AnthonyM83

Through the older brother translating? We only require them to sign out AMA when we feel patient should needs to go to hospital by ambulance, even if they are minors. She doesn't need to refuse transport, b/c we're not offering it, really (not that we'd deny it, though).

So, Doc, what's the answer!

Viva la revoluciOn!

It's called trying to raise the bar (in competence level of providers and lower whacker level), while still keeping your youthful humor during it all.

Yup, we have one across the chest/waist area and one across the legs. Yellow Styker Gurneys. I personally hate carrying it over steps, b/c if the patient freaks out and displaces his weight to the side, we can't stop it from tipping. So, I don't really like more than one step.

It's newsworthy in that it reminds administrators and public health people of this. It's important b/c you can't assume the obvious in science or medicine. (As you guys have probably figured out, I'm a proponent of "small study level "science...)

I'm pretty sure it was Wenckebach....Luciani's discovery with the frog leg was a different, earlier event.

Or he just used the early EKG machines....since he did know Einthoven...

Did he by chance detect them on the string galvanometer, which would really be just a polygraph machine...

I would think anything higher than a bachelor's in EMS would be for those interested in management, system improvement, emergency planning, prehospital care research teams. It wouldn't really make sense for the average medic working on the streets, since his scope of practice would be the same. I think a bachelor's would do a good job in giving a medic all the in-depth understanding of body systems. I don't know how much better a medic you'd be adding on the masters. A logical progression would be EMTB as it is now, which is really just a first responder. Then, for those serious about it, get a bachelor's paramedic degree with coursework similar to that of a biology or physiology major, and then for those who choose it, they can go back for their masters.

Humor

I'd be curious to see similar studies using NRBs at different rates. Since you exhale into the NRBs and your entire exhale isn't dissipated through the little holes in the mask, it seems even at 15LPM NRB you still have CO2 mixed in. Also, patients who are more likely to receive high flow oxygen in the field are those with breathing difficulties, so while they might be breathing in high purity O2, not that much O2 might actually be entering their bodies from the lungs. I'd like to see maybe a dozen more studies on this topic, each replicated by other institutions.

Well, they had to make the chorus rhym with "sexy back"... I just know I'm enjoying the hallway scene with the two backup dancers

But it seems like you specifically say something different. You specifically say 6lpm NC or 15lpm NRB...as if it's one or the other...and you don't even pick one based on the info in the scenario?

All our gurneys have two straps. Patients are strapped in 100% of the time with both straps and guardrails up unless there's special circumstances. Now some questions for you guys: Do you take you gurneys into people's homes or always leave it at the door? Do you carry the gurney over steps (say 3 or 4 steps) where you have to lift gurney from both sides or do you always keep 2 wheels on the ground?

You know, except COPD patients with no SOB and children on blow-by or ped masks, I don't think I've ever put anyone on anything other than high flow on NRB. If they're in such distress that they have signs of SOB, 2-3 word dyspnia, accessory muscle use, cyanosis around lips, then they get whatever dose will keep their reservoir bag filled.

Possibly just a syncopal episode... Family might have had trouble locating a pulse in their panic. While at the hair stylist the other day, the patron (21, male) next to me passed out. The stylist said he was having a seizure, there was some muscle tensing, but he came around pretty quickly, not post-ictal, and said he used to faint as a child when he was cut (I heard stylist apologizing for nicking his ear just a few minutes before), he termed the events seizures, but took no seizure meds and said the feeling up to the point he lost consciousness felt like the events that happened as a child. On arrival of medics, pulse was 70, BP 130/somethingregular...pt, ER nurse (also getting haircut), and responding medics all believe it was a syncopal as well. Though, I have to say 6 minutes is a little longer than normal for what I've seen. Headache is common afterwards, though, as is feeling lightheaded again as if it's going to reoccur...in your case it might have during transport. Plus your pt had a hx of psych. I don't know, though. Was there any nausea?

Yikes...I think in such a region I might actually not mind people waiting to see if their illness gets worse... :-/

Did that ever end up getting explained to us?

Oh, and I did a search for it on this site too before posting.... I have a lazy mycoplasma and Promiscious Firm video too...

I wonder what that stats would say about this...

At least in my county, I doubt there's a single person who works 911 EMT for the money*. $8/hour (which will be minimum wage in CA next year...remember high cost of living) isn't exactly rolling in doe...if I wanted to make cash I'd work at In & Out Fast Food...it'd be a raise....or would have accepted the job offer I got at a startup that is now making millions....or just kept my old job that was much less stressful and constant fun for double what I make now. *Exception is people who do the job as a stepping stone to other jobs who will make money. A lot of EMTs here are trying to get on with a FD and make around $100,000 starting out as a FF/Medic.

Who is "they all"? all SS or all federal agents?

This convo's going to hell. Now i t's just picking on PAV. -Let's not rip him apart for not knowing what equipment you really, since he's said he hasn't taken the EMT course, yet. He was just asking. It's one thing to explain to him what's needed and not, but another to make fun of him for wanting to be prepared. You tell him to go buy a stocked kit as to make fun of him for being over-prepared, when he came here to ask specifically what he'd need not a bunch of useless stuff in a stock kit. It's like people want him to fulfill their idea of him as a whacker, so they can than make fun of him. PAV: -I disagree with your statement that most federal agents need to be EMT certified. What will make you a good candidate is a strong academic record and a BA and good recommendations from previous employers at jobs with important responsibility. Clean record, good psych profile, well rounded with different interests (EMS would be a good interest, out of many others though), physically fit, and good interview (know how to interact). BTW, PAV, I am getting paid for being an EMT...does that mean I'm doing it for the money? Or does it mean getting paid was the only way my county allows me to work 911 EMS? I know you're defending your actions, but don't slam others in the process or more people will jump on you.