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These are being manufactured for CAF a friend Brian Kroon that is ex PPCLI textiles specialist. http://www.dropzonetactical.com/ Click on ZULY NINE I just may know his medical advisor te he.

This has been my experience as well (a downed little bird) pilot drove tib/fib into dirt, incomplete amp, these as you describe in the crush category are very insidious type hemmorrhage, many times unrecognised as life threatening in the field. Herein after this thread to be referred as: The 2c4 protocol Well written mate, civy side has much to learn from the sandbox experience. Dragoon what flag do you fly, the meatballs and marinara hint of Italian, maybe Portuguese ?

Goggle search .. use of the big "T" http://firstaid.about.com/od/bleedingcontrol/a/07_tourniquets.htm Pretty much cover's it for a lay person.

BANG on assessment ! FYI the firehall with a huge parking lot was 2 or 3 blocks away.

Katie: I contacted Mike an old acquittance, he does do presentations and public speaking engagements, he has vast experience Asia/Middle East/UK ++ and offshore oil platforms. Feel free to contact him for advice. cheers

Ah VIH, one of my captains on the KA 200 based out of Peace River (call sign Johnny Walker) flew for them, he flew fixed wing and fling wingers too. He was awesome and never made the 6 o'clock news, although on "moose counting patrols" well, what happens in the bird, stays in bird. Frankly with that "prang" and it was all very poor pilot proficiency / judgement the MOT investigators let the pilot off way to lightly (well in the media) she "boxed" herself in and with full fuel load (it was a short hop out of Van) the S 76 is not a good performer on vertical departure. Kicking over tail blind and in such tight quarters, well all I can say is was her lucky day. Dear Happy getting a patient "fast to a hospital" or "new at a contract" is a very poor defence, with minimum of 5 lives and a 12 million dollar bird "mission uninformed pilots" is proven to be the safest for all concerned. Can I say she was too cocky ?

That is a very rare Lower Mainland "dialect" did you need a translator .... Yall ?

Yeah that was great PR for Helijet and BCAS Really a not a crash just a main rotor line strike, I heard "she" is flying dog shit out of china now. What frankly amazes me that the clowns videoing the incident did not possess the survival skills to RUN AWAY, if it were a tail rotor strike it would have been way different outcome. DO they still call it a Cockpit or did the have pilots have to change the name,and what just do they call it these days ? cheers

They do !

For those that may not be aware, Europe, where Bernhard resides has very different standards, some believe that chlorination is a health hazard itself, no point on getting into floride controversy. I believe if in Bavaria (correct me if I have been mislead) but there may be political war if chlorine was used .. Now I live up north of Texas, in Canada eh, our water is chlorinated (although we also have had serious problems in a few communities a place called Walkerton http://en.wikipedia.org/wiki/Walkerton_Tragedy comes to mind) apparently some of the best water quality on the planet so we are told but that is geographical well not my under ground water town supply, I can't even drink or make coffee, due high sodium level's and boiling veggies or pasta one gets this foam ? I was with soap and all soap is antibacterial never had a simple cut get infected and I get lots cause I am a clutz. So for those that trust implicitly in a government assuring quality of water .. well think again. http://en.wikipedia.org/wiki/Walkerton_Tragedy cheers

I know but your buttons are just so easy to push but it amuses me.

The search engine on EMT City is your best friend: Ringers Lactate: http://www.emtcity.com/index.php/topic/2608-lactated-ringers-for-fluid-resusfriend-or-foe/page__p__33287__hl__%2Bhartmans+%2Bsolution__fromsearch__1#entry33287 tourniquet's + http://www.emtcity.com/index.php/topic/19805-tourniquet-use/page__p__255747__hl__tourniquet__fromsearch__1#entry255747 http://www.emtcity.com/index.php/topic/16170-israel-trauma-drsg/page__hl__%2Bwound+%2Bcare Wound care: (3 pages of topics) http://www.emtcity.com/index.php?app=core&module=search&do=search&fromMainBar=1 ETI: (5 pages of topics) http://www.emtcity.com/index.php?app=core&module=search&do=search&fromMainBar=1 And my wrath ? Interesting that a challenge as to motivation and your feeling are hurt ? Flip the questions to "do you use excel" when on a programmers forum. a goggle search Troll: Internet Troll: A person whose sole purpose in life is to seek out people to argue with on the internet over extremely trivial issues. Such arguments can happen on blogs, Facebook, Myspace and a host of others. The best thing you can do to fight an internet troll is to not answer..or report them. Internet Troll A person who feeds off the anger of others as he enrages them over the internet. Internet Troll An Internet troll, or simply troll in Internet slang, is someone who posts controversial, inflammatory, irrelevant or off-topic messages in an online community, such as an online discussion forum or chat room, with the primary intent of provoking other users into an emotional response or to generally disrupt normal on-topic discussion.

More like phish EH ? It almost seems with the screen writers, book writers, posers, porn links and most recently the somewhat questionable "others" that EMTCity has become a target for "free" advice on line, when goggle works just as well. I don't mind to supporting the "profession" as a helpful profession and answer some queries, these questions sound benign initially and then morph, there is an notable trend to be observed for the "needy" when a positive response is provided. chbare picked it up too I believe ? I just don't have the time to teach First Aid on line, am here to get others input / opinions in controversial questions in EMS or just have a bit of fun ... not provide links to lay folks. cheers

Agreed .. Mike I smell something here with GS. First: an ETI question. Second: antiseptic vs soap and water. Third: touniquets. Fourth Hartmanns's solution ... very curious . What next ... What's the worse thing you have ever seen ? Just me but I smell a Troll, when with goggle one can find all the answers to these questions.

Not to bust your chops but this topic has been discussed at infinitum, your logic used is not scientific in the practice of pre-hospital care emergency or advancement for Paramedicine. YOU Fire Chick are stuck in THE paradigm.

Dear Scriptguy: Firstly we prefer the term Patient's, even though one may be a victim its less ghoulish to my way of thinking .. I digress. On a serious note, at first I thought you were actually kidding. It is in fact just human nature when something very serious has occurred and during most criminal activities that people do not tell the truth, possibly an attempt to protect themselves or others, especially in domestic assaults with weapons. This could be a result of fear for possible repercussions down the road for that individual or in many cases that I have come across to protect the ones that they believe "love them" as in domestic or child abuse. In passing the most difficult to deal with as EMS providers, not to become emotionally charged oneself, possibly resulting in losing focus from a medical perspective. Rape or attempted Rape (of women or men) comes to mind and has not been mentioned thus far, signs and symptoms, body language are a big "tell". As experienced EMS providers most of us develop reliable BS indicator's or when spider senses are a tingling. We do learn to trust these instincts but its just not our job to discern right or wrong or who is telling the truth or who is not. It's our JOB to deal with the physical injuries (primarily) and transport to facilities that are better equipped to provide definitive treatment or get to the bottom of it all. You can bet your typewriter that when giving report to RN or MD that we put in our 2 cents. In most "states" or "provinces" or "territories" there is powerful legislation in place for mandatory reporting of any suspected criminal activity, knives, guns, axes, hammers, chainsaws or whatever. This actually protects us as EMS providers. WE (generally speaking) really dislike spending our "days off" in courtrooms . Most operations I have worked for have a code "word" and its very easy during a normal conversation to hit the PTT (Push to Talk button) on radio, use a 10 "code" as an example 10-4 Alpha (Firearms) or 10-4 Bravo (Knife) to request Law Enforcement STAT, this keeps the patients or bystanders uninformed as to a request to dispatch and a good dispatcher will NOT request any details so that our safety is not compromised, as that could lead to life threatening situation damn quick ! Dispatch would just confirm as in: Unit 362 "copy alpha / bravo" As Dustdevil eluded the 911 operators / dispatchers themselves are pretty astute at picking up that there is a "bit more" to the story than just a stuck fart. hope that helps. cheers edit for "spelling" again.

Use the link and contact Mike B. his email is on it. or try this link its a bit closer to TN. http://www.health.state.mn.us/divs/hpsc/hep/transform/dec10documents/communityparamedic.pdf

No never, that wasn't Me, I only had 2 beers, No that's not my 8 ball, No I don't do drugs, I didn't see a thing, I slipped on a banana peel and fell on that kitchen knife. Bhwahhaaha.

"Bus" from NTC and "RA" from L.A. er Hollywood ... maybe listening to too many scanners on Utube ? Due the lack of answering direct questions maybe SD should call himself Hollywoodmedic911 ? just saying. I listened to the recording, LAPD dispatch were sending a tank, but sending a "rescue Ambulance" into a bloody war zone i.e. unsafe scene likely would have just resulted in more fatalities, no doubt in my mind aboot that. cheers

Why reinvent the wheel ? Could it be possible that this has already been done because of serious "needs assessment" by NHS http://www.paramedicpractitioner.com/ click scope. Mike B. sure gets around ...

http://www.cbc.ca/news/health/story/2011/07/18/bc-air-ambulance-transfusion.html?ref=rss What a crock of crap, Alberta Air Ambulance has done this for 15 years "0" pos, "O" neg, 25 % Albumin and Pentaspan .... ROTFLMAO. but good PR for the aussies ... What about medivac from FOB in the sandbox ? I think CBC needs a serious edjumication, and BCAS needs a good bitch slapping.

Welcome to EMTCity .. where its likely there is more Canadians than Yalls these days .. a great place to chat as ACoP can not afford that venue for open communications ..

The almost accepted occupational hazard so count me in to the L5 S1 club, permanent parastesia down left leg, corresponding nicely to appropriate dematome level L5. As most I am very sceptical about the knife myself as many friends have had multiple surgeries and are no better in fact far worse, maybe 2 that are improved post surgical intervention. The common denominator being a neurosurgeon not an othopod holding the blade, or that nasty looking device so that they can rip and tear out damaged disk on the anterior aspect (othopods here are not allowed to use the anterior approach.) I have many opportunities to view laminectomy, kinda scary IMHO. The things that work for me are: 1- Benzos plus entaric coated ASA (after putting on my left sock and finding myself on all 4's on the floor) this relieves the muscle spasm when its acute. 2- In addition to a lying on bag of frozen peas btw DO NOT EAT after using them multiple times as they get very dry and chewy. 3- I have an supply if needed for Percocdan when it gets really, really, really bad. Yes indeed, they can be extremely addictive, never had an issue with that clear understanding the potential for abuse. I was hesitant when my GP prescribed them but his rationale : Why suffer with pain when the good lord gave Humans the poppy. 4- Stretching is a must, getting out of bed the next day is MANDATORY ! Oddly this more than common malady "in the over the 40 y/o category" is about 40%. But it did not arise until I worked in ICU and not in EMS as the lifting is very different. Being a medic I pitied the tiny little RNS at bedside and gravity sucking their patients (and mine) to the bottom of the bed. The twisting pull on bed-sheets to lift the typical > 100 kg ICU beluga whales that seem to be a more than "common occurrence" in the ICU setting. Monitoring 10 patient's in an hour and constant repetition did me IN ! Did multiple years extricating those trapped in a roll over's contribute, well most likely but when your young you seem to brush that off. What I do when I have a "issue" about this I visualize and reflect back to the blue haired granny's in the nursing homes with the most twisted like pretzel spines unimaginable i.e. severe kyphoscoliosis. They get out of bed every morning and SMILE as they walk to the breakfast table with their walkers looking at the floor. So: If they can do it I can too, I tell myself suck it up you woozy (under my breath to myself) not focusing on my little problem. I got shit to do ! <late entry> Keeping extra weight off is essential as well, nothing like lying on a couch and feeling sorry for oneself eating comfort foods to put more stress on the spine. I do have an addiction to potato chips I think its the Irish in me ?