Arizonaffcep

It must be the grin (reference avatar)

Along the same lines: CHAOS: Chief Has Arrived On Scene

The ever dreaded: CCSS 'Cause Chief Said So

My biggest beef with Crotch...never cites sources for info...and the one time he did, it was an advertisement! (Hopefully) I was able to counter his crap a little with the percentages and stuff--all of which I cited resources...

Skills needed during a transport of a code: Driver (one person) BLS Skills: Ventilation (one person) Compression (one person) ALS Skills: Advanced Airway Application of appropriate electricity IV start Administration of drugs (all can be done by one person) Ideally, a total of 4 people. Never tried it with less than 3, but have done it with 3 people total.

Man...last FD I worked at had an LP 11 with 12 lead...great machine.

That's because it's related to benedryl. Which is also an anti-emetic...not a great one...but it does work.

Hard to tell. I'd be very hesitant to decompress an asthma pt. If they didn't need it, now they WILL need a chest tube. Decreased lung sounds is MORE LIKELY shut down airways...epi, albuterol, atrovent, solumedrol (possibly racemic epi, but the RT's here would know better about that one). Intubate in needed, and of course...lots and lots of O2. I would follow the standard treatment first, before moving on to decompression. Remember...LS can be basically absent-not from a pneumo, but because they've just shut down that far. If, after treatment, they are still working, but now hear lung sounds (doesn't matter if good sounds or bad-just you hear something) that means the patient is getting better-keep it going.

First dibs on the pelt!

Where do you get this paranoia from? In the near decade I've worked EMS, I have only heard of medics doing this once or twice...and that's taking into consideration the surrounding departments, all of which I have at least one friend on...Where are you getting the numbers? If it's personal obs, why are you working for a crappy company? Would that not have made you a crappy medic by association?

Nicely done!

I would buy that SOME of our errors result in death...not all. "In its report, To Err Is Human: Building a Safer Health System, the IOM estimates that 44,000 to 98,000 Americans die each year not from the medical conditions they checked in with, but from preventable medical errors." (from website listed below). Now, this is out of (roughly) "Medication errors are among the most common medical errors, harming at least 1.5 million people every year, says a new report from the Institute of Medicine of the National Academies." http://www8.nationalacademies.org/onpinews...?RecordID=11623 This is a FATAL error rate of 3 percent of the errors made. So...in other words, if there were 110.2 million visits to ED's (please see my post on page 2 of "Save 1-2 million patients in 2009 ??" for proper reference to the number given), and 1.5 million errors were made. This equals approximately 1.33 percent. So...of that 1.33 percent, approximately 3 percent are fatal errors. This is .00043 AKA 0.43% of the total number. Here's an interesting article by the FDA. http://www.fda.gov/fdac/features/2000/500_err.html

Can I get a liter a cola?

First, the source you quoted is not valid. It's an advertisement for a private company. A good source is a peer-reviewed journal, well respected health agencies (CDC, WHO, etc.) scientific journals (these are peer-reviewed). Here's what gives it away..."Only TruePosition has the intellectual property, technical expertise and unparalleled operational experience to provide mission-critical, location-based safety and security solutions like Emergency Call Location. Today, TruePosition’s U-TDOA location technology keeps over 100 million wireless subscribers in the United States safe and secure." http://www.trueposition.com/web/guest/emer...y-call-location Now...the 200m is referenced from FCC-a good source. Lets look at this: "According to petitioners, in 2006, PSAPs in Tennessee reported more than 10,000 fraudulent 911 calls from NSI phones in just a three-month span of time. In Florida, several PSAPs reported approximately 8,400 fraudulent 911 calls from NSI phones in just one month (December 2006), constituting more than 96 percent of the 911 calls received by those PSAPs from NSI phones." from http://fjallfoss.fcc.gov/edocs_public/atta...OC-281494A1.pdf The reason I bring in the "fraudulent" 911 calls, is because, although it is not a significant portion of the calls made, they are a percentage, which needs to be figured in. As far as the 200million calls to 911 a year...I've spent roughly an hour scouring the FCC website for numbers. The closest I can come up with are: "Currently, about 260,000 calls nationwide are placed to 911 every day." This is from document ntcc4002 from the FCC website. The only problem is, the number of calls listed was from 1994. But it calculated out to approximately 95 million calls a year. If you can find it, cite it in a post. I'd be curious to see the actual number from a more recent year. Acuracy is needed for a good debate. Otherwise, it means nothing. When you bring "facts" into play, support them by citing where you got them.

This is the WORST witness to a refusal! Why: because it is almost anticipated that they will CYA each other. The best: family/friends of the Pt, second best: LEO's.

Ok...I have a few issues on this. First and foremost, there is NO SUCH WORD as ALOT. Doesn't exist. If you'd listen to the spell check option before posting, that's why it highlights it. Alot=no word a lot=many allot= to give/ration, example: I have allotted $20.00 each month for entertainment. Get your grammer right. Second: You stated that there were an estimated (I'm rounding up here) 1/2 million Pts who died as a result of "Dr. Issues" in the U.S. Here's my issue with this, you have compared this number to the number of "estimated hospitals" in the U.S., as opposed to the CORRECT correlation of number of VISTS by patients to hospitals. So...I did a little research, according to the CDC "There were over 1.2 billion patient visits to physician offices, hospital outpatient clinics, and emergency rooms in 2005." (http://www.cdc.gov/nchs/pressroom/07newsreleases/patientvisit.htm), and if you don't want to include PCP and clinics, heres another quote: "In 2002, Americans made 110.2 million visits to hospital emergency rooms, a 23 percent increase over the 90 million visits made in 1992." (http://www.cdc.gov/nchs/pressroom/04facts/emergencydept.htm) So, lets take the LOWEST number of visits, and get a "failure" percentage for Dr. (this is all estimated, and assumes the 1/2 million number is good)=0.0045%. A LOT lower than 1-2%. So, if that's the case, why would EMS have such a dramatically higher "failure" rate, when, I'd say a good average contact time with the patient is 30 minutes or less? I was unable to find stats on number of transports via EMS for the U.S., so I can't "fight" the given stats, other than, where did you get them? You need a source..."I just know" is not viable.

What is the motivation for them taking over extrication operations? From the sounds of it...they don't have the qualifications...

ADLS=Advanced Disaster Life Support ATCN=Advanced Trauma Care for Nursing (usually this course and ATLS can be audited by EMS people)

The cool thing about this is...the Trauma teams here have been doing this with out-lying hospitals for several years with really good success-so they care, which is good. The actual picture shows in the ED "telemetry" room (where the radios are located). In reference to the other...as far as I know, it's digitally scrambled and "trunked" to make it virtually impossible (note virtually) to descramble it, even if intercepted.

In the City of Tucson, they are experimenting with Tele-Medicine...where some of the Cities' ambo fleet has cameras in the back, as well as outside in the rear. These are able to be turned on ONLY by the attending medic, and are used so that UMC can get a better picture of what is going on with the patient. The camera's are so good, you can seriously zoom in to see individual hairs on the patient's head (cameras are located on the rear wall, against the ceiling). These are recorded-as is any communication with the hospital-but it is for Pt care...not CYA.

I know this question has been brought by DPS in Arizona. They have several helicopters that do LEO stuff, and also are medivac if necessary. They are medics-and as such can come across this situation. When it happens, as they are being paid for both, they wear both "hats." So...if they do come across contra-band during a call, they are required by law (as they are acting also as LEOs as well) to deal with it in an appropriate manner. Now...they do apply common sense here...they always deal with the medical first before LEO stuff, and then when the patient is stable, they deal with it.

No. The practicals are typically done on the last day of class, and after that, you go to the NREMT website and go through the steps to obtain an approval for testing letter. Once this is done, via another website (whoever NREMT has contracted to host the test in your area), you schedule a time to take the test. EDIT: Sorry, forgot to say, the cost for the NREMT written is around $70.00 (for the EMT-.

Husband Store A store that sells new husbands has opened in New York City , where a woman may go to choose a husband. Among the instructions at the entrance is a description of how the store operates: You may visit this store ONLY ONCE! There are six floors and the value of the products increase as the shopper ascends the flights. The shopper may choose any item from a particular floor, or may choose to go up to the next floor, but you cannot go back down except to exit the building! So, a woman goes to the Husband Store to find a husband. On the first floor the sign on the door reads: Floor 1 - These men Have Jobs She is intrigued, but continues to the second floor, where the sign reads: Floor 2 - These men Have Jobs and Love Kids. 'That's nice,' she thinks, 'but I want more.' So she continues upward. The third floor sign reads: Floor 3 - These men Have Jobs, Love Kids, and are Extremely Good Looking. 'Wow,' she thinks, but feels compelled to keep going. She goes to the fourth floor and the sign reads: Floor 4 - These men Have Jobs, Love Kids, are Drop-dead Good Looking and Help With Housework. 'Oh, mercy me!' she exclaims, 'I can hardly stand it!' Still, she goes to the fifth floor and the sign reads: Floor 5 - These men Have Jobs, Love Kids, are Drop-dead Gorgeous, Help with Housework, and Have a Strong Romantic Streak. She is so tempted to stay, but she goes to the sixth floor, where the sign reads: Floor 6 - You are visitor 31,456,012 to this floor. There are no men on this floor. This floor exists solely as proof that women are impossible to please. Thank you for shopping at the Husband Store. PLEASE NOTE: To avoid gender bias charges, the store's owner opened a New Wives store just across the street. The first floor has wives that love sex. T he second floor has wives that love sex and have money and like beer. The third, fourth, fifth and sixth floors have never been visited.

The AHA Healthcare Provider Course (Professional CPR) is typically $25-35. The NREMT-B exam is a computer based test, taken after the practicals. The practicals basically are set up like this: they give a scenario and a given task for you to accomplish-IE get an airway, assess a medical or trauma patient, or splint a long bone injury. The forms can also be found on the NREMT website. These are the exact forms used during the practicals. http://www.nremt.org/EMTServices/exam_coor...=1#BSkillSheets This is a link to the page where they can be found. There are ones you will be tested on, and then a couple of "random" stations. Those are all explained on the referenced page. Hope this helps!

Wow. I'm so sorry that you had to go through with that. The only other thing I might have to add in addition to what everyone else has said is, maybe the FF/medic replaced the drug for you. If you checked the drug box in the AM, and everything was there, and there was everything back after the call, it would be a logical conclusion. Again, that other place we were talking about when I checked it out seemed pretty good.