island emt

Krumel: Understood. Any D+C can lead to these types of complications, no matter how carefully the procedure is done..

just goes to show : YOU CAN"T CURE STUPID

Quote"The accompanying spouse informs the team that the patient had a recent miscarriage with a highly traumatic curettage 10d ago, no further medical history, allergies or medication is not known. " That statement right there gives a clue to the possibility of a PE. Not usually the first thing to cross ones thought process, but it might make me see zebras,instead of elephants. It would seem to me that she had been on the downhill slide for several days after the miscarraige and had finally thrown the clot causing the PE. The amount of fluid you suctioned was confirmation of it finally letting go. Tough case and more than likely the outcome would have been the same if she was in the hospital.

BLAH BLAH BLAH !!!! TYPICAL RETORIC

With the bag of Tims bits

Yep : the comments were so far off the wall as to be laughable.

What a load of crap: The court did the right thing in interpreting the laws of immunity. However to sue the rescue squad because your teen son shot his older brother to death is utterly ridiculous. If you want to sue someone, Go after your idiot son that pulled the trigger on what was more than likely an illegal handgun . Oh Wait. He's in Jail for manslaughter, living off the taxpayers! Wake up folks : You were doing CPR on a dead man before the ambulance was dispatched. Shot in the heart and dead on scene would not be transported here either, at all. Hospitals do not want bodies brought to the ER. Call the medical examiners office and detectives.

Mike: Glad you got out of the dangerous relationship , it was toxic and could only bring you grief in the long term. Go forward and stay on track.

Thats primary voltage grounding out through the outriggers. Bet the guy at the tower controls will remember to look up before raising his stick again.

What Kaisu said! In todays world where the funding for inpatient mental health facilities, & outpatient services had been drastically cut due to funding slashes, we have to respond and deal with these patients all too often. We are the last resort for many of these folks and need to understand the complexities of mental heath issues. We are their advocates and the gatekeeper for the services they desperately need.

I'm guessing that since the narcs are kept in lock box and new keys have been issued to authorized providers : Then one of them must be involved in the thefts. I know: no facts presented , but it's a safe assumption.

Lets see: 4th time this year narcs have gone missing , from different ambulances. Solution: Remove the narcs and wait a day or two , & see which staff member is either MIA or jonesing.

Yes you can do a make you feel good show and pat yourself on the back, BUT in the end it was a useless attempt at trying to reverse a fatal injury. A case in point : high speed motor vehicle crash. When I arrived on scene there were folks trying to do CPR on the driver. I made everyone stop and look at the scene. The drivers brain matter was all over the house into which he had crash landed. They felt good because they could say " We did everything possible? In reality they abused a corpse and screwed up a crime scene. edit to add Injuries incompatible with life is a term that needs to be thought about..

Craig: Not picking on you personally. But in a traumatic arrest with penetrating or impaled through the heart, unless you happen to be in the trauma center parking lot and the thoracic surgical team is waiting & ready to go, then the odds of survivability are not going to be good . Survivability from traumatic arrest is very low. Yes we can replace fluids, but how many services carry whole blood ? Packed cells Ever tried to do chest compressions on a GSW to the heart? All you get is a fountain of blood with every compression.replacing all that lost blood with colloids is not going to change the inevitable outcome. yes we can pack the wound, but you still need to fix the penetration and thats one thing thats not in anyones protocol to my knowledge.

3. DO NOT REMOVE AN IMPALED OBJECT * transport the patient with the object in situ. Occasionally, the protruding end of the object has to be cut off to allow easier transportation * The only exception is an intra-cardiac object in a patient with cardiac arrest requiring external cardiac compressions if ressustation is commenced." Now the question begs to be asked: If you have a traumatic arrest due to penetrating trauma to the heart, WHY would you even try resuscitation ????? BEOP: Our protocols have the leeway for us to determine how to package and transport any & all patients. We have a evidence based selective spinal immobilization protocol. based of of over a decade of use from the original wilderness medicine protocol, on through the nexus study. It has been tweaked a little over time but still pretty much what came out of woods 15 years ago.

And now the rest of the story as Paul Harvey would say. Want to bet the instructors were on the overtime clock when they were teaching these CPR classes. Want to bet that the class roster numbers matched the number of folks who paid by check? Want to bet that the batt chief shared in the revenue split? Want to bet that this will get swept under the rug?

Just remember to pay attention and don't let the kids get to you. Having lots of real world experience makes for an advantage in relating to patients. many of your pt's will be your peers/

you are very bad trevor :-]

Be VERY sure you want to do this, and take the risks involved, before you get on the first of many planes. My brother in law came home from there in a box exactly one year ago. He was working as a contract employee for one of the biggest firms selling bodies to the us govt. He was murdered by an afghan intelligence officer for getting too close to arresting important politically connected afghani's for drug trafficking. RIP Paul Protzenko 30 Oct 1964 - 9 July 2011

You arrived on scene and did a full & thorough assessment including a 12 lead ECG. You found no injuries and pt 's only complaint was a vague report of non specific pain. You tried to convince him to be transported for further evaluation,l and determined him competent to refuse. We can't force care, or transport on anyone against their will. The only thing additional you might have tried if your spidey sense said he needed to be transported , would to be call the ER Doctor & have him/her speak to the Pt.

Actually it happened in Pelham NH. There were a total of 9 Pt's treated. 1 young child is in induced coma in Boston hospital, most of the rest were superficial burns and trauma's. But why let a few details get in the way of bad reporting. Today the fire marshall's office removed over a hundred cases of additional fireworks. Most of them were large mortar type shells 3" & larger.

WHAT TESTS DID YOU FAIL? THE COURSE OR NAT REGISTRY? If it was the course finals , then probably shit out of luck. Nat reg can retake two additional times after padding the initial course tests.

We have been using what will become the new guidelines for 5 years kiwi. Not much change here at the Basic level. Our Intermediate level will actually be dumbed down to meet the new advanced level as it currently has more requirements than the new "advanced EMT " level.

Bravo Zilla: We have been using a statewide selective spinal immobilization protocol here for over ten years. It initially came from the wilderness medicine practice and was enlarged after Dr. John burton,et al, did the nexus study. At the time he was our state medical director and the results were very clear, We have been needlessly packaging patients on rigid backboards and causing complications as you mention.

It all depends on where you are as to how many hours the EMT-B course has been. Here it has been running 150 -175- hrs, plus 40 hrs of clinicals and ride time with a busy service. The new curriculum will not add too many more hours to that, if any.