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island emt

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Everything posted by island emt

  1. He sends them to Mongolia! :-} Welcome
  2. On that thread::: try and keep it at one! WRAP that rascal The fact that you and the production of your sperm will be able to get up in the morning and go off to get on the school bus together is just wrong in so many ways.
  3. Don't beat yourself up Kaisu: You did him a favor and he appreciated your concern.' At 81 maybe he doesn't want to know how sick he may be. Hopefully it's not too far advanced, but we all know that melanoma is one of the most insidious forms of cancer. I lost a close friend 3 weeks ago that was diagnosed on Nov 12th and told he had colorectal cancer that had metzed to his liver. Follow up test showed it to be a mutant form of melanoma. He died within 3 weeks of initial diagnosis from liver failure. I saw the CT scan and it showed his liver was one continuous mass of tumors, looked like a tight bunch of grapes.
  4. One of the hardest things new medics suffer from is a lack of self confidence in their abilities and knowledge. You need to be a TAKE CHARGE type of personality in this business. As Mongo said there is a difference between confidence and arrogance, How you relate to your patients and other providers will make a big difference in making you a better medic. Remember that most of our Pt's are having the worst day of their lives, and so are their families.. At least in their minds. Go forward and learn something new from every pt encounter, Don't ever stop learning no matter how many decades you work in prehospital care.
  5. As has been noted above in a rural setting where we know many of our pt's as neighbors or at least in passing at the post office , church or local store, we always wish them well and inquire if they would like us to contact family for them. It takes very little effort to make a call on the ride back to the Islands and it goes a long way towards pt comfort care knowing that we will go the little extra mile for them. It also shows in the thank you cards we receive, and the positive votes for funding at annual town meeting.
  6. Rest i Peace Mick. Our thoughts & prayers for his family & mates.
  7. Just a quick question to ALL ! How many of your services even carry a hypothermic thermometer on your trucks? We Do!
  8. you forgot Glenn Bock and rush windbag to go along with shawn whineaday
  9. Though someone here might be able to make use of this information. Applicants Sought for Scholarship Honoring Fallen U.S. Army Medic Michael A. DiRaimondo Foundation offers $10,000 to aspiring paramedics By Hugh Ralston for the Ventura County Community Foundation |Published on 12.19.2011 Spc. Michael DiRaimondo of Simi Valley enlisted in the U.S. Army in 2001, at age 19, to serve his country and receive the training he would need to achieve his goal of becoming a firefighter paramedic once his commitment ended. That dream ended in January 2004, when the medic helicopter he was riding in was shot out of the sky above Falloujah, Iraq, killing DiRaimondo and eight other U.S. soldiers. To honor their son, his parents, Tony and Carol DiRaimondo, established an annual $10,000 scholarship at the Ventura County Community Foundation to help others achieve their goal of becoming paramedics. “We conceived the idea within a day of his death. I said to the family, ‘Let’s have donations for the Michael DiRaimondo Fund,’” Tony DiRaimondo said. “We thought to establish a scholarship so a passion he loved would continue his legacy. We simply wanted to give to someone who held Michael’s passion.” The DiRaimondo family raised $250,000 for the Michael A. DiRaimondo Foundation Scholarship. The DiRaimondos wanted the award to be large enough to assist an aspiring paramedic to the completion of training. The awards started in 2004, but last year and thus far in the 2012-13 scholarship application period, no applicants have emerged. According to the Bureau of Labor Statistics, the need for paramedics will increase in the next five to 10 years. With this growing need, the DiRaimondos hope to continue to give financial assistance to those pursuing the paramedic profession. “You don’t have to be the top of your class by any means,” Tony DiRaimondo said. “Just let us know who you are and why you want to be a paramedic. We’re looking for someone who embodies Michael’s passion for helping others as a paramedic.” Applicants must show financial need, hold an EMT Certificate with plans to become a paramedic and currently live in Ventura, Santa Barbara, Los Angeles, San Bernardino, Riverside, Orange or San Diego counties — with preference given to Ventura County residents. To apply to the Michael A. DiRaimondo Foundation Scholarship, click here to read guidelines, register and apply. The scholarship application requires letters of recommendation so students are strongly urged to plan ahead. Online registration must be completed by 5 p.m. Jan. 4. Applicants have until 5 p.m. Jan. 6 to deliver their hard-copy application packets to VCCF offices, 1317 Del Norte Road, Suite 150, Camarillo, CA 93010. For more information, contact LaToya Ford, program associate and grants manager, at 805.988.0196 x126 orlford@vccf.org. — Hugh Ralston is president and CEO of the Ventura County Community Foundation.
  10. Does he have an EMS license? If not then explain in a friendly manner that pt care is your responsibility. His job on EMS calls is in a support function. Just so you know: I am presently a two hatter, A Captain of the Fire Department and the rescue chief, so these are things that I've had to deal with.
  11. The national registry is a non profit with delusions of grandeur! They write and administer testing for a fee. Nothing more & nothing less. They do not write protocols or training standards. They portend to represent ALL of us that practice Prehospital Emergency Care. Only if you pay for their lobbyist.
  12. Must be an arizona thing, Here all healthcare workers , teachers ,school bus drivers.fire, Police, anyone working with kids,etc, all have to go through the same level of clearance & background checks. Don''t worry about your friend being a stoner, Worry about yourself, Get different friends. You've had your dope slap and gotten a chance to change. Wake up & go forward with your life !
  13. Richard: Go to your room ! that was was really bad. May the season of Christmas bring you & yours peace & safety..
  14. Is NJ really that bass ackwards? All of the things you listed have been the "standard of care for many years. I knew NJ was screwed up in how they provided care , but WOW.
  15. Interesting that you say How ridiculous "YOUR "practices are. Does this mean you have never found yourself with having to make a decision of " do I put my life & my partners at risk in order to be a "HERO" and try & save someone or does this mean you are just a poser? If you continue to do unsafe practices < It will bite you in the ass. Most hospital personnel are not allowed to move an injured pt because their training and licenses are not in Emergency medicine. We got called to the hospital property all the time to package & stabilize injured folks on the grounds , before transporting them to the ER down the hall. I have heard the sound of bullets whistling by my head in an apartment full of police officers , that had allegedly secured the residence, as we moved a stabbing pt out of there. Nowhere in the oath I took did I ever see the words, " you will takes risks of your life to help someone. Why do I care how long it took the police to arrive and secure the scene? I will in a known hazardous environment until it is secure and threats removed.
  16. Near passing equals :::: almost made the very minimum score BUT wait for it::: failed Colin You need to open your brain and let the information you were taught sink in before it can flow out in an organized manner.
  17. A little confused about what your asking: Were you convicted of a felony driving charge? That would be the thing that would impede getting a license in nursing or Paramedicine. Some companies won't hire folks with bad driving records as it causes a higher insurance rating for them. What was the advisor telling you? that you were condemned to being a greeter at wally world for the rest of your life??? I'd find a different advisor and go on to nursing school.
  18. Some assholes just seem to rack up the negative rating points as a challenge. Chris while you are willing to share knowledge with anyone who might want it, some just need to be antagonistic about everything.
  19. Mike is correct. Manufacturers recommend that after 2 weeks in a heated state the fluids be replaced. ' Even with our small call volume service , we don''t waste too many bags / year. We date them when they go in the warmer and chuck them to the training box at 2 weeks. We keep 2 liters in the warmer at all times.
  20. Coming from a place where we deal with hypothermia 12 months of the year due to cold ocean water surrounding the islands. we always use a space blanket and then cover with cotton blanket over that. We have a nice little insulated 12 volt fluid warmer bag in the truck that keeps fluids at just a tad over body temp. Yes you do have to cycle them through, but I don't want to put the pt's into shock while I'm treating them. We also have a 12 volt "electric bunk warmer blanket for when it's really winter and frigid . Kept in a cabinet inside the truck. They can be found at truck stops or online. Our bus has 12 volt outlets all over the box intentionally.
  21. It will include 35 hours in basic English language skills and writing skills. It will not have "new" scope of practice or more skills. EMT-B will be soon relegated to being the stretcher fetcher or steering wheel holder.
  22. It sounds like you are enrolled in a top quality Paramedicine program ! The really bad part about this call is how far behind the curve the Pt was when EMS was called. She was de-compensating and had already passed over the downhill threshold. The fluid challenge's and massive doses of platelets and packed RBC's might reverse the syndrome. But it sounds like this might not of had a good outcome. Great scenario and presentation 2009. Now I'll toddle back to my park bench and let the kids play some more. :-}
  23. I'm wonder if after the trauma induced abrutio and D&C if they did an ultrasound of abdomen. Lack of clotting factors and other S&S make me wonder about Splenic damage. I do agree with the DIC diagnosis. The "rash is a good indication of that. The earlier post about the two anticoagulants prescribed was meant to point some of those that were not getting the why she was bleeding profusely. She is a pt that is certainly circling the drain and in dire need of resuscitation by any & all means available NOW!
  24. The new stryker system is not available on the market yet . I saw it this year as a demo. It is a nice concept. I have a quote somewhere on my desk with the priceing. Somewhere in the neighborhood of 15k on top of the price of the power stretcher. total between 25-30 k for the package VERY expensive
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