Lone Star

When I got married, I knew she was 'Mrs. Right'...I just didn't realize her first name was ALWAYS....

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In my experience I've been in BLS/BLS trucks, BLS/ILS trucks, BLS/ALS trucks and have been a 'third rider' in ALS/ILS trucks here in GA. I realize that not every patient is going to be needing ILS/ALS interventions, (like the IFT's), and that works great. Aternatively, there are scenarios where the dual BLS truck is in 'over it's head' as soon as they roll up on scene. I have to admit that I like the set-up here in GA with one exception.... In GA, you're very likely going to be passed over for employment if you are only BLS certified/licensed. It's a well known fact that the IFT is the 'bread and butter' of any private carrier. Most of the IFTs only need BLS interventions/monitoring. The EMT-B is a healthcare provider in his/her own right, and shouldn't be passed over for employment simply based on the fact that they're 'only BLS', nor should they be relegated to only being the 'wheelman'. I know I've rallied on about how BLS shouldn't be removed from the 9-1-1 calls, but as I've progressed up the food chain my opinion has changed slightly. I still believe that BLS has a place in EMS and is more than a 'go-fer' and 'wheel man' for ILS and ALS. If you're going to put the BLS personnel into the 9-1-1 system, then pair them with a higher license level. If you're going to be doing IFTs, then put the Basics there, but don't just 'eliminate them' simply because they're BLS. As far as working a 'mixed truck', it's been my experience that the attending EMT (regardless of license level) is what determines the unit designation. For example truck #711 is a combination of BLS/ALS. If the EMT-B is attending then they are called Bravo 711, if the Medic is attending then they are Alpha 711. It's not a difficult concept to grasp, and it gives the dispatcher a 'heads up' when the unit radios in and upgrades the patient transport status. This way, the dispatcher won't have to question the driver over the air why they're suddenly transporting a 'cold call' hot...(yes, I've actually had that happen, and it's frustrating as hell!).

It's no secret that I've had to 'start at the bottom' to regain my EMS license. All the time I was in EMT-B class, and EMT-I class; we were told that we (as EMS professionals) were 'on the brink' of some major changes and quite possibly a new era for EMS. I fully believe this, and judging by some of the new members, I can see that trend starting. Hopefully, the NREMT, NHSTA, and other organizations 'in charge' of EMS will let this continue. I've always supported increased education relevant to EMS. Since I've started college and began working toward my degree, I think I've become more vocal about it. I've had the chance to speak to some of the new students enrolled at the college I attend. It's very encouraging to see them ask for advice and help...as well as listen to the suggestions that are presented to them. I think that if we can each convince just one 'newjack' to increase their education, we might just see a movement toward higher educational standards for EMS....

My deepest condolences to you and your family in your time of loss. I wish I had the words to ease the pain and suffering, but unfortunately I cannot give those words, as they do not exist. Always be proud of the sacrifice that your nephew made, that others in his platoon are able to carry on. That is the definition of a true HERO. Do not mourn his loss, but rather celebrate his life. Hopefully others will learn of his bravry and selfless dedication to those he served with, and we can all carry on and make this world just a little bit better than we found it. My thoughts and prayers are with you and your family in your time of sadness. LS

You really gotta tone down the covalent bonding.......the neighbors are begining to talk!

Simply ask my friend, and you shall recieve!

Mateo, Well said! It's refreshing to see a 'younger view' like this. You've eloquently given us a glimpse into the 'younger mind' and the trials and tribulations that many of us 'older dogs' have put behind us as we've transitioned from young adult toward middle age and beyond. A good number of us become jaded as we progress through a higly stressful and demanding career choice. We sometimes forget what it was like to be 'just starting out'. I know I'm guilty of it from time to time. We can all probably recall our first calls, how absolutely terrified we were of potentially screwing something up. As we progress through our professional career, we tend to focus more on how we can become better at what we do. Sometimes we just need a little 'reminder' how far we've come from the days of the newjack with the trembling hands and shaking in our boots, because we weren't sure of what to do, or if we could even do what was necessary. Thank you for that 'gentle reminder'!

As a veteran, it's stories like that that touch the heart. All too often, we tend to forget those that have stood up to defend our countries. We forget the sacrifices that the soldiers, airmen, marines and sailors have made to provide the very freedoms that we take for granted every day. I've noticed (at least in the United States) that there is a big show of support for those that served in WW I, WW II and the Gulf War; but there is NOTHING to really show support for the troops that served in between those eras. ANY person who enlisted and stood ready to lay their life down for their country should be treated as a hero, not just select groups. While the Veteran will tell you that we were 'just doing our job', we all know that 'just doing our job' could very well cost us our life. No, not all of us faced the 'Red Menace', the 'Axis Powers' or the 'Axis of Evil'; but we ALL stood ready to defend you and our country from what ever was on the other side of that door. I don't expect a parade or other celebration for each and every veteran individually, but if you're going to honor some of us, honor ALL of us, we deserve it just as much as the other groups do!

There's a spate of 'home remedies' that are supposed to make it possible to 'flush the system' and beat the drug test (like drinking a quart of dill pickle juice). It's no wonder that these people think that they can be a 'stoner' and not get caught. What they fail to realize is that these homeopathic 'remedies' are just bunk, and when you add to the fact that these drug tests have gotten more complex as time goes by....you end up with a bunch of people who are slack jawed shocked when they get busted for 'dropping hot'. After having attended inpatient rehab at least 3 times, and relapsing at least as many times, it's no wonder that he thought he could have claimed protection under the ADA. Too bad he didn't do his homework and find the full extend and limitations of that Act... I have an opinion on why people turn to alcohol, drugs and other substances to cope with 'real life', but if I post them; all I'm going to do is piss people off and turn this thread into a 'war zone'. If you're interested in my thoughts and are willing to listen to the reasoning I have behind these opinions, feel free to drop me a PM. I will respond to those that are willing to DISCUSS it, but I will NOT respond to being 'beaten down' until I change my thought process!

As I sit here following the postings of some of the new pups here in the forums, it occurs to me that this is the mentality that EMS needs! I’ve also had several opportunities to speak to some of the new EMT students at the college I’m attending, and have taken the opportunity to show them that the current EMS curriculum isn’t ‘all that and a bag of chips’. It’s my observation that the new members here, and the students I’ve personally spoken to; are highly receptive to the fact that higher educational standards are just what EMS needs. Many have also been receptive and supportive of the concept that EMS needs a standardized scope of practice on a national level as well. As fragmented as the current EMS framework is; it’s amazing that it even stands, let alone functions on any level! I realize there are some important changes slated to be handed down from the mount of the NREMT, but we all agree that even more changes are in order. This new generation of EMS providers are poised to not only recognize the shortcomings of the current curricula, but are in a position to demand more; and I hope that they will do just that!

Some of us already have...

I have to say that I AM impressed with the majority of the new faces around the place! I've always figured that learning is a 'two way street', the pups can learn from us 'old dogs' and we in turn can always learn something from the pups. I have to give credit to the pups that were willing to brave the teeth of the beast so to speak, by jumping right in and letting us know they were in the yard. It gives us time to size them up and evaluate them. I like that there are some really 'solid questions' coming out of the new crop, and that they're appreciative of the wisdom us 'old timers' have to offer. Keep up the good attitude, kids!! *NOTE*: Terms like 'pup' and 'kid' are not meant in a derogatory way, rather, it's a term of fondness.

Not going into a potentially dangerous situation (be it in 'socioeconomic depressed sections of town or whether in affluent sections of town) isn't 'racist' it's called COMMON SENSE. In order to be considered 'racist' by any standards, one would have to compromise the level of care rendered based on race, color, creed, religion, gender or socio-economic criteria. We are not talking about oroviding 'compromised care' for the poor, black, white, purple, green or any other color. Nor are we talking about giving enhanced care to the affluent (again regardless of color). As far as your example (the wrecked flaming vehicle in the front yard), if we cannot get near the scene due to hazardous conditions, I don't see where there is anything we can do. Charging blindly into a situation without assessing the risks or a known unsafe scene is foolhardy at best. For the Councilman to even suggest it makes it clear that we are only 'public servants' and our safety means NOTHING to him. Remember, "the rescuer who needs to be rescued is of no use to anyone, and creates a drain on otherwise limited resources!". You stated that our job is hazardous to begin with. To not take steps to attempt to mitigate the hazards is insane. You're so quick to play the 'race card' in every thread you post to, that you seem to forget that not everybody lives or works in Suburbia, USA and lives next door to Ward and June Cleaver. There are some of us that have worked in some of the roughest neighborhoods in the most dangerous cities in the United States (based on FBI crime statistics). Until you can tell me that you've worked and lived in those areas, don't you DARE call ME a 'racist' or even IMPLY that I compromise the care given to ANYONE without concrete facts! Yes, I've worked some of the worst sections of Metro Detroit (which has topped the list of the most dangerous cities in the United States more than once. I have lived in Flint, Michigan; which is currently the fifth most dangerous city in the United States based on the FBI's 2009 Uniform Crime Reporting Program) With the frequency that you stir hell and havoc in this forum, I actually think you live to create strife. Your antagonisitc tendencies are what's labeled you a 'forum troll'. You're quick to blame EVERYONE for the problems faced by certain minorities, but what have you done to come up with a solution? Please explain to the rest of the class how it is that only WHITES can be 'racist', when your actions alone suggest the contrary?

I can see right through you!

Today 08 NOV 2010 is the 115th anniversary of the discovery of x-rays. I guess it gives the phrase "Here's looking at you, kid" a whole new meaning!

*Assumes 'the position' and waits for the forum police to arrive* I want a lawyer!

If men wrote advice columns Q: My husband wants to have a threesome with me and my best friend. A: Obviously your husband cannot get enough of you! Knowing that there is only one of you he can only settle for the next best thing your best friend. Far from being an issue, this can bring you closer together. Why not get some of your old college roommates involved too? If you are still apprehensive, maybe you should let him be with your friends without you. If you're still not sure then just perform oral sex on him and cook him a nice meal while you think about it. Q: My husband continually asks me to perform oral sex on him. A: Do it. Semen can help you lose weight and gives a great glow to your skin. Interestingly, men know this. His offer to allow you to perform oral sex on him is totally selfless. This shows he loves you. The best thing to do is to thank him by performing it twice a day; then cook him a nice meal. Q: My husband has too many nights out with the boys. A: This is perfectly natural behavior and it should be encouraged. The Man is a hunter and he needs to prove his prowess with other men. A night out chasing young single girls is a great stress relief and can foster a more peaceful and relaxing home. Remember, nothing can rekindle your relationship better than the man being away for a day or two (it's a great time to clean the house, too)! Just look at how emotional and happy he is when he returns to his stable home. The best thing to do when he gets home is for you and your best friend to perform oral sex on him. Then cook him a nice meal. Q: My husband doesn't know where my clitoris is. A: Your clitoris is of no concern to your husband. If you must mess with it, do it in your own time or ask your best friend to help. You may wish to videotape yourself while doing this, and present it to your husband as a birthday gift. To ease your selfish guilt, perform oral sex on him and cook him a delicious meal. Q: My husband is uninterested in foreplay. A: You are a bad person for bringing it up and should seek sensitivity training. Foreplay to a man is very stressful and time consuming. Sex should be available to your husband on demand with no pesky requests for foreplay. What this means is that you do not love your man as much as you should; He should never have to work to get you in the mood. Stop being so selfish! Perhaps you can make it up to him by performing oral sex and cooking him a nice meal. Q: My husband always has an orgasm then rolls over and goes to sleep without giving me one. A: I'm not sure I understand the problem. Perhaps you've forgotten to cook him a nice meal. ~Author Unknown

Mazrin, Exceptional first post! Welcome to the City! I noticed that you're not naive about the whole 'glory and teary eyed thank yous' that is so commonly associated with entry level EMS people. Since you appear to have your feet on the ground, let's get right down to 'brass tacks': EMS can be a rewarding career. It's got its 'up sides' and its 'down sides'. A lot of people aren't burned out on the helping people aspect as much as they are on the bullshit that's associated. Depending on the service you're with, you've got: 1. Small vollie politics and ass kissing to get ahead 2. Clicques that you'll find any place you work 3. The "You're nothing more than a warm body in a uniform" mentality of some of the larger services 4. The "You're just a mere Basic, while I am a PARAGOD!" mentality of some of the levels of EMS 5. The 0300 "I've got to go to the ER for this stubbed toe!" call Then there's fighting the 'trauma junkie' mentality that is very pervasive in this field. The disappointment of not being able to 'save the world' because you've got your EMT-B, and have been turned loose with peoples lives in your hands. Depending on the call volume of the service you're on, you may or may not get breaks, you may or may not get 'sit down meals', and you may or may not be returned to quarters between calls. In GA, (and other areas of this great country) the average wage for an EMT-B is about $10.00/hr. By the time you factor in taxes and other expenses; no, you're not bringing home a lot of 'bacon' at the end of the week. Because of this, you start 'jumping open shifts' as they come available. This can lead to relationship problems because you're never around, and you're sleeping if you are. Another 'relationship hazard' is not being able to talk to your 'significant other' about the calls, because a) they won't understand a thing you're talking about or you're trying to shield them from the 'yucky stuff' we deal with in the field. EMS is demanding work, and it takes a special breed of person to be able to deal with all that we come across in the field. Many will tell you that once it 'gets in your blood', it's hard to get rid of the urge to 'jump in and take control of a bad situation'. A lot of EMT-B's get 'burned out' because they're relegated to the IFT trucks, where you're not always viewed as a health care provider, but more of a 'horizontal taxi cab'. Because of this, most people tend to lose sight of the fact that for any private service, the IFT is the 'bread and butter' of the company. They also tend to lose sight of the fact that on an IFT truck, you're getting a myriad of exposures to establish and hone your 'bedside manners' and really get your 'hands on' experience. Then there are those that go into EMS 'blind' until they are called to their first MCI and realize that this is NOTHING like they thought it would be and can't handle the patients screaming in pain. (Why does it always seem that the patients with the minor injuries scream the loudest and longest?) EMS is never a 'steady pace', it's either 'feast or famine'. The calls may be hours apart, or they may be back to back....it makes it difficult (especially with a volly or on call service) to make plans for anything. Sick and injured people don't take holidays off, and usually the 'low man on the totem pole' gets to pull all the holidays... Bottom line: EMS is a field that takes some 'tough as nails' individuals that can learn very quickly how to separate the 'business' from the private life. Many people can't do that, and they end up taking the job home with them. You have to be able to balance being compassionate to your patients, and being able to 'shut it off' at the end of the day. This ISN'T a good career choice for those that want to just do 'eight and skate', who can't leave work at work, and who are just too 'soft hearted'. It is also not a good 'fit' for those that complete EMT-B and think that they're at the top of their game. There is no 'top of your game' in EMS, because our patients rarely, if ever, read the textbooks and act accordingly.....

I wholeheartedly concur with your assessment of the situation. If I absolutely HAVE to go rummaging around in someone's wallet, pocketbook or purse, I'm going to make damn sure that I've got witnesses! I am NOT going to get blamed for taking something that a) was never there, or that I didn't take. Unfortunately, only the mere accusation of impropriety is enough to destroy an otherwise outstanding career.

If that's the case, since you mentioned 'shortness of breat'; does that mean you're talking from experience? I guess the 'truth' has come to light again....

I have never gone through a patient's phone. My time was better spent treating the patient and getting them to more definative care than I could provide. If PD or the ER staff have time, then let them do it. I won't go through a patient's billfold either. Again, that's a job for law enforcement. I don't need the headache of the patient saying how they had $10,000.00 in cash before the wreck, and EMS must have taken it.... Knowing the patient as "John Doe" or "Alfred E. Newman" isn't going to change the care rendered, nor is it going to affect the outcome. Usually, on wreck scenes, you've either got law enforcement on scene or enroute. They've always been more than eager to go skulking through personal belongings for the identification. Private residence calls, Extended Care Facilities (ECF) usually know who the patient is and can give me all the information needed. With as complex as cell phones have gotten (with all their apps and such), I don't need to be sorting through all their contacts and other personal information to try to find 'someone to call' when I should be dealing with the patient in front of me. On a scene with multiple patients, you've more than likely got multiple phones, are you sure that you've got the right phone for the right patient?