DFIB

I see what you are thinking but would also have the suspicion that this might be a little more serious.

You are kidding right? Naaahhhh

The complexities of the confluence of human interaction and professional boundaries are part of the tapestry of the health care providers life. These interactions involve all of our feelings, glee, sadness, insecurities, happiness, compassion, anxiety, awkward, love and pain. One of the great fallacies of EMS training, is the fueling of the superhero, adrenaline junkie, I can handle it BS mentality. The truth is that often we cannot handle the flood of emotions that are evidenced in each call. We need to express our feelings. The very nature of EMS denies us the opportunity of affectionate relationships with our patients that other more long term providers can attain. Consequently there are very few times we have the opportunity to have an affectionate relasionship with our patients as EMS providers we get to find closure in a case where a relationship has actually been cultivated. Visitation is a time when the family provides a platform where all of the people who were touched by the deceased have a chance to come and say " You mom was a great lady, she made an impression on my life". For EMS providers it gives a chance to experience that elusive release of closure. So you decide if what you did was inappropriate. You decide if paying your respective is wrong. You decide if manifesting your feelings and solidarity with your patient ant her family is wrong. If only the world had more caring people....

Break out the backboard.

So long as it is my job to repopulate the earth, we can be very serious.

Smart observation regarding the production standards of the rum. Also was it purchased at a reputable liquor store. Violated alcohol is an increasingly preoccupying phenomenon.

Why not just cremate them all and turn the fan on just in case!

Here are a couple of studies that talk about O2 administration in MI patients and the effects it has on the ischemic tissue. http://www.thecochranelibrary.com/details/editorial/742329/Oxygen-therapy-in-acute-myocardial-infarction--too-much-of-a-good-thing.html http://www.rsm.ac.uk/media/downloads/j07-03oxygentherapy.pdf Enjoy!

If I remember correctly the EMT text mentions that "every patient can benefit from O2" Research shows that hyperventilation produces free radicals particularly in ischemic tissues, making the previous statement debatable to say the least.

So much violence! Make love not war!

Cistic Fibrosis?

This is an excerpt from a newspaper in Texas. I don’t know if it will add anything to the discussion. It just so very sad. “C.W. and Patricia Guiles, who were both in their 80s, were found by their children late Wednesday afternoon at their home”…. “According to investigators, C.W. shot and killed his wife before shooting himself”…. “Evidently there were medical problems, and they both appeared as though they were tired of living, Leon County Sheriff Jerry Wakefield said. It looked like he shot her, and then shot himself” The Buffalo Express Vol 13 NO 8, Mitchell Pate. What a world we live in that elderly people, that led productive lives, raised children, lived and loved would feel that this is the only solution for their life. Could a Dr. helped them go easier? I am sure. Would it be right? I don't know. Makes me sad.

Welcome to the forum! I have no experience in the Boston are but wish you the very best. There are some threads here that address the NREMT test specifically. They might be helpful if you are required to take NREMT. Regardless, there are some crazy smart providers here that have helped me as I continue through school. None of the posters will be able to volunteer information by reading your mind so feel free to jump into the mix and see what happens!

Sorry buddy I know absolutely squat about Fansidar and it's side effects but have considerable experience with expired drugs. What yo heard about expired drugs is true for the most part. In ophthalmic drops I was told by ophthalmologist that so long as they are not cloudy they are still good. The only limitation I find in my personal twisted logic and life experience are drugs that are temperature and light sensitive. I once had a pharmacologist tell me that the problem is not the drug itself but the excipient they are mixed with particularly pills. He claimed that over time the excipients can produce a low toxicity, I have only heard this once and from one person. Many other professionals have vouched for the effectiveness of drugs far past their expiration date. I have also witnessed expired drugs used with expected results. In a place where there are no legal implications you would probably be OK. This of course is a personal opinion without the luxury of scholarly confirmation.

What would our options be? Stop teaching proper safe Rock Climbing? Stop teaching High Angle Rescue? Stop teaching Confined Spaces rescue? Although it might seem in poor taste to the general public that are outsiders to the medium we live in, I think that it is perfectly appropriate. All of us who love to climb, or rappel as part of our jobs, understand the risk, and the cost of our desires. I have no problem with the rock climb attraction.

Strong work! Congratulations!

I guess we can be saps together. I am glad you asked for him and am even happier to know he is OK.

All transports pay the same only some require less effort. I bet the chick was an LPN or simply did not care that much about the transport.

There are some real doosies out there! What did the rash look like? So you were transporting for SOB? Taking him for an nebulization?

It is good to see you posting again Denny. I don't think that any nurse could make it through school without knowing the difference between asthma and COPD. I am guessing she might not have been a nurse or might have been messing with you. Did she seem like she was serious? Was her ID badge visible? So what were his signs ans symptoms? Vitals? Lung Sounds? Pedal edema? Bilateral or unilateral? EDIT: Lets make a scenario out of this Bro!

The guys that go all the way to 120 are the ones that I have heard fail. I am betting you passed. Waiting still bites.

Kiwi, If you check out the forum, know that we are genuinely concerned for you. I am lifting prayers for you amigo.

Welcome to the City! Very cool that you went straight through medic school without stopping on the way to get experience as a Basic. Hang around and participate. Enjoy!

We have a similar situation south of the border. People don't call the ambulance unless there is an MVC or MCI.

@ Eydawn. My previous post was directed at the first world where additional resources are available. In the third world we really have no rules as far as stopping in a practical sense. It is a very rural environment where we are the only EMS ambulance in town since the FF wrecked their ambulance. The service covers 9 counties. I have transported as many as four patients, dropped an EMT off at a MVC when we are already en rout to the hospital with another patient and almost always stop to see what we will be coming back to. Sometimes we triage and have LE transport in pickup trucks. It is an entirely different ball game in areas where resources are so extremely limited. But in a world where there are rules and regulations they must be adhered to.