DwayneEMTP

I'm a little confused by the name Carl, the description of male, yet you use the term, "Mom." Not judging, but don't get if you're trying to be funny, or misleading or if perhaps there is a new movement of single dads wanting to be known as moms? Maybe gay terminology? Hell..not sure, but would like to understand. Dwayne

Difficult question to answer, but the most important question right now, as you seem to have your heart set on volunteering, is what kind of service that is and how many calls they run/month. If they don't run some calls, and if they don't wear clean and pressed clothes and have spotless rigs (within reason) then you need to stay completely away from there. I don't care what excuse they give for wearing their Budweiser Tshirts and talking about the last patients tits...if they did either at the service then they are losers. You are in the guppy stage of EMS now and you don't need a bunch of wannabe wankers filling your head with shit. You also don't need all of the bad habits to overcome! Now, not all volly services are wannabe wankers, but some are. Not all services sit on their asses instead of running calls.but many, perhaps most, do. None of this is good for you, your attitude, or your future career. You need mentors and guides....Keep that in mind first and foremost when you make this decision, ok? Dwayne

Where is 'here?' Also in CO I's have access to the same meds as a medic, but a large part of that can't be given autonomously, but must have online MedCon consent. Dwayne

Actually, I think that this is a great idea for a thread. Google does seem to be your friend in this case if what you're looking for is 20-30 year old information, and I'm not, as I'm guessing Ugly isn't either. I've not found any current data. And before you say, "well, that's because they studied the shit out of it 20 years ago!" tell me why it isn't the standard of care now? Just breezing through some of those links is sounds as if it possibly has a slightly earlier onset, doesn't tend to dump all of the Glycogen stores creating hyperglycemia as the IM delivery tends to do (or so some of those articles claim) which should make in hospital management at least a little bit easier, has a less intrusive delivery system, and pediatrics reported less N/V post delivery. (Information gleened from one or more of the links provided by Mobey above.) So why isn't it the standard of care everywhere? Dwayne Edited to site Mobeys links as gross sources.

Yeah, jobs that allow people to do very little and still get paid soon cause them to believe that they should be able to do nothing and still get paid. I'm on the Gulf Oil spill an it makes me absolutely batshit crazy nearly every day. The medics spend their time around people that believe that they will get fired if they get hurt or injured, contracted by people that don't want a medic to accidently create recordable incidents, a combination that allows medical personnel to sit and tan all day while getting paid. And then they call their friends and families and tell them what heros they are because they're Remote paramedics now! Wankers... We had a meeting yesterday where people were told that if they want to see the medic that they should go to their supervisors, and if s/he believes they may need to see the medic that they will take them to the Safety officer, and if both believe that you need to see the medic, they will give you permission to go. Ridiculous...I've dealt with some very personal things since I've been here, as most medics do, including counseling two ladies post sexual assault. I wonder how many of them would tell their stories several times just to be able to ask the advice of an ol' fat medic? Anyway, the reason for the story is that we're going to go from few patients here, to no patients here and the vast majority will celebrate instead of being disappointed. And that sickens me. If you're waiting for folks to come in, sit and play video games for hours yet remain ready and willing to treat every patient that comes through the door to the best of their ability...don't hold your breath brother. I'm not sure if they're just not teaching morals AND ethics any more in school...I just don't know... Dwayne

Yeah, this was the reason they gave. I'm confident not giving up my shift to a boob person when asked was the cause. But either way...I'm happy where I am, and where I'm going, so it all worked out for the best. Dwayne

Who is 'we' in the above sense, as well as those that followed? Thank you for your response. I have no time to give a considered rebuttal, if in fact that would be my desire...tonight. Dwayne

Happiness made a good point about this possibly being an ex peer...though I can't think of a single one that has such a 3rd grade grasp of grammar.... Also, what is the fixation with me being fired? That seems weird...Nearly every post had something to do with that, and the brilliance of my ex boss for doing so...which brings me back to maybe happiness' post...and my answer again. There truly isn't anyone that I know that would attack in such a childish way. I have been intellectually pounded by medics/intermediates/and medics alike..but never anyone so ignorant as this. I'll be curious to see if ak or admin can tie this person to an older ID. Dwayne

Yeah, though I had no such restrictions, I don't disagree with it...can you imagine the necrosis possibilities in an uncaught I/O extravasion (correct term with an I/O?) with dextrose? Massive! So yeah, I don't think that this is an untoward restriction at all... See, here I disagree. There is more that goes on in these threads than a bunch of mud slinging. There is the sometimes obvious, other times not so much exchange of information. But also the ability for people to practice flexing their muscles a bit online when they're not able yet to do so in the real world, debate and argument tactics to be observed and learned, the ability for people to see that being kicked in the ass, and even backed up and proved wrong sometimes is not the end of the world. Also, sometimes it just feels good to have a knock down, drag out brawl. But, in a civil world, we would have agreed to disagree here and many would have been left with uncertainties as to what they might want to do in such a situation...Resolving those to the best of our ability before we're sitting within the situation is one of the main benefits we offer here in my opinion. It's certainly one of the main benefits that I received early on... Dwayne

Content removed because I was just being an asshole... :-) There was nothing productive here..

Yeah..he's a troll. I'm sorry that I ever took him seriously. He's a volly fireman somewhere, or like someone said first semester medic...but bottom line is he's a troll. Have a great day all... Dwayne Edit. You were caught lying brother, and then you posted layman information from some self help website and stated that it came from Medscape? You are beyond pitiful. But best of luck to you anyway. Also, is it just me, or does the tone and relative stupidity of the posts feel familiar? As if we may have seen it before under a different name?

http://www.positivea...t-Methods/28548 There you go man...I helped you out. In the future you should cite your sources so that people don't think that you making the limp dick mistake of quoting other peoples thinking as your own. That would have been really bad form...if you had done such a thing...just sayin'... Dwayne Edited to quote the above instead of just cut/paste. No other changes made.

No man, not even in the ballpark. See, I think that this is where myself, and perhaps others split the sheets. I was not taught to give the GCS as value/value/value/ but as a single number and, when I used it as sprite medic, was never questioned as to the values. I have also heard the GCS relayed within the hospital setting many times as a single value and recorded as a single value there as well. I don't believe that it is a strawman, but that perhaps where you were educated/work gave it significantly more consideration that did those where many of the rest of us have been. I'm not being a smartass when I say that I believe a concise and thorough hand-off report. I've been running these through my head this morning trying to think what is missing in a good hand off report that is salvaged if I add a GCS...I truly can't think of anything. Maybe you can give some scenarios/examples that would show us more clearly what you mean. I'm confident that I have a grasp on the significant neurological markers as they pertain to my practice and scope and certainly make sure that they are highlighted within my hand-off so I don't see the advantage is presenting them again in isolation. It had never occurred to me that you weren't just being a shithead when you took up this argument. But your argument has been intelligent and passionate and got me to wondering what the hell I may be missing. I must admit..that I try to mold my treatment to best blend with the in hospital treatment when I can see possible ways to do so, but other than ETCO2 when considering cessation of resusc attempts in arrests, I don't really consider outcome potentials of my patients when considering treatment plans yet that seems to carry a lot of weight in your argument of the GCS value, unless I'm misunderstanding. Maybe that's why I'm having a hard time grasping your argument. This debate has not gone anywhere near where my crystal ball predicted that it was going to go...that is cool as hell! Dwayne

I love Phenergan! When I'm on the truck I push it a lot..not because it's the better anti-emetic, but it's side effects, in my opinion, are often better for those that need an anti-emetic..see? But, back on track. I think that you're post is spot on Jake... Dwayne

Hmmmm...yeah man..I can see that... All I can say is...Thank God I'm a dude and don't have such problems! Bring on the boobies! Dwayne

Yeah man, we've got a bunch of really smart, brave providers here now! I mean, we had them when you were here before of course, but you know how things wax and wane....I don't ever put up a post without reading, and thinking and rereading and then worrying what I missed that someone is going to kick my ass over...it's awesome! They will get their money's worth out of you! Sometimes though, if you don't check in regular, you can be left behind in interesting topics. Not many with their tales between their legs here..they jump in and get busy! It's really satisfying to see.. I'm glad that life is treating you kindly.... Dwayne

You are a moron, and your inability to debate in even a half way intelligent manner proves that. Your short sightedness in seeing that a likely hypoglycemic person is likely to become responsive easily within the useful life of the Lidocaine shows you to be either a child trying to play the grown up, or so clinically handicapped as to be a significant danger to your patients. And, as Ruff mentioned, if you equate unresponsive with 'pain free' then again, you are a child trying to pretend that you have been doing this for a while. Why don't many medics have access to RSI? Because too many, like you, equate "I can't show pain" with "I don't feel pain" and neglect sedation before/during/after paralyzation. Brother, after you get a little experience you will come to realize that you have made several significant mistakes here. How do I know that you have no experience? Because I don't know of anyone with it that is so completely sure of their ultimate rightness. You have been unable to hear a single argument because your ego is so delicate that you're terrified that you may have to reverse your stance. And that's a shame. Do you want to know why none of the people in this thread are telling me I'm an arrogant asshole? After all they are down to a person smarter and more experienced than I am. First, because asshole is assumed and they're too smart to be redundant. Second because there is no one here that hasn't proved me wrong on points big and small. Shown my best logic to be completely off in the ditch...and in every instance I've thanked them for it. Nothing would have made me happier than for you to show me my errors using intelligent, logical, science based debate. I'm sorry that that is be beyond you at this point, but I wish it for you in the future. Some day you'll get out of school, or get off of the volly dept you run with, or jump from fire and move to a transporting company...whatever it is that has protected you from the joys and tears of being both right AND terribly wrong in EMS and you will see things differently. Once you've grabbed the golden ring while your ass is chewing holes in the bench seat, and also become confident that real people have suffered because some of your very best decisions have been wrong, you will say fuck all to the certainties and enter the real world of EMS. I'll tell you what though..I do like your passion! I do like your backbone! I hope you stay around until you grow up. Good luck to you my friend... You're going to need it for a while... Dwayne Edited to adjust formatting. No contextual changes.

Good God! That is like....80% of the people on this site, and 100% of the people in this thread!! And it's also why I love the City. It keeps me from believing that I'm a hotshot, when I'm just a dorky medic trying not to do foolish things any more than necessary. Thanks to all here, including the goofy kid that hates me and my medicine, for making me think today, and hopefully making me a better provider. Dwayne

Yeah, see! So screw you guys! It's not my fault! Dwayne

Yeah, now you're showing your true colors. I was hoping that you weren't going to prove to be a troll. Shame on me. You haven't made a sound argument that I was wrong, though you have been shown to be so on nearly every acct. No one besides you has posited that I was terribly wrong, though perhaps some others would have made different, likely better decisions. You need to produce to be taken seriously here my friend. At this time you're simply the kid at the back of the room making fart sounds hoping someone will think he's cool. Just because you believe that starting an I/O is a big deal doesn't make it a big deal Hot Shot. A gazillion are started and removed every day. I can't wait for your argument against EJs. And for the record? Each place that I've worked with the exception of my current location has had RSI. Perhaps there's a reason that YOU don't have access to it. You were caught talking out of your ass and now you're going to cry instead of step up to the plate. This is the exact reason you will likely always be a protocol money instead of a thinking clinical provider. I hope for better for you. But as long as you pout instead of debate, as long as you cry each time someone doesn't cave into one of your arguments, you will never grow. Stop telling stories to those that think your brilliant brother. Step away from the basics and start debating with the medics that have been somewhere and done something...come back and play. It would be good for you. And I have a feeling when you're not bent that you have a lot to offer. Dwayne

Gotcha man. I didn't think you meant me specifically, but only that I had seemed to have made the argument that you were commenting on. As sometimes happens in text, I'm afraid I completely mistook the tone of your posts. I'll ask you to believe that it was an honest mistake and not an attempt to skew point of your posts. Thanks for taking the time to participate brother... Dwayne

Hmmm....I'll be curious what research has shown up on the last 5 years to back our young heros claim... Dwayne

Yeah....what Island said.... Dwayne

LOL...I love that! Dwayne

Why then is full frontal nudity in movies and/or tv better than just downloading a bunch of dangles on the internet? Dwayne