Happiness

OK Squint Horns are locked Every single EMS system has its issues. I am not going to go into the Union crap so don't bring it up and you know my views on that . (and so you are aware there is someone that goes on this site from Ontario that was granted and interview with BCAS) and it is common practise with in any union to do in house advertising of a position before it goes to the general public. Thats it on that subject. Do I like Licensing in my life Nope, there are alot of holes in that system but there they are and I have to comply. Now the issue of CME Credits I get mine every year and to tell you the truth it makes me learn. In rual communities we don't always get the opportinity to go to workshops ect. 20 credits each year really is not that hard and also you have to have 20 pt contacts in order to keep your license. There are communities like Port Clements for example that may not get those 20 pts in a year. When they fail to get those it tells someone in paramedic land that hey we need to go to that community and make sure these paramedics are not forgetting their skills (and they do), you know the old adage "if you dont use it, you loose it" and also if makes that medic think about loosing his license and maybe they will step out of the box and go to Prince Rupert and do some shifts there. Hence my opinion for advancement to the ALS level. I do support it of course I do, but for the reason of for example our station last year did 299 calls and that is between approx 10 medics. Now since I take the most shifts im betting I was on most of them and there was not one call that made me think god I wish I had ALS (so you know it is now ACP, I was politely informed of that the other day) Why in the world would I go and take years of school to get it and then come back to my home and not be able to keep up my skills (which to me would be a hazzard to my pts)or my license because Im not getting right calls. For example Last NY`s I used Narcan for the first time in ten years of having that protocol. So one thing I should point out is that when I joined I had only my OFA 3. Air goes in and then out and your blood goes round and round. The training that is going on now is ten folds better and hopefully it will get even better. We are not there yet but it is on it way. She made excellent points and shone a light in some of the dark corners, getting the taxpayers to ask hard questions to government. Not in the interview that I saw and personally I think taxpayers should be prioritizing the hard questions to government and sorry Squint in my eyes this is not real high on my list. Yes agreed BCAS are protocol monkeys, they are NOT Laws and the 'guidelines" need to be modernized, Administering blood products or Volume expanders is practising, what I like to call progressive Evidence Based Medicine for optimal care. My comment was not just to the blood issue it was to general society. And I`m pretty sure there would be some Laws around giving people blood. Now most of the issues would be for religious reasons but in the end could be an issue. So with your monkey comment do you not have to follow protocols. Strictly ACP or higher, PCP can not treat an acute hemolytic reaction, most couldn't recognise it adding a "protocol" just will not cut the mustard. So are you saying that if I was able to get a course on this topic alone that I am not smart enough to recongnise it, I would certainly hope not. So you know there are cases where I recognised things in Pts that nurses and Drs. didn,t because I take it upon myself to learn from others and yes I have used things you have said on these forums in my practise. I am aloud to think outside of the box. No offence personally intended but putting a PCP in the back of a 222 is like putting a 13 y/o in a Ferrari, but NEVER had a death from hypovolemia in flight or in P.R. with a PCP attending .. does P.R. even have a trauma surgeon NO ! Normal Saline only is pittiful and causes Hypernatrimic or Hyyperchlorimic metabolic acisosis and in with large volumes screws up clotting cascade, my bet is that some polytrauma have died as a direct result of BC protocol and not carrying at least one volume expander at the PCP level. First of all I said where I am not Prince Rupert. And Yes Prince Rupert has the ability for Truama Surgery. The perfered place is Vancouver or Prince George. So for the record I didnt say this was a bad idea EVER. Personally I take my knowledge seriously and if there is something I dont know I will research or I will go to a nurse or dr and ask. Ok now back to our regular scheduled programing Sorry for derailing the thread.

A fifth grader asked her mother the age-old question, 'How did I get here?' Her mother told her, 'God sent you.' 'Did God send you, too?' asked the child. 'Yes, Dear,' the mother replied. 'What about Grandma and Grandpa?' the child persisted 'He sent them also,' the mother said. 'Did he send their parents, too?' asked the child. 'Yes, Dear, He did,' said the mother patiently. 'So you're telling me that there has been NO sex in this family for 200 years? No wonder everyone's so grouchy around here!'

Newfoundland Humour (Newfoundland humour doesn't get better than this!) Two Newfoundlanders were sitting around talking one afternoon over a cold beer. After a while the first Newfoundlanders says to the second: 'If I was to sneak over to your house and make love to your wife while you was off hunting', and she got pregnant and had a baby, would that make us related?' The second Newfoundlanders crooked his head sideways for a minute, scratched his head, and squinted his eyes thinking real hard about the question. Finally, he says: “Well, I don't know about related but it sure would make us even.”

Just remember we slap back........ (with coho) So really a good topic to discuss. I saw this issue on BCTV but I was alittle appauled at the fact that the woman was spouting off about something she has no knowledge of. I hate it when people go off about well they do it there. Well just because they do it there dosen't mean it is feasable here, ya she said well they already have a working model just use that. Well if this person had actually looked into it (and the media) they would have discovered as squint said it is being done in Alberta, the info from aussie land is wrong. People need to realize that there are different laws, and processes in each and evey country that have to be taken into account when introducing new protocols. And that folks is my rant. Now do I think this is a good idea "right on if it is going to save lives Im game for anything" Now with that being said I have to ask what is protocol for this, at what level of training is going to have this protocol, is there a need to do a risk vrs benifit. I do know that ALS and CCP have the ability to give blood and the only time that I have wittnessed this is on Medivac's. But they get the blood from the hospital and take extra with them, is this the norm? What about the Prince Rupert Heli they are PCP and so are some on the fix plane crews, people just assume that because you are flying around you have a higher skill level then myself. I have work here for 15 years and there is not one instance that a pt died because there wasnt blood available to them.

In order to get into our local airport to do medivacs we have been given a key to the locked gate. Maybe talk to the local ambulance and see if they would concider carring one for emergencies. Im not to sure how small of a place you come from.

MEN ARE JUST HAPPIER PEOPLE NICKNAMES • o If Laura, Kate and Connie go out for lunch, they will call each other Laura, Kate and Connie. o If Mike, Dave and John go out, they will affectionately refer to each other as Fat Boy, Godzilla and Nohair. EATING OUT • o When the bill arrives, Mike, Dave and John will each throw in $20, even though it's only for $32.50. None of them will have anything smaller and none will actually admit they want change back. o When the girls get their bill, out come the pocket calculators. MONEY • o A man will pay $2 for a $1 item he needs. o A woman will pay $1 for a $2 item that she doesn't need but it's on sale. BATHROOMS • o A man has six items in his bathroom: toothbrush and toothpaste, shaving cream, razor, a bar of soap, and a towel . o The average number of items in the typical woman's bathroom is 337. A man would not be able to identify more than 20 of these items. ARGUMENTS • o A woman has the last word in any argument. o Anything a man says after that is the beginning of a new argument. FUTURE • o A woman worries about the future until she gets a husband. o A man never worries about the future until he gets a wife. SUCCESS • o A successful man is one who makes more money than his wife can spend. o A successful woman is one who can find such a man. MARRIAGE • o A woman marries a man expecting he will change, but he doesn't. o A man marries a woman expecting that she won't change, but she does. DRESSING UP • o A woman will dress up to go shopping, water the plants, empty the trash, answer the phone, read a book, and get the mail. o A man will dress up for weddings and funerals. NATURAL • o Men wake up as good-looking as they went to bed. o Women somehow deteriorate during the night. OFFSPRING • o Ah, children. A woman knows all about her children. She knows about dentist appointments and romances,best friends, favorite foods, secret fears and hopes and dreams. o A man is vaguely aware of some short people living in the house.

The room was full of pregnant women with their partners. The class was in full swing. The instructor was teaching the women how to breathe and was telling the men how to give the necessary assurance to their partners at this stage of the pregnancy. She said "Ladies, remember that exercise is good for you. Walking is especially beneficial. It strengthens the pelvic muscles and will make delivery that much easier." Just take several stops and stay on a soft surface like grass or a path. She looked at the men in the room, "and Gentlemen, remember -- You're in this together -- It wouldn't hurt you to go walking with her. The room suddenly got very quiet as the men absorbed this information. Then a man at the back of the room slowly raised his hand. "Yes, answered the Instructor. "I was just wondering if it would be all right if she carries a golf bag while we walk?? ---- This kind of sensitivity just can't be taught..

this made my day, and yes i am easily amused........

As a medic I have to show tolerance to each and every patient I help. In this world we as a society have to show tolerance to almost everything even if we dont agree. If we dont we are racist and many other terms. This was sent to me and I may not agree with it all but in the end it got me thinking of the fact that if I have to be tolerant of others, shouldn't others be tolerant of me? Tolerance I am truly perplexed that so many of my friends are against another mosque being built in Sydney. I think it should be the goal of every Australian to be tolerant. Thus the Mosque should be allowed, in an effort to promote tolerance. That is why I also propose that two nightclubs be opened next door to the mosque, thereby promoting tolerance from within the mosque. We could call one of the clubs, which would be gay, "The Turban Cowboy ", and the other a topless bar called "You Mecca Me Hot." Next door should be a butcher shop that specializes in pork, and adjacent to that an open-pit barbeque pork restaurant, called "Iraq o' Ribs." Across the street there could be a lingerie store called "Victoria Keeps Nothing Secret ", with sexy mannequins in the window modeling the goods. Next door to the lingerie shop there would be room for an adult sex toy shop, "Koranal Knowledge ", its name in flashing neon lights, and on the other side a liquor store called "Morehammered." All of this would encourage the Muslims to demonstrate the tolerance they demand of us, so the mosque problem would be solved.

I was more on the line of the following Face down chained to a bed there was a person present but left them tied to the bed before they died????????????? And its ruled an accident, wonder what toy it was he choked on? And yes I agree I would never want to explain this to a medical professional..........

http://www.msnbc.msn.com/id/43744222/ns/us_news-weird_news/ Okay I have to say there are many things wrong with this whole story....accident?

redneck duck hunting I thought this was so funny

Just read this and thought I would share since I am a news junky http://www.msnbc.msn.com/id/43714799/ns/us_news-crime_and_courts/

Aww scotty do you still have the man cold....poor poor bunny ;P Noramally we have a great relationship with our hospital staff (there are those that may look down their nose at us) but be in mind that alot of staff are temps so we have to adjust our thinking alot. The most important thing that I have learned in the ER setting is this "Just because a nurse isn't looking at you and nodding their head while you are giving your report dosn't mean they are not listening to you" I have found in the past that this is a big complaint as medic's dont feel that they have been heard. What we do togeather is the following: When there is training for the nurses and there is a spot or two open they will call us and ask if we would like to participate. We do the same. At the end of our report we ask "Do you have any questions for us" and if they do we answer to the best of our ability. For example new years eve call Nurse" How much narcan did you give the pt" Me "8mg as noted on my form" Nurse (with funny look of her face "Oh we only give 4mg" Me "oh ya and how do you do it?" Nurse "through I.V." Me "well thats why the difference is because I do it through injection in the thigh" Nurse "oh that makes sense now" Just one little question and a simple answer and then there is no "God the nurse/medic is an idiot" attitudes. If we have issues I personally have not got a problem with dealing with the nurse up front and have done so many times and vise versa. If I am not getting any where I then go to the head nurse. One time the head nurse came to me and said "did you tear a strip off my new nurse?" I said no but if you would like me to talk to her if she thinks that I did, I will. Head Nurse said Nope she needs to toughen up anyways and Im sure you were right anyways lol. FYI pt was a 10/10 pain, from MS and we had put him in the ER bed, this nurse wanted him to get up and walk to the clinic. I said to her quite nicely (or I thought) Dont you think if he could have walked to the clinic he would have instead of calling us? We also do fund raisers together, community activities, and social events. These are great as they bring everyone together and on our own we talk about each others roles and jobs. Scotty I think you would be an awsome choice for this kind of position as you are very pro active and somehow have an ability to read people well. Good luck happiness

Tape a saying "check scene before you look at pt" on your dashboard or your clip board. I always step out of my ambulance and count to 10 that gives me time to at least have a quick look.

Welcome to the world of EMS......... To the OP there was nothing you could do to save the dead guy, and with that being said the pt you had is the one that you needed to tend to even if you thought it was bogus in the first place. It kind of sounds to me that you may be taking your frustrations out on them because you missed the glory call, if that is the case fix it as she will not be your last taxi call so dont bring that attituted with you to them you are getting paid in the end. I have alot of taxi calls because of ETOH but eveytime I get them they get the same attitute of professionalism as if they were having a serious medical condition. You stated you could have gotten there faster are you counting from where you picked up the original pt or where you were having lunch?

Iv seen it twice in my career, 6 self induced stabs to the abdominal and about 5 years later one to the chest just narrowing missing anything important, and the kicker it was the same person......

I dont think the Son of Sam laws apply as she was conviced of a misdemeanor not a federal offence. I have watched the stuff on this case on and off and It is people Like Nancey Gray who like to think they know all. She has taken this case from the very beginning and made it her priority, even giving her the title "Tot Mom", just like they name serial killers. Unfortunantly our society has given reporters like herself the God status and what ever they say must be true. I haven't a clue whether she committed these acts but I do have to agree the prosecution didnt bring enough evidence to the Jury to say Beyond a resonable doubt. They couldn't say how the girl died. Now take a look at the family setting OMG its just disfunction on so many levels. Now thats its over I dont think her life is going to be a bed of roses and there are those that just see her as a baby killer and I wouldn't be surprised if her life is in jepordy, and that we will have someone on trial for her murder.

Good rule of thumb is "If its sticking in dont pull it out, and if its sticking out push it it" Depending on the object you may want to stablize the object.

All I heard was Rectal tube omg is there such a thing. I guess if there is an orifice there's a tube.

Nope