akflightmedic

He is young and I am striving for some positive peer pressure from the senior members of this site and profession. The young man has potential and had my respect until this debacle.

Hello to all Just solicitng opinions on people that use their uniform for personal gain or discounts. We have all seen these types. You know the ones that wear them to a certain restaraunt in order to get the discount which is normally afforded to on duty crews or the ones that call up the pizza joint and request the discount despite not being on duty. These types of people have always pissed me off as they have no respect for the profession and just no common sense. I remember when one place cut us off due to abuse from off duty members. I never ask for these discoutns ever!! Even if I know they give it to us normally and they accidently forget one time, I will not ask. It is not my right, it is only a privelige. What prompted this rant of mine you ask? Well, it seems as if a young member of the City who we all have grown to appreciate and have been mentoring/advising feels it is ok for him to wear his uniform to purchase alcohol. He is underage, however whenever he wears it, they sell him alcohol. So not only does he not have respect for the uniform or profession, he is furthering a negative image of EMS by buying in uniform and he is also showing blatant disregard for the law. It must be ok to break the law and disrespect us all because you have a uniform on. WHat makes this ok? Well, he says he isnt worried about being fired because he is "just a vollie". What kind of crap is this? Young man, you know who you are, and I will no longer defend your character in PMs as I have done many times over the past few weeks. You have a lot of explaining to do if you ever wish to have credibility or respect from me and I am sure many others will say the same.

>IF MEN WROTE ADVICE COLUMNS…… > >Q: MY HUSBAND WANTS TO DO A THREESOME WITH ME AND MY BEST GIRLFRIEND. > A: Obviously your husband cannot get enough of you! Knowing that there is only one of you he can only settle for the next best thing; your best girlfriend! Far from being an issue, this can only bring you closer together. > Why not get some of your old college girlfriends involved too? If you are still apprehensive, maybe you should let him be with your friends without you. >If you're still not sure then just give him a blow job and cook him a nice meal while you think about it. > > >Q: MY HUSBAND CONTINUALLY ASKS ME TO GIVE HIM BLOW JOBS. > > >A: Do it. Semen can help you lose weight, is made of proteins and gives a great glow to your skin. Interestingly, men know this. His offer to allow you to perform oral sex on him is totally selfless. This shows he loves you. The best thing to do is to thank him by performing it twice a day: then cook him a nice meal. > > >Q: MY HUSBAND ALWAYS GOES OUT WITH HIS FRIENDS AT NIGHT. > > >A: This is perfectly natural behavior and it should be encouraged. The man is a hunter and he needs to prove his prowess with other men. A night out chasing young single girls is great stress relief and can foster a more peaceful and relaxing home. Remember, nothing can rekindle your relationship better than the man being away for a day or two (it's great time to clean the house too!) Just look at how emotional and happy he is when he returns to his stable home. The best thing to do when he returns home is for you and your best girlfriend to give him a blow job together and then cook him a nice meal. > > >Q: MY HUSBAND DOESN’T KNOW WHERE MY CLITORIS IS. > A: Your clitoris is of no concern to your husband. If you must mess with it, do it on your own time or ask your best girlfriend to help. You may wish to videotape yourself while doing this, and present it to your husband as a birthday gift. To ease your selfish guilt, perform oral sex on him and cook him a delicious meal. > > >Q: MY HUSBAND DOESN’T SPEND ANY TIME ON FOREPLAY. > > >A: You are a bad person for bringing it up and should seek sensitivity training. Foreplay to man is very stressful and time consuming. Sex should be available to your husband on demand with no pesky requests for foreplay. What this means is that you do not love your man as much as you should; He should never have to work to get you in the mood. Stop being so selfish! Perhaps you can make it up to him by performing oral sex on him and cooking him a nice meal. > >Q: WHEN MY HUSBAND HAS HIS ORGASM, HE ALWAYS ROLLS OVER AND GOES TO SLEEP AND FORGETS ABOUT MY ORGASM. > >A: I'm not sure I understand the problem. > Perhaps you've forgotten to cook him a nice meal.

1. Yourself: tittilating 2. Your boyfriend/girlfriend?: exotic 3. Your hair: none 4. Your mother? psycho 5. Your Father? cool 6. Your Favorite Item: penis 7. Your dream last night: sex 8. Your favorite drink: bailey's 9. Your dream car: the MysteryMachine 10. The room you are in: stark 11. Your Ex: who? 12. Your Fears: penilectomies 13. What do you want to be in 10 years: Playboy mansion 14. Who you hung out with tonight? hookers 15. What You're Not? serious 16. Muffins: none 17: One of Your Wish List Items: tolerance 18. Time: 1044 19. Last thing you did? orgasmed 20. What You Are Wearing? jeans 21. Your Favorite Weather: 65 22. Your Favorite Book: porn 23. The last thing you ate: strawberries 24. Your Life: crazy 25. Your Mood: melancholic 26. Your friends: who? 27. What are you thinking about right now? her 28. Your car: feet 29. What are you doing at the moment?: silly question/survey 30. Your summer: adventerous 31. Your relationship status: undecided 32. What is on your tv? no tv 33. When is the last time you laughed? hourly 34. last time you cried? month 35. School? RN

"Go west young man, havent you been told, CA is full of whiskey, women and gold"..Toby Keith We all hear a lot of things...

No double posting please. The same thread is under the students category. Please respond there. Thanks

Connie, Just look at VS's avatar and you will find your answer. We know return to our topic at hand....

Irrelevant. Again it all depends on the questions that I posed and the reasoning is still the same. Dead is dead!

The Twelve Days of Cristmas EMS Style... On the First day of Christmas, my Dispatcher gave to me... Grandma who fell and hurt her knee... On the Second Day of Christmas, my dispatcher gave to me... 2 MG of Narcan for the out of work person who wants to end it all by taking her Husband's pain pills and won't tell me what she took and is feeling suicidal.... and grandma who fell and hurt her knee. On the Third day of Christmas, my dispatcher gave to me.... Three stacked shocks for the 88 year old man who instead of paying the neighbor kid 5 bucks to shovel his driveway, decided to do it himself and have the big one in the driveway... 2 Mg of Narcan for the psycho chick trying to off herself... and grandma who fell and hurt her knee.. On the Fourth day of Christmas, my dispatcher gave to me.... 4 AM in the morning I have to go to the nursing home because someone has had the flu for like 16 years and all of a sudden needs to go to the hospital.... NOW,... Three Stacked shocks for the full arrested popsicle, 2 MG of Narcan for Morphine eating Momma... and Grandma who fell and hurt her knee.... On the Fifth day of Christmas, my dispatcher gave to me... Five minutes to eat..... 4 AM shuttle call, Three stacked shocks, 2 MG of Narcan, and Grandma who fell and hurt her knee.... On the Sixth Day of Christmas, my dispatcher gave to me.... Six run reports behind because the computer guy can't fix the system... Five Minutes to eat!!!!!!!!! ! 4 AM Shuttle, 3 zaps to the chest, gonna have a stomach pumped, and grandma who fell and hurt her knee... On the Seventh day of Christmas, my dispatcher gave to me...Seven car pile up while everyone was trying to beat the light so they can get into Wal Mart the day after Thanksgiving thinking there is only 4 dancing Elmo Dolls... six reports behind... Five minutes to eat....... 4AM is way to early, 3 stacked shocks, 2 of Narcan Pushed, and grandma who fell and hurt her knee.... On the Eighth day of Christmas, my dispatcher gave to me....Eight flights of steps to walk up to get the 400 pound person who is having shortness of breath since LAST Christmas and can't walk...oh, and of course, the elevator doesn't work... 7 cars a crunching, six reports a writing, Five minutes to eat. 4 AM shuttle, CPR in progress, 2 MG of Narcan, and grandma who fell and hurt her knee... On the ninth day of Christmas, my dispatcher gave to me Nine blankets needed to cover up grandpa because he is freezing and we aren't even out of the house yet but thinks he will get pneumonia and die for all of the 10 seconds we are outside... Eight flights of stairs, should have stayed home and bought it off of Ebay, six reports I'm writing... Five minutes to eat..... What the Hell time is it, should have paid the kid, 2MG of Narcan, and grandma who fell and hurt her knee. On the Tenth Day of Christmas, my dispatcher gave to me... Ten Minutes till I can get a bed in the ER because the nurses are busy figuring out who is going to lunch next.... Nine blankets needed, Hope fire department is coming, 7 cars a crunching, six reports I need to write, Five minutes to eat... Can't you wait till morning, stick a fork in him, he's done, Man I hope she shuts up... and grandma who fell and hurt her knee. On the Eleventh day of Christmas, my dispatcher gave to me.... Eleven times I tried to get the heat to work in the back of the truck and maintainence won't take the truck in... ten minutes waiting, Nine blankets needed, eight flights of steps to climb, Hope you have Progressive, Give me a new ink pen... Five minutes to eat.... 4 AM is early, 3 Leads all show he's dead, 2 MG won't touch her.. and grandma who fell and hurt her knee... On the Twelth day of Christmas, my dispatcher gave to me... a 12 Gague IV needle that I put into the drunk 19 year old who tried to swing at me... it's really freezing, Hope you choke on your sandwich, 9 blankets for grandpa, How did you get up here in the first place, man your husband is gonna be pissed, six reports STILL down... five minutes to eat... Better than taking them back, Hope I recorded the code, Man, just pass out already... and grandma who fell and hit her knee... Edit: I am getting sloppy in my old age. Credit of this goes to author unknown. I did not write this and I must have left it off by hurrying and not paying attention. Regardless, it is funny and I just wanted to share.

You are making a rather large assumption about what you percieve to have happened. First off, the standards are changing. No longer do we make a mad dash to the ER with every cardiac arrest patient. It is futile and pointless in most cases. How long was the patient down prior to their arrival? What was their response time? By this I dont mean when they got on scene cause then it takes several more minutes to gather equipment and arrive at the patients bedside. What rhythm was the patient in when they hooked up the monitor? What is the patients history? Hmmm, an 80 year old in a nursing home (not very viable me thinks). So instead of delivering top notch immediate care at the bedside, you rather them load and go doing haphazard compression and ventilations, very interrupted mind you just so they could load the pt in the truck and then haul ass to an ER, even though there is no need to haul ass with these types of patients, recklessly endangering the crew and other people on the roads(who are not dead mind you) only to arrive at the ER, have the doc and nurses play for 5 minutes and then call it? Is this the scenario you would prefer? Did I mention that during transport, you are also wanting them to now intubate in a more cramped position, possibly creating more attempts and further delaying definitive airway, starting an IV again incresing chance for error, not to mention the major hazards anytime needles are involved and all for what? I also enjoyed the comment of definitive care at a hospital. Yes that is true for other situations(CVA, trauma,etc) however, a cardiac arrest requires ACLS. I do believe that is the same ACLS provided by docs and nurses at the ER. Finally, I commend them for their actions. Why bother transporting a body? By not transporting, they freed up their unit for other calls, plus they did not burden the receiving facility by tying up a bed either. Some other patient that is alive was able to be seen quicker as there was one less bed taken by a dead body. Not only that, the patient recieves no final bill from the ER, the funeral home can come pick her up directly. Great job!

Well, you do have to grow up eventually, put down the Guiness and work for a living. I know how scary it can be having a job but you will be fine.

Hmmmm, I will have to find some for you. Been using it prehospitally for almost 3 years now. Started in flight and then carried over to some ground services. Most people think it is cost prohibitive, but it has decreased significantly in recent times.

WARNING WARNING ---EMT CURRICULUM BASHING ABOUT TO OCCUR (NOT EMTs, BUT THE CURRICULUM I didn't think EMTs in class these days even knew what a nasal cannula was, much less of whether or not you have a choice. High flow O2 Non rebreather for everything, right? Cause too much O2 never hurt anyone and it doesnt matter what the problem is, everyone gets it!! WE NOW RETURN TO OUR REGULARLY SCHEDULED DEBATE ON PROMETHAZINE

And now, for your reading pleasure....... Phenergan Myths Phenergan (promethazine) has been used to prevent or treat opioid induced nausea and vomiting and as an adjunct to opioid analgesia. Despite studies showing the phenothiazines possess no analgesic activity and do not potentiate opioid analgesia, phenergan continues to be used as an adjunct to opioids. This use can lead to poor pain relief and confusion when assessing the pain patient. Phenergan has potent sedative and anticholinergic effects. It also possesses alpha adrenergic blocking effects which can lead to peripheral vasodilatation and orthostatic hypotension. The phenothiazines also lower the seizure threshold and can cause extrapyramidal side effects ("worm like" movements of the tongue, chewing motions of the jaw) and tardive dyskenesia which may not resolve after the phenothiazine is discontinued. When combined with opioids, phenergan potentiates the sedative effects of the opioid (which is MISINTERPRETED as increased analgesia...sedation and analgesia are not synonymous). Other problems include increased risk of orthostatic hypotension, dry mouth (especially when used in combination with meperidine which also has anticholinergic side effects), dysphoria, restlessness, and agitation. These last three may be associated with increased pain as a result of a decrease in the opioid. A common practice of combining phenergan with meperidine can lead to significant side effects. The phenothiazines lower the seizure threshold of the CNS. Meperidine produces an active metabolite (nor-meperidine) which causes CNS "irritability". As nor-meperidine levels rise, the risk of seizure activity increases. When combined with phenergan, a lower blood level of nor-meperidine is required to cause grand mal seizures. Other anti-emetics are recommended when faced with opioid induced nausea or vomiting. Metoclopramide (Reglan®) or odansetron (Zofran®) cause less sedation than phenergan. Suggested Readings Am J Hosp Pharm 1979 May;36(5):633-40 Phenothiazine analgesia--fact or fantasy? McGee JL, Alexander MR Double-blind clinical trials involving the use of phenothiazines as analgesics or potentiators of analgesics (aspirin, meperidine, morphine sulfate) and adverse effects of phenothiazines are reviewed and evaluated. Promethazine, promazine and propiomazine were not found to possess analgesic or potentiating properties. One chlorpromazine study contained important design and reporting deficiencies which precluded a recommendation for use of chlorpromazine in the treatment of pain. Methotrimeprazine was determined by numerous authors to have analgesic properties; however, most of the studies also were deficient in design or data presented, or both. Adverse reactions to phenothiazines, including hypotension, sedation, drowsiness, extrapyramidal symptoms, tardive dyskinesia, cardiac toxicity and agranulocytosis, are often more common and severe than those attributed to narcotic analgesics. Because of the lack of data supportive of analgesic activity and the adverse reactions associated with phenothiazines, use of these agents in the management of pain should be discouraged. The prophylactic use of phenothiazine for narcotic analgesic-induced emesis also is, in most cases, a questionable practice. PMID: 36754, UI: 79206676

I say have both!!! Let us make a decision based on that particular presentation as to which one we will use. Thats what we do in the flight world.

Todd, I went through the same thing when I was there and never got a straight answer. I found that quite odd as well, as liberal as we were there. I even pitched the idea of Zofran as it has all the good effects of promethazine but none of the bad effects. I was told they were looking into it.

Damn, I might need to go work in MO, sounds good to me. In FL, for the most part we have an overabundance of paramedics. Yet there is still a "shortage" because the IAFF has been sucessful in convincing everyone that we all need to be medics. It is normal on any call in or around Orlando to have 5 medics on scene. Quite the amusing site, as there is usually a race to get something done just so you have the opportunity to practice. Too many medics is not a good thing either. Its hard to find the right balance but it is out there...somewhere.

Part time status does not always mean part time hours, especially in EMS. Over the years I have worked "part time" on the side and put in more hours than I did on my FT gig. You are cheaper labor than a FT employee so there are advantages to using you. But you use the employer as well. I used to call up the PT job and tell them when I was able to work, use me or not I was indifferent. More often than not they would use me. On the flip side I was able to schedule more time off when I needed it as i had not FT hours committment. Some services I have worked for PT had requirements like you had to work x number of hours a month to maintain that status. It all varies. Sorry I am not familiar with JAX, central FL and down is my knowledge base.

Part time hours vary with your employer just like any other career choice. I have seen 8, 10, 12, 14, 16 and 24 hour shifts for part timers. Find out where you want to live and then see what is available. Most municipal or county services do not hire part timers due to union regualtions. IFT is probably your best route. This is a question you should be directing towards whomever your new potential employer may be.

Nice device Timmy, may be useful in a city evironment, but on the freeway I forgot to mention that our trucks have governors. The fastest we can go is 72mph which is plenty actually. Since the speed on these roads is 65-70mph, and most people do 5-10 mph over the posted limit, telling them to get out of the way is pointless when they can just smoke ya....lol.

My service area used to include a long section of the FL Turnpike and I-95. When responding to a call, we did not use lights or sirens as it actually backed up traffic flow. Most cars go faster than we do on the freeways so there was no point in us running them. Even the FD shut off lights and sirens and we travelled with the traffic flow until such time where it slowed down. Once we got with a mile or two of the reported mile marker, we would then turn them on so everyone would be aware that we were slowing down and approaching/looking for a crash. Now if we got on and traffic was already slowed and backing up, then we would use them to cut traffic to get to the scene.

If you are willing to asume whatever care they have performed and they are willing to turn over to you there should be no problem. I have done this on a few occassions, however this whole situation is negated by the simple courtesy of arriving to work 30 mins prior to the start of your shift. If they are out uppon your early arrival, then they can finish what they started. However if they catch another call after clearing the current one, my partner and I would take a POV and meet them on scene and switch out. Its just a courtesy and respect issue.

Is that really you??? Wow I thought you had gone for good. Good to see ya around every now and then even id you do drink that dark crap that the skirt wearing medic does.

My 2 cents worth says taking an active role and being repsonsible would have been directing these questions to your health care provider instead of on an anonymous forum. Dont be scared to hold them accountable, ask questions, make them earn your money.

All species of Elk?...or just the ones Native to that land?