bandaidpatrol
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That was a sin! Ruining that great old 59 Caddy! Those Bastards!
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Linoleum. Didn't last for shit, and stained real easy. Mainly because if there was something on it, you couldn't see it. Only in a combination did you have a neutral floor color. No commercial car (ambulance) that I ever worked in had anything but a dark, patterened floor. If you wanted something else, it had to be ordered before the body was built. Incidently, the brown and orange checkered floor in the 75 Criterion I worked in for years, was the exact same I had installed in my kitchen at home....
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There is a .jpg. You didn't highlight the entire link. If you right-click, properties, the 77patient.jpg and 77cad.jpg is cut off, so you have to drag the highlight thing down farther. http://michigan-ems.tripod.com/sitebuilder...s/77patient.jpg http://michigan-ems.tripod.com/sitebuilder...tures/77cad.jpg
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Looks fine to me. Can't do anything about that. Guess you can draw a picture of an ambulance on your screen and color it in with crayons if need be.
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What's that supposed to mean? This is an example of Cotillion White and Omaha Orange, inside and outside. So I used a stock photo from a website. No need to be a smart ass. Certainly better than this crap below. Really Ugly ambulance, a sin
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Cotillion White and Omaha Orange were the colors specified for many ambulances in the late 70's.
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Don't know about you, but I charged to use my hearses as ambulances! We had so many emergencies, we even began to run and buy units that were made to be used as JUST ambulances. Started out as ten or fifteen bucks a pop, then up to fifty by the end of that era. Why did I quit? I was paying people to run the ambulance, more than EMT's were making in the 80's. But people stopped paying round about 78-79. The state gave me 10% of the bill if an elderly person didn't pay. I made 35% off the county if someone didn't pay for a funeral. It was just a hassle. So it went from a paid service run by the funeral home; to a volunteer service run by the fire dept. They had EMT's, and the manpower, I didn't want them running on my calls. I had a standard, they had shortcuts.
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Unless a patient was in dire need of surgery, the attempt at limb reattachment, had signs of internal bleeding or was unconscious.. They went to the nearest place medical care was available, sort of like today. Only that meant a doctors home or office. Honestly, if they were dead, and the hospital was more than a half hour away, we just took them back to the funeral parlor. The nearest big hospital was over two hours by road, there were no choppers till after 1970, then it was a big mess getting one. Nearest hospital was about as big as our home, and they were outfitted with probably the oldest MD's in the state. Literally OLD. I'll add more later.
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I tend to disconcur with your view of history. I hope that's not part of this report... To sum it up, as an ambulance attendant in "the 60's", we did the best we could with what we had. Industry was just not on our side yet. We grew out of several professions; battle field surgeons, barbers, home nursing and funeral directors. Battle field surgeons and medics and corpsmen created the procedures that we use today; barbers were often the only persons available to provide stoppage of bleeding-less surgeons on battlefields hundreds of years ago, nurses riding to hospitals with ill patients in hospital wagons - few nurses-many ill patient, and the need to transport someone laying down. That is where funeral directors came in, we picked up victims on stretchers, and transported them flat in our hearse be it a wagon or a car. So, naturally, this was the best idea for a modern ambulance. We already had the car, and the bed; why not make a little money on the side? And I do stress a little. I can go into great detail on the history of pre-hospital transportation, but you'll have to do that research yourself, all the back to a hammock strung between two camels. The ambulance A hearse is different from an ambulance, the floor of a hearse has rollers on it, an ambulance needed wheel and post cups, and a flat surface to roll the bed on. For that purpose, they created the Combination Professional Car. It was an industry standard that the floor panels could be flipped over, so as to allow for the unit to be used for both a hearse and an ambulance. Color was another concern; black was a morning symbol for those in grief, but a stress trigger for those in need. So, we needed something that fit both profiles. White was angelic, and comforting. We chose white and maroon for all of our ambulances. But we did have hearses that were all black. For the most part, a combo car had just one red light, two spot lights, one white and one red, and a siren under the hood. It had one row of cabinets in the front, and open floor panels. These were all nicely decorated, to make it an acceptable appearance. The landeau panels with the funeral spires could be removed to reveal "Ambulance Service" etched in eisenglass windows. The cots didn't raise yet, and the bar to hook it to the wall was kept under the floor during a funeral. We could transport three on the floor, and two on the ceiling. Even with the cot in there. The cot was a Ferno-Washington, it had a feather mattress, covered with duck canvas. We also carried two folding stretchers, with "U" shaped feet, it could allow the patient to be set up, just like the ferno cot. We also carried two folding stretchers that lay flat to hang from the ceiling. The weight limit for the hooks was 175lbs. The folding stretchers came from Junkin, our funeral service supplier. The equipment We carried just about the same things you have now, to a point. We had two Keller-Blake Traction Splints, four flat stretchers for accident victims (it was known that accident victims should be kept flat, still and warm), eight blankets, two pillows, 100 Cravats, 15 Rolled gauze Bandages, 400 4" gauze Squares, three pairs of scissors, two surgical hemostats, a carton of 100 tongue blades, four large battle dressings, two 22x18" battle dressings for burns, One of each Adult and Child E&J Oral Airways (They were made of steel), two oxygen bottles- cross between a Jumbo D and an E cylinder-made of steel, they were kept in our E&J Lytport 1 Resuscitator-Inhalator-Aspirator units, four 28" box splints, four 24"x3" splints, four 18"x3" splints, four 15"x3" Splints, 1 Emergency Birthing Kit-set up for a twin delivery, clean sheets wrapped in foilpaper for burns, boric acid for burns, sandbags for head stabilization, wash clothes and towels, a glass pitcher of clorox, a bottle of spirits of ammonia, a "Hope-Puritan Bag-Valve-Mask Assembly", soap, thermometers, rolls of cotton, salve, eye and head dressings, one oxygen tent, a few emesis basins, a vomit pan, a urinal and a 3' x 18" wooden board to perform CCM on. We also carried a first aid box, usually an MSA pre-filled kit, or a salesman sample box. Another good one was a carton to hold radio tubes. The training We didn't have "EMT"'s till the early 70's. But after 1966, we did have to be trained. I was trained in 1952. Standard and Advanced ARC First Aid. That was that. But along the way, we did receive other training. Oxygen, CCM (Closed Cardiac Massage) Yes, before the BVMA was brought about by AMBU and Hope-Puritan, if a resuscitator wasn't on hand, we did mouth to mouth. In 1963 a course came about called the Ambulance Attendant, it was the earliest organized training I had. It was advanced first aid, oxygenation, resuscitation, airway insertion, airway suctioning, splinting, defensive driving, CPR (came after CCM, it was also called CPCR-Cardio-Pulmonary Cerebral Resuscitation) and Childbirth. I'll get into the training and equipment for the earlier ambulances later on.
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If in doubt, lay em out.
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Advice on ways to ask a sensitive question.
bandaidpatrol replied to EMT6388's topic in Patient Care
We would ask for an insurance or assistance card, both, so as to not make the patient feel that we are making an assumption. Either way, they would sign a paper stating that our billing agency could bill what ever insurance program they have, or send them the bill. Whether or not they could pay, did make a difference, that was my pay check. Someone has to pay no matter what. Either their insurance, the state, medicare, or out of their pocket.