robert gift
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Everything posted by robert gift
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I don't blame them - if they did not know their ambulance injured the guy. Did they know and get out and check the guy? Poor guy set himself up for such a mishap. Years ago I was driving a friend's car through an alley. What appeared to be litter and debris was a sleeping intoxicated man. It would have been so easy to have run over the guy, thinking he was loose paper. We got the Darwin Award contender to move next to the fence.
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Everyone says I'm a perfect asshole. Therefore I don't need one. Actually thought of getting one as a bithday gift to myself. But it is too expensive. Am saving UP money. Hope he is improving and has the best outcome.
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What's an EI? What does 83 O2 sat. feel like? Were you bluing anywhere? I'd go with the treatment, which does sound like way overkill, and wean yourself off everything you can, AS you can. Hang in there and keep your chin up. Best wishes. Robert
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Interesting! What kind of antifreeze burns? What in the drive shaft exploded? What are pencil torches? Thank you.
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Hollywood film makers make cars explode. They also make cars magically launch into the air on ramps hidden from camera view. Unless you have aerosoled droplets, fuel will just burn. Throw a lighted match into a gas tank - the match will likely extinguish because the fumes have displaced the O2 to where there is not enough O2 to support combustion. The most dangerous situation is an empty gas tank which may have the right range of gasoline fumes and air mixture. When people, panicked that it will explode, quickly pull an auto accident victim from his vehicle, it can be tragic if cervical spine damage is further exacerbated and results in paralysis.
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What is this nonsense? Re: [EMTCity] Dear emtcity@emtcity.com Pharmacy Message 82698 EMTCITY mailing list EMTCITY@emtcity.com
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How would you deal with a Hospice Patient?
robert gift replied to EMS2712's topic in Education and Training
What is accomplished by transporting him to a medical facility? How will they get him home? Put him in bed and have them & him sign a refusal. Age? Weight? O2? -
Thank you, it. What is "scribe"? In subjects in which I have participated, I expect to get notices of others' subsequent replies. (I did not receive notice of any of the replys here which follow mine.) But I am receiving notices about new posts in which I have not participated and have no interest. "it" reminds me of when my friend got a vascetomy. When I called and his wife answered, I asked, "Is IT there?"
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Treat the poor guy and transport him to the hospital. His illegal status is none of my business. I resent having to spend a lot of money and waiting one and a third years for my wife to LEGALLY be allowed into the US from China. And I am angry at illegals having babies they cannot afford and burdening our healthcare system. But I also feel compassion for them. They perform exhaustive manual labor that I have dreaded doing part time. I also wish they were not constantly in fear. Seeing my POV with emergency lights, (I'm a volunteer firefighter) some appear scared that I am some kind of authority capable of detaining and arresting them. Their's are hard lives and I try to help them with kindness and assistance. Why am I now receiving notices of topics to which I have not responded? How do I stop them? Thank you.
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In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Borders make no difference. Fake runs would be just as ridiculous here as anywherelse. Even thinking English citizens agree that FAKE runs are an unnecessary, absurd, rude, imposition which should cease. None knew of these fake runs - so much for media attention of this nonsense. What does a photo of my front porch have to do with this? -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Glad you finally caught some of my dubious humor. Presumably you have heard of silent burglar alarms? I invented the silent fire alarm! -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Now that makes a little more sense if you can get on scene before the other unit. But I have the answer: Do fake emergency runs only when you have fake emergencies! -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
None of my students, all of whom suffered my substandard training deficient in fake emergency runs, have ever been in a mishap. Without taking right of way from others and barging through red signals, they were able to learn the options and imagine, discuss and decide what to do at various intersections. Without forcing vehicles off the road or driving onto shoulders or medians, curbs, and interrupting progress, they were able to learn how to go around traffic. Without exceeding the speed limit, they were able to conceive driving down streets at higher speeds and identify hazard spots and know what horrible things can happen at higher speeds. Without traveling in opposing lanes, they were able to understand how to negotiate congested, slow and stopped traffic and confused drivers. Without annoying everyone with unjustified siren noise, they were able to understand about deaf drivers and drivers "deaf" due to vehicle sound-proofing, operating stereo and air conditioning and wind and tire noise at higher speeds. Isn't it amazing how they could accomplish all of that without imposing risk, inconvenience and annoyance on the public? -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Actually, you can target a tree and pretend it is a terrorist hideout. It could be! I care about people needlessly being put at risk. Military aircraft sometimes fall out of the sky. Inexcusable if they do so over populated areas when there are so many unpopulated areas in which to dump your aircrap. There are many buildings separated by large open areas where one could eject with a very low probability of killing innocents on the ground. When I flew east of Denver, there was a better chance of walking away from an "extrairport landing" on preferably an unoccupied farm road or field. Don't worry, dust. Most American citizens would not tolerate such nonsense. I assume English citizens have no idea fake emergency runs are being done. How would they ever know? If they did know, they would work to stop it. -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Dat is dem. I would complain about their taking right of way from deserving others, disrupting traffic and causing others to make evasive maneuvers, forcing others to halt their progress and drive onto a shoulder possibly containing debris, etc. and causing them to try to merge back into traffic from a shoulder. I stay on the west side, (hopefully) trailing side, of tornadoes, and always park legally on the shoulder. Their yellow lights are simply to inform others that they may be stopped alongside the roadway, maybe ON the roadway, if a tornado is crossing before them, so that others also looking at the tornado don't hit them. Here, yellow merely means caution, and, I believe, anyone can display that color. Yes, a dangerous tornado in front of you does tend to disrupt traffic flow. I'd rather have a funnel in front of me, than a frontal lobotomy. -Gift, 1976 -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
I ain't never got no college edrucation. But how does my dismal, shameful, utter lack of education, training and experience diminish the inappropriateness of FAKE emergency runs in the UK? They remain FAKE. They expose the public to NEEDLESS risk. They take right-of-way from others without justification. They impose upon others the need to takevasive action - without justification. They annoy others with needless noise pollution. Nonetheless, regardless of the legal minutiae and attempt at deflection from the real issue - emergent driving training can be accomplished through normal driving, observation and discussion - why defend a faulty tradition and "malpractice"? (Yes, I love coining new woids.) Do your own citizens know of these FAKE runs? My English friends did not. Would they object if they did? My English friends certainly do. When I was in London with a patient, I assumed the fire truck operating lights and siren was on a REAL emergency response. It never occurred to me, nor to my English friends, that it could possibly be a joy ride. They understand, as do I as a driver destructor, that such driving can be learned through normal everyday driving. -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Driving emergent is decision-making, which can be practised (English spelling) in normal everyday driving. Regardless of whatever you wish to name your legal loopholes permitting it, FAKE runs are FAKE runs and are unnecessary. You can observe such driving while responding to REAL emergencies. And now, with videos, you can also rehearse such decision-making in the classroom. Since 1989 I have been recording videos for teaching and criticism. The medical clinicals are invaluable. There is little substitute for practice on (a) patient who needs the proceedure or practising on deceased patients upon which you can cause no harm. Practising on (a) patient in the hospital is not comparable to driving FAKE emergencies in the nonconsenting public. My English acquaintences, who never considered that anyone would ever do FAKE runs, agree thathis tradition of malpractice should cease. That is the whole issue - you can practise emergent driving without doing it. No need to impose unnecessary risks, inconvenience and annoyance on the public. -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
These FAKE runs need NOT be done. They should be made illegal to end this ridiculous tradition. You can train as you drive NORMALLY, anywhere - as you approach ANY intersection, travel ANY street, encounter ANY traffic congestion, you can discern/discuss what is best to do. Excerpts from our driving course: When driving emergent, ALWAYS SIGNAL EARLY every turn, lane change, when entering and exiting Interstates (motorways), when pulling out from parallel parking. Early signaling helps others notice turn signals despite the distraction of das blinkin' lights. Never use four-way flashers except when parked. Options, in order of preference: Coming to RED SIGNALS (I reject the term "negative" intersection) 1) Progress through right-most (UK) vacant lane or turn lane. 2) Go into opposing lanes and pass platoon of stopped traffic. 3) Position behind/between shortest lines of vehicles - influencing them to spread out - some squeeze left, others squeeze right (but some may pull into intersection) 4) Pull behind shortest line and cause vehicles to enter intersection* when cross-traffic has stopped for the EV. *Firetruck pulls behind man stopped at red signal. Man pulls forward into intersection to clear out of the way. Cross-traffic vehicle broadsides man and he dies at the scene. That fire truck should have gone into opposing lane #1 and passed. Better that the EV take on the risk and make its own way rather than influence others to move forward. STRAIGHT-A-WAYS 1) Prefer travel in lane #1 2) travel in turn lanes. Minimize travel on median because of possible debris. 3) pass traffic using opposing lane #1 Try to position EV LEFT in your lane. This aids vehicles in front seeing the emergency lights in both mirrors and in hearing the siren, and influences them to move right. Trucks may never see or hear EV unless you position left. When there is a raised median, some vehicles will move left and stop against the median. When that happens it oftens starts others moving left and stopping. Rather than try to get drivers to move right, some will not, it then becomes best to position between lanes #1 and #2. In some areas, traffic stacks up in lanes #1 and #2 and lane #3 is mosty open. Without siren we travel in open lane #3, not exceeding the speed limit. (We are then a regular vehicle legally traveling in a lane.) ONE-WAY STREETS: Use lane #1 if two lanes When three or more lanes, lane #2 is often best because some vehicles in lane #1 will move left and stop against the curb. (Often they are drivers intending to turn left at the next intersection and they do not want to change lanes into lane #2 and be unable to get back into lane #1 from which to turn left.) EXITING INTERSTATES We turn off the siren and signal early as we safely change lanes towards the deceleration lane. Since I am below the speed limit and not required to have the emergency lights operating, I have turned off ALL lights so vehicles ahead will not pull right into the lane. WE DO NOT STOP AT RED SIGNALS SIGNALS UNLESS NECESSARY Once stopped, you appear parked and cross-traffic will continue to cross. By the time drivers hear your siren, it is often too late for them to stop. (This is the fault of law enforcement parking with ALL lights operating, even though only lights facing rearward should be used.) So we try to keep moving forward just to show our need to cross. Most, if not all, of the variables can be encountered making use of everyday trips such as returning from calls. No need to make special trips, no taking right of way from others, no disrupting traffic, no annoying everyone, no endangering others with FAKE emergent runs. What most needs to be practiced is learning vehicle clearances, maneuvering and backing on courses with cones and cone obstacles. This can be conducted in parking lots where no one is exposed to any danger and inconvenience. -
Which Lanes For Multiple-lane Emergent Travel?
robert gift replied to robert gift's topic in General EMS Discussion
The problem is that some vehicles will head left to the left shoulder. It seems that when one driver moves left, others follow. (Perhaps because when the EV moves right to pass that left vehicle, others see the EV to the right and are influenced to move left.) Sitting on the left side of the vehicle, a driver can more easily see what is left of him and how far left he can go. The most feared driving maneuver is changing lanes to the right. One cannot see as well, cannot judge clearance as well, and is more worried about moving into other vehicles. Moving left is much easier. Also, I would rather not roll tires on the shoulder where they more easily pick up nails and debris. Better to move right and remain on the travelled portion of the pavement. -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Funny. I have been to England twice. Even climbed onto the roof of the Bond Street carillon. As a former professional firefighter and fire inspector, exited my hotel room descending from the 6th floor checking out a fire stairway and exited outside. There was no sign indicating that opening that door would summon the fire brigade. Brilliant. England is full of wonderful, polite people. -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
Somewhat? My whole post is entirely irrelevant. Understood. But people, especially polite and genteel English, feel obligated. Just as I would. I bet few really know it is but a "request". Police have followed ambulances and have cited drivers for not yielding. I try to position the vehicle so lights are most easily seen. Oh. Thank you. -
Which Lanes For Multiple-lane Emergent Travel?
robert gift replied to robert gift's topic in General EMS Discussion
My scariest times have been transporting traumaCORS, esophageal bleeds or suspected AAAs in snow and ice or fog or downpours or duststorms. (In 1981 I even followed a tornado!) When the patient dies, I regret, 'Could/should I have gotten him to the ED sooner?' Was I driving too slowly for conditions? Should I have taken a better route? (I still feel horrible about a mother who was talking enroute but died shortly upon arrival. She had vomited blood following surgery for esophageal erosion. Reluctant to call an ambulance, she finally did. As the patient was being loaded, her daughter was coming home from school for lunch and started running. That was the last she saw her mother alive. I blame the paramedic on scene for not loading and going. We.re there 20 minutes as he tried to be a hero and start his oh so important IV. The hospital was three minutes away.) I try always to pass on the left, but others' maneuvers can make that impossible or impractical. As a fire department instructor, I have had PSAs on the radio - but never about simply engaging right turn signal, safely changing lanes to the right and stopping. -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
I appreciate every one of your and others' points. I suffer enough REAL emergent responses that I am not envious of anyone who would risk FAKE ones in public. Do you really believe that drivers and pedestrians notice and comprehend any "TRAINING" markings? If so, why would anyone interrupt their rightful progress and willingly make risky evasive maneuvers? All they know is there are operating emergency lights and sirens compelling them to stop for their green signal, pull over and stop at the side of the street, accelerate down the street to get to an area were they can get out of your way (smart move by that autoist seen in a video!) or perform whatever obligations necessary to yield or nervously squeeze out of your way. United States emergency vehicles are also "asking" for right-of-way. But a driver can receive a 4-point Failure to Yield Right of Way to an Emergency Vehicle citation. Did that lorry stopped on the on-ramp shoulder become a hazard to accelerating motorists by starting from a dead stop and trying to get back onto his on-ramp? (On Interstate highways, I regret tractor-trailer rigs slowing and stopping on the shoulders. Trying to accelerate from zero back to 55 mph not only costs them a lot of their expensive fuel and causes pollution, the rig can present a hazard to speeding motorists, especially on upgrades.) (When there are no vehicles in lane 1 on Interstates, I turn off our wig-wagging headlights and some other lights so that truckers and vehicles in other lanes will not slow or pull off and stop. Only enough lights to remain legal do I keep in operation. As necessary, I turn the lights back on when approaching within 100 yards of vehicles in lane 1.) So, it is not only the problems of yielding to and making way for your firetrucks, it is also the complications of trying to get back into traffic - all for nothing. You can practice emergent driving without imposing upon others. Are you sure the claim of over 100,000 emergent responses in the UK daily is correct? -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
My English friends object to being forced to yield "give way" for something not an emergency. They object to being put at needless risk. (Presumbly, hopefully, these joy rides have never led to any mishaps.) But what of the driver who interrupts his progress and pulls onto a motorway shoulder and gets a flat tire? Does he know his sacrifice was for nothing? What of the car which bumped the other vehicle which unexpectedly stopped before a green signal, because a fire truck was taking right-of-way. Sure, it is the trailing driver's fault. None of these drivers suspects this could be anything other than a real emergency. What of the car moving out of the way and scratched another vehicle? Will those conducting this faulty practice know of the flat tire, the two cars bumping, or the car damaging the other? Learning emergent driving can be accomplished without this obnoxious nonsense. -
In England They Do Fake Emergent Driving In Public!
robert gift replied to robert gift's topic in General EMS Discussion
I always wondered why mine (bus) was so short! My English friend agrees with every one of the items I listed. Just because less-enlightened people agree with these public exercises does not make it right. Less-enlightened people thought the earth was flat. What does the public say? References? We don' need no stinkin' references. Try thinking about it. Have an original thought for perhaps the first time in your life. Ask your citizens if they approve being subjected to these "joy rides." I know two who don't approve, and neither do I. I am an emergency vehicle driver instructor. I know all of these concepts and maneuvers can be accomplished without subjecting the public to FAKE runs.