Ridryder 911

I agree.... actually my barber appears to have a better understanding of pathophysiology than most basics. As well, I would probably trust him more than some basics I have recently seen. At least he does not profess to be "medically trained" and is aware of his limitations. As a former bureaucrat, I can assure you just because things are allowed does not make them right. Yes, I agree.. one should follow their protocols, and I must add though that as much as that is true, one should be actively involved in changing local and state regulations and protocols. Either your part of the solution or part of the problem... and not being active or promoting change is part of the problem. R/r 911

How Ironic they actually had the gonads to advertise this pile of fresh feces of a show in one of the trade magazines for medics to watch... I hope the press monitors our board.. let the public know we are upset and personally are against of such poor representation of our profession. Entertainment is one thing, then never show them at work have all the drama off duty, but don't reflect our profession.. R/r 911

I think they have an underground network with enhanced communications when to invade the ER. Ever notice they come set groups... ?I swear, it appears they know exactly when to hit the busiest parts. As well, the physician that wrote the article needs to get back in the ER and quit smelling the potpourri and start smelling a busy ER. Thanks doc for just increasing our waiting time! R/r 911

Sounds like typical liberal fairytale... again not living in the real world or real history.. lol... R/r 911

Great video!... It definitely displays the similarity as well as much as the much differences between us. R/r 911

naaawww... just brushing up on his protocols.... R/r 911

One needs to be aware of the various educational standards as well. Not all M.D.'s are created equal as well. There are so many variables that an efficient study would be hard. I agree we need to look and examine our system. What we are doing and how we are doing it apparently is not working. Then again let's not fix what is not broken... hence the need for detail studies to find out what is good and bad. EMS unfortunately was mis-designed. Paramedics placed in metro areas, where really the care was not as needed as in rural areas, where there is no medical care and that at least some medical care could be administered in a timely manner. So is true on helicopters.. they are not needed for larger urban areas with a fight distance of 3 -5 miles.. where they are as needed to a regional trauma center idistance is 35 to 60 miles. The true difference of the Golden Hour... I am all for patient outcome studies; however one needs to be cautioned when reading and observing any study. Outcome studies has been popular the last few years, and unfortunately there has been many biased studies that are sometimes associated with them as well. Everyone needs to remember who is performing the study, why they are truly performing the study, and whom is sponsoring the study. Although ethics and scientific statements should be always accountable and credible, it is not always that way. I hope EMS continues to evaluated, but as well, I hope it is those in EMS that can perform those studies, and not some opinionated biased group. Good or bad. Studies will always be controversial and how we apply their findings is what really matters. R/r 911

And all in the choir said ...........A-M-E-N!!!!!

It all depends. Is there swelling to knee area routinely such as in arthritis ? This would be one of my determining factors. As well, did her pain decrease after application? True one needs to be cautious when applying traction splint with joint injuries, but I much rather even see that the angulated femur ends and quad muscle spasms. Sounds like yur Doc needs to get a life and worry about getting that ortho in to take care of it. Did you find if there was knee involvement ? R/r 911

There are studies that show ones giving aid and those that kill have very similar traits, as well as there is a fine line between genious and insanity. That line has to be careful. With that saying I too have heard how people would love to "head shoot" or harm someone.. remarkable or even scary, I too myself had started saying this as well. I do believe it is like cursing or any bad habit and is very contagious.. albeit, there are times.. we have to be careful, I have seen medics cross that line. Sometimes, it is refreshing to get a new person or newbie with no preconceived ideas... although it does not take them long to become jaded as well. This is something we need to be aware, and monitor.. no not paranoid, just the current world situation, the stress, the type of behavior(s) of medics anymore is unpredictable. Read the headlines, where the paramedic has gone psycho... yes, other professions do it as well, but with our education and training we should be aware of this behavior. As well, I always find it amusing, if we as medics were to overhear or see such behavior from another profession, we would be the first to criticize... Let's be safe out there and keep our sanity! R/r 911

This will be interesting. We are getting a new EMS Medical Director, whom will also be the new chief of ER as well. He is just finished his residency last year and has been in a administration residency program. We had a very qualified and at first active EMS director ...but with time she became busy and changed locations which interfered with her participation with us.... and this has held us back. The new Doc. is young and appears aggressive, and wants to be active and ride with us a lest twice a month, as well as him observing the Paramedics maybe in ER as well. I have worked with him for the past 2 years in ER and he's okay. At least he is still young enough to read studies.. good and bad thoughts!.. I have steered him to EMSP and hopefully he will start coordinating with active members. I agree, it is not easy to be a good EMS Med. Control.. If one notices, a great EMS program has a great EMS physician... R/r 911

Actually, I have a gold plated needle drivers... I always they looked c-o-o-l... :wink: R/r 911

The problem is we have a system in place, however they do not want to abide or feel they need to adhere to national standards. Again those in power be have degraded the system and the ones that suffer the most are not aware of it, the patients. This would be like in comparison a nurses aide able to administer a medication solely based on sign and symptoms without proper education, the public would be outraged as we (EMS) and they the public should be. But alas, we are EMS. We think we should be special and exempt from all general medical practices.. (obviously, we do not demand college education either). But, hey what is the difference as long as they can attend a workshop and have step by step protocols... ( I hope they are not written in too big of words). Next thing you know, we will want to be excused of having a drivers license too...its part of the job. R/r 911

Sounds like she needs to get a real physical.. it could be as simple as anxiety or need more work up anything.. like I tell everyone .."Go see a real Doc!"... R/r 911

If the show wanted to be a hit among EMS providers and really wanted to do good and be impacting.. show us in a professional light (not really that hard) so he has to be clean, and wear a uniform correctly is that hard?.. Show the public ER diversions, the lack of beds.... EMS units circling the city hunting for a place to land.. instead of running 15 calls in 30 minutes, most medics have not ran in 20 years, show EMS on B.S> calls why the shooting has to wait. Educate the public the proper use and need of EMS, the poor pay of medics, and the struggle of EMS administrators getting funding and reimbursement. True, it would not be as breath taking as performing all those initial calls.. but other well lasted shows such as MASH and even old Emergency pointed out the need to improve, and both were very successful medical shows. Maybe the producers should examine "hits" in the past. As far as those grants, please read were it is limited amount and that it has not passed the Senate yet.. so no there is not a lot of money out there. That is why we need more lobbying action.. for this profession to survive. R/r 91

In my 29 + years there are very few times I have "someone bleed out". I even worked a triple amputations (yes 3 on one motorcycle.. don't ask it's a redneck thing) ... and there was very little blood. Even in ER, I have never seen a tourniquet placed or even the use of compression more that tight dressings (unless their on anticogulants) and once in great while a small bleeder, that has to be tied or a little Lido w/epi works. I am curious though I have read that medics and surgeons are recommending more use of tourniquets in trauma. this should be interesting to see what comes out of the practice. R/r 911

It just shows that our systems is more trouble than we realize. I wonder what they allow Paramedics to do if Basics are able to perform advanced procedures ?.. The main reason is probably cheap care.. hey, why pay for a Paramedic when you can get a basic for half the price?.. Who cares if they know what they are doing.. put in a book? Chalk one up for demonstrating the need for a national scope of practice. Maybe we should start a national map on areas to avoid when driving or going with family members. Geez that state is f*cked up! R/r 911

For those that need the pictures! Remember, they are trained !...

Just wondering.. how you keep those suppositories refrigerated ?..I know there are some, but most are not refrigerated units. Suppositories are designed to melt above 90 degrees or so.. Reacemic is not bad when really needed.. again, knowing when and how, with all the side effects associated with it... better than tubing a kid. R/r 911

Or was that page 110 of the protocols ? ...heee ...heee

Awww... don't lock it.. let's see how they play with the big boy's or girl's...as they keep referring that we all started out as basics,.. can we not remember ?... R/r 911

I assume P1 are priorty one bad or okay?.. many systems use traffic triage green, red, black... etc.. it is more simplistic. R/r 911

Hmm.. basics that continue to try to intervene and re-ask or ask inappropriate questions, after they have been asked. Hey ! pay attention better yet get the stretcher!. Jumping to conclusions of a diagnosis and speaking out loud only to be dead wrong & making an ass of themselves. you have to apologize again, that your partner did not know what hey were talking about... Do me a favor do what you can and are allowed to do and then drive me in nice and smooth. Can you at least accomplish that ? The next non-emergency is yours I promise ! Yeah... yeah.. I know, you could do this job easily.. but, you just don't want to go to school.. excuses! .. put or shut up! Some take a 16 week night time class, rated just little over advanced first aid they think they know medicine. Unfortunately, there are way too many EMT's .. can you say hundreds of thousands? This causes lumping the good ones in with the bad ones... there are great basics... just hard to find sometimes. R/r 911

Doesn't look lateral enough and deep enough for jugulars, but I am surprised that his trachea and crich are still intact. Good collateral circ. appears to be working .. I guess. I've had a few from 3 and 4 wheelers on farms.. some lucky and some uh.. you can say lost their head over it... R/r 911

Just curious after reading an article Dr. Bledsoe had written on some of the success stories with the new changes. http://www.merginet.com/index.cfm?pg=indus...n=newCPRchanges How many of you have implemented the new changes & have seen any improvements or downside ? Or are you continuing with the same standards? R/r 911