island emt

my wife got a new van in Sept. Outfitted it with ballistic nylon seat covers , rubber floor matting to save the carpeting, and today took it up and had 4 blizzak snows put on. Winters coming, they're making snow up at sugarloaf & Sunday river for the past two weeks. Opened up for boarding & skiing last week.

never said you were Kate. just making sure you knew how dealers can get the unsuspecting caught in their claws. Met a partner that had rolled three vehicles into a new SUV. Problem was the mortgage was more than 10 k over the sale price of the new yukon. Even with a 6 yr mortgage he was paying over a thousand a month plus insurance. PS 40 days & counting

you do realize the amount they paid off on your trade in was added to the price you financed for the new one????? After a while you can get WAAAAY behind or upside down on value vs payments.

Or casco bay which is just outside my window

Never had the need for a "duty belt". Even when I worked at the race track , I only carried 2 radios, a pair of trauma shears in a horizontal keeper and a glove pouch . The 2 radios were because we had the amb freq on one and the track control on the other. we had dual headsets with one freq in each ear. Talk about going crazy trying to listen to both channels at the same time. Now a days I only have a pager on my belt. The belt that I've been wearing since my military days in the 1970's is a standard issue cotton web with the marine/ seabee brass buckle. They are strong , last for ever and can be bought at military surplus places for under $5.00. I get a couple years out of them before they start to get worn.

Our state has minimum requirements also. However I have always kept way more consumable items than the minimums on the truck. I do't have the 6 abdominal pads required, I have twenty in the cabinet as thats what fits easily . 2x2's 4x4's are stoked by the box and there are back up supplies in the jump bag and at the station. I stock 10 < / > less each of cannulas , nrb's & neb masks that are 2 ea minimum, same goes for almost every consumable we carry. You can glance at a cabinet and see if something needs restocking as it's not full. Drug boxes are sealed from hospital and swapped out after use so they are all the same contents no matter which hospital you swap out at. Narcs are state required amounts and kept in drug safe with log for use /exchange. The state inspector shows up once a year and just does a walk through knowing we have way more than the minimum required , checks the drug logs and peeks through the IV box looking for anything expired. It's a game. Always leave an expired 16 ga or 2 for them to find. Still have above the minimums on the truck.

Ruff: it's saved in the great server farm in the sky until a drive goes bad or someone hits the wrong command exe and then it's all just a collection of dits & dots on a platter somewhere. I don't put a lot of faith in folks that need to read a checklist to make sure they have checked their ambulance. Airline pilots using checklist sure space shuttle launch certainly Taxi drivers needing a list to count bandages??? not so much Worked for a place where they brought trucks up from another state for large events. The transfer trucks had assigned crews every day. To cut down on their hectic workload of renal wrangling ::: they had a seal tag on every compartment & cabinet to know if anything had gotten used. First thing I did when getting in one of them was to pull all the seals and move a few thing around.

If you don't take the same prescription meds as he does , nothing makes sense.

Can anyone say OOOOOPPPPPPPSSSS! We didn't mean to kidnap you against your will.

had a person we knew that wanted to be a woman. Went through the gender re-assignment program surgery & all. The he/she found out that she really liked woman. So does that make he/she a LESBIAN ?????? Bob became Liz

you really need a checklist?????

I don't think the nat reg exam is any more challenging than your state exam, only different. The nat reg is a test writing company that provides testing for a fee, so that states don't have to write , update and give their own. It will not make you more likely to be hired in NY as they don't require it for certification.

Our Zoll AED's have a built in metronome that speeds up or slows down to prompt you to provide correct rate and depth using the CPRD pads with the disc in the center. Works flawlessly without thinking. It tells you "good compressions" or Push harder. But then this is 10 yr old technology that came with the Zoll AED's a decade ago

you've been peeking under his bloomers again doc. Here in the US Ketamine is mostly an animal trank and was very popular with the street drug trade for a few years as special K . lots of break-ins to vet clinics.

Mikey: the reasons for low survivability in cardiac arrest are many: Primary among them is that the pt was sick enough or had enough chronic bad lifstyle choices to make them a low probability survival in any setting Trauma arrest are a <1% in any setting that leaves a few folks who have suffered SCA for unknown etiology. Then you have the response time to get to the pt in SCA Once someone gets to them & begins CPR the pt's chance of survival is already degraded severely. Had a witnessed arrest on a 34 yo healthy male while playing basketball in a league with FF's , Cops , & Paramedic's. Instantaneous CPR ,AED was on the wall of the gym so shocked within 2 minutes of SCA. HE is still dead. Sometimes dead stays dead for other reasons. Hearts don't just stop for no reason in healthy bodies

just another expensive gimmick for those who can't be trained to do their job correctly.

Doc is right: this is not about healthcare: It is about making everyone have health insurance coverage. This was what Romney did when he was governor of Massachusetts . So what we really are dealing with is an outcrop of Romneycare. The rabid right could never admit that this was a republican idea brought about to reign in uninsured costs, so large insurance companies and hospital corporations can increase revenues.. Recently here : Anthem tried to FORCE all of their insured clients to get all their healthcare at a single mega hospital corporation and all of it's affiliates instead of the competition and their affiliates. This would have meant that almost 45% of the hospitals and affiliated Dr's groups would not be able to provide healthcare to anthem insured customers and get reimbursement from anthem. Of course the mega hospital corp and anthem had a deal going on to provide discount care for getting ALL the anthem insured clients , but no one will ever admit that. Talk about anti trust laws being broken! This plan was finally squashed under protest by an assistant commissioner of the state insurance board. Our republican governor Porky Lepage was not a happy camper with the state employee who threw the roadblock in the plan. think there were any political campaign contributions involved???? DOC: 30 years ago we had the choice of paying for really crappy health insurance that only covered 50% of this & 60% of that or putting a set amount of money aside each month and paying our own way with a catastrophic coverage plan that kicked in after 5 grand self pay. We put $200.00 a month in a seperate bank account and paid all our incidental Dr's visits or prescriptions etc for over 5 years After those 5 years we were way ahead of the game with a savings account of over 10k sitting in it. That became our downpayment on a house. We were young and healthy without kids, so it worked for us at the time.

separated and dislocated my shoulder a couple winters ago falling on the ice. Picked my self up and drove to the ER. Of course all the nurse had to bust my chops. They started out with 100 mcg's of fentanyl didn't touch the pain ,added another 100 mcg, just took the edge off Then came dilaudid Don't remember how much ::: or much of anything else after that for about an hour. when I next remember is when the ortho doc popped the shoulder back into place with the old yank & pull while my friendly ER nurses held me down. Then came vicoden po. Yep could learn to like them. took 4 over the next 24 hrs and stopped that foolishness. ER Doc offered me a choice of prescriptions to take home. Easy to see how addictive personalities can get hooked on the harder narcs.

46 days now:-} only had 1 call today. 94 yo passed in her sleep. Provided comfort care to family.

yep In the past there were jobs that we had, where 18 - 22 hr days were common and would stack up for 6 or 7 days straight. Several times had paychecks with 145+ hrs on them over the years. used to drive the bean counters crazy, then one week the companies owner was my assigned partner. He put in 152 hrs that week and we never had another complaint from the office weenies about our overtime. It was a major motor racing venue that turned a small town of 4500 citizens , into a sprawling metropolis of 125,000 + population for a week twice a year.

After a few months sleep to try & catch up, then a few months to play house and catch up on chores, I might begin to think about what to do next.:-}

Joe Hooper was the most decorated veteran of the Vietnam war including the C M H.

you might be a hoser if: you whine all day because the ambulance crew kept waking you up last night when they ran 5 runs during your beauty sleep. Lord know you need your beauty sleep.

47 days and counting::: I getting so short ,,, soon I'll be able to walk under the table without banging my head the sad part is while sitting in the back of the bambulace caring for a chest pain at 030my god this AM , thats all I could think of. No more ruined nights sleep.

English grammer usually helps others understand what you are saying. You are not texting your crew here at the CITY.