JakeEMTP

neck

Three more months to go time flies whilst we study hard Ten new medics, Doh!

Tristan, It all depends really on the nature of the call. We usually are the first responders (ALS) to medical calls. If it is a MVC, we usually have to maneuver around pickup trucks with more LED lights than our ambulance to get to the scene . DOA, for some reason, PD always beats us there, which in reality is a good thing because they can wait for the coroner. If it's a fire, the hose monkeys beat us there and rightfully so. We are just stand-by. So you see, it all depends on the call who is first on scene. BTW, welcome to Emt City.

Would it be wrong of us to play the " Vonage" jingle as a siren tone when we have a patient who has " Hey y'all, watch this" syndrome?

You can't say " big boned " here.

Ok, my curiosity got the best of me. Here ya go Dustdevil. Apparently, according to Wikipedia, a Fleshlight is the #1 sex toy for men who are in need of some, shall we say, female companionship.

One can only hope Risky. It was refreshing to see an article like that. I just wish more people believed it. Kudos to the author.

Just last night after yet another test , our instructor asked if we wanted to assist the EMT-B instructor with her CPR instruction. We as a group agreed that since the majority of the class had been CPR certified for at least 2 years, we might be able to help. We were wrong of course since the current class except for a few knows it all already :roll: . To think I wasted 2 years in medic school . Since the class is quite large, approximately 40 students, we broke into groups and observed these world class basics-to-be. After some pointers from us they seemed to get the hang of it. They were shocked however to find out just 2 cycles of CPR wasn't going to cut the mustard with us :wink: . As in " Keep going, were only half way to the hospital!" :twisted: Do I think I'm ready to educate? No. but I don't mind assisting with Basic skills.

It is my understanding that EMT I-85 is not much more than a EMT -B with a few more skills and a little more education. Conversely, EMT I-99 is "OMG! I wish I had done a few more months and went to paramedic school!". I can't really confirm this as NC is a non NR state currently, but my opinion is based on information gathered here and other sources. I in no way am trying to discourage you from furthering you education, in fact, I commend it. If you are considering going the I-99 route, or I-85 for that matter, seriously consider going to medic school instead as long as you have the pre-requisite courses. You be glad you did in the end. Whatever you decide, good luck with it. Oh, and welcome to EMT City. :wink:

I would think they didn't work well then. :?

Sorry spenac. My bad for not scrolling up. Great minds think alike though. :wink:

Whatever. He didn't write a book on child pornography, it was on EKG's. Perhaps he should donate the profits from the book to some child welfare charity or child rights. I mean that in all sincerity. It is not for us to decide. It is up to the courts. Anyway, this thread was about good EKG books and references. I said the Dubin book was a good one. Regardless of what he was charged with, it's hard to argue the book isn't a good one.

Perhaps. I think he earned it though, don't you?

That is good news spenac. Hopefully volly squads all over will get a clue and start quitting en masse. The sooner volly squads fade away the more likely it is we can begin to start EMS towards a profession. Employers will start demanding more education for paid positions, and rightfully so. A better educated workforce can only be beneficial to EMS and the public as a whole. Kudos to those brave enough to step up and demand to be paid. If only the folks in NJ could see the light .

Approximately 1 year ago I took the advice of the " Duke" and purchased the Dale Dubin book. I found it without question to be a excellent learning tool. I went through it cover to cover several times until it all began to sink in. I continue to reference this book to this day and will continue to do so. An excellent investment in your education as a medic. Good luck from a fellow student.

Agreed. When I was doing clinicals in the ER, I witnessed MDs having difficulty inserting a central line in adults. I could only imagine the task of trying a central line on a pediatric patient. I would hazard a guess it would be next to impossible to accomplish in a moving ambulance.

I wasn't going to say anything, but since you brought it up.........

No Brent, not those. I agree with BEorP. The anatomy & physiology hasn't changed in 25 years and besides, you should know this already. That part of education hasn't changed. It is imperative that instructors keep current if they want to educate. The classroom and the preceptship/internship are two different arenas but you can't do one without the other. The classroom is the foundation for what you do in the field. Futurecheif1 does not seem to want all that book learnin. It is college and you are supposed to learn on your own. Sure the classroom is important. However, if one is unwilling to take what you learn in the classroom environment and apply that to additional study at home, than we are our own worst enemy.

If a instructor has 25 years of EMS experience, surely they have something to offer. I believe as long as an instructor keeps their education level current ie: new procedures, medications etc., and keeps their credentials current, again, having to board with the medical director in the county in which they function, they should be quite capable of educating the next crop of medics. We as an industry have to use some of the experiences and wisdom our veteran medics have to offer. There has to be a place for people who want to get off the ambulance but still have so much to offer students.

I thought Military wisdom and Military intelligence were both oxymorons.

Try these two sites for starters. There is quite a bit of information on them. www.americanstroke.org www.stroke.org

We handle DOA similar to Yummymedic. A call is placed to the patients primary physician who hopefully will sign the death certificate. The Coroner or funeral home is contacted to come to the residence or wherever. PD always responds with us so they wait until the body is picked up. We do not transport dead people.

Was vehicle # 2 running to provide A/C? If not it can get extremely hot inside a vehicle as you are aware. Perhaps you could have boarded her and held a sheet with assistance from the hose monkey to shield her from the sun, but It wasn't essential to remove her from the vehicle IMHO. Just tell the 2nd medic to chill, board their patient, and transport. It was your patient until they arrived so you did what you thought was best as the patient advocate. Since you didn't have access to any pain medications prior to moving her and due to her response to any sort of movement I think you were correct in leaving her in the car. I had a call yesterday in which a young woman was thrown from a horse. She had a pelvic fx and complained of lower back pain. When we tried to roll her onto a LSB she just screamed. We established a 18g in the left AC and gave her 50mcg of Fentanyl and 3 mg of Versed before we could even move her. I realise my example isn't the same as yours but in a way it is similar. Without pain mgmt, leaving her in the vehicle was perhaps a good thing.

Wendy, This is uber-whacker!

The charge is supposed to last for 30 min. Since our transport times are less than that I can't confirm or deny that claim. Currently, we change the battery out at the hospital as there are charge docking stations in the EMS room. I guess it is theoretically possible to have a charger and extra battery on the ambulance. It might be cost prohibitive though.