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Everything posted by AnthonyM83
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Don't scare me like that. I thought it was THE actual Chuck Norris. When in doubt refer to this page: http://www.deadoraliveinfo.com/dead.nsf/nn...nf/Norris+Chuck Another hoax: http://www.burnedbytheman.com/politics/rip...-heart-failure/
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C-Spine Stabilization research
AnthonyM83 replied to ExplorerShane's topic in General EMS Discussion
How about using these: You still need to log-rol patient onto it...you also slide around less than on a flat hard board. -
Here's a post Dust made in Aug 2005 when I first started with this community. I saved it on my computer and have shared it with others. Read:
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-Sure, the vest might create a mentality, but I think the protection outweighs the the mentality issues. Valid concern, though. -Hardcore smart criminals may now how to stab through a vest, but most attackers of EMS probably aren't smart hardcore criminals. I don't think any of the physical altercations I've been on as an EMT have been with such. -From 1992 to 1997, 114 EMS personnel were killed on the job. 67 from ground transportation accidents and 10 from homicides (mostly shootings). Then, add in the MVA's and shootings of those who didn't die, but had temporary or permanent injury. Remember, vests help with MVA's too. -Your brother and father survived without vests...but so did the great majority of police officers. But every year there's a list of those who didn't...the point is for them to do what they can to stay off that list...because someone's going to be on it...try to make it not you.
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C-Spine versus lower spine immobilization
AnthonyM83 replied to AnthonyM83's topic in General EMS Discussion
And what if the injury was localized and NOT global deceleration, rather localized direct blunt trauma, such as baseball bat for side of 4x4? -
Eh, we call them rigs among yourselves. Always ambulance when talking to the public. I honestly think that when we're talking to each other the public just filters out a lot of terms like PSI, rig, PMS, c-spine. I mean good thing to consider that I hadn't thought about before but don't think it'd change public's perception even .5%...but I guess .5% is better than nothing. I'd concentrate on problems like competency, behavior on-scene, etc first...
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Home defibrillators do or do not increase survival? What?
AnthonyM83 replied to spenac's topic in EMS News
I wouldn't think home defibrillators would have THAT great of a success rate, seeing as many people live alone or may collapse in room and not be noticed for five minutes. Just get the chest pounding going and call 911... -
C-Spine versus lower spine immobilization
AnthonyM83 replied to AnthonyM83's topic in General EMS Discussion
And regardless of mechanism of injury, right (as long as it's gives you high suspicion)? Just want to confirm...b/c the example is one where it's hard to know if injury is localized. Let's say guy gets punched in the back...or ..hmm I can't think of any right now, but I've come across them. I think tire iron to lower back might be to strong? No? In those cases cervical, too, collar, head tape, etc. -
So last time we had a big discussion on spinal immobilization a few months ago, a number of people mentioned that trauma to lower back was unlikely to cause cervical spine injury . . . I asked a follow-up question a couple times without reply. If you have a localized injury to the thoracic or lumbar spine, do you still immobilize the cervical? Is it all or nothing? If it's all, then I guess we're not really overusing c-spine for lower back injuries, b/c the cspine immobilization is just part of the lower back immobilization. Do those questions make sense?
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Cool case. Thanks for posting it.
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The up comming pandamic flu are we aready??
AnthonyM83 replied to j_parisien's topic in General EMS Discussion
What exactly pandemic are you talking about? I checked NYTimes, CNN, CDC, White House, and professional email lists. I haven't heard about anything major and immediate.... -
Would it of note what he was originally in bed for? Illness? What kind? Any signs of sepsis or dehydration (I understand his BP was 150/82, but what is it normally without his meds). He's 81...does he get around much? Bed-ridden? PMH? Lung sounds? Like others, was thinking bradycardia due to intubation attempts. I imagine the heart had also been under some stress with such a low BG level, so didn't handle intubation attempts well. I also wonder if something else could have set off a CVA (combination of blood clots and HTN from not taking meds?).
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We get dark blue reflective jackets that say Ambulance on them, which I actually like. We have blue helmets that make us look like smurfs, which I hate, but I see the safety issue. We're required to wear our brush jackets (different material than actual FF jackets) on all traffic collisions and roadway calls. I heard they used to have turnout pants which would actually be helpful when holding c-spine (keeps uniform clean and offers protection). Most people in the company would jump on it just because it'd make them look more like fire...which seems to be the goal around here. As far as helping w/ FD I enjoy that just from the perspective that most adventurous civilians would enjoy getting to help FD or PD or heck animal control with something interesting/different, but not from the EMS perspective.
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:shock: :shock: :shock: :shock: :shock: :shock: :shock: Muahaha/ROFL at Dust-Zilla exchange
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EMT Educator position posted below. I know this isn't exactly a job posting board, but I'm not the hiring agency. Like with the research position post, I think we have a great group of people here and it'd be great to see one of them get this position, especially with all the talk on effecting change. PS I vote that we change this board to from Instructors to Educators Two EMT-At Large Board Positions Available The Nominations Committee of the NREMT Board of Directors is seeking to fill two open Board positions. Nominees must be nationally registered. One position is designated for an EMS educator - this nominee must be an educator as his/her primary EMS occupation. The second position is open to any nationally registered EMT. Please specify which position you are interested in when submitting your cover letter. The Nominations Committee reviews applicant letters and resumes for service at the local, state and national level. Publications, research, conference speaking, street level experience, supervisory experience and prior service on National Registry committees are also beneficial. Interested applicants should send a cover letter and resume before May 31, 2008 to: Nominations Committee National Registry of EMTs P.O. Box 29233 Columbus, OH 43229
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Just copy/pasting this from the NAEMSE Newsletter. How great would it be to have someone from EMTCity filling this position. NREMT EMS Research Fellowship Available The National Registry of EMT’s is pleased to announce the opening of an additional EMS Research Fellowship position. We are seeking a highly motivated EMS professional who is looking to positively impact EMS on a national level. The EMS Research Fellowship is intended to help build a cadre of career EMS researchers as recommended in the EMS Research Agenda for the Future. The Fellowship will provide a unique combination of mentorship, research and education in order to develop EMS researchers. An EMS Research Fellow will enjoy a reduced workload at the NREMT and fully funded tuition towards the completion of an approved Doctoral program at The Ohio State University. The ideal candidate will be Nationally Registered, have experience as an EMS provider, possess a Bachelors degree, and be able to gain admission to an approved Doctoral program. Interested applicants should send a cover letter and resume/CV by April 15, 2008 to Dr. Gregg Margolis, Associate Director, NREMT, P.O. Box 29233, Columbus, OH 43229.
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Draft 3.0 New National EMS Educational Standards 3/25/08
AnthonyM83 replied to Ridryder 911's topic in Education and Training
Ha! Hell no. I was making the point that EMS groups may actually be responsive to comments from the public (professional groups, etc). . . so if you guys want to write to NEMSES...here's your chance...they MIGHT actually semi-listen... -
The farked up stuff AMR has done to its exployees (like firing and rehiring next day so employee has has a harder time getting a new job) is about as long as the list of farked up stuff LACoFD has done to its patients....least from what I've heard from past employees. I imagine not every service area is the same, though...
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Draft 3.0 New National EMS Educational Standards 3/25/08
AnthonyM83 replied to Ridryder 911's topic in Education and Training
Here's a chance to make some noise.... I went to the California EMS Commission meeting today and at least THEY seemed like they took heavy input from the public comment period. Oh, PS CA is getting EMS license plates.... I should post some notes of the meeting in another thread...interesting stuff...even a little volunteer EMS talk. -
I thought Arnold lived in Sacramento...
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60 Minutes: The Science of Sleep
AnthonyM83 replied to Doczilla's topic in Burnout, Stress, & Health
I imagine working any rough schedule (day and night mixture) is just tough on your body and stress is created as you adapt to an unnatural schedule (continuously flooding your body with hormones every time the bell/phone rings or getting forcing yourself to stay awake, etc). Since a kid I had this theory that scientists usually live RELATIVELY?? normal to long length lives because they spend their time in peace (there are many exceptions, but still trend?). All physical stress on body's physiology wears it away, even if it repairs, never as good at before... -
60 Minutes: The Science of Sleep
AnthonyM83 replied to Doczilla's topic in Burnout, Stress, & Health
Rushing my way out to the CA EMS Mtg, so can't view it now...BUT on the topic of sleep, heard from several people that shift work increases your chance for cancer? Anyone know validity of this study? Is it b/c you do shift work that you're more likely to work in a job where you come in contact with carcinogens or is it all shift work? -
I need some help with patient assessments
AnthonyM83 replied to sportygirl's topic in Education and Training
How did your school teach you to do assessments? What did they tell you about this? What format did they use to teach it? Where you tested on it? I know my school was pretty crappy in that sense and I had to re-learn most of it in the field watching medics or through EMTCity -
Haha, there was a cop at my old department who did that (minus the ventilations part)...he was so distraught by the scene he didn't realize the obvious death (it was arm detached and had brought along with it heart, lungs)