akflightmedic

Amazing how much you can say with only one word...good job.

I need bilingual (Arabic and English)instructors to teach First Responder, EVOC and train Dispatchers. There will be between 400-600 students all very excited to learn a new career. The work is located on a very large oil field for a very large company in southern Iraq. If interested or if you know someone from your workplace who may be interested, please let me know. You must be fluent in Arabic and you must have some training/teaching experience. No further details are needed or will be provided at this time as I can not waste my time on multiple inquiries from people without the qualifications first. PM me here if qualified and interested. AK...

http://youtu.be/0yuFy_qjolU

Colin, please review the thread again, paramedicmike's comment was NOT directed at you. All is well.....

I hate you for making me say this as I never thought such words would ever come from me, however: BIEBER ROCKS!!! (Just not the Bieber most think of when hearing that name)

If you are going to tell someone they are wrong, then the onus is on you to prove it. Kind of like religion, I say there is no god, you say there is God so it is up to you to provide the proof as I can not prove a negative nor is there need to. Here is the first link I came to in a very rapid Google search and because of it's simplicity I am linking it...there are much more detailed descriptions out there if you wish to search, but typical of your fashion is to throw shit out there with no supporting evidence. http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/index.html The Privacy and Security Rules apply only to covered entities. Individuals, organizations, and agencies that meet the definition of a covered entity under HIPAA must comply with the Rules' requirements to protect the privacy and security of health information and must provide individuals with certain rights with respect to their health information. If an entity is not a covered entity, it does not have to comply with the Privacy Rule or the Security Rule. Here is a list of Health Care Providers which are covered entities:This includes providers such as: * Doctors * Clinics * Psychologists * Dentists * Chiropractors * Nursing Homes * Pharmacies ...but only if they transmit any information in an electronic form in connection with a transaction for which HHS has adopted a standard. ****Please note that violations of HIPAA rules (as I stated) only applies to agencies which transmit information electronically for transactions (bill for services). Please prove me wrong crotchity as I am never opposed to becoming better informed as long as the information delivered is supported by factual evidence. Wowsers!!! When did you return? I didn't catch the name at first!!!

First, if you are going to accuse someone of breaking a law, ensure it is one that actually exists. There is no such thing as a HIPPA law; there is however a HIPAA law. While you may brush that correction aside, the mere fact that you can not spell it also supports the fact that you do not know what it actually is. Your example in no way violates HIPAA. It is only a violation of HIPAA if your agency bills insurance companies for services rendered. HIPAA was created to protect patient information when it is shared within various agencies for billing and how that information is stored and transmitted, etc. Is what he did a violation of ethics, was it disrespectful? I do not think so. It is a volley bragging for his hero status with no patient identifiers, so no big deal. Yes in the small town, some of his friends may know who died and they may now know he did CPR on the dead guy, but he is not the one who gave names or other specific information...so again in my non-legally supported opinion it was not wrong. Stupid, annoying, and typical of a whacker, but not illegal.

It is not a matter of how big the city is, it is a matter of the fact they work very little overtime, shorter shifts and have scheduled beaks/meals even as a 911 responder. Therefore a larger work force is required to accommodate those schedules. (So I am told)

Only in the sense of honoring a favorite "Dust-ism" which is...."are you hot?"

I used to carry Tagamet IV back in in early 2000s when I was on the ambo. It worked great in conjunction with the other therapies. Do not overlook the use of Phenergan as well...Phenergan is H1 blocker and it is first line drug for allergic reactions in countries like Aus, NZ, etc...if you talk to an Aussie please pronounce it as Fuh-Nur-Gen (Gen said like hen)

Something like this?

I had to do the larger font to distract you from the extra small font at the bottom. Good to know who the suckers are...

Due to my busy schedule, I have been out of the loop on some of the latest research but imagine my surprise when I ran across several peer reviewed journals and studies which state that the GCS scale is no longer to be used. To sum up their findings with layman's terms...they said it serves no purpose and is a waste of effort. I often wondered about that myself but here it is. Anyways, NREMT and DOT have decided to eliminate it from the next text and it is perfect timing because of all the new certification levels. Rolled up in this article of course was the immobilization stuff which we all have discussed for years as being pointless. Even selective spinal immobilization guidelines were just a stop gap to reduce the old protocol of immobilize everyone until they reach these determinations. Anyways, overall I think both are great ideas. Means one less thing to teach and worry about and one less piece of equipment to worry about...your thought? April Fools!

Yes Beegers, I remember you... The title of your thread made me laugh uncontrollably....it is funny if you recall that Dust himself just returned after a long hiatus as well. :)

Gee...really?? WoW! I had no clue....having spent the last 5 years of my life in Afghanistan, Iraq, Kuwait and the UAE....simply had no idea. Did you know that your information is incorrect? I have touched many female patients <gasp> who were Muslim. Some of them even lived. FYI, I write all of this from my hotel room in UAE before returning to Afghan in a few days. Here is the reality...yes I can touch a female in an emergency situation or any situation WITH the husband's permission. My first encounter with this was is Florida, years before I went overseas. There are many ways to conduct the exam and while having a female present or completely performing the exam, this is not always possible and realistic expectations are maintained. Plus the people who are extremely radical typically will not be activating EMS so this is a moot argument. Amazing that you utilize one very rare situation to try and justify an entire staffing matrix based on outdated, sexist thinking.

And Americans...some of us anyways. 10 or 20? ( our only option here)

She said in the hospital...she was relating the male/female issue not where an exam is performed. It is a hypothetical as well, an exercise in this great debate. Way to set up a counter argument by the first statement attempting to destroy any credibility. You and I know the deal but others who come along will take your counter point as more valid…shitty debate technique Dwayne. I did not get that impression either; it is the way the topic evolved. However the point of this whole issue was the legality of it, so how one relates better to another is moot because when it comes down to the fact that hiring policies will have to be observed/managed closely to not skew ratios, when certain people who are up for overtime but cannot take it due to being the wrong sex, when someone is due to rotate to a certain truck or station and again can’t because of their sex…this is discrimination. Bullshit! So now you are proposing that ALL ambulances be double paramedic in addition to one gender of each sex? Because what if my partner is a basic; does this means I allow a lower licensure level to do the exam because of my own inaccurate perceptions. What if my partner misses something, how do I explain that? The same situation works the other way, my female paramedic partner refuses to look at some bumps on a penis, I describe it improperly or miss something glaringly obvious…either one of these situations could alter the report…life threatening no, but that is not the point because we are all about good medicine…right? So now we are altering hiring practices, exam practices, staffing practices…and yet this is NOT discrimination?? I do not disagree; I will take a female partner over a male any day of the week.

So if a female conducts the procedure it is an exam but if it is a male, it is "another violation"? Interesting word choices...

Shouldn't this be on an intranet as opposed to the internet??? Anyways, phone number is deleted until the legitimacy of this email is confirmed. Richard, can you assist?

Sure it is, because if you have that policy then your hiring practices would have to be balanced otherwise you would end up with too many of one gender on staff which would throw off the staffing policy, force overtime, totally change the way business is done. If someone calls in sick, then again a male might be passed over for overtime due to a female needing to be on the rig or vice versa. The examples go on and on and whenever there is an UNREASONABLE accommodation being made on baseless claims devoid of any fact, then it is absolutely discrimination. And we have not even approached how we classify the gays, lesbians and transgendered. I have worked with all of the above, had a male partner going through the hormone therapy in preparation for the change...so yes, it is one of the most clear examples of discrimination.

One would think being "close friends" she would have known two things: 1. Her friend works at the service 2. The policy in place cause girls talk way too much

You are comparing apples to oranges. Most (and all should) EMS departments conduct pre employment physicals/testings usually consisting of a lift test. The lift test equates to the individual being able to lift 150 lbs pounds which when combined with a partner's lifting power a total of 300 lbs. This is a reasonable and normal expectation. A 400 pound patient is not a reasonable or normal expectation, therefore it is entirely acceptable to "delay" medical care until a lift assist arrives. And really you should not be delaying care, only the transport is delayed but that is another topic. I will tell you right now if it is me (I am not small guy either) on scene with one other guy, I am still NOT picking up a 400 pound patient without assistance. Even if it is an emergency...I am not going to injure myself for the patient's emergency or condition; so your argument is invalid. Outside of lifting, there is very little in EMS that requires physical prowess. The first 15 minutes on an actual working fire are quite demanding physically and can in no way be compared to the demands of any EMS call...not even a cardiac arrest.

My post was not to be an inflammatory "you"...but a general you to whomever. I understood your position and did not clarify to which "you" it was being directed at.

You do realize you are trying to presume every patients point of view with that first line? Totally inaccurate and there are studies to disprove that myth. There was a long and productive thread on that very subject many years ago in which Rid Rider and other heavy hitters produced the supporting information to support my claim. If anyone can find it, please link it for relevance. You can not assume every patient will feel comfortable with the same sex, you are projecting your own personal positions on each future possible encounter and thereby discriminating in order to prepare what you suppose will be the case? Make sense? I have dealt with my fair share of sexual assaults (both men and women) delivered many babies and seen far more child abuse and neglect cases than I would ever wish on anyone...I can not recall a single incident where I did not effectively manage the situation because of my penis and testosterone. There are females who can be just as gruff, rude, uncaring or unprofessional as males; therefore we can not staff crews based on myths and suppositions.

This is discriminatory thinking just as much as the double female staffing...what exactly constitutes a male or female issue? Are these call outs so common that there is a need to have a male or female depending on the sex of the patient? Are you saying that as a male I can not effectively treat a female "problem"? Are you trying to say I could not deal with an OB issue/delivery/complication, a sexual assault, bacterial vaginosis, STDs, unusual discharges, lump in the breast? What are you going to do that is any different than me simply because you have a vagina and I don't? I can talk about and handle any of these issues with professionalism and empathy. Prehospitally or more specifically on an ambulance, the treatments will not change based on the health care provider's sex. On the flip side are you saying as a female that you could not handle ED or penile discharges or male sexual assault? Because short of sexual organ dysfunctions or OB, there is no difference between male and female EMS issues and there is absolute zero need to have a male for male issues and female for female issues. That is one HUGE step backwards for medicine overall and an extremely narrow minded point of view.