akflightmedic

Is this relevant when facing the courtroom? Again, show me the law that allows for the "well within normal 10-15 over" which will absolve you from any responsibility in this situation.

Can you show me the law that allows for the "well within normal of 10-15 over"? In addition, the ambulance was NOT running lights or sirens, can you still justify the "WNL of 10-15 over" in this situation as well?

I have run across so many in my career who think lights and sirens, even if not in use, gives them the right to drive in excess of posted speed limits. Here is a fine example of the consequences of doing such: http://www.thenewsenterprise.com/cgi-bin/c...127153345053003 Documents: Ambulance was speeding prior to fatal crash EMS driver being sued along with drunk motorist By BOB WHITE bwhite@thenewsenterprise.com ELIZABETHTOWN – By all recorded accounts, a patient-occupied ambulance was exceeding the posted speed limit last November when it collided with a car occupied by a drunken driver and two passengers. Two lawsuits filed since the Nov. 24, 2007, DUI crash killed Katrina Polston and injured five others at the intersection of Pine Valley Drive and U.S. 31W claim an ambulance driver was negligent along with the drunken driver. A recent deposition of Todd Cordell, a witness to the wreck, includes his estimate that the ambulance was traveling southbound on U.S. 31W at about 60 MPH when it struck a car occupied by Polston. The car was driven by Anthony Wayne Benningfield. His wife, Brandie Benningfield, and Polston were also passengers. A collision report released Tuesday by Elizabethtown police estimates the speed of the ambulance at 65 to 70 MPH at the time of the collision. The ambulance driver, Jason Thomson, was not “running code” — using lights and sirens — prior to the crash, police said. The speed limit along the stretch of U.S. 31W near Pine Valley Drive is 55 MPH, according to Elizabethtown police. When asked by an attorney if the ambulance could have done more to avoid the wreck, Cordell replied, “Yeah, I think so. If he’d have seen the car coming from 50 feet away like everybody else, I think he could’ve gotten into the right lane.” Depositions of additional witnesses had not been filed in Hardin Circuit Court as of Thursday. Thompson continues to work for Hardin County EMS. On Monday, supervisor Ira Dyer said Thompson had “absolutely not” received any disciplinary action since the wreck. Carl Akin III, a paramedic occupying the ambulance with Thompson and a patient, suffered injuries to his head and wrist. He is suing Anthony Benningfield, 3-Putt Willie’s and others in an attempt to obtain “underinsured motorist benefits.” He did not file a claim against Thompson. Polston’s estate and Bramdoe Benningfield have filed suit against Thompson. Along with being sued by numerous parties, Benningfield now is serving a combined 32 years imprisonment after pleading guilty to charges relating to the crash and having his probation revoked for using alcohol. Benningfield had a seven year sentence stemming from a 2004 drug conviction probated prior to the wreck. Bob White can be reached at (270) 505-1750.

I would like to add these words of a coworker who is the one who actually took care of the little girl and after seeing my post with the pictures thought a better explanation should be provided. The person said "The only thing I dislike about these photos is that they make everything seem so clean... This little girl was on a follow up visit secondary to having hand grenade shrapnel surgically removed from her legs bilaterally. Her clothes were worn very proudly, despite being dirty and tattered. The the most heart rendering thing for me is that after several minutes of coaxing from myself and her father, this was the best smile she had to offer. There truly are no childish souls left in Afghanistan. She had a difficult time accepting these gifts, and her father had to give her a long explanation, complete with animated hand gestures, before she could believe that she would be allowed to touch them, and obviously had no place in her mind for the possibility that they were hers to keep. God bless those that can't send things, but for those of you that can, you should remember this as a very proud thing that you've done."

Update: Thank you to those who have responded. There has been some great clothing sent in; nice, very warm pieces that are going to be very useful and appreciated. Boxes have started to arrive, here is the first load. Me delivering them to the hospital. This girl received one of the stuffed toys and a lollipop.

Hmmm, I do not know where an ego came into play with regards to raising a child the healthiest way possible with the natural tools. Like I said, if you try and can't, KUDOS. If you can and don't or won't, then I think that is worth looking deeper into as to the reasons why. The wet nurse comment was rhetorical. It was a valid solution to those who couldn't or wouldn't, or just needed a break.

I find it interesting that you feel the father should have no input as to whether or not it is even done. Well aware it is her body, however they are the two who created the child and agree to raise it in the healthiest, safest way possible, but to disregard any input from the male half, is odd...in my opinion.

So if a loving, married couple have a child, it is ONLY the mother's choice whether or not to give the child the very best possible, IF capable? Actually if ANY couple regardless of love or marriage have a child...same question. Just asking... And to the ones who have tried but just can't succeed...ok, there is always an exception and you did indeed try. KUDOS! I ask again, whatever happened to wet nurses?

I agree...as a man it is hard to have an opinion on this matter without the women getting upset, because "we don't understand". I have heard some pretty lame arguments such as "I dont want saggy breasts" and "You dont have to get up all night long, or inconvenience yourself several times a day", or "I can not do it and work", etc and etc. I may be a wee bit traditional in this regard but I seriously believe it is one of your life duties to breast feed your child. You have brought them into this world and are equipped properly to feed them, so by that right you are obligated to give your child the very best head start possible in the health and nutrition category. Even if you only do it for 3-6 months, it is still so much more beneficial to all involved. For the record, I assisted my woman with pumping (mooooo), so that I could get up during the night and feed them as well, but we breast fed every one of them and I honestly believe they are better for it. Now I wait for the women to chime in and tell me I do not know how bad it is to have chaffed, cracked, sore nipples, or lack of sleep, or swollen, milk heavy mammary glands, etc etc. Little do they know, I have some weird fetishes and do indeed understand....

http://news.yahoo.com/s/ap/20081126/ap_on_.../infant_formula Traces of the industrial chemical melamine have been detected in samples of top-selling U.S. infant formula, but federal regulators insist the products are safe. The Food and Drug Administration said last month it was unable to identify any melamine exposure level as safe for infants, but a top official said it would be a "dangerous overreaction" for parents to stop feeding infant formula to babies who depend on it. AK here: So if NO level is safe, then we should continue, especially if they depend on it. Interesting theory, what ever happened to nurse maids if the mother is unable to do it naturally?...AK over. "The levels that we are detecting are extremely low," said Dr. Stephen Sundlof, director of the FDA's Center for Food Safety and Applied Nutrition. "They should not be changing the diet. If they've been feeding a particular product, they should continue to feed that product. That's in the best interest of the baby." Melamine is the chemical found in Chinese infant formula — in far larger concentrations — that has been blamed for killing at least three babies and making at least 50,000 others ill. Previously undisclosed tests, obtained by The Associated Press under the Freedom of Information Act, show that the FDA has detected melamine in a sample of one popular formula and the presence of cyanuric acid, a chemical relative of melamine, in the formula of a second manufacturer. Separately, a third major formula maker told AP that in-house tests had detected trace levels of melamine in its infant formula. The three firms — Abbott Laboratories, Nestle and Mead Johnson — manufacture more than 90 percent of all infant formula produced in the United States. The FDA and other experts said the melamine contamination in U.S.-made formula had occurred during the manufacturing process, rather than intentionally. The U.S. government quietly began testing domestically produced infant formula in September, soon after problems with melamine-spiked formula surfaced in China. Sundlof said there have been no reports of human illness in the United States from melamine, which can bind with other chemicals in urine, potentially causing damaging stones in the kidney or bladder and, in extreme cases, kidney failure. Melamine is used in some U.S. plastic food packaging and can rub off onto what we eat; it's also contained in a cleaning solution used on some food processing equipment and can leach into the products being prepared. Sundlof told the AP the positive test results "so far are in the trace range, and from a public health or infant health perspective, we consider those to be perfectly fine." That's different from the impression of zero tolerance the agency left on Oct. 3, when it stated: "FDA is currently unable to establish any level of melamine and melamine-related compounds in infant formula that does not raise public health concerns." FDA scientists said then that they couldn't set an acceptable level of melamine exposure in infant formula because science hadn't had enough time to understand the chemical's effects on infants' underdeveloped kidneys. Plus, there is the complicating factor that infant formula often constitutes a newborn's entire diet. The agency added, however, that its position did not mean that any exposure to a detectable level of melamine and melamine-related compounds in infant formula would result in harm to infants. Still, the announcement was widely interpreted by manufacturers, the news media and Congress to mean that infant formula that tested positive at any level could not be sold in the United States. The Grocery Manufacturers Association, for example, told its members: "FDA could not identify a safe level for melamine and related compounds in infant formula; thus it can be concluded they will not accept any detectable melamine in infant formula." It was not until the AP inquired about tests on domestic formula that the FDA articulated that while it couldn't set a safe exposure for infants, it would accept some melamine in formula — raising the question of whether the decision to accept very low concentrations was made only after traces were detected. On Sunday, Sundlof said the agency had never said, nor implied, that domestic infant formula was going to be entirely free of melamine. He said he didn't know if the agency's statements on infant formula had been misinterpreted. In China, melamine was intentionally dumped into watered-down milk to trick food quality tests into showing higher protein levels than actually existed. Byproducts of the milk ended up in infant formula, coffee creamers, even biscuits. The concentrations of melamine there were extraordinarily high, as much as 2,500 parts per million. The concentrations detected in the FDA samples were 10,000 times smaller — the equivalent of a drop in a 64-gallon trash bin. There would be no economic advantage to spiking U.S.-made formula at the extremely low levels found in the FDA testing. It neither raises the protein count nor saves valuable protein, said University of California, Davis chemist Michael Filigenzi, a melamine detection expert. According to FDA data for tests of 77 infant formula samples, a trace concentration of melamine was detected in one product — Mead Johnson's Infant Formula Powder, Enfamil LIPIL with Iron. An FDA spreadsheet shows two tests were conducted on the Enfamil, with readings of 0.137 and 0.14 parts per million. Three tests of Nestle's Good Start Supreme Infant Formula with Iron detected an average of 0.247 parts per million of cyanuric acid, a melamine byproduct. The FDA said last month that the toxicity of cyanuric acid is under study, but that meanwhile it is "prudent" to assume that its potency is equal to that of melamine. And while the FDA said tests of 18 samples of formula made by Abbott Laboratories, including its Similac brand, did not detect melamine, spokesman Colin McBean said some company tests did find the chemical. He did not identify the specific product or the number of positive tests. McBean did say the detections were at levels far below the health limits set by all countries in the world, including Taiwan, where the limit is 0.05 parts per million. "We're talking about trace amounts right here, and you know there's a lot of scientific bodies out there that say low levels of melamine are always present in certain types of foods," said McBean. Mead Johnson spokeswoman Gail Wood said her company's in-house tests had not detected any melamine, and that the company had not been informed of the FDA test results, even during a confidential agency conference call Monday with infant formula makers about melamine contamination. The FDA tests also detected melamine in two samples of nutritional supplements for very sick children who have trouble digesting regular food. Nestle's Peptamen Junior medical food showed 0.201 and 0.206 parts per million of melamine while Nestle's Nutren Junior-Fiber showed 0.16 and 0.184 parts per million. The agency said that while there are no established exposure levels for infant formula, pediatric medical food — often used in feeding tubes for very sick, young children — can have 2.5 parts per million of melamine, just like food products other than infant formula. The head of manufacturing for Nestle Nutrition in North America, Walter Huber, said in an interview that the company took samples alongside FDA officials who visited a manufacturing plant, and that those samples showed similar results to what FDA found for the two pediatric medical foods. Huber added that Nestle didn't fund cyanuric acid in any of the samples. The FDA shared its results with Nestle a few weeks ago, Huber said. He said he wasn't sure whether Nestle had tested other of its products beyond what it did related to the FDA. Rep. Rosa DeLauro, D-Conn., who heads a panel that oversees the FDA budget, said the agency was taking a "marketplace first, science last" approach. "The FDA should be insisting on a zero-tolerance policy for melamine in domestic infant formula until it is able to determine conclusively based on sound independent science that the trace levels would not pose a health risk to infants," DeLauro said. Rep. Bart Stupak, D-Mich., a frequent critic of the FDA, said: "If no safe level of melamine has been established for consumption by children, then the FDA should immediately recall any formula that has tested positive for even trace amounts of the contaminant." Several medical experts said trace concentrations would be diluted even in an infant, and are highly unlikely to be harmful. "It's just a tiny amount, it's very unlikely to cause stones," said Stanford University Medical School pediatrics professor Dr. Paul Grimm. Dr. Jerome Paulson, an associate professor of pediatrics at Children's National Medical Center in Washington, D.C., said he didn't think the FDA's decision was unreasonable. He added, however, that the agency should research the impacts of long-term, low-dose exposure, "and not just assume it's safe, and then 15 years from now find out that it's not." ___

House is a medical TV drama...great show!! However, Dr.House does indeed have and display compassion, he has done it in many different episodes and got in trouble for it a few times as well. Michael, Dr.House is typically "cynical as hell" , a very dedicated, driven man who is able to overcome/discover/treat many rare and difficult diseases and disorders with some heavy thinking within himself and his equally talented underlings. Dr.house also struggles with his own personal issues, such as prescription drug abuse, unorthodox therapies/treatments, lack of interpersonal relationships outside of hookers, etc. Great show however!!

Yeppers, you missed it on this one. I will go ahead and clarify this one for ya... You wrote the above in regards to Dwayne saying the below: I bolded the important part that you missed. For clarification, he has said you will not meet anyone who is less, as in lower than him. He is at the bottom, everyone you meet is above...understand yet? Also, says he struggles to maintain that bottom level whereas others would not or do not.

Welcome to the City! First, watch where you post. Ensure the thread is going under the corect forum name, as I already had to move this post from Funny Stuff to Meet and Greet. Second, PM admin in regards to you screen name and request it to be changed or shortened. Never use your full email address for a screen name. Third, enjoy the ride!!

http://news.yahoo.com/s/ap/20081122/ap_on_.../webcam_suicide MIAMI – A college student committed suicide by taking a drug overdose in front of a live webcam as some computer users egged him on, others tried to talk him out of it, and another messaged OMG in horror when it became clear it was no joke. Some watchers contacted the Web site to notify police, but by the time officers entered Abraham Biggs' home — a scene also captured on the Internet — it was too late. Biggs, a 19-year-old Broward College student who suffered from what his family said was bipolar disorder, or manic depression, lay dead on his bed in his father's Pembroke Pines house Wednesday afternoon, the camera still running 12 hours after Biggs announced his intentions online around 3 a.m. It was unclear how many people watched it unfold. Biggs was not the first person to commit suicide with a webcam rolling. But the drawn-out drama — and the reaction of those watching — was seen as an extreme example of young people's penchant for sharing intimate details about themselves over the Internet. Biggs' family was infuriated that no one acted sooner to save him, neither the viewers nor the Web site that hosted the live video, Justin.tv. The Web site shows a video image, with a space alongside where computer users can instantly post comments. Only when police arrived did the Web feed stop, "so that's 12 hours of watching," said the victim's sister, Rosalind Bigg. "They got hits, they got viewers, nothing happened for hours." She added: "It didn't have to be." An autopsy concluded Biggs died from a combination of opiates and benzodiazepine, which his family said was prescribed for his bipolar disorder. Biggs announced his plans to kill himself over a Web site for bodybuilders, authorities said. But some users told investigators they did not take him seriously because he had threatened suicide on the site before. Some members of his virtual audience encouraged him to do it, others tried to talk him out of it, and some discussed whether he was taking a dose big enough to kill himself, said Wendy Crane, an investigator with the Broward County medical examiner's office. A computer user who claimed to have watched said that after swallowing some pills, Biggs went to sleep and appeared to be breathing for a few hours while others cracked jokes. Someone notified the moderator of the bodybuilding site, who traced Biggs' location and called police, Crane said. As police entered the room, the audience's reaction was filled with Internet shorthand: "OMFG," one wrote, meaning "Oh, my God." Others, either not knowing what they were seeing, or not caring, wrote "lol," which means "laughing out loud," and "hahahah." An online video purportedly from Biggs' webcam shows a gun-wielding officer entering a bedroom, where a man is lying on a bed, his face turned away from the camera. The officer begins to examine him, as the camera lens is covered. Authorities could not immediately verify the authenticity of the video, though it matched their description of what occurred. Montana Miller, an assistant professor of popular culture at Bowling Green State University in Ohio, said Biggs' very public suicide was not shocking, given the way teenagers chronicle every facet of their lives on sites like Facebook and MySpace. "If it's not recorded or documented then it doesn't even seem worthwhile," she said. "For today's generation it might seem, `What's the point of doing it if everyone isn't going to see it?'" She likened Biggs' death to other public ways of committing suicide, like jumping off a bridge. Crane said she knows of a case in which a Florida man shot himself in the head in front of an online audience, though she didn't know how much viewers saw. In Britain last year, a man hanged himself while chatting online. In a statement, Justin.tv CEO Michael Seibel said: "We regret that this has occurred and want to respect the privacy of the broadcaster and his family during this time." The Web site would not say how many people were watching the broadcast. The site as a whole had 672,000 unique visitors in October, according to Nielsen. Miami lawyer William Hill said there is probably nothing that could be done legally to those who watched and did not act. As for whether the Web site could be held liable, Hill said there doesn't seem to be much of a case for negligence. "There could conceivably be some liability if they knew this was happening and they had some ability to intervene and didn't take action," said Hill, who does business litigation and has represented a number of Internet-based clients. But "I think it would be a stretch." Condolences poured into Biggs' MySpace page, where the mostly unsmiling teen is seen posing in a series of pictures with various young women. On the bodybuilding Web site, Biggs used the screen name CandyJunkie. His Justin.tv alias was "feels_like_ecstacy." Rosalind Bigg described her brother as an outgoing person who struck up conversations with Starbucks baristas and enjoyed taking his young nieces to Chuck E. Cheese. He was health-conscious and exercised but was not a bodybuilder, she said. "This is very, very sudden and unexpected for us," the sister said. "It boggles the mind. We don't understand." ___ Associated Press Writers Jessica Gresko and Lisa Orkin Emmanuel and the AP News Research Center in New York contributed to this report. (This version CORRECTS sister's last name in next-to-last graf.)

Psssttt..over here..yeh you..scenario is over.

I considered a thoracic aneurysm then dismissed it, cant recall why now. However is it possible that she has indeed ruptured and the blood is vagaling the heart which is why the rate is staying low and steady? Or did she indeed take her meds and just doesnt remember so that is masking some of the signs? In the middle of poker with the fellas, will check back later.

Is the pulse oximeter correct, not malfunctioning? Can you describe the pain more clearly, such as it is sharp, dull, pressure, talk to me man! Is it transient or constant? (Wondering if a VQ scan at the ER would aid in this diagnosis)

Neither am I....regardless, great post!

Foz is an Aussie mate of mine who has the misfortune of working with me. Be kind to him as he gets his feet wet here. He is very eager to dive in and discuss scenarios but as I said, he is an "Aussie" so you know we have to treat them extra special, such as talking slower, speaking English and using words of 2 syllables or less.

No worries Ruff, when you said you wrote something similar, I imagined a short essay as I did, not your last lecture. This certainly is not my last lecture, if it were, I would hope it encompassed a few more paragraphs than this did. I probably would not post a last lecture at this time either.

Me too!!

I will share what I meant when I wrote it after a few more people respond per their request. And this piece has generated a lot of healthy discussion with several people off line that I have greatly enjoyed. A couple of them have me convinced it is not about what I thought it was about.

Thanks Ruff. Mine too is deeply personal, it is the risk we take amongst friends, family and strangers when we open it and share. Regardless, thanks. As for the book, did you mean this one? http://www.emtcity.com/phpBB2/viewtopic.ph...t+lecture+randy or this one? http://www.emtcity.com/phpBB2/viewtopic.ph...t+lecture+randy or this one? http://www.emtcity.com/phpBB2/viewtopic.ph...t+lecture+randy Despite the same name for the thread, I evidently missed you guys posting on this twice before I did, even thought I posted in one of the threads...LOL

Makes me recall several books I read in elementary school. I was/am huge Aldous Huxley fan and I will never forget the image that Brave New World left upon my 4th grade brain. I read it again several times throughout my life, each time being able to draw more from it due to life experiences, but a good read none the less.

I have received a few emails and PMs in regards to this post. I am happy there is an interest but what I imagined was maybe some of the more braver members being willing to delve into it and speak of what it means or says to them, or even attempt to explain what I was trying to say. One person has done it thus far offline, but I do enjoy deeper discussions this style generates. I will explain later what my thoughts were when writing this piece and what it means to me. As many of you are already aware, I have never been one to not speak my mind or show my inner self when the time was appropriate. Today, I was taking a nap. As I was emerging from my nap due to some very loud sounds, a very tiny thought crossed my mind. I laid there thinking upon it and kicked it around a little. I then got up when I knew I would not lose the thought, as dreams or post sleep dreams/thoughts tend to do and started writing. Next thing I knew, I had 5 pages filled in my notebook. I then started putting it on the laptop and editing. I glanced at my watch and 3 hours had passed! The draft posted here has been through only one edit. It is about as raw as I have ever shared. I felt good about it, did not want to lose it and felt I needed to display it for what it is as it was written with much emotion and gusto. So I quickly placed it here so as not to fall into the trap of closing the notebook or ever sharing it due to lost confidence in it, or whatever. Anyways, the private correspondence thus far has been nice and I look forward to any and all discussion.