HF-EMS

im not sure where you are from, and it sounds like you guys have a system that works for you, but regional protocols have us go with the nationally accepted broselow system. To each their own i guess. And provided I have to use the tape, i might as well have the bag split out for me already, right?

hahahaha valid point

its not a question of the algorythms, per se its a question of Body Mass based dosing of meds. I dont know about you but i never get any information from hysterical mothers. Broselow doesnt tell you what to use, it makes sure you use the right amt of the drugs

thanks for the heads up

I am the training officer for an ALS ambulance, we have two ALS fly cars and two ALS ambulances in service at all times. I am an ALS provider. My friend, the equipment coordinator, a BLS provider is re-doing the peds bags, which really just consist of ped NRBs and Cannulas. All the ALS peds supplies are separate in the ALS bag with a broselow tape. I reccomended to him that he should purchase broselow bags, or broselow wheels, that way the ALS peds supplies are integrated into the peds supplies, rather than separate. What do you guys think?

Hey guys, im spec'ing out a new ambulance for my agency to replace a real lemon of a bus. I am looking at the Demers Millenium. Has anyone had any experience with them. Pro's/Con's? Can anyone help me out?

I agree with Rezq.... Any pt, wether im just hanging a bag for fluid rescusitation, or for precautionary reasons, i always attach a loock to the end of my line. It facilitates pt transfer at the hospital, as well as putting the pt in a hospital gown. But mostly, if you have to hange bags, eg. more fluid, hospital hangs a drug, you can set up your new drip set while the line is still flowing and just connect it to to the lock. In fact when i took my Medic class, thats how we were taught to set up an IV, with a lock or threeway attached.

Thanks guys, I would never wear the shirt on an actual call with a tactical EMS patch on it, it was mainly given to me as a half joke/half anticipation of me taking a course. I would never dream of impersonating someone, i have too much respect for what you guys do, thanks for the input. Thanks for confirming what I thought guys, the patch will go with my collection like I planned, good luck and g-d speed all That said Dust, they do make some stupid laws in NY, lol --HF

Thanks, It does. The reason I posted this was, though not currently on a team, I am really interested in TEMS. While working on my ALS cert this year, I have been reading alot about Tactics and trauma medicine. And for myself i bought a BDU uniform shirt, and have adorned it with a subdued NYS EMT patch, matching American Flag, and Name stripe. SO my actual question is this, a friend got me a Tactical EMT patch for the shirt, is it inappropriate to wear it? Thanks again for the help. -HF

Hi guys, i am working on becoming a tactical Medic, and test out for my ALS cert this weekend. I know there are tactical medicine courses (BTM/ATM), such as those offered by Cypress Creek, etc. My question is, is there an actual Certification for Tactical Medic/Tactical EMT, or is it just a specialty you can be trained in? Also any help on where to get started with a PT regimen would be greatly appreciated. --HF-EMS

The protocol issue aside: If you have a medical patient, or any patient with confounding injuries or symptoms that just don't add up, the key aspect of treatment is a good, detailed assessment. While you may not be able to treat the patient's illness/injury, the better you utilize your txp time, and the better your assessment, the less time the hospitals have to spend figuring out what is wrong, and the faster the patient receives definitive care. After all, that is our goal, getting the patient to definitive care in the fastest and safest manner. Additionally, any patient can have unusual symptoms for common pathological processes. A symptom is only an unusual one until we discover an association between it and a disease pathology. Similarly, with diabetes specifically, (& pt's lack of Hx) there is no Hx of anything, until it happens. My opinion on taking sugar, a 45 sec procedure tops, is the same on what my original medic instructor said, all patients where you cant definitely rule out medical causes, gets a 12-lead, case in point the pt with bilateral thumb main with a massive anterior MI. In New York State, I believe that Blood Glucose has been made a BLS Skill on the EMT level. I believe that as long as you treat your patient, and not your glucometer, BS can be a valuable vital sign if not for prehospital care, then as stated above to expedite the delivery to definitive ALS. That said, im sure people will disagree with me, i look forward to constructive criticism

:wink: :oops: People who overdo it with the smileys :evil: :twisted: :roll: :wink: :shock:

Here's another one “The Call Goes Out” 911, and the call goes out. We run out the door and the ambulance shouts. The grind of the gears and the bright blinding lights While some poor soul fights for his life. We slam on the gas and the engine growls mean. And the sirens let loose with their devilish screams. As we fly like demons down the dank city streets. And we enter downtown- a terrible scene. But 911, and the call goes out. My pager goes off, and the radio shouts. Alpha, bravo, Charlie: run. Delta, echo: run faster. The voice in my head is the mellow dispatcher. Waking me up, he’s my slave driving master. So 911, and the call goes out. I'm tired and broken, But can’t let it out. 911, and the call goes out. There’s someone out there, “help me he shouts” 911, and the call goes out. 9-1-1 The call goes out The call-goes-out.

Here's another one “The Call Goes Out” 911, and the call goes out. We run out the door and the ambulance shouts. The grind of the gears and the bright blinding lights While some poor soul fights for his life. We slam on the gas and the engine growls mean. And the sirens let loose with their devilish screams. As we fly like demons down the dank city streets. And we enter downtown- a terrible scene. But 911, and the call goes out. My pager goes off, and the radio shouts. Alpha, bravo, Charlie: run. Delta, echo: run faster. The voice in my head is the mellow dispatcher. Waking me up, he’s my slave driving master. So 911, and the call goes out. I'm tired and broken, But can’t let it out. 911, and the call goes out. There’s someone out there, “help me he shouts” 911, and the call goes out. 9-1-1 The call goes out The call-goes-out.

normally its the smell of feces for me. :pottytrain5: THe only time i came close to actually vomiting on a call was an intox call at the police station. The call was for a male with a hand injury 2ndary to ETOH. When i got there the kid was in a chair with his hand cuffed to the wall. Everything was going fine until he started vomiting with incredible volume, force, and odor. In about 45 seconds he filled 1 and a half desk sized trashbins with vomit. It was so strong and sudden, i walked out of the room and dryheaved for about 30 sec. :-&