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Do they consider grumpy old codgers with attitudes, that limp, creak and have hair growing out of their ears ? just asking for a friend Is Cunningham the Medical Director ?

I have a transplanted bulls ear, yeah it works great but the children run and scream but I can hear them from a long distance, (I work with a SAR group now) I have ACL tear but manage to limp the old gals can pass me in a foot race (I let them catch me, whoo hoo !) I have rotator cuff problem, this is a great excuse to get triplicate form narcotics and have learned to use my other hand. I have a pulmonary history, so mobey can you carry my kits for me ? I have had my foot crushed and can't run I now am forced to stand and fight (I like it better anyway) I have have numerous concussions and a fractured skull .. ummm what were we talking about ? I also have an 18 y/o son who is ADD (as if 50% of boys are not) and for love nor money he can't capitalise or spell worth a shit, his Mother is a teacher (don't get me going) and did not want him to "stifle his creativity in writing" .. nothing I do will make any difference as in today's modern age "efficacy" or lazyness (you choose) in state of the art communications is the ultimate goal. do I like it ? ... nope What I do NOT LIKE is a Negative reputation point without a justification or a comment at least, that pisses me off or maybe I just don't like RED ? cheers

Firstly .. a dang good first post thinking outside the [box] ... welcome. cheers

Yeah good pick up HERBIE .

Yup I blame those damn liberal first nations (ps they were migrants) But they screwed up huge letting the white people to stay, then they brought the slave's everyone got everyone hooked on tobacco and North America was doomed. Oh happy day.

Good point ... why are we not using "pink lady" in EMS ? Why are we not using bedside troponin ? an even better query .. I have and use them ! There is a huge volume of studies with concomitant use of ASA and Warfarin, everything from valve replacement therapy to CVA prophylaxis in the A Fib patient ... and beyond .... rat poison. My question (maybe I have missed something in a most excellent presentation) why is this patient on Warfarin in the first place, AFib? PE? DVT ? after that said does one have a bedside INR in there back pocket ? Nope so ASA fer sure.

This is off of texems list bulletin board. Don't know author. Someone who is equipped to - and at least marginally willing to provide a certain specialized service, Said person is near-universally looked down upon as a lesser form of life, not deserving of common courtesies, referred to with derogatory words, and totally disposable right up to the moment when they're desperately needed. Even then, treatment received generally increases only to the consideration level given to indentured servants. There may be a brief moment of recognition and possibly gratitude at the end, but it's uncommon and altogether fleeting. The completion of one job brings only the beginning of the next job. There's pay or some other quid pro quo involved, but nowhere near enough unless the person in question can and does cater to unusual needs, and even then it might not be enough. Said person may often be trying to get out of this life and typically fails - recidivism rate is high. May be forced into or back into the life by circumstance, or by "just one time and that's it" thinking. Tends to wear clothing styles and/or carry specific items that make their profession obvious. Typically required to work criminally-long shifts and late nights, and associate with undesirable elements of society. Day to day life involves getting screwed over rapidly and frequently. May develop serious health problems as a direct result of the work, even if preventative measures are properly taken, often works in dirty, loud, hazardous environments with notable temperature extremes. Gets a high percentage of work via word-of-mouth, can often be found with a group of people in the same line of work, bitching about the life in general and particular clients in specific. Probably still likes the service being provided to some degree, but probably not in the context of work - maintains a firm line between doing it for personal reasons and doing it on the job: the former is for actual enjoyment. The latter is solely for obtaining money, though pride may be taken in possessing the skills necessary to do the job well. Can only pick-and-choose clients if *exceptionally* skilled and in demand, or has a *very* understanding boss who makes it a point to look out for employees. Usually bills by the engagement, hired by clients with little-to-no regard for lasting consequences, who likely will demand things without actually knowing what they entail, and who don't care about why or how or what is needed, only how fast it can be accomplished.

Maybe someone should be a lot more careful cleaning up ? Could someone go find the pacer for me ... thanks.

If you don't laugh at this one, you're dead! Ethel was a bit of a demon in her wheelchair, and loved to charge around the nursing home, taking corners on one wheel and getting up to maximum speed on the long corridors. Because the poor woman was one sandwich short of a picnic the other residents tolerated her and some of them actually joined in. One day Ethel was speeding up one corridor when a door opened and Kooky Clarence stepped out with his arm outstretched. 'STOP!,' he shouted in a firm voice. 'Have you got a license for that thing?' Ethel fished around in her handbag and pulled out a Kit Kat wrapper and held it up to him. 'OK' he said, and away Ethel sped down the hall. As she took the corner near the TV lounge on one wheel, weird Harold popped out in front of her and shouted 'STOP! Have you got proof of insurance?'Ethel dug into her handbag, pulled out a drink coaster and held it up to him. Harold nodded and said 'On your way, Ma'am.' As Ethel neared the final corridor, Crazy Craig stepped out in front of her, butt-naked, and holding his 'you-know-what' in his hand. 'Oh, good grief,'yelled Ethel, 'Not that damn breathalyzer test again!!!'

With both father and husband in agreement that this was her wishes and unless another family member appears out of the blue to disagree one would be forced to just write orders for C+C use i.e. care and compassion and not withdraw of any life maintaining or present therapy. NPT and transported to floors no ICU admission, internal medicine consult. After many years in ICU it has been my observation that we humanoids are mortal beings. There is a clear distinction between supporting of a life and prolonging a death because we can. I always try putting myself in the position of all participating in an event like this (nope it doesn't make it easier) if it were Myself with MS and a brittle diabetic with very little hope other than to slowly deteriorate I believe I would like to see what is on the other side of door #2. Agreed with the majority, If it were MY CALL to intubate I believe I would choose to side with patients legal wishes with some input from family members (that said there is always one family member that wants to believe in miracles and the individual will walk out the door tomorrow)typically proven wrong. I sense that Doc has some hesitation with a concern of criminal intent, this should always be in the back of ones mind as one just never knows, the justification of husbands position a bit "clinical" but living with someone that suffers like this one must feel for him also. In my old unit there was a very clear and predetermined with this type pathology "code DNR therapy" if in the event of arrest .. as in yes or not to "protecting an airway" yes or no to "electricity" yes or no to "arrest drugs" yes or no to CPR and yes or no to "narcotic sedation". Always a tough call no matter in EMS or ER or ICU, I personally believe that committing to a vent and then after a period of many months bed ridden, to then slowly die from multiple infection's (as typically immune system is overwhelmed and a systemic fungal infection does the job) this is a situation worse than death itself in my view, well .... today. You really think about these things when you are the ONE that has to physically turn off the ventilator, or written extubate to Room Air "death" order, besides seldom are the MDs writing this order EVER around to witness. 57 is a number that I am not particularly proud of, perhaps a major reason why I returned to EMS.

Brought back some memories of the "DMZ" and the "fruit loop" ... My line was always: Do I get a discount if I bring my own bed ? te he.

Working in hosp as RRT, or even Medic if some upstart intern tried a move like that (besides my sharp tongue ) the attending MD would send "it" to laundry for time out. Absolutely no place for anything other than what is best for the patients good, Dood you have every right to be steamed ! I am all about clinical bedside teaching and have assisted lots of interns residents medics to gain confidence shooting tubes ... but no place for rank pulling when you are a half a second away from securing an airway in an arrest. cheers

Firstly ... turn off that TV that is hollywood fiction. We do have ride along programs in some places in Canada but pretty much the RN is just an observer. The title designation of Paramedic is required to provide ACLS care in an Ambulance in Alberta. Even in ER here intubation is not in RN scope of practice and RN can "as in" Paramedics can only audit the ATLS course, so no scope of practice for RN in CT insertion or Central line placement. I can see your point about care yes in a perfect world. ok ok I have one ... What do ER RNs use for birth control ? Umm their attitudes ! just kidding, a very old joke. Late Entry: celtic if you ever get to Kanukistan ... there are some loop holes to get you on car ... ps bring warm clothing

Good Luck but don't get your hopes up too much that the process will be easy or inexpensive.

Yikes that's harsh ! What next put down your marshmallows. Hey : Its all what you make of it (we in Canada / US are way behind the Brits and OZ) I like working industrial, its just another area one can specialize in, an increased scope of practice, way less pressure, less hallway medicine, longer contact time with patients, my own personalized kits, lots of "me time", way more chopper time (fires) cool blow outs, great scenery, travel on the company dime and the ok that PHAT pay check. p.s. the paycheck is due to previous union influences and dreaded concern of possible Industrial Paramedic Union, the bottom line, FEAR of organized labour I highly suspect.

You talk funny kiwi .. Why 15 amps of epi 1:1000 ? No prelaods ? Ever think a 30 in 30 would be easier ? Where do the keep narcs on their person ?

I hear he's making good money in his new business of art o fictal in saemination.

Yes that is what I was thinking too as my welding skills are not good.

Ummm best check that out .. use the search engine here .. lots of info on that topic. cheers and best advice get your bugs degree.

Best be aware that delivery of health, is a provincial jurisdiction not national. There is no national regulatory body as of this snap shot in time. Best of luck to you and wear warm clothing .. its bloody cold right now in kanukistan.

I can answer that ... because crotch reminds us all that no matter what one does treating anyone with anything other than sincere respect, there will be racists and hypocrites amongst us. cheers

A Letter to the Men's Helpline: Hi Bob, I really need your advice on a serious problem: I have suspected for some time now that my wife has been cheating on me. The usual signs: if the phone rings and I answer, the caller hangs up; she goes out with the girls a lot. I try to stay awake to look out for her when she comes home but I usually fall asleep. Anyway last night about midnight I hid in the shed behind the boat. When she came home she got out of someone's car buttoning her blouse, then she took her panties out of her purse and slipped them on. It was at that moment crouched behind the boat that I noticed a hairlinecrack in the outboard engine mounting bracket. Is that something I can weld or do I need to replace it?

Well better than what we have now !