island emt

Welcome to the City

what in the world are you talking about??? Taking class notes into pearson testing facility? You can't even take a pencil in with you. They all but strip search you on the way in.

I used to go to various areas of Detroit on business monthly during the late 70's & early 1980's. It was a ghetto town back then even with all the auto & steel industry in full operation. Even back then there were neighborhoods that the police force wouldn't enter after dark. Here we are 30 yeas later and 70% of the manufacturing jobs with good pay & benefits are gone forever. No tax base from industry, no property taxes paid by out of work homeowners, This is what results. There are other cities that are in just as bad shape. Think Newark NJ , Flint Michigan or Camden NJ, or Gary Indiana or Wheeling WV or Weirton WV or any other of the once big American manufacturing cities & towns across the United States. All these jobs have gone to foreign nations and will never return along with all the money that use to be reinvested here. Corporate America has moved their home offices offshore to build their profit margins and hide their income from US taxes.

How many tickets in what period of time? minor speeding[10 over] or criminal speed[20+ over}? Driving to endanger? OUI/DWI? How long since the last moving violation? That will decide whether or not you can be insured by a carrier.

and what do the "oysters" taste like clutzy. Yes I know what they are

Yes Kat there are many places where Intermediates can intubate and have for many years. Properly educated and trained it has been a standard of care for over a decade. I would not have even thought about pulling the nasal airway to try a blind insertion nasal ETT on a dead guy, especially given the unknown down time and the drug abuse hx. He would have gotten CPR, IV ,a couple rounds of epi & narcan to try & reverse a potential opiod causation of the arrest. After 20 minutes call it right there. Dead guys don't often get better. PS. I have run into a narcotic overdose arrests with trismus.

That attitude can be present in more ways than you think/ When we moved here 20 years ago, we only knew a dozen or so of the "locals" . Islanders are multi generational families with some going back a hundred years or more on the islands. My wife & I had both been in EMS for over 20 years at that point. We joined the service here and would respond to calls where the Pt would say" I don;t know you & your not from here::: We want somebody from here to take care of us. Being new to the Islands we tried to fit in with the "natives" , but had to draw the line somehwere. Our response to them was my name is Ed and if you want to wait for an islander , then it will be a very long wait as there were none on the service at that point. We were all from away. Once they got used to the idea that we were their best hope of getting the treatment and care they needed all was good. It took a while to overcome the "islander" bias, but eventually we have won them over to the point of them calling us at home to find out if they should call 911 for the ambulance or if they can wait to talk to their Dr. Many of them have been my wife's patients at the hospital in town and the rest have accepted us as locals, but not Islanders. How is the above scenario any different than refusing a black, chinese mexican , cuban , russian, lesbian, gay, transvestite, or even a female provider to care for you ??? All of society has biases and bigotry of some form. How about a tattooed provider or one with lots of piercings? My personal feelings are if you call 911 for an emergency and decide that your bigotry is so great that you refuse care from a qualified provider ::: then it sucks to be you. It is not our responsibility to send for another crew. What happens if the second crew is not wanted?? Do you call in a third? Or forth until you get a crew the alleged pt likes???????

welcome to the City.

The same would have been true if the blond was a 300 pound sweat hog. Still wrong

Trevor: I'm in the same boat as you with few chances to intubate per year and have only run into 1 pt that no matter what couldn't get a tube. He was a mallaptti grade 4 ,hugely obese pt that even the ER doc had to go several attempts to place a tube. We went with OPA after the second attempt. IV's not a problem get plenty of opportunity for them. I've done two already this morning and it's only 9 AM.

Whats the matter doc::: you don't like road kill stew ??? :-} welcome to rural america

an extra 35 minutes to sell beer to the fans. Commercials really suck this year

From the looks of the new members lists, the city is still under attack from the Asian continent. 4 pages of new members and only a few that appear to be possibly legitimate.

We are a rural ALS service: Less than 3% of our calls end up with a refusal for treatment or transport. the majority of these come from care crashes where we are called to check out the occupants even though they have no injuries. There are more that receive treatment and then refuse transport to hospital by ambulance.

We all know that cardiac arrest is on the publics radar: The causation of arrest vary widely and the response to arrests vary even more. In a large urban area the chance of someone seeing the arrest and reporting it are greater, the odds of someone doing citizen CPR are greater and the odds of a responder arriving sooner are greater, whether it's a cop , Firefighter, or EMS crew. The results of almost all studies done in the past two decades , show that early CPR and early defibrillation are the best way to get a save to release from hospital neurologically intact.

welcome to the city: Enjoy your stay. Look through the older threads to see if you have any questions.

I live in a place that many tourist pay to come see. The beautiful coast of Maine. what type of activities do you & your family like to do? That would give an idea of where to recommend. Are you east or west coast?

Define transvestite !!! My understanding of the term is a tranny is a male or female who cross dresses to the other genders apparel. If they are working in EMS then they would be required to wear the same uniform as everyone else. Hence they are not going to be cross dressing at work. Yes I have worked with gay men, gay women, straight men and straight women and a few that we were never really sure which gender they were.

No Wilson: I was not a REMF.

In reading through lots of studies recently it would seem that the current AHA recommendations are on target in moving airway far down the algorithm of cardiac resuscitation. The studies quantify the need for continuous cardiac compressions with full release of pressure on the up stroke to allow the heart to refill and this seems to move enough air to make intubation unnecessary.

thats why I put the questions out there. I had my hands on one and wanted to know what providers field experiences are with them. Smaller than the M series ,,lighter than the M. Close to half the weight & size of the lp15 with the same features.

It's different ! Might take a little time to get used to. Are you trying to feed the kids needs by using all the social media presence?

cat scratch fever.

Anyone using the new Zoll X Series monitor defib yet? Any thoughts or comments?? Thanks

Thats really incredible Mike. I just viewed that on my 32" flatscreen with the lights off.