JakeEMTP

And to think the ambulance in the video was from the "hero's" at Seattle's own Medic One, the US leader in emergency care. Whatever helps you sleep at night. Serious FAIL! Fondling your pt.'s breasts as demonstrated in the video is not necessary. Simply use the back of your hand, or your forearm (I know, but we've all done it) to allow for the correct placement. Be a professional.

I have not used the programme before. I do however carry a small English to Spanish translation guide in my pocket entitled "Speedy Spanish for Fire and EMS Personnel". It has afforded me the ability to acquire pertinent information from some Spanish speaking patient's I have encountered. I do not recall what the cost was as I've had it for sometime. I do know it wasn't excessive. While I do not need it on a daily basis and my second language is French, it is just another tool at my disposal to assist me with pt. care. Barnes and Noble is where I picked it up. www.speedylanguage.com is the publisher and, if they're still in business, I think you could order one from them if you wished.

Non. Vous ne pouvez pas avoir plus de guacamole. Sa forme cosidered mauvais. :coool:

Ha! Agree with Dustdevil! Personally, since being able to speak and write English is (or should be) a prerequisite for providing EMS in the USA, I don't see why the test should be in any other language. The test is a test in itself as to whether the testee (can I say that here?) understands the language.

You're right of course Vent. Always the voice of reason. Again, w/o being on scene, it's all speculation. However, using HEMS for the injuries described seems a little over the top.

Wow. Sorry to hear about this. My condolences to the Porphy family. Did they really fly somebody with arm pain and a lac on his head?

Was watching some of the video's attached to the link fireflymedic posted and came across this one. I know it's been posted before, but still. http://www.youtube.com/watch?v=Cp46fuEAANg&feature=related Anyway, I actually did smile at the Lego FF. This is posted in funny stuff right?

Not so much an attitude, more like a random thought. I just don't see it as we don't utilise the helo very much. I have been on a HEMS for a couple of weeks as an observer. I do have some clue as to what goes on. I wouldn't make such a statement blindly. I just don't see it. Perhaps in more rural areas there is more too it. But here (as I stated originally) the Helo is used more for inter-facility transports where the flight RN does the majority of the work. I aplogise for making my opinion known.

Hey JD. I'm just about 1 1/2 hrs from you in Pitt County. Are you taking your class at Wake? There is a member here that took the degree programme there. Enjoy your classes and as firefly stated, don't be afraid to ask questions!! Oh, and is it true the best thing about Raleigh is the sign that says "Greenville 85 miles"? LOL

I have never really understood the fascination with being a flight medic. In the area I work in, we rarely use the helicopter due to our proximity to a level one trauma centre. On the few occasions that we have had to call the helicopter to a scene, the pt. was treated and prepped for transport by the ground crew. All the helo team did was load and go. When it comes to inter facility transfers, it was the RN that performed the majority of the interventions. ie Neonates. Must be the prestige and the helmet.

It depends. Is he symptomatic or asymptomatic post Adenosine? How does he present? What does he look like? If he's just sitting on the stretcher chillin', I'd monitor him. Before Adenosine though, I'd would have tried a vagal maneuver. A HR of 130 doesn't set of alarms since he has a cardiac hx of palpitations and a Cath. As the above posters have stated, w/o a strip it is hard to tell what we would do. But anyways, I wouldn't give Adenosine for a HR of 130 and the pt. presented as stated.

Just so we're clear, it's HIPAA. Our service basically provides the same info as dera's. Sex, age, c/c, V/S, spinal imobilised (if required) and disposition. Anything else in my opinion would be a HIPAA violation. Due to the number of whackers out there that scan the airwaves, one never knows who is listening.

Tragic. Condolences to both families. To answer your question, the FF in question would not be hired by us do his medical hx. Although he takes medication for his conditions, he would still be ineligible for employment. The risk factor is to high. The nature of our profession requires that one stay mentally alert. Driving an emergency vehicle is different than driving a car. We need to be better than the average motorist. Saying that, if there is a possibility that an EMS provider could have a epileptic seizure either on a call or whilst driving is to great a risk to take. I don't even want to start the texting/cell phone thingy. My BP is still elevated from the San Antonio FD thread! Our Medical Director is looking at regulating the number of hours a provider can work consecutively. 36 hours straight would not be allowed under his new rules if he has his way. Since it is his medical license, it is likely to come about.

When I lived in Toronto, A deejay on Q107 used to have a feature called the "Tool of the Day". These clowns would qualify for it. It's not as if it was a MCI where there were multiple patient's to take care off and they had to triage the scene. There was one. Check for V/S, place the pt. in your ambulance and do your freakin' job! Just because there was major head trauma (which is criteria here for pronouncement) doesn't mean you don't assess! This shyte makes my blood boil and I am getting really tired of reading articles about piss poor pt. care. If you don't want to do it, fine. Don't let the door hit you in the ass on the way out of my profession. I also noticed that the driver had not been charged at the time of the articles writing. However, the article clearly states that the driver of the pickup "failed to yield" the right of way. WTF?

This is the only one I know of Kaisu. Wake EMS has what they call an Advanced Practice Paramedic. I have heard through the grapevine that the programme is dong well and the medic's who do this love it. http://www.wakegov.com/ems/staff/app.htm

While you will not find "Ambulance Ass" in any dictionary or medical journal, I can assure you it's a true phenomena. It usually is associated with the lazy provider that sits in front of the TV watching the "price is right" waiting for the next call, while trying to accomplish a new world record for the most Cheeto's placed in one's mouth at one sitting. True, we do eat at weird times but does not always have to be fast food, which we all know is not the best thing we should be eating, but is usually the fare of the day due to convenience. I like a good ol' greasy cheeseburger as much as the next guy, but I do try and limit the number of times I have one. It is better to use your downtime at the station for studying or exercising. We have a complete set of weights and a Bowflex at the station I work at. I realise all services don't have these, but equipment is not always required. There are some excellent programs for exercise that do not require weights at all and are based more on resistance training. Try to watch what you eat. Prepare your meals at home and bring them with you. Snack on vegetables and fruit instead of Cheeto's and Frito's. I guess it all comes down to the individual. You have already established a goal to lose weight and I applaud you for it! Don't waste that when you get a job by becoming "Ambulance Ass"

Word. I also thought this would have been some sort of hostile FD takeover thread. Instead, I was pleasantly surprised.

So if I'm reading this correctly, all they want is what we've been saying all along, revenue. I find it extremely hard to believe that the FD is doing the majority of the work at an MVC except for the "last 10 minutes". Are they assessing the pt.'s or does everybody get a collar and board? How about lung sounds, hemorrhage control, pain control, the list is endless. The sad thing is, council actually LIKES the idea. Pt. care be damned! We need the money! Between this and the brilliant idea L.A. has of transporting patients to the appropriate facility, I'm just overwhelmed by these breakthroughs in patient care!

So, according to your numbers, FD's only respond to 20% fire calls. Just because CA just stabilizes and transports does not mean the rest of the Country does EMS this way. We have tried, to obviously no avail, to explain to you that CA does EMS poorly. Do not judge my chosen profession by the way CA does it. I have never had any desire to be a fireman and still don't. I don't care if thousands of out of State applicants apply to your dept. The issue is and always will be EMS is a way for more knuckle draggers to get on to a FD. EMS should be seperate from the FD. Since you say 80% of your FD calls are EMS related, shouldn't EMS be making your 150,000 per annum and the FD considerably less? The first line in your comment would be comical if it wasn't so very disturbing at the same time. You just don't get it. It is ALL about patient care! Not just to some extent! Oh, and I fixed your quote. See if you can spot the changes.

Anything that increases safety I'd support. I think though with the LED lighting on newer ambulances, air horns and the ability to change siren tones, I don't know if this particular device is necessary, but again, I don't see a negative. Cutting the number of wrecks at intersections from 16 to 8 is excellent. However, is the Growler the sole reason for the reduction? I would have to say no it isn't. Unless there are no blind intersections in Tulsa, I wouldn't know why the ground was shaking. Changing the tone of your siren when approaching intersections is a good way to notify the lay public of your pending arrival. The difference in tone does get the attention of drivers if you have been using the same one for some time. I have no real evidence of this I concede, just personal experience. As an aside, ECU crushed Tulsa last night! Go Pirates!

Welcome back Jack! Also good to have another Physician on here to offer their input!

OK, Am I the only one who sees the injustice here? Why does this whacker deserve to have the charges dropped? The DA is a joke. If he had killed someone blowing through that red light would it still be ok? http://www.firerescue1.com/volunteer/articles/602445-Firefighter-arrested-for-speeding-to-fire-call-in-NC/ Peruse at your leisure.

It's OK Wendy. My post was deleted entirely and it was tame, or so I thought.

I might have to go read the article again, but why is the IAFF pushing this and not the dept. itself? We all know why the IAFF wants to do EMS. However I guess I missed any comments for the AFD Chief or City commissioners in the article as to whether or not this is something they want to do..