island emt

Race is one of the 240 some odd data fields required for the feds to go to some unknown server farm for the number crunchers and data fairies to collect. Lord knows what they do with all the data they collect. It part of the NEMSIS standard for data collection system.

I have a good friend who has been in EMS for decades. At the age of forty + he decided to become a minister of the Lutheran variety. He is the department chaplain where he works when he is needed, the rest of the time he is just another crewdog. He is not an in your face type preacher, but is always available to talk with and having spent many years in EMS can relate to the things we see & deal with. Mant years ago when I was in the Navy we had some folks that had found Jesus, who were the most obnoxious and annoying people on the face of the Earth. They were always talking down to anyone that wasn't a "believer" and putting the tracts on our desks anytime you walked away for a moment. People like that were worse than reformed smokers. they were fanatical about their being saved! Don't become one of them!

back when this event took place Military anti shock trousers were common place in trauma protocols almost everywhere. Today there are few circumstances that allow them to be used. Most state equipment lists don't even require them to be a part of the required equipment list. Did the application of MAST cause the death? Hell No ! the person who stuck the knife in his chest caused the death. END of discussion.

I've found that preceptors like the one you are describing are usually "borderline providers or burnouts" that feel challenged by students and don't want a "newbie to question them about things they may not have knowledge of. In many systems such as the empire you get to be a preceptor by not showing up on the bosses radar too often . Mediocrity will get you promoted and the browner the nose the worse the quality of precepting. I would write an honest review of the time spent with this preceptor and make copies to give to the program director or dean and be sure to keep a copy for your own files.

Well friend: you just admitted to giving medical care without a license to do so. You might want to remove that quickly and keep your mouth shut until you are a licensed provider in Tenn. Just sayin !!!

Maybe they can find a heart for the child rapist from a corpse.

Currently there are no supervisors of color, or crew, But then there are probably less than a dozen residents of color in our entire town. I happen to live in the second whitest state in the nation. The majority of "citizens of color here are recent haitian or somalian immigrants who escaped from their shithole countries. Back when I worked in a big city system the staff ratio was about evenly mixed at all levels. Several of the top dogs were black or hispanic, about the same mix as the field providers. What was obvious was that women were severely discriminated against when it came to promotions , didn't matter what color their skin was. So get off your pity pot and grow up!

Since He's on the wait list and will be for a while, Hold a parole hearing and toss his ass out on the street. He's almost served his sentence for raping a child. Then as a normal citizen he can qualify for the same benefits as any other leech on society.

That would be correct. A violation of departmental privacy rules probably but not a HIPAA violation There is no acceptable reason to be posting on any type of social media site any information on calls you are part of.

Sounds like the care provided was appropriate on this call. On another track about this call. You have a child that is knocked up at 16 yo and still having sex with her boyfriend who if he's in collage is probably at least 18 yo. In most places this could be considered statutory rape of a minor. Mother natures way of reducing unneeded children.

The logical thing to do if you don't want to be subjected to TSA assault is not fly! Not saying what happened here is right , wrong or otherwise. Or take the train or drive your car

One of our hospitals went on a campaign to eliminate staff infections & MRSA a few years back and tracked in the field IV starts for over a year. There results showed that alcohol only has a 3% rate of infections and those with chloroprep ampules had a 1.1 % rate at three days in. They were working at reducing IV changes when we bring the patients in with good aseptic technique start from the field and a general overall infection rate in patients in-house. Their infection control committee went to every department and made recommendations for changes to reduce the MRSA rate and other types of bacterial infections. If the patient is grossly contaminated , I will wash with sterile saline first then wipe with an alcohol wipe followed by the chloroprep ampule. It usually takes about a minute to air dry. I have seen a pt with a severe reaction to the betadine/ providine swabs , so we no longer use them.

We have Ford Fair Lane 4 Wheel Drive Right o way lane

Island Clam Bake This one starts with a trip down to the wharf: Items needed: 2- 1 1/4 lb lobsters per person 1/2 lb steamers per person 1 large baking potato per person 1 lb real butter melted in saucepan wrap potato's in foil & put in oven for 1 hour @ 350 Gather all the food then put the steamer pot on the cooker with 1 inch of water & bring to boil: Drop in the clams, then the lobsters, When water comes back to boil , wait ten minutes and then serve! Depending on time of year cost per person will vary from $6-8 per person. If your really into salad add a nice green salad. ENJOY

Where in the northeast are you currently? That would help in finding a practical exam site.

Excellent thread so far folks: Bieber our young Jedi Knight While we understand your thirst for being at the top of your game when it comes to prehospital care, you should not take the shotgun approach to changing everything all at once. Treatment protocols have evolved over many years and most changes taking place now, are due to evidence based medicine as a direct result of honest studies being done in many places around the world. I applaud you for your vigor in wanting to be the best you can be. Addressing one of your requests : Selective spinal immobilization. We have been developing this for many years and it has been a part of our protocol since the mid 90's. There have been several changes in the algorithm since version 1 which was developed by the wilderness medicine folks here. Then along came the NEXUS study with our then state medical director Dr. John Burton as one of the authors. We learned that EMS has a very low <1% miss rate when this protocol algorithm is follow properly. Very similar to what the ER staff physicians have. Here is a link to our state website with the selective spinal immobilization protocol and training material. http://www.state.me.us/dps/ems/training_materials.html#spinal My advice would be the same as others, Pick one or two items from your bucket list, do the research and then present them to your medical director for consideration. Don't go in with the shotgun approach that someone else is doing XXXX so we should be also. You youngsters are the future of EMS and soon will be taking over the reigns from us old timers.

HELLO Kettle this is the POT :-} My guess is that JB spends far tooo much time on his knees under dwayne's ex bosses desk. Or it's as annie said a former troll come back to haunt. JB how about a link to the standard of care you state, or a link to your protocol that gives IN glucagon administration. I've worked in several places that used IN for many drugs, but none used it for Glucagon.

While I'll agree that not everyone needs to be fully immobilized & we have a spinal protocol that allows us to make an informed decision process on whether to package or not, it was still a MVC rollover that required someone to be forcefully extricated from the wreckage. A crash that causes that much deformation of the vehicle will send the alarm bells ringing in my head. When in doubt package them as the ass you save might be your own.

But in this case it was not a minor fender bender: It was a rollover with extrication required. I would rather do a complete head to toe assessment and come up with negative findings , instead of some nurse at the hospital ER saying to me how come you didn't find that they had {::::::::] injury that would of been very obvious if a full assessment had been done. It only takes about 30-45 seconds to accomplish a quick top to bottom, head to feet touch assessment to make sure that all is right or wrong. Anecdotally : I saw a pt brought in to the trauma room where the pt was in full spinal immobilization following a crash. Unfortunately the crew didn't notice the impaled piece of the floor shift lever in the patients back because they didn't do their assessment properly. It wasn't found until the spinal X-rays came back. Quite the ass chewing came from the Docs and nursing staff over that. It was imbedded in the pt's liver. No wonder he was complaining about back pain. OOOOPPPPPPS! Now in their defense , the pt was unbelted and had kissed the windshield so there were facial lacs and quite a bit of blood present , BUT they focused on the obvious and forgot to do the job properly. And yes if someone needs to be transported from a MVC, I always do a quick touchy feeley to make sure. Found a few weapons that way on people you'd least expect it from.

Seeing how they were involved in a rollover MVC : did you or your partners not do a trauma assessment? This is something that might have been done as part of the total patient exam in documenting injuries OR the lack of them. ALL pt's worthy of transporting from MVC's should at a minimum get a once over with you palpating all parts of the body to see if you elicit a pain response or notice deformities, contusions or wounds. People involved in MVC's tend to go into an adrenaline based shock and don't immediately notice many injuries, until said adrenaline wears off. Then all of a sudden when the nurse asks you why you didn't notice something such as this case you would of had a response.

Good for you. It just take 1 great experience to light the fires. Don't let that flame dim. Keep studying hard and never stop learning.

hook , line + sinker Dwayne

There seems to be a lot of confusion as to what HIPAA really is and what it requires from us as prehospital providers. https://www.cms.gov/hipaageninfo/ It is generally accepted that EMS is a covered entity in most cases regarding HIPAA . How many of you can think of a case where this is not true? The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules Mostly it is a set of rules when there is transmittal of Patient healthcare information from one covered entity to another, i.e. [ billing service, insurance company, another medical facility ] It is not the same as patient privacy. This is not to say that we must do everything to keep the patients medical information from being given to someone who does not have a need to know. Too many folks wave the "HIPAA" flag as a reason to not share anything with anyone. Going way back to the original posters questions and comment on what happen to his crew: An out of state ambulance was seen by a Texas state trooper who tried to run the plates and came up blank. [fail for the DPS computer system] He pulled them over on a questionable "traffic stop" to ascertain whether it was indeed a legal ambulance carrying out it's authorized trade of transporting a patient from point A to point B. He asked for the paperwork to make sure that it was truly a patient and not a drug runner or other criminal activity being done under the guise of an ambulance as there have been documented cases in recent history where this has occurred. There was a case in the news last year where a used ambulance was purchased and after loading all compartments and interior cabinets with high grade marijuana, they drove from California across the southern states headed for Florida. They were stopped at a gas stop and someone noticed suspicious activity, so they alerted law enforcement. The occupants were dressed in "EMS uniforms" and were seen smoking in the ambulance. There was a "patient " on the stretcher in the back covered up with blankets and playing the role of someone unconscious. All of the "crew on board had weapons in their possession. Could it have been handled in a more professional way? OF course it could have been. But the question remains, was he out of line for verifying what could have been an illegal activity to the best of his ability? In an unrelated case in Oklahoma last year the trooper pulled over an ambulance running L+S to the hospital and began a confrontation that could have definitely been handled better, as we all saw on the dash cam video. The medic could have choked the skinny little trooper to death right there on the spot. His testosterone got the better of him and he started a political nightmare that is still causing bad blood between EMS and the police force. In the end apologies were made but it still caused a serious rift between public agencies.

Lone : if you go back to post #2 in this thread you will see i Corrected HIPAA This all boils down to are you willing to take on a redneck cop who has a hair across his ass that morning in an attempt to "protect" your patients rights. The PT wasn't aware of what was going on and couldn't give consent is all a smoke screen. I'm not saying it's right for the cop to do what was done: Or saying it was wrong. The question boils down to are you willing to take the consequences and pay the price of a confrontation ?