DFIB

Something like this? http://www.neuticles.com/ultraplus.php

They did provide a service. They staged in the event there was risk to life of any person and to protect the neighboring members property. I would hate to be a fireman in that situation but I am sure that the firemen are well accustomed to their system. There must be many smaller incidents that occur frequently possibly every day. "In the early days that is how the system worked. "New York City companies were famous for sending runners out to fires with a large barrel to cover the hydrant closest to the fire in advance of the engines.[citation needed"] Often fights would break out between the runners and even the responding fire companies for the right to fight the fire and receive the insurance money that would be paid to the company that fought it" -- wikipedia--

Absolutely insane. There is a developmental facet that involves enamorment with authority figures of the opposite sex. It is normal and healthy, The teacher has problems not the child.

Go ahead and post. I think most will be receptive to your story and have some good words for you

You beat me to it sister.

This is reasonable justification? And it tells us what? That your peers would disapprove with ridicule, your supervisors with remedial disciplinary training. Some substances cause phlebitis sure. No I just want to know if it is a viable route to administer meds if you cannot establish an IV line. Is questioning the validity of a procedure a negative? That is the point exactly. You have given no evidence that it is off the wall or why. Ruff, vorenus and paramedicmike made a pretty good stab at it but you haven’t offered anything and refuse even try, I am not the sharpest pencil in the box by far but I know I am smart enough know a dodge when I see one. Please save the "you are too smart for this" angle for HLPP, Flaming and the likes. I would like to say that angle will not work on me but it did. hehe You got me to get back into a discussion that had obviously become sterile. After rereading the thread I can summarize that: As far as I can tell at least two posters have seen intravenous injections administered by doctors and one has done it himself with positive results. General Practitioners in Germany use intravenous injection but it is not taught to medics. None of the posters manifest having done intravenous injection with negative results but many demean the administration route as “mainlining”. The articles I found did not refer to extravasations but to the risk of phlebitis due to improper dilution of medications specifically benzodiazepines. I can’t find a whole lot of information either in favor or against. I ask a couple of doctor friends and they said they use intravenous injection when they want to push meds but don’t want to run an IV. They expressed no reservation except that some substances produce phlebitis when not appropriately diluted. Some medications require no dilution at all. So my EMT level conclusion is that medications can be given intravenously by personnel whose scope of practice involves medication administration. It could be beneficial in an emergent case where an IV line cannot be established. It seems as well that the medics participating in this thread are for the most part uncomfortable with this via of administration but have not cited a specific protocol or prohibition. Taking in account the many years of combined experience of the participating medics I can conclude that their preoccupation with the route of administration indicates that it can be done with extreme care and as a last resource. Also that although they have not done it believe it to carry hefty risk. It is not the via of choice but is not prohibited. Thoughts?

Good dodge. Mighty touchy for a thought long ignored. I often attempt to get good responses that make sense from you medic guys. Not about "you have challenged Moby the paragon and are trying to make me look bad" but more "why not" because I don't know. If you don't know or don't want to answer that is fine. I appreciate your time anyway. .

When I was a kid I grew up in a area where the locals drank a sugar cane moonshine. Our guard dog had been beaten by one of the local winos as a puppy and could smell them from a block away.

It is a pleasure to have you. Welcome

I have stood first assist for many c-sections but would by no means consider that I am trained to do one. It is a serious abdominal surgery that involves two lives and my license to practice. It should never be taken lightly. I agree, If a physician were present to direct and sign off I could be his/her hands but just can't see myself going solo. In this scenario I would do as you did. Maintain perfusion as best I could and have a surgical team on standby at the receiving hospital. Good call. edited for spelling

I hope you are right. The systems here are so much different than in the US. I am not even sure that experience here will even count in the USA. I am really excited and hoping I can drum up some EMT gigs in Texas this summer. It worries me some.

Do you figure your BMI with a wII? I am convinced that the WII is configured to the asian build and genetics. For anglo men with some beef in the shoulders I find that the WII wants to call us obese. You are a Kick boxer! You might just be my new hero! Felicitations amiga! Loosing weight is one thing but keeping it off is an entire different situation. You can be proud of yourself! I am with you on the over 40 stretch! It takes twice the work to get half the results. I am 5'7'' and weigh 185 but wear 32'' waist in wrangler jeans. Two years ago I was around 210-215. The Wii measures me as obese but I think the Asians are trying to mess with my head. The Wii had to have been designed by a bunch of skinny rice and fish eaters. I work out lifting weights 5 times a week for about 1 1/2 hours each day when the schedule permits. I hate cardio and really need to get back to running. My biggest concern at this point is being in good enough shape to compete in the job market with the younger whippersnappers. Being "older" is kind of scary when moving into a new job description.

Physical fitness is a key component for EMS providers in the field. It is also possibly one of the areas that is most neglected. I hear guys post that they are no longer in the field because of injury. I read of the high incidence of emergency workers and on the job heart attacks. How often do you work out? How often do you do cardio and how often do you lift weights? Are you happy with your workout regimen?

You mean it isn't because of your EMS paragoddess status, Ma'am? I often wonder about ongoing fitness, and how it applies to current employees. I watch the firefighters do the fitness testing for job interviews. I have never done it because I don't like smoke and fire. Some of those guys that get turned down are in great shape and some of the guys that are applying the test have bellies bigger than their egos. I think that at least some of it has to do with messing with the new guys regardless of their gender.

This is a horrible thing to say in a thread where a fellow EMS person is reaching out for help and advice. Definitely not in the spirit of helping. I think you might be the better candidate for therapy.

Come on Mrs. Magnet! We all know you are fearless. All kidding aside, those that might be brazen would probably do it out of naivite. Once you have been to the puppet show and seen the strings the perspectives shift. Yes Ma'am, the puppet show will definitely change your view on things.

Sounds like a sweet gig. Most of my patients are of doubious moral character as well as my friends so what the heck. Too complicated on the legal side to pull off in the real world.

Yes we get kinda silly on ocasion. It does change the perspective considerably to think that you would share with people who could be considered protagonist in the thread. Sometimes we post to ilicit an emotional response and other times respond with emotion. Sometimes we use extreme hyperbole to get a point across or even weird metaphors. How harsh we must seem to the protagonist. Pity.

A wise choice.

There are a couple of patients I remember more than others, and some that are difficult to get over. One of the things that helps me first and foremost is a good operational debriefing. It seems to me that it has been some time since this incident. You might want to get a chance to talk to one of your partners that were there or one of the attending at the hospital. Recounting all the things we did right helps me. Cesarean childbirth is an impressive surgery in the best of situations. There is a lot of fluid and blood. It seems very unnatural for all of that liquid to be flowing from an abdomen. I have seen many c-sections and still cannot get used to them. I can only imagine how impressive and appalling it must have seemed outside of the controlled environment of an operating room. Despite how appalling it may seem, you have to know that by that time the results were not in anyone’s hands but Gods. If you believe that God exist then know that many of the things we cannot understand He keeps in control. In a case such as this any effort to save life is an act of desperation more than skill and the results most definitely do not depend on us. So many times the trauma or illness surpasses the bodies ability to compensate or absorb the energy. If none of the old crew is around, talk to your friends at the station, your family if you think they will support you, the chaplain, your pastor or priest can listen and help. Any of your partners or chaplains will recognize if you need a more professional help. You are doing the right thing by reaching out but you will benefit much more if you talk to someone close to you and more professional.

The mongolians sent him back! Must have turned on the lights!

Canadian wecome!

After reading the long article the RSI case was stolen from a medical supervisors truck and later returned to a different Fire station after the news was disseminated. Talk about dodging a bullet!!

Welcome! Did the responses from your first post help you any? Jump in and participate. New blood "excites the senses". Welcome to the city!

Yes Ma'am. I wonder if that will get me a donut from the break room?