JakeEMTP

Quite possibly one of the funniest comedians of all time. I listened to him as a younger man and as LS stated, much of what he had to say still holds water today. An icon who will be sorely missed.

How about, " Send my a F*cking cop!"

Way to go 'Zilla! Are you anxiously awaiting this year's crop of Doclings? I mean, turn around is fair play.

"If I had a Million Dollars" - Barenaked Ladies

I heard it from someone. Yeah, that's the ticket!

Yeah but, even that gets boring after awhile. The Code 3 club has nothing on the Mile High Club. :wink:

I work for Pitt County EMS located in Greenville NC. It's about 1 hr from the coast. If you really want to work close to the ocean, I recommend you look at New Hanover Regional EMS or Brunswick County EMS. NHREMS is in Wilmington NC. Great service to work for so I am told. I believe they have an incentive for NR also. BCEMS is 1 County south of New Hanover and services the area from Wilmington south to the SC line. Onslow County services the Greater Jacksonville area which include Marine Corp base Camp Lejuene. Forsyth County EMS is in Winston Salem NC. Perhaps a little too west for you but a really progressive service with high educational standards. They would like to see a degreed medic apply, however, will assist you with obtaining your AAS. They also like NR which NC isn't. The link Mateo provided has a lot of info on it. Current job listings included. I don't know if you have looked at reciprocity yet, but you can find information on it here. www.ncoems.org You are correct in your assumption that the majority of FD's in NC do not run ALS. I suppose our state is a rarity from what I read on this and other forums. Good luck with you search.

We alternate patient care so there is always a constant battle of the radio station. I like classic rock, my partner is a big time redneck (but a great medic), Whenever I drive I have to immediately change the seat position before I can get in (my partner is vertically challenged) and change the radio station. On the way back to the station it's whoever drove to the hospital drives back to quarters. I have been known to increase the volume, just because I can. I have the power! Since we are ALS only, music in the pt. compartment is frowned upon in our ambulance. When it comes to patient care I don't want or need any distractions. Well, there was the one time I sang the "Barney song" with my 6 y/o patient. It wasn't pretty, but she was happy and it took her mind off her injury for awhile. My partner was in near hysterics.

Good luck Dwayne. You too Flight-lp. Be safe and keep in touch won't you? Watch out for the Canadians to Eh? I have a cousin over there. Rumour has it there's a few Canucks in Afghanistan.

Another article about helicopter medical flights. http://www.ems1.com/ems-products/specialty...out-med-copters I find it hard to believe Mr. Disman could have arrived by ground at the trauma centre some 50 min ahead of the second helicopter. What I ask, were these people thinking? IMHO, as soon as the first helicopter canceled their response, a ground unit should have immediately been dispatched. Hell, there quite possibly may have been a ground ambulance at the hospital already.

Mike, I too think Dr. Bledsoe was leaning more towards the use of helicopters in inter-facility transports after re-reading the article. He does mention that ground crews should share some of the blame for the misuse of air transport on scene runs. I completely agree with that by the way. I ask you in all seriousness, as a flightmedic, how many scene runs do you go on that truly had a impact on patient outcome vs. ground transport? I have a few friends that fly here and to be honest, their answer was not many. We've all heard the "3 to go, 1 to say no" line. How often though does it happen? Is there a perception that one would be viewed as weak or chicken and didn't belong in the flight service if they uttered no? ( random thoughts from a tired ground medic )

I posted this article in another thread. I think Dr. Bledsoe makes some great points. I can only go by what happens here. Very rarely do we utilize the service here. It just doesn't make sense logistically. Using Ruff's numbers, we could be a the trauma centre 15 mins quicker than the helo from anywhere in our area. All 3 of the helicopters are based at the trauma centre. I don't know enough about it to make a truly educated statement, but wouldn't it make more sense for the helicopters to be stationed at the outlying hospitals rather than being based here, therefore greatly reducing transport times?

Exactly. My partner and myself check off the entire truck, stem to stern. It takes us roughly 1/2 hr to do it. Everything from under the hood to the rear lights gets checked. We work 24 on 72 off. I know the crew we relieve and would trust them with my life. If they say the ambulance is good it probably is. However, that does not prevent us from checking everything. I got caught with my pants down once. I vowed never to let it happen again. Fortunately no harm was done. But I was pissed at myself. My partner said " Lesson learned" but I should have known better. :oops:

"I've seen all good people" - Yes

Great article by Dr. Bledsoe regarding Helicopter usage in EMS. http://www.ems1.com/ems-products/specialty...ight-Ill-Say-It I for one have no desire to be a flightmedic. I respect those that chose to, it's just not for me. We had a helo dispatched to a wreck we had yesterday do to a pin-in. Luckily they couldn't fly do to the smoke from a f wild fire we have here. Our EMD's automatically dispatch a helicopter to any MVC involving a pin-in. Once we arrived on scene, it was painfully obvious they did not require air transport. My partner and I discussed after the call what a waste it would have been if they had flown to our scene only to be canceled by us. It wouldn't be the first time we did it. I feel terrible for these crews that lose their lives to unnecessary transports. We as ground crews need to really determine whether air transport is required. 9 times out of 10, ground transport will suffice. Be safe out there.

When your sole reason for existing is to raise money for disabled firefighters, 6% is pathetic. Oil and Gas and S & P donate. But it is not their line of work. This particular charity is to raise monies for the firefighters. That is what has everyone's knickers in a knot.

Exactly. (Sorry I missed your call Mateo). Think about it. By the time they fly to your location, land load the patient, take off and fly back to the hospital, you could be there by ground. There is always going to be an exception ie: remote locations, but for the most part ground transport is as quick if not quicker than a helicopter.

Jessica - Allman Brothers

I recently went back to basic cable so I can watch the news and the CSI shows and The Unit. Jeopardy is another show I watch, but they are all available on basic cable.. The quality of television sucks. I find myself more and more at the public library looking for a good book. We have satellite TV at the station. My partner and I were watching re-runs of M*A*S*H* the other day. As for this particular loser, he should be shown the door immediately for being stupid. I think he should have anticipated the types of questions they would be asking.

I think you may have misunderstood what I was saying, or I didn't communicate it well. The outlying hospitals will call for a helo transport to the trauma centre for something that could very easily be handled by them. Thus creating unnecessary use of air transport. It really doesn't affect the county to which they are going. These patients shouldn't be transported at all, by anyone. There is always going to be a need for air transport. I think though it is a highly overused resource. Just because there is a MVC with a pin in, doesn't always require air transport.

Some things are better left unsaid :bootyshake:.

Are you serious? Why wouldn't a field paramedic require a sound degreed education? :? OP, disregard the advice given by sevenball. Continue on and get your College Paramedic degree. You will be a better provider for it. As for why the FD requires EMT-B, I believe Calvair nailed it. He is absolutely correct in his observation.

Ever read the label of some of those household cleaning agents :shock: ? All in all, a real stinker of a call. I think he should be decontaminated (sp) before he got in the ambulance. After being extricated by the FD, they should hose him down. :wink: I mean, I'm trying to keep my ambulance as sterile as possible. If I absolutely had to take him as is, extended decontamination time at the hospital would be the order of the day.

At any given time, at least 2 of the 3 helicopters at the trauma center we frequent are in the air. The majority of the time they are on hospital transfers as the outlying hospitals tend to send everybody here. My misses is a OR nurse on the trauma team. She has told me stories of people being flown in for extremely simple procedures which could very easily be dealt with at the local hospital from which they came. Ironically, we had a meeting with the helicopter service because they had a concern about our lack of using them. Our response to them was, we can get them to the hospital quicker. Unless it is going to be a prolonged extrication from a vehicle, and the patient really needs to be flown, we rarely call them. The vollie Fire Chiefs get pissed when we get on scene and cancel the helo that they immediately called. However, it is what it is. They are only in charge until we arrive. That's the way are Medical Director wants it, since we are educated to make such a determination and to be blunt, they're not. " So let it be written, so let it be done".

We are also aloud to access central lines and ports, although I haven't as yet had to do this ( I am however, required to show proficiency in this skill every 6 months). I agree that the back of an ambulance is the most sterile of environments. Just remember to perform the procedure correctly and be as sterile as possible.