Happiness

Ok I have a question does this pt have a DNR because he is old or because he has a terminal disease. If it is because he is old then I would say to the family that he may not make it and do the transfer. If he is terminal then I would think this may have something to do with the disease process and the end of life stages, but with that being said if the Dr. wanted a transfer it would be done. I do not have authority to say no, alot of the time when it comes to the above it is the family that makes it hard and they havent accepted the final decision.

#1 since the girl is underage I would have to report it to social services as it could be considered child abuse, years ago we were only required to make sure the DR was informed but they were finding that the Drs were not reporting child abuse. #2 Nope I am not a cop and if I started to report this stuff to them then there is a possibility that people that do drugs will stop calling for an ambulance when they need one. But with that being said if a cop asked if I saw drugs in the house I would have comply with the request.

As being one of the highest seniority and skill level, I am one of two that get to do the field training of the new ones out of school. I am not always the most articulate person but I always try to teach them that they should treat their pt the same way that they would want themselves to be treated or their family members. I was very lucky to have instructors that actually said "Think outside of the box" and it does stick in a students mind. When we go on the first couple of calls I will say to the newbie this is your call, do what you need to do and remember your training, I will be there with you and if you start to feel overwelmed I will step in. We will go over the potential senerios on our way to the call. They do the call and then we go over it again at the station. Now since I have been in the community for so many years everyone knows that I have been doing this for a long time, when we get to the pt I will introduce my partner and state that they are new and do you mind if they attend to your needs, not one pt has refused. Now with all the above gobbly goop I dont think I would have stepped in on your newbie (But with that being said I wasnt there to see him/her fumble), I might have taken him aside at the scene (in private and if the pt was stable) and had a teaching discussion so that they could get back on track. I would have suggested that the student start a line of questions on why did the pt fall ie. did they trip, were they dizzy ect. When you are dealing with the elderly they really are the type of pts that need to have many more classes devoted to them and the special needs that they present. The problem with schools is that most will teach you what is in the book and not in the field. When I started we were taught ABC"S and dont deviate from that, but what they didnt say was that you may not get past A. I dont know if my comment is pertenent to your question but I hope it gave you something. Have a good day

Well I have to say Dwyane you and the others really made some great choices and you came up with great catigories. Congradulations to you all, you have earned the respect of many here and I agree have great posts.

Ok I put it here only because I didnt know where else to put it, there will be those of you who dont think anything to do with ED is funny http://bodyodd.msnbc.msn.com/_news/2011/02/22/6080691-spider-venom-better-than-viagra

Well I guess professional courtesy can go both ways. I heard this on the radio many years ago...... Vancouver, A new RCMP officer pulled over a car on one of the major roadways, went to the drivers side and said you are going 90 in a 80 zone. The driver said I'm sorry sir, I was keeping up with traffic and didn't notice I was over the speed limit. The officer gets all of the drivers information and starts to write a ticket, and saying that the fine was 100.00 and he could pay it at any ICBC office. The driver said "Sir I was only going 10 clicks over and as I said I was keeping up with traffic, could you please reconcider giving me a ticket". The Officer said No and proceeded back to his car. When the officer returned the driver again asked the officer to reconcider giving him the ticket. He again said No and passed the ticket over to the driver. Once done the driver said excuse me sir but here you go and passed the officer a ticket for 10,000.00 for not wearing a saftey vest roadside. The driver was a WCB enforcement officer. Im pretty sure in the end both tickets were ripped up

You know Dwyane your a great guy and thats why you were given so many gifts in life. So my personal opinion is that since you recieved these by surprise you should pick 5 people that have touched your heart and surprise them. Good luck in passing it forward.........

IDIOT SIGHTING I live in a semi rural area. We recently had a new neighbor call the local township administrative office To request the removal of the DEER CROSSING sign on our road. The reason: 'Too many deer are being hit by cars out here! I don't think this is a good place for them to be crossing anymore.' From Kingman , KS I know a girl who actually asked "How do the deer know where to cross, can they read this" and yes she is platinum blond

Two women friends had gone for a girl's night out. Both were very faithful and loving wives, however they had gotten over-enthusiastic on the Bacardi Breezers. Incredibly drunk and walking home they needed to Pee, so they stopped in the cemetery. One of them had nothing to wipe with so she thought she would take off her panties and use them. Her friend however was wearing a rather expensive pair of panties and did not want to ruin them. She was lucky enough to squat down next to a grave that had a wreath with a ribbon on it, so she proceeded to wipe with that. After the girls did their business, they proceeded to go home. The next day one of the woman's husband was concerned that his normally sweet and innocent wife was still in bed hung over, so he phoned the other husband and said: 'These girl nights have got to stop! I'm starting to suspect the worst. My wife came home with no panties!!' 'That's nothing' said the other husband, 'Mine came back with a card stuck to her ass that said..... 'From all of us at the Fire Station. We'll never forget you.''

squint I used the scoop term for you...... and I want my zap straps back Im going to tattle to the Unit chief in Prince George on you And the clam shell very rarely goes on medivacs (only if your a spinal pt) you must be refering to the #9.

I to have had this call....but I was fortunantly the higher level medic so I didn't have to concure with anyone. 70 yr old female just sort of stumbled hung onto a TV and placed herself to the floor, vitals great, no pain, no bruising, no rotation, no shortness in the leg. This female is very healthy and was on no meds for anything. My partner and I decided that hope for the best and prepare for the worst. We thought it would be best to treat as a fracture, zap strapped the hips, knee area and the ankles, with a blanket between the legs. We then scooped her onto the cot, luv the scoop as it make transfering to the ED bed so much easier and smoother. When the exray's were done walaaaa a femur fracture. If you did a blanket transfer from your cot to the ED bed, that is probably where the fracture actually broke. I was wondering do you guys have what is called a golden slipper on car. It is basically a half slidder that fits under the mattress of your cot. If used properly it would have saved one transfer. Sometimes we just dont know and Ugly you didnt fail you just learned something........

I like to see how the stuff a 90lb german shepherd under the seat lol oh must be first class

Great website, I read all of the blogs and Babs did a great job, I even subscribed to it. Have a great day and Hope you get home soooooon. Happy

I have been around a few service dogs since I was a teen. I also had 2 german shepherds that I use to show. Now many will think show dogs what kind of training is that well You try to convince a male dog that any one is allowed to take a grab at his testicals and he isnt allowed to react. I understand that many service dogs are picked for non-aggression qualities, but it is a fact that any dog that is close to the owner/operator will react in a protective way when something out of the ordinary is going on. If you happen to have to do CPR on a pt, the dog is not going to understand that you are trying to save his friends life, he will see it as you are hurting them. To be honest I dont think there really is a time where I would not let a dog in my ambulance. One thing around here is that we have beaches and people take their dogs with them. If I had to take a pt off of the beach and no one was around to take the dog its in the Ambo with me. This is one of those senerios that will have a what if coponante no matter how look at it. Now where is original OP to answer "this can happen to you" question that he left us with

Doctor's advice Q: Doctor, I've heard that cardiovascular exercise can prolong life. Is this true? A: Your heart only good for so many beats, and that it... Don't waste on exercise.. Everything wear out eventually. Speeding up heart not make you live longer; it like saying you extend life of car by driving faster. Want to live longer? Take nap. Q: Should I reduce my alcohol intake? A: No, not at all. Wine made from fruit. Brandy is distilled wine, that mean they take water out of fruity bit so you get even more of goodness that way Beer also made of grain. Bottom up! Q: How can I calculate my body/fat ratio? A: Well, if you have body and you have fat, your ratio one to one. If you have two bodies, your ratio two to one, etc. Q: What are some of the advantages of participating in a regular exercise program? A: Can't think of single one, sorry. My philosophy is: No pain...good! Q: Aren't fried foods bad for you? A: YOU NOT LISTENING! Food are fried these day in vegetable oil.. In fact, they permeated by it. How could getting more vegetable be bad for you?!? Q: Will sit-ups help prevent me from getting a little soft around the middle? A: Definitely not! When you exercise muscle, it get bigger. You should only be doing sit-up if you want bigger stomach. Q: Is chocolate bad for me? A: Are you crazy?!? HEL-LO-O!! Cocoa bean! Another vegetable! It best feel-good food around! Q: Is swimming good for your figure? A: If swimming good for your figure, explain whale to me.. Q: Is getting in shape important for my lifestyle? A: Hey! 'Round' is shape! Well... I hope this has cleared up any misconceptions you may have had about food and diets. Remember: Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well-preserved body, but rather to skid in sideways - Coffee in one hand - chocolate in the other - body thoroughly used up, totally worn out and screaming "WOO-HOO, what a ride!!" AND..... For those of you who watch what you eat, here's the final word on nutrition and health It's a relief to know the truth after all those conflicting nutritional studies. 1. The Japanese eat very little fat and suffer fewer heart attacks than Americans. 2. The Mexicans eat a lot of fat and suffer fewer heart attacks than Americans. 3. The Chinese drink very little red wine and suffer fewer heart attacks than Americans. 4. The Italians drink a lot of red wine and suffer fewer heart attacks than Americans.. 5. The Germans drink a lot of beer and eat lots of sausages and fats and suffer fewer heart attacks than Americans. CONCLUSION: Eat and drink what you like. Speaking English is apparently what kills you. A woman had 50 yard line tickets for the Super Bowl. As she sat down, a man came along and asked her if anyone Is sitting in the seat next to her. "No," she said, "the seat is empty." "This is incredible," said the man. "Who in their right mind would Have a seat like this for the Super Bowl, the biggest sporting event in The world, and not use it?" Somberly, the woman says, "Well... the seat actually belongs to me. I was supposed to come here with my husband, but he passed away. This is the first Super Bowl we have not been to together since we got married in 1967." "Oh I'm sorry to hear that, that's terrible. But couldn't you find someone else - a friend or relative or even a neighbor to take the seat?" The woman shakes her head, "No, they're all at the funeral.

You really need to take each encounter for its own merits. If the dog is aggressive in any way I cant take it with me, as I know that if the situation in the back with the pt the dog is going to react. I would have to ask the owner to make arrangements to get the dog to him in the hospital. Ok lets take this to another level Mike. I personally do not have any fear of dogs, so it unlikely I would leaving a service dog behind, but what if you afraid of dogs. There are alot of people that are terrified of dogs, and a big german shepherd can be intimidating to someone with fears.

Really you have to ask

I really tried to think of the professional courtesy that I may get and the answer was NONE because I wasnt thinking in the proper manner. The only time I recieved something free was when I was in a local restaurant and a guy went down for the count doing the funky chicken, since I was the first to stand over him and make sure he was breathing I got my dinner free. And then I got to thinking about it and 9/10 times I get a thank-you from the pt I am treating or by family members and In one of the most thank-less profession I think I am doing pretty good in the Professional Courtesy catagory.

The Sneeze A man and a woman were sitting beside each other in the first class section of an Airplane.. The woman sneezed, took Out a tissue, gently wiped her nose, then visibly shuddered for ten to fifteen Seconds. The man went back to his Reading. A few minutes later, the woman sneezed again, took a tissue, wiped her nose, then shuddered violently once more. Assuming that the woman might have A cold, the man was still curious about the shuddering. A few more minutes passed when the woman sneezed yet again. As before, she took a tissue, wiped her nose, her body shaking even more than before. Unable to restrain his curiosity, the man turned to the woman and said, "I couldn't help but notice that you've sneezed three times, wiped your nose and then shuddered violently. Are you OK?" "I am sorry if I disturbed you, I have a very rare medical condition; whenever I sneeze I have an orgasm." The man, more than a bit embarrassed, was still curious.. "I have never heard of that condition before" he said. "Are you taking anything for it?" The woman nodded, "Pepper."

Ok since this has the sub title of Dwayne will get this one.....Im taking a second guess and it is one of EMT city's Boy toys.......