JakeEMTP

Yeah, perhaps the title was a little vague. That being said, the treatment, or lack thereof, by these two was unacceptable. If the pt. refused to be transported, that is their choice. A thorough assessment should still have been done. Perhaps they were going to be late for a re-run of "Turd watch" :roll: There isn't a valid excuse for shoddy assessments. If my partner and I were responding to a call for "unconscious on the 7th floor", we would be bring the monitor and ALS bag I can assure you. Wait, these weren't firemedics were they?

^^^ Classic Doc! :headbang: :sign5:

The pictures are for illustration purposes only. I hope you could overlook the pic of the wooden backboard and the LP10. We use Zoll and the picture of the LP10 didn't hurt me any. :wink: If your school or instructor is using book generated tests, I'm sorry to hear that. It just basically paraphrases the text. The medic classes I attend ( and I'm sure there are many others), the tests could be on anything from obtaining baseline vitals to pharmacology to scenarios. Like Forrest Gump said, "you never know what you're gonna get".

Am I reading this correctly? It is possible for a pt. to wait 28 min before medics are allowed to transport? Remind me never to visit NJ if this is true. :shock:

No problem khanek. Just having a wee bit of fun on a otherwise slow day. I thought the term "rig" was a midwest thing. Similar to the NYC term, "bus". P.S., Glad you have your roof fixed. :toothy2:

Perhaps they use the SMAT trailer on a regular basis. :roll: The thought never crossed my mind. Thanks spenac

That particular sort of thing should never happen. Why on earth were they working two calls simultaneously? Or is that standard procedure. If it is, it shouldn't be. Oh, just a pet peeve of mine. I hate the term rig. A rig has 18 wheels. What we use is called an ambulance.

IMHO, dispatch has neither the the education or the insight to instruct a caller to do anything, with the exception of starting CPR. Again, without assessing the pt., how can they justify any kind of medication? For all they know, the pt, might have had some indigestion and was on coumadin. :roll: Would ASA be a good choice then considering your long response time? I wish the would just properly dispatch me before trying to do my job. In this case your pt. turned out ok. What about the next time?

This should be the opening statement of ALL paramedic classes! 8) Well stated UMSTUDENT! :thumbright:

Actually, Luciani was working in Wenkebach's lab. Wenkebach first called it Luciani periods. http://www.circ.ahajournals.org/cgi/conten...act/101/22/2662

From what I can recall, it really wasn't Dr. Karl at all that made the discovery. Rather it was Luigi Luciani that made the discovery using a frog heart with ligatures around the atria. Dr. Wenkebach was the first to discover the relationship between atrial and ventricular conduction.

Our stretchers have 3 straps. Where are your 2 straps located? I guessing legs and torso, but one never knows. Yes we carry ours into peoples homes if the situation warrants it. Remember ABC's. Airway, breathing and Can you walk? :lol:j/k Generally, we carry it in with the wheels lowered and out with them extended. Sometimes we put them on a LSB and carry them to the stretcher. It all depends on the situation. ie: How bad they are injured/sick, size of the pt., ease of access to their location in the home etc.

As Ed McMahon would say, " you are correct sir!". I believe it was America that performed it.

I was wondering the same thing as MedicNorth. :? Why was the test group all <16y/o? A question for all providers using CPAP. We just recently started using it and have had the opportunity to use it twice. Is the sort of case stated in the article a good prerequisite for CPAP? I mean. instead of giving 6 lpm or 15 lpm, with CPAP as providers we can adjust the rate of O2 and the pressure of which it flows.. It also sounds like a Venturi mask may need to make a comeback.

Sounds like a 2nd degree block type II. There are always more P waves than ORS complexes. Although, you mention that the P waves are of different morphology. As you are aware, P waves are uniform in 2nd degree type II. I will have to monitor this thread. Hopefully you can provide some more information. :wink:

Just had a vision of Michael Douglas losing his mind in the film " Falling Down " when the burger he ordered didn't look like the one in the picture.

Wow man, that's deep. 8)

To be completely honest, if you show up to a scene, you should remember your ABC's. I realise your not an EMT yet so don't take this wrong. Airway, Breathing and Circulation are your main concern. If the patient isn't breathing, there is no pt. Control those 3 things and wait for the ambulance to show up. Everything else you'll require should be on the ambulance. You sure have alot of hemmorage control in your bag. That's a good thing. Take half of it out though and replace it with some oral ( can I say that here Dust?) and nasal airway devices. They work well with your BVM. BTW, 5 x 9 abd. pads are abdominal dressings. Like others have said, do not respond to calls POV untill you are comfortable. You should, once certified, respond with the ambulance. Responding POV is dangerous and to many cooks can spoil the broth if you know what I mean. If you had a crew respond with the ambulance, that should be adequate personnel. If they require more help, they'll request it.

Scrub pants might do the trick. As you may or may not be aware, they have to be tied at the front, so, ( since i haven't had any experience in this area personally ) you might be able to get some larger sizes and tie them appropriately. Congratulations on the new medic!

This is so true. We just recently had a mock plane crash disaster. " What we got here is, failure to communicate. Some men, you just can't reach". The county squads couldn't communicate with command which was the city's fire dept. which uses a different frequency band than everyone else because they are, to put it mildly, special. Don't belive me? Just ask them. Also, Command failed to designate and therefore the whole thing became a clusterfuck. The premise of NIMS is excellent. Disasters like our drill will hopefully improve our little corner of the universe once the higher-ups come up with a better way to talk to each other. We hope and pray we don't have a real disaster between now and then. :roll:

It's not me Dustdevil. I would never post such dribble. To the original poster, if you're looking for the fast way to become a medic, I'm afraid there isn't one. To become a medic you will need to invest the appropriate amount of time to cover the cirriculum. Usually, when someone wants something they are willing to do this. If you are wanting to be to run a few times a month a the "Hobbiest Volunteer Rescue Squad" spend a few nights a week and get your EMT-B. Better yet, forget about it and continue with your focused education. NC community colleges are beginning to offer more and more AAS programs in Paramedic and I for one am happy to see this. It is increasing harder to find the part-time classes, although they are still abundantly available. There is a part-time course in the county where I live which will be a degree program starting in the fall. I only wish they had decided to do that 2 years ago. "sighs"

Congratulations on finishing class! I know what a relief it must be and the anticipation of completing your practical exam as well as written must be overwhelming. I'm going to be done with classes in November. It seems such a long way off, yet the last year and a half has gone by quickly. I wish you nothing but success on your exams. Good Luck!

Yes Timmy, that's exactly what happens. There is a handle at the foot end of the stretcher which when pulled, will release the wheels. Your partner will then grab the wheels and collapse them. Conversely, when unloading the stretcher, one would pull the lever again and the wheels will extend. I used to work for a service that had a power stretcher or two. Pretty slick, but heavy as hell.

Wendy, I've got to go with disturbing on this one. Peter Pan, geez..... :help:

I had a psych pt. Saturday that just about whipped my tail. We eventually calmed them down enough to ride with us to the hospital. Once in the ambulance, the pt. was given 5mg of Haldol and 5mg of Valium. He was alright untill we were approx. 3 min. out from the ED. Then he blew a gasket. I mean, it was ON! The stretcher was actually bouncing! As we were pulling up to the hospital my partner had the foresight to call for PD to meet us at the doors. Cuffs were applied and between the 4 cops, and 3 EMS personnel we managed to get him inside. As were restraining the pt to the ED bed, the 2nd year resident wants to evaluate the pt. He asks us what's the pt's c/c. :roll: After he took his last swing at me, ordered 10mg Haldol IV, which turned a few heads but worked great. Has anyone ever administered Haldol IV before? Obviously it can be done. I thought it was IM only though. Learn something new everyday.