JakeEMTP

Exactly. Lecturers in College some times speak to hundreds. It is all on you, the individual to take what you want from it. The difficult part is the skills lab. As stated above, the number of students is all relative to the number of instructors. Anyway, attrition usually whittles the class numbers down to a manageable level. Good Luck with your class. Jim

Medic 5311 enroute to your facility with a 38 y/o/m c/c of a fall from approx. 50 ft. from a tree. B/P = 168/84 P = 124 R = 24 SpO2 = 94 A & O x 4 Pt. is fully spinal immobilised at this time. Pt. has a closed left femur fracture, however is refusing traction splint do to pain. Pt. has been administered 100mcg Fentanyl, however is still in extreme pain. Lung sounds are clear and equal bi-laterally, abdomen is soft in all LUQ, RUQ and RLQ. Some distension and pain upon palpation of LLQ. Requesting orders for additional Fentanyl administration and Versed to apply traction splint.

Well if they have a DNR and they have not gone into shock ( everybody dies of some form of shock) then they need to be treated. DNR means Do Not Resuscitate, not Do Not Treat.

Well, if my home is involved in a fire, I have the luxury of a paid, professional FD to respond. They are well trained, as that is their JOB. All they do is train and wait for a fire, MVC etc. I do not want to wait with hopes that a crew will respond because it's 3 in the morning and they have to go to work in the morning. Even if/when they eventually respond, I want them to be trained as if they where professional FF's. It doesn't matter that you volly, the job is the same. If they don't want to be trained to the same standards as everyone else, maybe it's a good thing that they will have to fold and be replaced by a professional dept. I'm surprised the IAFF hasn't jumped on this golden opportunity to increase membership and the dues that come with them. Here's the thing. Most (not all, relax) Vollie FD's are comprised of the "Good Ol' Boy's" club. Some only want to be part of the dept. for the social aspect of it. Other's are way to eager and have been known to actually start fires because they have missed the action. I think, as with vollie EMS dept.'s, the end is near.

Exactly. You should be looking at this as a wonderful opportunity to have ALS coverage for all. An antiquated system that needs a major overhaul, and the State just did it for you, and there was much rejoicing.

Congratulations Matt! You have every reason to be pumped!

And the hit's just keep on coming. I love this. "Ironically, one of the reasons why the District selected the NREMT certification process is to ensure test integrity," Chief Dennis L. Rubin said in the statement. "If in fact these allegations are true, the D.C. Fire and EMS Department will be greatly disappointed that both the NREMT and Pearson VUE Training Center failed to meet our expectations." The NREMT and PearsonVue failed to meet your expectations? How about your FF'S who were cheating on a very basic knowledge test? That is where the disappointment should lie Chief Rubin..

Here is a good article on Right-sided Infarction. It's a little long, but lot's of info. http://ccn.aacnjournals.org/cgi/content/full/25/2/52#F3 They also suggest moving all leads, including switching V1 and V2.

Yeah, I know Paul. Great guy and really cares about EMS. WCEMS as you stated is at the forefront of EMS in the US. WakeMed is a great hospital which has their own Critical Care transport complete with aircraft. Austin/Travis EMS would have an excellent Medical Director in Paul.

I'll try. Paul Hinchey, James Kempema and Allen Marino. None of my choices are involved with the FD currently.

Nifty, We have the new Panasonic toughbooks. Really, really sensitive screen. I mean, you barely have to touch it to make your entry. I would suggest your service invest in the clear screen cover (or maybe it comes with it?) as this will help protect the screen. You will have to use the stylus provided with the toughbook. A retracted pen will no longer suffice. We also use the Zoll RescueNet tablet ePCR. Not quite as impressed with that as I am with the toughbook. It's not a bad programme, but I'm sure there is a something a little better. It is the only ePCR I have used, so I have nothing to compare it to.

I watched until the 5:43 mark and then became nauseated. It is impossible to extricate someone from a vehicle and simultaneously provide adequate pt. care. Since by their own admission 70% of their calls are medical (which we already knew), why not fund EMS properly and let us do the pt. care, Fire can do the hero stuff. No matter how the IAFF tries and sugarcoat this bullshyte, it still tastes bad. BTW, what the hell was that FF bitch doing in the first few seconds shining a Maglite into the pt.'s eyes? If you do that to me, I'll smack you upside the head with that light!

I work with a female partner during a 24 hr shift and have for the last year. My wife has met her on numerous occasions. We work very well together and I would be disappointed if I had to change partners. In some respect, your wife is correct. Relationships are formed, but a Professional one only. We are a team. We have to work together and a certain amount of trust must be mutually earned. We eat together and do station duties together. On calls, I have to be able to trust my partner and vice versa, so in that sense we have a relationship. In that year, there has never been an accusation by either party, or rumour of inappropriate behavior or whatever. Men and Women working together is a fact of life in EMS. This misconception that overnight shifts at the station are nothing more than one big orgy harken back to to the "Good Ole Days". Today, for the most part, we are professionals. We have a job to do. I would suggest that your wife meet your partner, get to know her as others have stated. Explain to your partner that your wife has some trust issues, and for the sake of your marriage and your sanity you feel it would be beneficial for the two of them to meet. Your partner in fact, may be offended. I think I would. I hope for your sake your wife can trust you a little better. It will make your life far less stressful.

Idiots! Maybe, just maybe they will begin to see the light. FUND EMS! It behoves them as the Government to provide essential services to the citizens they ,wait for it, were elected to serve. I agree with Dustdevil. They will have a Paid, professional service within the week. The citizens will demand it, but not until someone requires EMS and no one responds.

Another prime example of why we need to keep our ambulances locked while not being attended. http://www.buffalonews.com/437/story/620639.html Especially since this is not something new to R/M. I would think they would have a policy regarding this.

Epic FAIL! I agree with Steve. It really isn't supposed to matter who.

Not really. Trauma in the pre-hospital field isn't all that difficult. We assess, manage airway, control bleeding, splint, pain management and transport. All trauma calls require different degrees of the parts I mentioned, some more, some less. They all revolve around a good assessment and treating accordingly. Of course, I'm probably not telling you anything you don't already know. I have no idea how much time you were on an ambulance during clinicals, however, I think it's safe to assume you rode enough to treat some trauma patients and having a Military background only reinforces my belief. You will be fine. The key is to relax, do for the patient what you were educated to do. Good Luck!

You'll be fine, trust me. I had (and still have) such feelings of "WTF am I doing?" moments. It does ease off some as you progress in your career. Annie brings up a good point. Ask your preceptors for assistance. That is why they are there. It is in their best interest that you treat the patient properly. Keep up the good work!

No. I meant 00:01. There is no such time as 24:01.

There is nothing wrong with what the individual was doing in the belly dancing video. It is from my understanding, a tremendous way to stay in shape, and a fairly grueling workout. The individual was not naked. She was merely demonstrating a very old art form.

:oops: My bad. How quickly we forget. Not that there's anything wrong with that.

And one for Micheal too. :wink:

I want one.

Et tu Brute? One of my good buddies try to bribe me to switch partners with him!

All you medics working GTA must work with or at least know how this is. http://www.torontosun.com/news/torontoandg...11/8354111.html I'm jealous. Although my partner rivals her, I don't think she can belly dance. I will inquire though :wink:.