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island emt

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Everything posted by island emt

  1. The law enforcement officer should have filed a written report also that could verify Pt's actions and yours. Lawyers know this and will have copies of ALL documentation pertaining to the call including dispatch logs, your EMS Pt care report and the police agencies report, along with the receiving hospital's reports. Just had a supeona last month for documentation from an auto accident pt we treated & transported 18 months ago. It is usually a fishing expedition for the injured parties laywers to go after the other party involved in the accident, but you never know what they are looking for.
  2. One more thought:: Did you cover all the bases on why you restrained the Pt with police assistance and is is documented clearly in your run report? Outstanding documentation is your best friend when faced with a case like this.
  3. What do your State protocols say about restraint use? Did you follow them? Was the pt in protective custody by law enforcement? You can be sued for every single call you go on. All a matter of whether you follow the rules and your protocols as set by the state you practice in. The majority of suits filed against EMS providers are for negligence or stepping outside the levels of your license and exceeding scope of practice.
  4. Welcome to the city
  5. THIS IS WHY WE LOVE OLD LADIES!! A farmer stopped by the local garage to have his truck fixed. They couldn't do it while he waited, so he said he didn't live far and would just walk home. On the way home he stopped at the hardware and bought a bucket and a gallon of paint. He then stopped by the market and picked up a couple of chickens and a goose. However, struggling outside the market he now had a problem - how to carry his entire purchases home. While he was scratching his head he was approached by a little old lady who told him she was lost. She asked, 'Can you tell me how to get to Church Lane ?' The farmer said, 'Well, as a matter of fact, my farm is very close to the lane I would walk you there but I can't carry this lot.' The old lady suggested, 'Why don't you put the can of paint in the bucket. Carry the bucket in one hand, put a chicken under each arm and carry the goose in your other hand?' 'Why thank you very much,' he said and proceeded to walk the old girl home. On the way he says 'Let's take my short cut and go down this alley. We'll be there in no time.' The little old lady looked him over cautiously then said, 'I am a lonely widow without a husband to defend me... How do I know that when we get in the alley you won't hold me up against the wall, pull up my skirt, and have your way with me?' The farmer said, Lady! I'm carrying a bucket, a gallon of paint, two chickens, and a goose. How in the world could I possibly hold you up against the wall and do that?' The old lady replied, 'Set the goose down, cover him with the bucket, put the paint on top of the bucket, and I'll hold the chickens!!! Pg 95 :-}
  6. the older we get the smarter we get !!! Well most of the time. What is a lot of fun & excitement when young becomes old and boring by the time you get to your 30's. By the time you get to your 40's and have a family::: it's time to think about home nights and weekends, benefits and a slightly slower pace. By the time you get into your 50's and are still doing EMS you look at the offspring of your peers that are now the young bucks in the industry and shake your head at all that energy being wasted running in circles.' as you get towards your 60's , you start thinking that these kids are going to be the ones taking care of me soon
  7. and much better benefits for the family
  8. A&P at the college level also asKate said Pharmacology and cardiology. Congrats
  9. Welcome to the ranks of the retired old fogies club Mike My license is still good until 2015 but 12-31 was the date of my retirement from the service.
  10. YEP going to have plenty of time to keep my eye on ya girl :-} About that freezer door ya left open
  11. Thanks Bushy: It was a very long ride since my first day on an old Pontiac wagon ambulance back in September of 1971. But then again you probably weren't even thought of back then. :-}
  12. Getting hired under 21 can be difficult as a lot of insurance carriers require over 21 to be insured to drive. It is not the company policy , but the risk management insurer.
  13. this is a little further north , so it will be plow trucks and shotguns with deer slugs. :-} Wonder why none of the press has done a FOIA request for the dispatch tapes.
  14. Hey Clutzy:: You & Kat can close the freezer door anytime now. Happy new year.
  15. WHOA Dwayne :: Thats a visual We really don't need to see.
  16. Many members of the EMS & Fire profession are type "A" personalities & have the morals of alleycats. Just my observations from 40+ years in the business.
  17. sounds like the evil empire part II
  18. Most of the ER's here have mid level providers in addition to Dr's We have PA's & NPs working side by side with the medical staff. They allow more folks to be seen and some have specialties that the ER docs don't necessarily have training in.
  19. threw my retirement quarter in got bupkus other than a wave
  20. because for the past 30 years a Basic EMT was the entry level provider that could work on an ambulance There were also LAA's [ licensed ambulance attendant ] FR [first responder] EMR [emergency medical responders], which were all lower in the license level than Basic. Then Came EMT-I which had I-85 & I-99 levels and is now referred to As Advanced EMT. In some areas there were also CC[Cardiac Care] or[ Critical Care] EMTCC licenses, mostly in New England . Then you got to the top of the food chain with EMT- Paramedic which is now Paramedic. There is also the critical care transport Paramedic And the Community medicine Paramedic.
  21. scary thing is: this socially maladjusted misfit will probably become our next mass shooter incident.
  22. From reading the various news stories linked by ER DOC, the Paramedic was on a fly car and on scene. The wanker was at the station with 2 other EMT's who went to the low acuity call and when no one showed up to drive for the high priority seizure call, he decided to be the hero even though he knew he was not allowed to drive by company policies.
  23. THE GREAT NEW MEXICO CHILI COOK OFF If you can read this whole story without laughing, then there's no hope for you. I was crying by the end. This is an actual account as relayed to paramedics at a chili cook-off in New Mexico . Note: Please take time to read this slowly. If you pay attention to the first two judges, the reaction of the third judge is even better. For those of you who have lived in New Mexico , you know how true this is. They actually have a Chile Cook-off about the time Halloween comes around. It takes up a major portion of a parking lot at the Santa Fe Plaza . Judge #3 was an inexperienced Chile taster named Frank, who was visiting from Springfield , IL . Frank: 'Recently, I was honored to be selected as a judge at a chili cook-off. The original person called in sick at the last moment and I Happened to be standing there at the judge's table, asking for directions to the Beer truck, when the call came in. I was assured by the Other two judges (Native New Mexicans; from Hatch, NM no doubt) that the chili wouldn't be all that spicy; and, besides, they told me I could have free beer during the tasting, so I accepted and became Judge 3.' Here are the scorecard notes from the event: CHILE # 1 - MIKE'S MANIAC MONSTER CHILE Judge # 1 -- A little too heavy on the tomato. Amusing kick. Judge # 2 -- Nice, smooth tomato flavor. Very mild. Judge # 3 (Frank) -- Holy crap, what the hell is this stuff? You could remove dried paint from your driveway. Took me two beers to put the flames out. I hope that's the worst one. These New Mexicans freaking are crazy. CHILE # 2 - EL RANCHO'S AFTERBURNER CHILE Judge # 1 -- Smoky, with a hint of pork. Slight jalapeno tang. Judge # 2 -- Exciting BBQ flavor, needs more peppers to be taken seriously. Judge # 3 -- Keep this out of the reach of children. I'm not sure what I'm supposed to taste besides pain. I had to wave off two people who wanted to give me the Heimlich maneuver. They had to rush in more beer when they saw the look on my face. CHILE # 3 - ALFREDO'S FAMOUS BURN DOWN THE BARN CHILE Judge # 1 -- Excellent firehouse chili. Great kick. Judge # 2 -- A bit salty, good use of peppers. Judge # 3 -- Call the EPA. I've located a uranium spill. My nose feels like I have been snorting Drano. Everyone knows the routine by now. Get Me more beer before I ignite. Barmaid pounded me on the back, now my backbone is in the front part of my chest. I'm getting sh*t-faced from all Of the beer. CHILI # 4 - BUBBA'S BLACK MAGIC Judge # 1 -- Black bean chili with almost no spice. Disappointing. Judge # 2 -- Hint of lime in the black beans. Good side dish for fish or other mild foods, not much of a Chile. Judge # 3 -- I felt something scraping across my tongue, but was unable to taste it. Is it possible to burn out taste buds? Sally, the beer maid, was standing behind me with fresh refills. This 300 lb.woman is starting to look HOT .. Just like this nuclear waste I'm eating! Is Chile an aphrodisiac? CHILE # 5 - SIMON'S SCREAMING SENSATION CHILI Judge # 1 -- Meaty, strong chili. Jalapeno peppers freshly ground, adding considerable kick. Very impressive. Judge # 2 -- Chile using shredded beef, could use more tomato. Must admit the jalapeno peppers make a strong statement. Judge # 3 -- My ears are ringing, sweat is pouring off my forehead and I can no longer focus my eyes. I farted, and four people behind me needed paramedics. The contestant seemed offended when I told her that her Chile had given me brain damage. Sally saved my tongue from bleeding by pouring beer directly on it from the pitcher. I wonder if I'm burning my lips off. It really ticks me off that the other judges asked me to stop screaming. Screw them. CHILE # 6 - VARGAS'S VERY VEGETARIAN VARIETY Judge # 1 -- Thin yet bold vegetarian variety chili. Good balance of spices and peppers. Judge # 2 -- The best yet. Aggressive use of peppers, onions, garlic. Superb. Judge # 3 -- My intestines are now a straight pipe filled with gaseous, sulfuric flames. I crapped on myself when I farted, and I'm worried it will eat through the chair. No one seems inclined to stand behind me except that Sally. Can't feel my lips anymore. I need to wipe my butt with a snow cone. CHILE # 7 - LISA'S LEGAL LIP REMOVER Judge # 1 -- A mediocre chili with too much reliance on canned peppers. Judge # 2 -- Ho hum, tastes as if the chef literally threw in a can of chile peppers at the last moment. **I should take note that I am worried about judge number 3. He appears to be in a bit of distress as he is cursing uncontrollably. Judge # 3 -- You could put a grenade in my mouth, pull the pin, and I wouldn't feel a thing. I've lost sight in one eye, and the world sounds like it is made of rushing water. My shirt is covered with chile, which slid unnoticed out of my mouth. My pants are full of lava to match my shirt. At least during the autopsy, they'll know what killed me. I've decided to stop breathing. It's too painful. Screw it; I'm not getting any oxygen anyway. If I need air, I'll just suck it in through the 4-inch hole in my stomach. CHILE # 8 - BIG TOM'S TOENAIL CURLING CHILE Judge # 1 -- The perfect ending, this is a nice blend chili. Not too bold but spicy enough to declare its existence. Judge # 2 -- This final entry is a good, balanced chile. Neither mild nor hot. Sorry to see that most of it was lost when Judge #3 farted, passed out, fell over and pulled the chile pot down on top of himself. Not sure if he's going to make it. Poor feller, wonder how he'd have reacted to really hot chile? Judge # 3 -- No further report.
  24. There was a study done in cities like Cleveland, Chicago ,memphis &Atlanta back in the late 80's that looked at mortality outcomes from trauma pt's dropped off at ER's by their friends and those delivered by Paramedic level ambulances. The gang banger with a penetrating GSW dropped at the ER door by his crew had a better chance of survival than one treated by ALS. They determined that the ALS crews were taking almost twice as long to deliver them to definitive care. This was about the same time they looked at the effectiveness of Mast trousers & decided to do away with them. Philly does it because they are so understaffed with ambulances.
  25. Irish Stuff! Paddy was driving down the street in a sweat because he had an important meeting and couldn't find a parking place. Looking up to heaven he said, "Lord take pity on me. If you find me a parking place I will go to mass every Sunday for the rest of me life and give up me Irish Whiskey!" Miraculously, a parking place appeared. Paddy looked up again and said, "Never mind, I found one." Father Murphy walks into a pub in Donegal, and asks the first man he meets "Do you want to go to heaven?" The man said, "I do, Father." The priest said, "Then stand over there against the wall." Then the priest asked the second man, "Do you want to go to heaven?" "Certainly, Father," the man replied. "Then stand over there against the wall," said the priest. Then Father Murphy walked up to O'Toole and asked, "Do you want to go to heaven?" O'Toole said, "No, I don't Father." The priest said, "I don't believe this. You mean to tell me that when you die you don't want to go to heaven?" O'Toole said, "Oh, when I die , yes. I thought you were getting a group together to go right now." Paddy was in New York. He was patiently waiting and watching the traffic cop on a busy street crossing. The cop stopped the flow of traffic and shouted, "Okay, pedestrians." Then he'd allow the traffic to pass. He'd done this several times, and Paddy still stood on the sidewalk. After the cop had shouted, "Pedestrians!" for the tenth time, Paddy went over to him and said, "Is it not about time ye let the Catholics across?" Gallagher opened the morning newspaper and was dumbfounded to read in the obituary column that he had died. He quickly phoned his best friend, Finney. "Did you see the paper?" asked Gallagher. "They say I died!!" "Yes, I saw it!" replied Finney. "Where are ye callin' from?" An Irish priest is driving down to New York and gets stopped for speeding in Connecticut. The state trooper smells alcohol on the priest's breath and then sees an empty wine bottle on the floor of the car. He says, "Sir, have you been drinking?" "Just water," says the priest. The trooper says, "Then why do I smell wine?" The priest looks at the bottle and says, "Good Lord! He's done it again!" Walking into the bar, Mike said to Charlie the bartender, "Pour me a stiff one – just had another fight with the little woman." "Oh yeah?" said Charlie, "And how did this one end?" "When it was over," Mike replied, "She came to me on her hands and knees." "Really," said Charles, "Now that's a switch! What did she say?" She said, "Come out from under the bed, you little chicken." Patton staggered home very late after another evening with his drinking buddy, Paddy. He took off his shoes to avoid waking his wife, Kathleen. He tiptoed as quietly as he could toward the stairs leading to their upstairs bedroom, but misjudged the bottom step. As he caught himself by grabbing the banister, his body swung around and he landed heavily on his rump. A whiskey bottle in each back pocket broke and made the landing especially painful. Managing not to yell, Patton sprung up, pulled down his pants, and looked in the hall mirror to see that his butt cheeks were cut and bleeding.He managed to quietly find a full box of Band-Aids and began putting a Band-Aid as best he could on each place he saw blood. He then hid the now almost empty Band-Aid box and shuffled and stumbled his way to bed. In the morning, Patton woke up with searing pain in both his head and butt and Kathleen staring at him from across the room. She said, "You were drunk again last night weren't you?" Patton said, "Why would you say such a mean thing?" "Well," Kathleen said, "it could be the open front door, it could be the broken glass at the bottom of the stairs, it could be the drops of blood trailing through the house, it could be your bloodshot eyes, but mostly.....it's all those Band-Aids stuck on the hall mirror.
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