JPINFV

Hyperbole much?

Well, lets get rid of taxis then because anyone can die at any time. Do you honestly think that a patient can't be monitored from the jump seat? What about patients (e.g. hip precaution patients, psych patients, patients who are on supplemental oxygen) who are being transported by ambulance because of non-life threatening reasons?

Take a long walk down a short pier?

http://iris3.med.tufts.edu/medgross/images.htm Anatomy website

Wow. How about just revoking that company's license to run paramedics?

Gotta say it with a Boston accent.

Kalifornia does under the EMT-1 (EMT- "Optional Skills." EMT-Bs can, with additional training, perform manual defibrillation under the direct supervision of an EMT-2 (intermediate), EMT-P, or MD as well as start IVs under the direct supervision of an EMT-P. I'd bet money that the counties using the optional skills are few and far between because there needs to be a reason to actually implement them that is approved by California EMSA. http://www.emsa.ca.gov/legislation/FinalAp...pter3242007.pdf Optional skills start on page 11.

Wow, they were trying to require you to round up to a whole mile? When I was working transport, while I had my issues and feelings about the company I worked for, I never caught hell for writing less than a mile (one common transport was 0.4 miles). I was never asked to rewrite a run report either, but I had heard stories about it/billing making changes through the rumor mill. On that note, the quality of some of the run sheets being produced was extremely lacking to begin with.

You know, sometimes I wonder why nursing homes just don't put their patient in a wheel chair and push them to the ER. Case in point: SNF is literally in the parking lot of the ER. [Royal Court to PIH for you So Cal people). You can SEE the ambulance bay from the parking lot and it would take them about 3 minutes to push the person up the ramp.

Ok, so let's put on our critical thinking hat here. County has problem retaining paramedics due to poor pay due to metro services paying $3/hr more Solution :!: spend money for a pilot program for EMT-I. Incentive for EMT-Bs: $2/hr pay increase upon certification. Critical thinking time: -$3/hr + $2/hr=-$1/hr. Now, if they were to put all the money that they are using to develop and maintain this program into paying their medics more, I think they might be able to come up with an extra dollar/hr pay. So: -$3/hr+$2/hr (pay hikes for EMT-Is) + $1/hr by saving money from implementing and maintaining an EMT-I program=$0/hr difference=their current explanation is bunk. Did I miss something in the article?

That's not the only thing he can do by pointing a finger and saying "bang."

There's a very interesting scene in The House of God where Roy [main character] starts to tell Berry [his girl friend] about all of the humor and all. She doesn't get it and The Fat Man [chief resident. Yes, his name is simply "The Fat Man"] goes off on Roy about how the things that are seen in medicine and talked/joked about by medical providers are not the sort of thing that the public needs to hear about. Not that it's necessarily bad, just that the public shouldn't be exposed to medical 'shop talk.'

Well, Chuck Norris can reach a GCS of 16.

http://www.dailyrecord.co.uk/news/uk-world...86908-20351465/

Someone should do a study on tattoo to tooth ratio, and it's clinical significance. Then there's always the review study on parachutes: Hazardous journey Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials Gordon C S Smith, professor1, Jill P Pell, consultant2 1 Department of Obstetrics and Gynaecology, Cambridge University, Cambridge CB2 2QQ, 2 Department of Public Health, Greater Glasgow NHS Board, Glasgow G3 8YU Correspondence to: G C S Smith gcss2@cam.ac.uk Abstract Objectives To determine whether parachutes are effective in preventing major trauma related to gravitational challenge. Design Systematic review of randomised controlled trials. Data sources: Medline, Web of Science, Embase, and the Cochrane Library databases; appropriate internet sites and citation lists. Study selection: Studies showing the effects of using a parachute during free fall. Main outcome measure Death or major trauma, defined as an injury severity score > 15. Results We were unable to identify any randomised controlled trials of parachute intervention. Conclusions As with many interventions intended to prevent ill health, the effectiveness of parachutes has not been subjected to rigorous evaluation by using randomised controlled trials. Advocates of evidence based medicine have criticised the adoption of interventions evaluated by using only observational data. We think that everyone might benefit if the most radical protagonists of evidence based medicine organised and participated in a double blind, randomised, placebo controlled, crossover trial of the parachute.

http://www.emtcity.com/phpBB2/viewtopic.php?t=11524

Elmyra was actually a cross over character from Tiny Toon Adventures. There was a decent number of "cameos" between Animaniacs, Tiny Toons, and Pinky and the Brain (which is actually a spin off from Animaniacs).

In other words:

I found a video of the scene.

"Hypertonic" is a term used to compare two different fluid concentrations. A hypertonic solution has more solutes than another fluid (blood in this case), an isotonic has the same concentration of solutes, and a hypotonic solution has less solutes. Two solutions separated by a semipermeable barrier (plasma membranes, for example) attempt to reach the same concentration by moving particles that can pass through the membrane to equilibrium and by moving liquid (e.g. water) [osmosis] from the hypotonic solution to the hypertonic solution. In terms of fluid movement, pressure also plays a role in the solutions reaching an equilibrium point. Thus, adding hypertonic solutions to blood will increase the concentration of blood (amount of solutes/volume) which will cause fluid to move from the interstitial space (space between cells in the body that isn't in a vessel (e.g. blood vessels or lymph vessels) into the capillaries.

Make sure you wear a rubber man. I heard she gets around. Like a record.

Well, to be fair (assuming it's an emergency physician), what would be stopping them from operating under their medical license while using their EMT-B cert to fulfill staffing requirements? There's nothing, except insurance (Good Samaritan laws?), that would be stopping a physician from carrying around medical equipment and treating people on the street. This, of course, is a fundamental difference between EMS certification/licenses and medical licenses.

So? It wasn't a complaint about the street level providers any more than you would complain about a cashier at Gap not giving you a refund because s/he was following company policy. Somewhere in the leadership of that fire department, be it the service management or government oversight, got the bright idea of "let's contract out ambulance transport so we don't have to worry about ambulances, but force them to use our providers."

Well, to be fair, there's another forum where paramedics and paramedic students keep trying to say that Albuterol increases lung capacity in a discussion on CHF. This was after both Vent and Rid posted about how Albuterol doesn't work that way. Dust, maybe you should add histology to your list of pre-reqs for medic school.

Actually, it really depends on where you are. Legally speaking, I was an EMT-I when I was working in California.