Ridryder 911

or none ...oops: [-X ...lol R/r 911

Now we are to believe which story ?.. they way his behavior has been recently, I would not doubt it... "by, the way would you hand me the Grey Poupon"...LOL R/r 911

Actually, this procedure came from the old E.O.A device. You left the tube in and intubated around it.. now, the reason you could was because the tube naturally went into the esophagus and was inflated with 30 ml of air.. so inadvertent intubations was uncommon. Need to reventillate, was simple.. the tube attached to the special mask to re-ventilate through... R/r 911

I used to have recipe's for placenta...from L & D before the HIV scare. Now, I know Cruise has lost it.. next we will be hearing him purchase alien communication devices.. (if he hasn't) .. I still say I think he's gay..Just Joking.... R/r 911

Some services has actually did away with lift test.. (if you injure your back on the test, they have to pay Workman's comp) but, after your hired, you will be expected to lift at least 150 pounds to waist level (usually). True, for ride along, usually you will never lift a patient, maybe some basic equipment. Serious about the profession, you might to start some weight training.. Good Luck ! R/r 911

Which will be as soon as they require medics to have a degree and be able to read and write at least 10'th grade level... not holding my breath! R/r 911

Just be sure to be able to document how you ventillated for another additional 3 minutes before re-attempting direct laryngscopy (National Standards) with a tube sticking out of their mouth.....Kinda hard to place the mask on... ? r/r 911

Wow !..Display that type of behavior in one of our service EMS uniforms, I would fire your Arse on the spot! Don't know which is worse; being a jerk to people or having someone making a mistake of what uniform you wear. Professionalism... ever hear of it ?.. Your right, people will definitely remember that your not a cop.. just an ambulance driver with an attitude ! Get over your self.. people make mistakes, yes it gets tiresome, but yelling or cursing out John Q. Public will definitely not increase their respect for our profession! R/r 911

Even Oprah ( no, I don't normally watch!) had made the comment the other day that nationally, most EMT's make the pay scale of poverty level. Then displayed an EMT that was crying about how she could not feed her child...and how little she was making. Sorry, a little mathematics of supply and demand ..look at the number of Registered Basic EMT's versus EMS services (for example). I know in my State alone, there are over 5,500 Basics and 200 services. Now, with 70% of the services are Advanced Level. So subtract that at least 1/2 of those, and see what the opportunities are. So yes the wage is usually minimum salary or free.. if they can find a job. Yes, in 16 more weeks there are another couple hundred................like rabbits. I agree with Dust, pay is actually higher at Taco Bell and the class well, it might be as along if you go through an abbreviated course... R/r 911

Aww!!.. Be tough and naw & chew it apart ! Like they did hundreds of years ago... R/r 911

The problem I see is at first. We do not have proper screening or basic education level for EMT applicants. Why is so difficult for EMT's to understand studying skills, reading habits. and writing assignments ?.. Other health professions do! On other thread many started discussing that many "over step" their boundary, i.e. EKG interpretation. Well partly it is our fault.. we encourage other to learn all the time, however; we hardly ever discuss the restrictions of it as well. For as basic learning more advanced skills... I totally opposed. Here is why.. If they learn advanced skills, then they are no longer a basic.. short & simple. They should be expected to know the same as an advanced level, perform as well and be paid as one too. There is only 2 reasons to establish IV's in the field ... fluid administration and route for IV medications, neither in which the Basic EMT should be doing. For patients that need this, should be referred to an ALS personnel. Skills, can be performed by anyone, yes including some animals, but again the rationale, the knowledge of adverse effects and the ability to obtain a clinical impression with the appropriate treatments is at the advanced level. Does this mean we treat as subordinates..NO! But, at the same time be sure all procedures are warranted and have a person who can control the situation if there is adverse effects. R/r 911

Wrong Thread Gang ! ..... Needs to be voiced in this one ! Paramedic with EMT difficulties : http://www.emtcity.com/phpBB2/viewtopic.php?t=4306 R/r 911

Okay... kristinaemtb.. First Welcome to the site, we are glad you are here and thanks for posting. But, please do a little spell check (little button on the bottom) and some proof reading, with some proper grammar. Your posts are getting very hard to read....Again, welcome to the site! R/r 911

Not enough.. U.S.... apparently our comrades above us, in the North Country is making all the money! R/r 911

Your Honor, I rest my case........ R/r 911

Attaching electrodes , etc. is not a big deal, as long as it is placed properly, in which I have seen many Paramedics even place wrong. We have ER & EKG techs that do it all day, and never had pre-formal training. Spiking a bag, setting up an IV as well is not a compicated procedure.. actually all of these should be taught in the basic EMT level. Does this mean you can perform the procedure itself or interpert the readings ...of course not. But, medicine has always had assistants to prepare and assist in tests, & procedures. R/r 911

Thanks.. I was going to do that as well... but got busy... R/r 911

Well your contradicting yourself here. First, are you wanting to do a research paper or wanting to write a paper on your views? These are two totally different things. Having a biased opinion and not looking at all full facts will not represent a true research paper.. you have even contradicted yourself in this short paragraph. First, there is not a Paramedic on the call and it is a ALS call, when there are Paramedics in the area that are not responding ... there is a problem with the system. Short & simple. Second from your own statements " Dispatch has to call by phone starting with the closest company...." there is a problem.. and sorry, you can not tell me it does not effect your response time. From call to arrival time, that is response time..not, the time it took your unit. Trying to find a rig ?... Meanwhile the patient is not breathing...What kind of system is that ? Third: Ever heard of too many chefs theory .. the same is true in EMS. Why is there so many response agencies ? Would it not be better for the patient to have one major EMS with Paramedics on each unit ? Again, lets think of patient benefits not ourselves. Actually a combined EMS might be better for all, with potential increase in run volume and maybe even pay raise for the medics. "Somebody is rubbing their greedy little paws together salivating over the money that funds the GCSD Echos" .. sounds like too many greedy little paws are in the system already... multi EMS agencies within a community has been proven not to be beneficial for the patient, system, and career of EMS personnel. Good luck on your study.... be sure to keep an open mind. R/r 911

Best come back reply to a Doc.. After the ER Doc finished his exam on a typical B.S. patient the Doc told the nurse.. Aww... Screw him !.. the samrt arse nurse replied " I have to have a written order on that one!"... It stunned the Doc for a while.. as we all laughed. R/r 911

The debate and heated topics have been flying (must be the spring weather!).. but, we Paramedics realize not ALL levels of EMT's perform badly. In fact most perform an very outstanding job and yes work as a team with us (not saved us ). But, there are some that do not meet the par .. I know it is none that ever post here :wink: Okay Paramedics (please) what are some problems you have with your lower level partners, were you able to correct it, deal with it. How does it affect you running on calls, patient care, crew, system etc. Suggestion to others to make it better. (Preceptorship, more/less responsibility, eliminate the level?) Although this open to anyone, trying to prefer Paramedics viewpoints. This is not just unique in EMS, actually received the idea from allnurse.com; with RN vs. LPN.. so it is a common problem and with some unique suggestions.. not trying get into mud slinging.. let's be professional and come up with some problems, ideas and hopefully good suggestions maybe to correct the difficulties. R/r 911

I am trying.. but, alas others & I have been shot down by other special groups.. we won't even mention (hint : they don't get paid to be EMT's :wink: ) When the National Scope of Practice came for review, this was our chance to progress... but; heck no!.. It was our own stupid medics that did not take action. ( I use stupid instead of ignorant, because they knew better). Well, we lost the golden egg... now, it has been passed over to other medical professionals to be evaluated and EMS may never be able to recover professional or financially. By expanding the role & increasing then by requiring at least a minimal an associate degree, this would had secured the role of the Paramedic from the technician level, and proposed ALS to majority of the U.S. So yet again, it was our fault.. our poor lazy apathetic fault. Each day, someone has an AMI and there is no Paramedic to respond, or that trauma patient that needed the chest decompression to survive and was not performed...it is all of our own faults. So while we "feel good" about ourselves because we "responded" ... pat each other on the back for a job well done.. & read one of those god forsaken hero poems (boy talk about id ego's) .. let's think & remember about those patients that died because they needed more than BLS before ALS but did not receive it... ! Don't believe me. medics are ignorant on their own profession ? The next time you work with EMT's or medics.. ask them to describe who is currently in charge of overseeing the "National EMS Regulations" ? Second question: What is the current status of the National Scope of Practice for EMS ?... Okay, did they get that right?.... Did you ?.. Hey, it is your profession, you don't know ?... and no I won't tell you.. look it up (you tend to remember it longer that way). P. S. please don't brag about a class that is in clock hours.. you only insult yourself & those that are professionals. Professionals never give their credentials in clock hours.. look at it this way, if it is in clock hours.. chances are it was not a true educational credit, rather a training session. Professionals refer to their degrees (MBA, MS, PhD, etc..) publications, research, achievements, when patting themselves on their back. Can you imagine hearing a physician stating " I have over 125,000 hours of training. For those that are not aware, yes people DO pay attention whom is working on them. Ever see advertisements of ER's ?... "Board Certified ER physicians, Board Certified Plastic Surgeon"...etc Why would hospitals pay the additional $50-$100, 000 a year. I can assure you it is not for their own health and no most states do not require the ER Doc's to be board certified ER. Problem is most medics don't want to hear the truth.. if is not about the "feel good", blood & guts (as long as it not in to medical detail) or what Basic EMT's_ XYZ can do.. or how they saved lives with "diesel medicine" .. wow that makes me think we really have advanced. Our profession has problems, thus forums designed to discuss .. hash, bring up ideas, gripe and yes once in a while congratulate.. Ever looked at other medical forums.. I have participated & they are brutal on professional ethics.. Sorry, crappy day.. gave a eulogy on a true EMS pioneer. We both had dreams of EMS "growing up!".. shame, it has not yet occurred 30 years later. R/r 911

Yes, retinal occlusion is very common. Acute sudden blindness.. sometimes painless as well. Prognosis is poor, with only 21-35% of eyes retaining useful vision. From e-med: http://www.emedicine.com/emerg/topic777.htm (full text with pathophysiology & etiology) Frequency: In the US: Recent estimates put the incidence of RAO at 0.85 per 100,000 per year, with a 10-year cumulative incidence of 1.5%. Mortality/Morbidity: Patients with visualized retinal artery emboli, whether or not obstruction is present, have 56% mortality over 9 years, compared to 27% for an age-matched population without retinal artery emboli. Life expectancy of patients with central RAO (CRAO) is 5.5 years, compared to 15.4 years for an age-matched population without CRAO. RAO is associated with smoking and cardiovascular disease, with an increased incidence of stroke in patients who have suffered RAO. Both eyes have an equal incidence of disease, with bilateral involvement in 1-2%. Sex: Men are affected slightly more frequently than women. Age: The mean age of presentation is early in the seventh decade of life, although a few cases have been reported in patients younger than 30 years. The etiology of occlusion changes, depending on the age at presentation Some serious stuff huh ?.. I have seen 3 cases already this year..one was on a 33 year old male.. R/r 911

You know this is the same B.S. I hear from LPN versus RN's........seriously folks, if you don't like being on the bottom of the pole then do something about it !.. Like, almost every other Paramedic did.. GO TO SCHOOL!.. Then guess what, you won't be on the bottom... you will be in the middle.. there will ALWAYS be someone over you ! Waa.. waa.. !.. Such egos..! Yes it is a team approach.. sorry the higher level is the captain of the ship.. want to be the captain, want more respect, do more procedures... tired of being "just the driver" ?.. then you know what to do about it .. Go to school! Do you really want to get in pissing contest on how many F**k ups I have seen basics commit ?.. You know, nobody wins especially the patient & the system. Now, if we are really soooooo concern about our patent's & really sooooo concerned about EMS systems, why don't we ask ourselves ... After 40+ years, why is there still even a Basic level ?.. Sorry, the "everybody starts somewhere" B.S. won't fly! Physicians don't start out as a CMA then P.A.'s then M.D.'s ... RN's don't start out as CNA, then LPN then RN so why in the heck do we ?.. Please.. save me the "oh, my poor community speech".. they have a nursing home, clinic, hospital... then they have a RN.. able to afford that didn't they? Yes, there is remote areas that will never have anything... & no I am not discussing volunteer issues either. EMS has settled to provide the lowest care possible to U.S. citizens, & it doesn't matter on financial, political, or staffing issues. We are to blame.. we allow 50+ acronyms of EMT's to be placed.. all saying the same thing ; almost, based upon, similar, near -like, to the Paramedic level. We that are in EMS are to blame for hundreds of people daily NOT GETTING THE BEST CARE POSSIBLE , sorry BLS is not the best!. Short and simple... Again why is this still occuring ? We have the schools to teach it, we have the employers to hire them, we have the need of the patients to use them.. so again I ask: Why are we allowing lower level of care to continue ?... Hmm wonder what it could be ? R/r 911

aww.. out screwing around huh ?.. yeah, I had a man that actually took a sheet metal screw to his eye.. "God told him to do that?" Guess how I & the optomerist took it out in ER .. that's right a screw driver... ouch....! R/r 911

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