here?

I'm sorry it isn't clear to me what's being done. Are they adding autoinjector midazolam to the EMT-P kit? This didn't on first glance seem like something that new as intranasal midazolam been here for awhile. Any links to non-youtube info handy?

Here there are three ways transfers are done (for the most part). 1) Private IFT companies. These companies provide stable IFT either without an escort (for patients who require no ongoing care, just a bed) or with a RN escort from the sending facility for any pt. requiring more then a NC. Even with an escort they can only take stable patients who are being sent to or from an appointment, from hospital to discharge, or similar transports. They are staffed with FR's or EMR's (or less at the truly sketchy services). Most use decommissioned Ambulances as their transfer vehicles, but the best ones have actually taken the trouble to have vehicles specifically designed and altered for this. These vehicles cannot use L&S and must call 911 if an emergency develops en route. (Legally they are not Ambulances under the "Ambulance Act"). This industry has been great for freeing up resources from the 911 system, but is currently unregulated and this needs to be addressed to stop some of the whacker services or those whose vehicles are not in good shape. 2) EMS transfers. When a patient needs a stat transfer to another facility, is in any way unstable EMS gets called and we transfer. Usually with an RN escort as legally the Pt. remains the responsibility of the sending facility. 3) ORNGE transfers. ORNGE runs the Air Ambulance system and ground CCT system in Ontario. Aside from scene responses, they take any patient requiring critical care en route or who is going long distance to a specialized facility. They do not take an escort on board with their teams of CCP's or RN's (for pediatric/neonate transfers only) as their transport physician is consulted by the sending facility and the Pt. is, for lack of a better term, admitted to ORNGE and legally becomes their pt. I do tend to enjoy the transfers we get as with the IFT's taking most of the stable patients, the one's I'm seeing are facing some serious/complex conditions and I have learned alot from having their chart on one new and my patho pocket book on the other, and google on my phone in my pocket. Sometimes if the transfer isn't too far and ORNGE is unable to take the call, the facility will send a physician along which makes for a great opportunity to learn. So I agree that IFT's and 911 should be separate to an extent. 911 should not be tied up transferring a discharge back to their LTC or to hospital for routine appointments. 911 should also not be taking critical transfers they're not equipped for, not when that's the entire purpose of ORNGE and they are educated and equipped for it. All the rest though is part of the job.

So while more of the Country is looking to enhance ALS and go to a 50% ALS model, Alberta is taking a step back? You know guys AHS is making the pissing match between Ontario and Alberta EMS a lot less fun.

My friend is a cop in a large city. He's a well educated man (we went to university together), calm and easy-going. Him and I were talking a few years ago about a similar incident on TV, which also disgusted him and he explained to me part of the psychology of the Police Service. Whenever one of their members is in trouble, rightly or wrongly, they don't throw him to the wolves. In each circumstance, no matter how big an asshole the guy is or how obviously guilty, they see that it could just as easily be them. So they keep quiet and allow the union lawyers to defend each and every one knowing that if they can support the worst among them, no matter how much they dislike it, that if circumstances ever conspire against them, they won't be alone. I don't like it. But I can understand it. That being said, these guys should and probably will be looking for another job.

Since we're sharing... I have a 2001 Chevy Venture Minivan. 200 000 km on it, rusted to shit, bald tires and now the roof is starting to leak. I got it for free from my Mom when my fiance had the insurance company write off her old POS following a minor accident. I also have a 2002 VW New Beatle. 100 000km on it. No body damage or rust. Engine in perfect running order. Interior is perfect shape. 6 CD changer. Got it on thanks to a long term interest free loan from my fiance's dad (long story). It's her car, but since I'm working out of town and she's working local I drive it. Yes, it's a girl's car, but my van is a soccer mom car and WAY less fun to drive.

I think we're beyond deterrence for driving while impaired. We can increase public education as much as we want, but I think we might already be at the diminishing returns stage. Short of shock value I'm not sure what else could be done to shake people from a way of thinking that doesn't include planning ahead, predicting consequences or taking personal responsibility. Drunk driving in many cases is a symptom of this greater ill. Instead let's start treating driving like the privilege it is, and start pulling licenses for multiple years, first offense and tossing jail time at repeat offenders. I think we've done carrot well, now let's convince our society to get a better stick.

Duct. As in what it's meant to be put on. You could try it on a duck, but I don't imagine it would like it anymore then electrical tape or even scotch tape.

For what purpose? In what location (home, car, etc)? For what level of training? To what end?

Agreed. 12 leads were a bitch for me until I started thinking about them in terms of cardiac physiology. I'm not great at remembering rules, so having a conceptual understanding was the lynch pin. Learning it piecemeal through a book or two is probably not the best way to approach this as you'll be looking at ECG in exclusion to the bigger picture. It's great that you want to further your understanding though. I'd suggest Paramedic school is your best bet, starting with, as AKroeze suggested, either a program that includes full credits in A/P or taking these courses at college prior to the program.

Or dear lord, someone doing it right!!! This needs to be rewarded with good advice. So I'll try what I can. Don't waste your time gaining experience as a Basic. This has been argued to death on this forum, and a quick search of "experience" will find the torn up remains. Suffice to say, Paramedic and EMT programs do not speak the same language and EMT-B does not provide a good foundation for Paramedicine. Spending time at that level will actually put you at a disadvantage when trying to learn later on. When choosing a program you want one that offers at least an associates degree and has two full credit A&P courses. Already having a university I won't waste your time extolling the importance of a good education. You want a program that gives you a good foundation in the sciences, provides clinical placement experience and have instructors whose credentials include more then time on the road. You don't not want a "condensed", "compressed", "accelerated" or any other medic mill course that will churn you out in six months with the bare minimum to pass the exam. For specifics, VentMedic, DustDevil, ParamedicMike, RidRyder, Spenac and MANY others will give you excellent advice on where to look. I'm not from the US so any advice I give, is essentially just parroting what I've learned from them. Welcome to the City! - Matt

Not just Denmark. Saw a bigger one with a bartender in the middle in Amsterdam. Though why you'd waste time drinking in Amsterdam I'll never know.

I got that, but any excuse to 1) procrastinate from studying for my provincial exam tomorrow and 2) share one of the always fun "Did that just happen?" type stories that make EMS great; cannot be passed up.

Good catch! So why the frack are we doing this again. Refer back to my advice in the first thread and think it over. You've received excellent input thus far and seem to wish to ignore it and start again. With that in mind, I have my strong doubts that you have the requisite maturity at this point to work as a responsible provider in a medical field, even at the Basic level. Yes, you are wasting your time in the EMT-B course by taking it now, but maybe not for the reasons you think.

You may be surprised just how water tight they are. An area service that will remain nameless, recently received a new ambulance from a supplier that will remain Crestline. The exterior roof panel had not been secured and sealed properly and over the first 6 weeks or so it was in service water would leak in. It kept having minor electrical problems and drove poorly, but it wasn't until someone leaned on the side and it felt "odd" that they opened it up and found it was full of water around the box from the floor to half way up the sides.

No. There are no quick answers or run around to your education. Now is the time to learn that and take it seriously. Give your education the time it requires. The rest of the discussion has been hashed out a million times before and I'm sure a quick search for "education" on the forum will be incredibly enlightening. I strongly suggest it. Cheers and Welcome, - Matt

I think that's an excellent idea. Though I imagine one set of cabinets would have to have darker plastic or be opague to protect meds and other sensitive equipment from UV. Probably a fairly cheap solution too. Now, that being said, how effective would this technique be AND would crews start relying on it at the cost of a thorough deep clean.

Definition of compromise: A deal where both parties walk away feeling like they've just been fucked. It might be time to talk to the wife and let her know that working in NJ for you isn't an option, but that you're willing to move close enough that a regular drive to see family isn't a problem. Good luck.

Sounds like any of the paid FD's around here. Of course none of them actually provide EMS, they just watch us do it. Thank-you tiered response.