MongoMedic2

I have to concur, thanks thisgirlisamedic, I thought I had the winner. Now I have to go out and trip someone and make up a story of what happened to them. But first, it is time. MongoMedic

Kiwi...??? are you even in NZ? you know a lot of people tolerate your arrogance, "talking the piss", because you had some pretty solid post. There was no reason that I would of ever thought that you were not a Medic. I am truly at a loss of words. Because as others have said, with the type of forum that this is, what you say here is taken not only did you research it, but also had some type of practical experience with the knowledge that you share here. Had I known, that you were not a Medic I probably would not care. You apparently have a good science background and a good understanding of "para-medicine". that in itself can be a valuable asset, maybe to give a young Medic/EMT a resource to to go to for a science based answer. But it would be nice to know that this is all booked based knowledge and not that of personal accounts/experience. I am really taken back as well that you were giving this guy the dump load of shit, for his mis-representations. Whether it is by omission, stating that you are when you are not, or whatever...if you put forth the effort to present yourself as something, and you are not it is a misrepresentation no matter how you look at it. MongoMedic Certified Texas Paramedic (exp. 2013), ACLS Instructor (not the best in the world but still am one), Currently a Remote Duty Medic/Clinic Manager in Khushuut, Mongolia

New Years Eve 2005, sitting in my station with a Basic that had just cleared his orientation three hours before this call. At about 1215 the tones go off for a single vehicle roll over in a field....bystanders will show you the way to the accident...AAAAH Shit (when that sinking feeling just hits you). Get to the field, sure enough bystanders guide us in to this backwoods gulley. In the gulley is a mud buggy of sorts flipped upside down with about 7 people spread out all over the scene. I have two VFD types and an off duty police officer doing CPR on the driver. The rest of the passengers fine other than some minor broken bones, cuts, bruises, etc. The story I got after this was all over and the J.O.P. (Justice of the Peace) had taken over the body of the driver goes as follows. The driver and the wife had been working on buying this piece of land for about 4 months. They had just finalized the deal that day and signed the paper. The driver during this time had been making this homemade mud buggy to cruise the land and have some fun. Well he took a wrong turn and apparently a tire or two had went flying off, he lost control and the mudbuggy ended up on top of him. The problem with this whole mess, was that the couple had never before took a full tour of the land in the daylight and this was actually their first time to "explore" the land in detail. But they decided to do this one when it was dark, in a homemade mudbuggy, after they had decided to get tanked up in celebration of the New Year. A common phrase from my Director at the time..."Here hold my beer and watch this". Just a note, my partner did great handled the scene like a seasoned pro. MongoMedic

Wendy, I have had it to where I have had guidlelines/protocols to go by. If you see this, give them that.....if this test says that, give them this (cookie cutter medicine). I have also had access to Medical Direction via phone. What I have tried to do is come up with some kind of plan with about two or three options for the Doc to choose from or sometimes I will say this is what I think it is, how about I give them drug xyz. The Doc will either say yeah or nay and give me their recommendation. Most often if they have dealt with certain Medics enough, then they will pretty much go with what you say, unless you are just off your rocker. From my understanding, most Remote Medic jobs work pretty much the same. MongoMedic

Kiwi I think that we have found something that we agree on as far antibiotics being used wrongly, however I think that starts in the Doctors office. Now my disclaimer: I am not a doctor, nor do I claim to know more than a doctor, with that being said.....I am not sure what it is like in NZ, but in the US if a patient wants an antibiotic and the Doctor disagrees, then the patient just goes to the next Doctor until they get what they want. So what happens is business gets in the way of good medical decisions. They don't want to loose their patients, because that hits them in the pocket book in private practice. One of my biggest hang-ups doing these RM gigs is when an antibiotic is given for the "because I can" with no other medically nec. explanation available. I often try to explain this to my Mongolian Doctors, if you give a medication be sure to document your findings in your chart that would suggest the need for the medication. This is especially true for antibiotics. My concerns come from two angles, first and foremost the patient care. I don't want a patient to receive a medication (i.e. antibiotics) for something that will resolve itself with OTC's in a few days, or that needs to take its course. Well a distant second is that supplies are a continous problem here where I am at, and that presents its own problems. I also have a short coming when it comes to what anibiotic to give for what, that is why before I do I consult a PDR or hell even the internet. That way I have some basis for my decision. Now I will say this I have been lucky enough to have done this job with some pretty good guidlines, that says if you see this give this and expect that (call it cookie cutter medicine if you will). However, I still try to look up information so that I can educate myself maybe on a particular case. Maybe the next time I encounter such a case I can pull that out of the memory bank, the next time I encounter a similar case. MongoMedic

I remember reading about a program in Main or Mass. (I don't remember which) where Paramedics would go to homes to do house calls. They would have a pretty expanded scope of practice (similiar to that of a Remote Medic). They would do antibiotic therap, minor suturing, along with a whole host of treatments right in the patients home. I have no seen much press on how it faired or if it even still exist in that area. I do know that this is becoming a popular idea in Texas. I personally know of a company that is starting up right now that will be doing this exact thing. They will be using tele-medicine to speak with a "coordinating doctor" (for lack of better terms) along with a very expanded protocol system and armed with all kinds of cool things (monitor, I-stats, etc.). They will also be following up with patients that have visited the ER, admitted and then sent home. Kind of a follow up program. This will in the long run assist hospitals from receiving these patients after being discharged from the hospital and the hospital having to pay medicare back. Example: granny goes in suffering an MI. She gets admitted and treated for her MI, now (according to my sources) if granny goes back to the ER for any reason that hospital has to pay medicare a said amount (sorry I don't know figures). So instead this service will basically follow up on granny ensure that she is taking medications as they are prescribed, do a physical exam, report back to the coordinating doc with findings and possible treatment plan and implement it with the coordinating doctor's approval. That is basically what I am being told, I don't have any facts, figures, or documentation to prove/disprove this. Although I think that it is a great idea. I mean if we as Paramedics could do these sort of things and help drive down health care at the same time, I say about time Mongomedic

After reading the threads from this article, I am just simply amazed. First off, this was during an ATHEIST parade. In order to have a parade (at least in any community that I have ever lived in) you have to have some type of permit in order for that parade to take place. truth be known, that is not even the most important factor in this debate and that is that this person (a Muslim) attacked this other guy (an Atheist) for his dressing up like a zombie Mohammad. The judge in this case (according to the article) ruled in favor of the Muslim, because he was acting in accordance with Sharia law. The First Ammendment of the Constitutions of the United States strictly prohibits this. This is from my extensive research via Wikipedia (sorry did not take from the actual document) The establishment clause is "[t]he First Amendment provision that prohibits the federal and state governments from establishing an official religion, or from favoring or disfavoring one view of religion over another." Which this was interpeted by the US Supreme Court as meaning "government should not prefer one religion to another, or religion to irreligion." This judge acted in accordance with the fact that the US recognizes Sharia Law (which governs a sect of the Muslim religion) over that of the US Constitution. This is wrong, anyway that you look at it. Could the act of dressing up like a zombie Mohammed be offensive to someone, well sure? Just as all the jokes about Catholics could be, or making fun of someone’s kid. The point is that we live in a country that allows for this freedom of speech, expression, religion, and that of the press. Legally speaking, we cannot go hitting folks for things that “offend us”. If that was the case I would be hitting a lot of folks every day, and telling the judge they offended me. Now if someone made fun of my child, hurt my child, or did something that I found offensive enough would I hit them? Maybe, but then I would have to face the consequences legally. The simple point in this debate, is the judge ruled in favor of one religion over another. By the US Constitution, which is what our land is governed by, is wrong. Mongomedic

Just for your info, nothing more, but I have a little over 20 years in this field...I have seen plenty of changes (some to the good some to the bad) in this field. It is like I said in my last post, I have a lot of respect for the job that fire services do. However, I do not like arrogant, pompous asses telling those of in EMS that our job is any less important than theirs. Like I said not all FF's are assholes like that and are all around good guys. That was my main point, other than educating the young lad on some the history of EMS. At least that I am aware of. Although I was a little confused on what my duration in this field really has to do with the rest of your post. Maybe just a little clarification? MongoMedic

Simple words, I am absolutely disgusted with this decision. The judge just needs to be removed and tried for treason under US Law. Just my simple thoughts. MongoMedic

If you read my earlier post, you would of seen that I was defending the FF/Medic that was on the plane. However, that is pretty much where my defense for the fire services ends. Because, it is arrogant asses like you that give the fire services it's much needed reputation. If you really want to know where modern EMS evolved from, it was from the Medics that served in Vietnam. Yes it is true that originally the EMS service for the civilian world was devoloped within the fire services. However, it was seen that the fire services could not handle the call volume and that is why it started to going to mortuary service and devoloping into the ever expanding private services. The funny thing about "fire based EMS" is that even back then they did not transport, they had to call a local ambulance company to transport their patients. If you bother to get hell off your high horse and see that the number of fire service run EMS in the US is dwindling and the private/hospital based EMS services are gorwing then you will see that maybe the fire services are not as "key" in the devolopment of "modern American EMS systems" as you like to think. It took hospitals, private services, in a very small part the fire services to devolop EMS into what it is today. I have a lot of respect for the fire services, as I do for the law enforcement community. However, trust me on this there is no jealousy on my part. There is also limitless possibilities with the job that I do. So before you go bashing the private/hospital based EMS, read a frickin book and open your mind!! MongoMedic I approve this message!!

I am sickened and disgusted at all the negative conotations, condomnations, insuations, multiplications, resignations, and perpetuations that are being brought up with this topic....It goes against the independant decloration, the proclomations, and the gudiance of the siloconation. You might be ghetto if you try to protest like this...

hmmmm that is what I thought...

Is your telescope powerful enough to look at the stars....or is it just to look at the building accross the street...Just askin?

When I am not working, or spending time with beautiful family, I really just enjoy getting on the open road on my motorcycle (2011 HD Ultra Classic) and riding. There is no feeling like it in the world!!

I came accross this this morning, posted by one of my friends from FB...This sort of thing really just trips my trigger. This is just as bad as those who steal valor from the men and women of our Armed Forces. http://news.yahoo.co...-192558839.html MongoMedic