Arizonaffcep

How cool would that be to sit in the window seat of her breast, press your face against the window and look like a nipple?

When my wife and I were shopping for a box for our EMS program, we hit Ebay fairly regularly. Got a decent one with under 100k miles, older Ford Power Stroke, for 4,500.00. Might want to check it out!

Why? The added cholesterol from the cheesesteak wouldn't do anything to a dead guy... +5 for creativity... -5 for not thinking it out! Ya...it's an OSHA/DHS violation here...actually to eat ANYWHERE in an ambo in AZ (read as: back or the cab). Can carry food, no problem. Just can't eat it. An ambo that smells like cheese steaks...I can certainly think of a LOT worse smells than that in the back!

So here's a question: I once called 911 in PHX, because a car had parked itself in the middle of a busy street (Cactus Rd around 7th street ish). There was no one in the car, the lights were out, and it was around 0200 hrs. To make matters worse, it was parked in the high speed lane, was dark in color, and just outside the light area from the intersection, on a curve. To me, this is a disaster waiting to happen-mostly because I almost smacked into the back of the car. So, I dial 911 to see if Phx could send PD and get it towed, or something. When the operator answered, I told her right off the bat "at this point, it's a non-emergency" and they hung up on me. I called back, same thing, only before the hanging up part, they said call the non-emergency number, but never gave it to me. So, I drove away, knowing I had at least done my duty to notify 911. Was this proper? For either myself or the dispatcher?

Only problem I see with this...first, it would decrease even further the number of fire runs FD's go on. Second...it would force them to further justify their budgets and lack of calls, etc., forcing them to take over more EMS!

No pun intended, I'm sure...

Just to stur the pot a little...I don't think it's a "can not" care for themselves thing, as opposed to a "choose to not" take care of themselves. Again, just to stur the pot.

Of course with any vent transport...CO2, POx and cardiac monitor=MUSTS...and also why I NEVER transport a vented Pt without a BVM kept between his knees (ground transport) or just off their left hand (for flight).

Hence why it's always important to have a BVM in addition too... EDIT: The 754 is what we use here. I have some experience with the auto vent 3000, but I like the 754 better. Does a little more, it's fairly simple to set up, although the adjustor nobs for rate and volume are VERY touchy. I like how you can monitor the peak pressures and other things as well.

Another good thought is a couple of extra pairs of socks.

Either way, can be solved easily with a good magazine and a laxative...

In my kingdom (read as: my house), the bottom of my boot. None...freedom of speach (double edged sword-but worth it!)

Last I heard the officer who did the "take down" has pleaded "Not Guilty" to assault. Personally, I think he way over-reacted and this was a classic case of "contempt of cop" syndrome. I'm all for doing what needs to be done to halt certain behavior, but there must be a line you cross to get a result like that-which is not a half-assed attempt to kick a shoe at you.

I have to disagree with you on this Richard...if you look at the poll questions, while the first has some very varied answered, yet the "would you render care" question was 100% yes-as it should be. Wallet biopsies and "country biopsies" have no place when rendering care to a patient. Now...after care is done and patient has been transfered to the hospital (or wherever is appropriate), then maybe report them. Here in Southern Arizona, Border Patrol doesn't seem to care about the individual UDA, but do like groups of UDA's-in other words, they don't do anything for the lone UDA, but will for group ones. But, regardless of nationality or what not, we MUST render care. One thing that I found interesting was that the U.S. has a mandate for immigrants/visitors/etc, that if you enter the country healthy, the U.S. has the responsibility to treat and correct the situation if you get sick/injured. One of the reasons why we get Fed $ for people who do not have citizenship.

@ UMC in Tucson, there are 4 rooms, rooms 3 & 4 can be split to have 2 pts a piece. In Trauma Bay 1 & 2, there are 2 FAST machines, a Pyxis, a Level 1 machine (there is an overhead X-ray machine, but it is very cumbersome, so X-ray techs prefer the portable X-rays). There are several traction splints, difficult airway cart, Central line cart, medication refrigerators, boom which contains a Philips Monitor and on top of the ACLS cart a Philips MRX monitor for defib, internal defib paddles, ED thorocotamy trays (x 2), and the Hot Add-Mix warmer (250ml NS bags warmed to 150 degrees F, which when combined with blood products-the blood product MUST be hung like normal and the NS MUST be forced up into the blood, creating a swirling action and warming it to body temp, allowing for RAPID infusion), along with LR and NS warmers. All suites contain the Philips monitors and ACLS carts, chest tube set ups x2, etc. Basic layout is simple: square room with stretcher in middle and boom with monitor off to one side. Now, in June/July of this year, UMC will be opening their new ED/Trauma area, which makes the trauma area 4 beds (for immediate resuscitation) and an 8 bed holding area (post resus). It will also have a dedicated X-ray and CT scanner. Right now, we have to take Pts to CT which is not far, and all in very close proximity to the OR suites (less than 200 feet). I'm not sure if there will be a dedicated OR suite there, or if we will have to walk the Pts down the hall, but we will see.

Not always true. I have been to MANY MVC's involving UDA's and high speed chases. I'm not commenting on how appropriate these chases are, other than to say, they happen. This does lead to a DIRECT and IMMEDIATE threat to public safety, as ultimately they tend to end in badness. Other than that, in the Southern Arizona area, UDA's break into people's homes all the time (general statement, have known 1 person whose house was broken into no less than 4 times by UDA's in 1 year, several guns and cars were taken). But it is not that uncommon. So...it's not an accurate threat. Besides, what about a threat to themselves? EDIT: Reference the 1 person whose house was broken into, I know many others, he's just been lucky enough to have repeat visitors.

Are you a student? Or are you practicing?

A not uncommon scenario for this pre-hospital would be the dialysis Pt who is in an arrest situation, with an unk last dialysis time-line. IF you carry it, can also use D50/insulin combo, plus Albuterol neb (in-line with BVM).

Do you mean the abuse? Or the fact that it would be a non-mandatory reporting state?

I know you had said earlier that the school doesn't want to do much in the way of actual drug calcs. Being that the case, what about drip rates? For instance: You have a 30 minute transport and need to infuse NS at a rate of 250/hr, how many drops per minute on a 60gtts set up? Something like that. It's part of the NSC for EMT-B, so it should already be known.

It was so good, I thought I'd echo it!

Got this email today (used to be IAFF when I was with the FD)...thought it was kinda funny... "IAFF Position Statement Against Consolidation of Fire and Police Departments The current economic decline is leading some municipalities to consider consolidation -- or merging -- of fire and police departments under a single public safety office (PSO) with the guise of saving money. IAFF affiliates need to be aware of the severely negative effect PSO systems can have on fire services. The IAFF has developed a "Fire and Police Consolidation: An Ineffective Use of Resources" manual to give affiliates general information on PSO systems and guidance to prevent them from being implemented in your jurisdiction. A detailed toolkit -- available to affiliate leaders -- accompanies the manual and includes a list of top 20 questions to ask city/county managers, mayors and councilors who may be considering a PSO system. Consolidation generally involves the elimination of the fire chief as the head of the fire service and the appointment of a public safety director to head both fire and police operations. It also involves the replacement of fire fighters with public safety officers who perform both police and fire duties. The IAFF opposes the consolidation of fire and emergency services departments with local law enforcement agencies, including the move to so-called "public safety officers" who are cross-trained to perform both fire/EMS and law enforcement functions at the same time at an incident. Implementing PSOs undermines effective fire suppression and emergency medical response by relying on personnel on scene to act in multiple roles -- roles that are often at odds with each other and which cannot be done simultaneously, such as securing a crime scene and treating a gunshot victim or attacking a fire. The roles, training and equipment for fire fighters/paramedics and police are vastly different and distinct and should remain separate. In addition, the consolidation concept breaks up the company unit of a fire department, whereas police respond as individuals or in teams of no more than two. It also frequently means a reduction in fire fighter staffing and crew size. Attempts to consolidate fire and police departments are traditionally associated with efforts to cut the cost of public safety, but the anticipated benefits are rarely realized and instead result in poor service, increased risk for the community and require additional resources -- thus increasing costs. IAFF affiliates should be prepared to educate elected decision-makers about the dangers of PSOs and encourage local elected officials to consider the fire accreditation process developed by the International Association of Fire Chiefs (IAFC) and the International City Managers Association (ICMA) in the 1990s. Accreditation is the most effective method for assessing fire department resources and performance, and is designed to develop a long-term improvement plan for fire departments (factoring in cost considerations and community risk). Fire/EMS and law enforcement staffing models are diverse and complex, and cannot be based on attempts to provide a cheaper method of service delivery. PSO systems offer false short-term hope and real long-term problems. Quality of service must never be sacrificed and life-saving resources should not be reduced to balance the bottom line. The economy is just one of many challenges faced by fire and emergency services. The IAFF maintains the position that any consolidation of fire and police organizations will further harm resource-deprived communities. Management and labor must work together to seek real solutions to building strong, efficient and effective departments based on data-driven models such as those included in the accreditation process. Accreditation is offered through the Center for Public Safety Excellence. For more information, email mshaffer@iaff.org or call (202) 824-1546. Download the Fire and Police Consolidation: An Ineffective Use of Resources manual." Anyone else smell hypocrisy?

http://www.haix.com/usa/firefighting_us.php Seriously good boots...pricey, but worth it. Any of them are great. I had a pair when I was with the FD, lasted 3 years and were as comfortable as my sneakers.

Sure you don't mean a snow board?

My current service doesn't have BLS units...so irrelevant for me . However, the first service I was with did NOT have them on their BLS units, which was a constant sore spot for me. Thankfully, they have changed their practice and in the last couple of years they have placed AED's on ALL BLS rigs.