island emt

Breathe Deep young Jedi Knight, for the power is strong within you. Think back to what you got when precepted and try to improve on that experience.

Do not think less of yourself for seeking help. Too many folks try to be MACHO and end up having long term damage to their psyche. Get as much professional help as is needed to get through this. It's ok to feel sad and cry over the senseless death of a child. Don't hold those emotions in.

It is a cultural problem. When I was growing up there were NRA safety classes required and then you went to the range and learned to shoot safely. I'v had firearms since the age of 7 for hunting , target shooting, skeet & trap shooting, and recently sporting clays. Todays kids are getting guns in the hood and being told to go kill someone as their entry cost initiation for the gang. Human life has no value to them.

The drug shortages are getting a little ridiculous , We have Fentanyl for extremity pain , but it's in short supply so they offer MS as a replacement, But it's in short supply, so they now allow nubain if neither of the above are available. add midazolam , Epi, and a host of other drugs that are on the revolving availability list. Even if they are available , they might be of a different strength or dosage level or in a different type of packaging,ie vial,ampule, or bulk multidose packaging. We used to get the majority of our drugs in pre-fill single use packaging. No any more. Sure is fun lately.

Receiving recognition from the community for a job well done is important. It shows that they recognize how special "we" are for being able to remain calm and solve problems when they are scared stiff and losing control. All the better when the outcome of the call is an improvement in the pt's condition. Had a call yesterday for a Pt that had fainted while at church. On arrival he was conscious , but out of it. We did our jobs and identified a possibly fatal arrhythmia, treated successfully and brought him back to a normal life status , all in the course of a few minutes. We had people from the congregation stop by the station later in the day and thank us for being quick, smart and knowing how to treat him properly. Do we accept the thanks in the manner intended or just tell them we were just doing our job. Of couse you accept them and let them express their thanks with a humble response. Like Happiness, we are a small community and we know many of our neighbors/ patients personally so it's a little different than working in the big city where the pt's are just numbers on the tally sheet.

We also have Midazolam. That is unless your supply hospital is having shortages, in which case you might get Diazepam which has been approved as a direct replacement.

Even worse is the fact that they will send the crackhead [oops Pt ] the check with a reduced payment and they will thinks it's a bonus from heaven. Once they sign the check at the check cashing store, the account is paid as far as the insurance company is concerned. What they are trying to do in Mass is force all their insureds to only call the bamblance they have contracted a discount hauling fee with. which means that if you get hurt somewhere and call 911 you are using an "out of network provider".

Mike: Welcome to the City. Being from Maine also, there is probably a reason why there is not a service in your town presently. either low call volume or a regional service that provides EMS . The majority of ambulance service in the state are fire department or volunteer ambulance service based. There are a few large privates providing 911 & transport services There are ways to find out things such as call data historically for your town and neighboring towns. Check with your towns annual report for info would be a good place to start. If they don't have a service , then they are contracted with one from somewhere. If you called 911 , who would answer the call now? Pm Me if you want some more info without disclosing where you are online.

This has been ongoing for the last couple years. Pretty sure they know who, just have to catch them in the act.

Monsta: I did not even begin to imply that you were a drunk or alcoholic. If thats what I though then you would have known. What I was pointing out was: If your decision to not accept a position is based on [in your words] "The more I find out, the more I'm thinking Saudi isn't the place for me. I mean no beer allowed? That's crazy in itself" based on the fact that alcohol is not available in the country . then maybe you need to expand your horizons and learn more about the various cultures of the world. The fact that you got your panties in a bunch over a simple comment about alcohol use, might be a clue! Yes I am a Veteran; I had the pleasure of serving in uncle sams nuclear canoe club from early 1973 through 1985. I did my time and paid my dues. I don't take anyones service to our country lightly.

If alcohol is that important to you ::: you might have a problem

That was a reference to a 60's TV shows, Petticoat junction and the other to Mayberry RFD with deputy Barney Fife. Both a couple of backwoods Carolina towns with dipwad cops. I know most of you aren't old enough to have a clue what I'm talking about.

It is a strict moslem Country.

DO you work in Mayberry or Hooterville?? You did the appropriate thing in your duties as an EMT. To force a pt against there will, is kidnapping and potentially assault & battery. Unless they put her in protective custody then we can do nothing about a crime that might have occurred. Now the local cop sounds like he has no idea of what the laws are that govern how we operate. I would expect your employer to provide a land shark to represent you, but in reality he/she will be protecting the company, & will throw you under the bus if need be.

I know a few folks that have worked in Saudi: They were hired as trainers and Paramedics about 15 years ago for the Red Crescent society. All but one finished their 2 yr contract and came home. The one person, last I knew is still there wearing his dishdash. In modern times of contract work , there are the good the bad & the ugly when it comes to overseas contract work. Some employers care about the help. The rest will use you up and when they're done with you dump you by the wayside in the effort to line their pockets on other folks labor. don't sign a thing until you read the fine print carefully.

It's a political conspiracy between the author and the government to increase the population of refined nations, Plus they treat the paper with estrogen :=} It's actually great for the Maine economy as the Verso paper mill that makes the paper they are printing 50 shades on , just put another paper machine back on line. That means another 75 - 100 jobs called back in the good paying mill. improved economy for a 100 mile radius and the trickle down effect on all sorts of businesses like healthcare. OH by the way Celtic: SEX causes babies

If you have to use a backboard then fill all the voids down the sides, and place a BP cuff under the small of the back. Inflate it slowly till the pt is comfortable. Foam swim noodles work well for between the legs and down the sides. We have been using a selective spinal immobilization protocol for over ten years, which allows a lot fewer pt's to be boarded after exam and neuro testing. Me personally: Prefer the scoop hands down.

unfortunately this is going to be based wholly on hearsay and inuendo: Current practice in most places is to turn in our "expired" medications to the hospital pharmacy so they can package them up and send them to medical missions in places such as Haiti or South America run by local Dr's & nurses. There is nothing wrong with the majority of medications for many years after the published expiry. There are exceptions in those drugs that need to be kept refrigerated or such as nitro that exposure to moisture / air after opening will decrease potency. On the subject of expiration dating of products. Why are they dated? Does the product no longer meet safe use criteria at a stroke of the calendar? Does the product fall apart or disintegrate at the stroke of the clock? OR is the reason for expiration dates to make sure that we keep having to buy new products and throw away perfectly good products. Some examples: powdered activated charcoal grannuals in hermetically sealed single use containers or nasal hoses made from silicone not natural latex. How about chemical hot or cold packs. {i got hit on annual inspection this year for hot packs that were 3 months past exp.] They still work fine and i buy them by the case. plastic bottles of saline for irrigation

This is not true young: you can take the course, but cannot be licensed until age 18 as you need to tale nat reg exam and pass prior to being issued a Maine license

State of Maine EMS is the licensing agency here. http://www.state.me.us/dps/ems/

Good onya Mike: You are learning young Jedi !

Medtec has been in trouble since being bought out by Pierce/ Oshkosh. They took a ton of tax incentives from florida to move it's manufacturing operations from Michigan & Indiana, then basically dropped the ball on sales.. We had been Medtec users for 15 years prior to Pierce ownership. /When we went to buy a new truck in 2009, the pierce dealer said: "If you only want one truck, I guess we could send you some specs. When asked for a demo to be brought for us to view. They could only find a 3 yr old truck that was nowhere near what we were looking to buy. We didn't buy from them. Firetruck salesmen trying to sell ambulances doesn't work.

EMTB=is the basic level EMT EMTA is the new advanced level[ old intermediate level ] You and 5000 other basics will be applying for FDNY jobs when there are a few dozen positions open.

Here , you must be 18 in order to test for a Basic license. You can then go on to take the Paramedicine course which is at least 18 months for trade school & 2 years for an associates degree collage program. Most insurance companies have rules from the risk management department that require a minimum of 21 in order to drive, with some insurers requiring 25 yrs old. So in theory you could have 20 year old Medics that can't drive an emergency vehicle.

I can remember IV's being done regularly when I started in 1971. Not as common as today as the skill was limited to the few Paramedics and nurses that worked in the streets back then. Flash forward to 2012, + I'd wager 60=70 % of all pt's receive IV therapy or at a minimum a saline lock for medication access.