WhiskeyTangoFoxtrot

My name is pretty self explanatory. I was tooling around the site and saw it in a post, found it entertaining and blatantly stole it! the avatar has to do with my loving to ride motorcycles and the pic just kinda makes you go WTF?!

do tell...

Turnip you have had the experience of working on a holly wood set, I would take this job just for the adventure. We are talking entourage here! It would be fun for a little bit. If I could keep the car when I got tired of it all I would sign on for a period of time!

translation, we are happy to give you some ideas and point you in the right direction, but we are not going to write your paper for you. :0P BTW Dwayne, your reply left coffee on my computer. LMAO!

I have to agree in part SYSTEMET, it's not worth agonizing over. Each patient gets good service from me regardless of how I feel about their chief complaint. I don't see the calls we get changing and that's ok. The BS calls are often entertaining and give me a break from the heavier calls. Which was kind of the point to this whole thread when it was started. Due to Turnips astute observation that this is a public site, it has redirected. Reading a lot of these posts, we talk a lot about the burden on EMS but not so much the burden on the health care system. All these patients we bring in to emerg. for minor reasons tax the system dramatically. I can't speak to the hospitals in other countries but here in Canada we have huge wait times due to the volume of minor patients that could have gone elsewhere to get the same care. If we had the oportunity to triage some of these patients to minor emergency clinics instead of Emergency departments we could be a small part of a solution to these problems. I work industrial where I essentialy run a minor emergency clinic (pardon the delusion of grandeur). I see the minor stuff and have the tools and education to treat and release quite a bit. The decision comes down to whether the patient needs labs and or antibiotics, more definitive care, etc. We do have the ability to make those calls. I think we just need the madate to choose where to take our patients. No we won't change how EMS is used, but we can change the burden that use puts on the health care system.

Ah Turnip! Why did you have to go and ruin things by pointing out that this is not a private place to blow off steam and have a good laugh at the lowest common denominators expense. Now I'm going to have to think about what I post... for the benefit of the profession of course.

Ummm... Less volume equals less pressure X Radius / 2X wall thickness... Pressure = force / area. I can't remember how to calculate force of a fluid(CHBARE might be able to tell you) but essentially if the area, in this case the walls of the arteries, remains the same, a decrease in volume will decrease the force it exerts on the walls of the artery. This is an oversimplification of course because when you start calculating in compensation mechanisms where the artery constricts (Alpha 1) thus decreasing the area and the heart pumps harder (Beta 1,Inotropic), thus increasing the force of a smaller volume you can maintain the same pessure with less volume. I hope this helps a little...

It's a little redundant as the points have been made but here are my two cents. I find pictures of exceptional value when you are breaking in a new doctor. They don't know me yet and have their own ideas. So, while he is taking the collar off my patient before doing x-rays I can explain that I think on this particular patient that is a bad idea and show them the picture to drive home the description I have already given them. The collar stays on x-rays and CT are done and I gain credibility with the doctor. Do I erase the pictues? Only ones that could identify my patient, the rest I keep for education, but never to publish. I would like to continue making my mortgage payments thankyou very much.

Bernhard you are right of course, my reference to the wanna be hero was this image in my head of an old partner of mine. He needed the attention to justify his very existence. He would have created a spectacular scene to get it and usually did more harm than good. I certainly didn't mean to denegrate first aiders in general and I apreciate you pointing out how I have misscommunicated that.

Of course they deserve a proffessional response, no one on here has said "I tore them a new asshole for wasting my time". Everyone gets treated with respect regardless of how we feel about the call. Rule number one, it is not my emergency, rule number two, just because I don't think it's an emergency doesn't mean the patient sees it that way. This could be a huge emergency to them and we treat them with dignity and respect. Then, after the call, we laugh about it and use the black humour we know so well to blow it off. like in this thread where we can talk about the bull shit calls that you have ruined with your mightier than thou art bull shit.

let's say they only drove 30mph (5280 feet x 30 = 158,400 feet per hour / 60 minutes = 2640 per minute x 5 minutes = 13200 feet / 5280 feet per mile = 2.5 miles the kid would have had to walk. Maybe if he had walked instead of sitting down in the park he would have warmed up...

Yes you are on topic... by highjacking I mean you have ruined something that could have been a lot of fun.

Oh Dwayne... They so respond on calls and for the most part we have the same problems you do, it does depend on the crew and place. I have worked with some amazing firefighters but not as a rule.

Flammer you need to take this thread for what it is worth. The intention isn't for a moral debate on our responsibilities as health care providers. It is a venting point for dumb calls. If you want to debate if there is such thing as a BS call and our responsibilities as care givers then start up a thread on it insted of highjacking this one. Just let us have our fun insted of doing your devils advocate thing. I'm not saying you don't have a valid discussion topic, I'm just suggesting you have it somewhere else.

OK you figured it out, they had a one night stand and I am their bastard child.