island emt

welcome to the City you will have to ask the PA state Ems office if you can receive certification on a visa. Don't see why it would be a problem for you to take an EMT class & get licensed. There are volunteer fire / EMS services in Williamsport.

has his family been called to make funeral arrangements? Odds are high he will exsanguinate internally during any prolonged transport to higher level care.

Nine Important Facts to Remember as You Grow Older: · Number 9 - Death is the number 1 killer in the world. · Number 8 - Life is sexually transmitted. · Number 7 - Good health is merely the slowest possible rate at which one can die. · Number 6 - Men have two emotions: hungry and horny, and they can't tell them apart. If you see a gleam in his eyes, make him a sandwich. · Number 5 - Give a person a fish and you feed them for a day. Teach a person to use the Internet and they won't bother you for weeks, months, maybe years. · Number 4 - Health nuts are going to feel stupid someday, lying in the hospital, dying of nothing. · Number 3 - All of us could take a lesson from the weather. It pays no attention to criticism. · Number 2 - In the 60's, people took acid to make the world weird. Now the world is weird, and people take Prozac to make it normal. · Number 1 - Life is like a jar of jalapeno peppers. What you do today might burn your ass tomorrow. ...and as someone recently said to me: Don't worry about old age; it doesn't last that long.

welcome to the city.

The odds of finding a "normal" Pt nowadays is similar to the odds of finding one who is under 250 pounds I remember the early dead manlift stretchers that were rated at 250 pounds max. Now they are rated at 750 & above. Dude" ya gotta lay off the hotpockets"

try checking in over at your site

A RETIREE'S LAST TRIP TO COSTCO Yesterday I was at Costco buying a large bag of Purina dog chow for my loyal pet, Watson, the Wonder Dog and was in the check-out line when a woman behind me asked if I had a dog. What did she think I had, an elephant? So because I'm retired and have little to do, on impulse, I told her that no, I didn't have a dog, I was starting the Purina Diet again. I added that I probably shouldn't, because I ended up in the hospital last time, but that I'd lost 50 pounds before I awakened in an intensive care ward with tubes coming out of most of my orifices and IV's in both arms. I told her that it was essentially a Perfect Diet and that the way that it works is, to load your pants pockets with Purina Nuggets and simply eat one or two every time you feel hungry. The food is nutritionally complete, (certified), so it works well and I was going to try it again. (I have to mention here that practically everyone in line was now enthralled with my story.) Horrified, she asked if I ended up in intensive care because the dog food poisoned me. I told her no, I had stopped to pee on a fire hydrant and a car hit me. I thought the guy behind her was going to have a heart attack he was laughing so hard. Costco won't let me shop there anymore. Better watch what you ask retired people. They have all the time in the world to think of crazy things to say.

you are really stretching the imagination if you think anyone "NORMAL" exists or would be walking into your ER . it is the moon tide you know

Nine Important Facts to Remember as You Grow Older: · Number 9 - Death is the number 1 killer in the world. · Number 8 - Life is sexually transmitted. · Number 7 - Good health is merely the slowest possible rate at which one can die. · Number 6 - Men have two emotions: hungry and horny, and they can't tell them apart. If you see a gleam in his eyes, make him a sandwich. · Number 5 - Give a person a fish and you feed them for a day. Teach a person to use the Internet and they won't bother you for weeks, months, maybe years. · Number 4 - Health nuts are going to feel stupid someday, lying in the hospital, dying of nothing. · Number 3 - All of us could take a lesson from the weather. It pays no attention to criticism. · Number 2 - In the 60's, people took acid to make the world weird. Now the world is weird, and people take Prozac to make it normal. · Number 1 - Life is like a jar of jalapeno peppers. What you do today might burn your ass tomorrow. ...and as someone recently said to me: Don't worry about old age; it doesn't last that long.

HOLY CRAP ::: Dwayne hasn't been kidnapped the the pygmy's in PNG We put out the search warrant several months ago for ya buddy. Ya the OP has gone on to other pastures where they will tell him/her it's ok to think he/she's a medic as a new basic

apparently 12 years as an emt and a new full class didn't pass that wisdom along

this has been a tough winter for us in the EMS world. Be free at the bridge Jack.

you must be new to the world of EMS Welcome the fact that you are an EMT Basic does not mean much unless you are working under medical direction for a service licensed by the state to provide prehospital emergency care. The shipyard is not an EMS service entity so they are not hiring EMT's. they are hiring fire safety personnel to stand fire watch as other skilled employees are welding and cutting metal plate. Yes they do want some basic first aid capability to provide first aid if needed. you will not be held liable as you are not employed as an EMT. " I would be operating as a medic, " you are not a medic until you have completed a certified course of study in Paramedicine and become licensed to operate as a "medic" by the state you reside in. If you are in need of a job , take the shipyard job , much more interesting than driving an ambulance as a new EMT. probably pays better and has better benefits package.

a day for fools of all nationalities to drink and act like children. Oh wait:::: they do that almost every other day without an excuse. Do you know what today is ???? Happy Guinness hangover day of course

as long as that is all thats keeping you away work hard & study hard: keep up the good work

No worries mate. I knew where you were coming from. On our semi rare trips to the big city level 1 trauma center , with cath lab ,which is an hour & 30 min south they have an EMS room where we exchange linens for the stretcher replace schedule drugs and IV supplies etc. They have coffee , tea,hot chocolate machine and soda dispenser machine, plus there are always small snacks for the crews. Thats the hospital where if the triage nurse was in a friendly mood , she would hand out the cafeteria passes. Maybe they took pity on us rural crews when we had to go to the BIG City and didn't want us to go home on an empty stomach. Doc As soon as we determined the low BG reading ,I would have double checked results with a sample from other hand , gotten a patent IV and started with D-5 in NS slow push and see how she responded to our treatment.

it wasn't incentives for us bringing pt's to them. We have two level 3 hospitals with similar ER capabilities and travel time. Some of our pt's went to hosp A & others went to hosp B by their choice. The rest were folks from away who would ask us which one they should go to. It 's just something they always had available until a bean counter decided they could cut costs in the ER dept by doing away with providing coffee for the EMS crews. they still had it available for the nursing staff & docs , so it was only the cost of a few sleeves of paper cups each week and a few more pounds of coffee I've been in other hospitals were the triage nurse would hand us a pass for the cafeteria to buy a meal up to $5.00 and others where you could get a drink out of the water fountain. Once we explained the foolishness to the hospital director who often would roam the ER to meet with the EMS folks he agreed that there were much better areas to cut costs.

OK the doc gets the same $$ for his 24 hr shift , But the pressure from management [ Read bean counters above] is to bring up the revenue stream versus having EMS bypass them for the big city hospital that is a level 1. At least that is what we were seeing for a couple years. It got to the point they stopped having coffee cups in the ER for the EMS crews. "do you know how much we spend providing you guys with coffee at all hours of the day" ???? Was the response we were given. We said to the ER manager one day at a meeting when the subject came up, "thats OK we can start taking our patients to the other hospital in town as they appreciate the fact that we bring in the revenue stream for them" ... The very next days coffee cups were back and so were boxes of pastry and bowls of fresh fruit in the EMS room. $$$$$$$$ won the argument. back to the original pt : since her BG is only 23 she will be getting a little D-5 once we get a nice solid IV line in and see what happens to her level of conciousness. Since the on-scene crews cant agree on her pupils we are still looking for the reason for her being unconscious. any history of hypoglycemia or other pancreas problems. still think she wants to go to the level 1 since the local doc has left it up to us to make the decision. This lady could well need a drain to take off the inter-cranial pressure Hey RUFF :: the site did it again when I typed coffee cups above. it hyperlinks to amaz on

an update: The helicopter pilot who died in a Thursday night crash near Eufaula is identified as Matt Mathews. The EagleMed helicopter Mathews was flying went down in a wooded area seven miles west of Stidham, near the Canadian River, at 11:24 p.m. Three crew members were on board — Mathews perished while two crew members, Nurse Kim Ramsey and Paramedic Ryan Setzkorn, survived.

Of course the local ER wants her. Then they can bill for a ER workup and CAT scan then determine they need to ship to an appropriate level of higher care. We had the same thing here for a while with our STEMI protocol . At first they wanted up going direct to a hospital with interventional Cath lab capabilities 24/7. then they realized how much revenue was bypassing them and going down the road. So they changed it so that we needed to stop at the level 3 with no interventional Cath lab so they could assess and possibly start running clot busters then ship from there down the road to a facility where they could actually do something to fix the occlusion. It's all about the $$$$

another med flight has gone down in Oklahoma killing the pilot and injuring the flight medic & nurse. Eaglemed helicopter goes down.

^^^ What he said ^^^ I agree in that while it appears to be a simple fall down go boom , which she has a history of. However their id significant reason to believe in a bleed going on and my money would be a trauma center with neuro available. But I agree on the phone call to the local Doc and see how they want to proceed. Around here they would most likely say go south to the level 1 an hour & a half down the road that has 24 hour neuro availability.

is she breathing normally and supporting her airway ? what is her pulse rate & rhythm ? what do her pupils look like? Any signs that this might be other than the results of a simple fall? did anyone else witness the fall? Unresponsive with head hemotoma gets full spinal package as they can not answer questions that would allow us to use spinal protocol to not collar & board. a level 3 most likely does not have neuro available and may or may not have a CT or MRI available , thus she need to go to higher level facility unless she has advanced lifecare directives that state DNR or other wishes for medical care.

we trialed the ITD a few years back when it first hit the streets . Not sure of the difference it made clinically . saw the resqcpr device at a trade show two years ago used on a manikin . Think large suction cup with a T handle on top. Push down for compressions and pull up to cause a negative pressure in the thoracic cavity. Haven't seen the blind study results on positive / negative results in return to normal perfusing rhythm and lowered morbidity rate.

Welcome Feel free to jump in & participate. We don't bite ! Well as least not too much