tniuqs

The most optimal uptake via neb for most broncho dilators is ~ 10 to 15 % efficacy. I have nebulized Morphine (bronchogenic carcinoma) but I have never heard of narcan neb. Why one would deliver narcan this way is beyond me when one can deliver narcan IV/IM/SC/ET. Maybe something I have never heard of ??? cheers

I think your taking that general question a bit to literally, following your post and AK logic should we then assume that "privatizing EMS" is hiding shit and dastardly deeds ? I can say without too much reservation that I presently prefer to work for private contractors than what we have in my hood right now, hey wait a second the vast majority of services here remain sub contracted but hidden under the smoke and mirrors of a provincial government and forced takeover of EMS, with a forced union of the governments choice a most very interesting situation, ain't it lots of eyebrows raised over that issue. It is appearing (who really knows) that the my "state government" has perhaps not done their financial homework and far over budget go figure EH ? Although they have managed somehow to introduce yet of another layer of middle managers whose job is to eventually eliminate their very own positions over the long run, this under the auspice of a Health Care Centralization concept, once again most curious. I must ponder just how hard the white shirts are working on that then again perhaps this is a means to an end and eventually privatize the works like other provinces claiming its too expensive and should be farmed out ? ps I am from the Government and I am here to help. That said an election is looming im my hood, we just may see a very effective opposition and soon with very difficult questions to be answered in the hallowed halls of granite and concrete, I can only hope for democratic process. EMS in my hood has always been the Bastard Son of Health Care and historically speaking the so called PRIVATES here have promoted advanced life support care and FAR FAR more than our present "self acclaimed global leaders". I sure wish they (the government) would fund that bunch instead of legislating me to pay to accomplish their agenda, it sure isn't mine. cheers

Although I think I agree with most of this post on a conceptually basis, if one is pro privatization why would one send out a warning for government run entities ? This generates some questions in my mind and knowing that private vs public delivery of any "Health Care System" this polerizes many ideologically from the get go. For example in Canada any hint of this immediately raises eyebrows although we have ALWAYS have had a blended system. This topic is dear to the hearts and minds and akin to the USA and the Right to Bear Arms, nuff said. One has to ask should EMS be considered a business or an essential service ? Does a country "privatize" their Armed Forces, Coast Guard or National Guard ? IMHO believe that Pre Hospital Care should become more aligned with Health Care no matter how it is funded and away from Public Safety Services. Privatizing the Fire Department's could be a very cost effective concept, although it will be met with huge opposition by the organised crime er IAFF. I have no reservations asking for comments or different perspectives.

So was the priest offended ? Most of the priests I know, OK well more like only one ... HE would have laughed, despite the stereotype these are pretty decent guys and very much human beings. Your only sin was clicking on the link ... God will forgive you .. I am sure of that. cheers

My complaint ... this internet joke is SO OLD, but yeah lighten up folks.

AHEM ... The R.R.T.s prefer the terminology "Therapists" as this is not a "fix the machine" career, it is applied sciences with technology TO the patient <end pet peeve rant> Oh so off topic but in the long run the terms used to legally identify the "practitioner" in many health profession's ... well just look on any medical career website one will find that biggest difference between Technologist to Therapist is the PAY SCALE plus national / international recognition, oh yeah did I mention PAY SCALE ? I find is very curious that when the topic of what type of "tubes" one should purchase that LUNG SOUNDS take a back seat ? Lung sounds which in many cases ie do I dare say diagnosing a "Tension Pneumo" recognition is far more significant and even though I dislike the term Life Saving, it defiantly does apply in this pathology. In vast majority of cases the only exception (I can think of at this point) is identifying "muffled heart sounds + patient presentation + PMHX) That said: IF one has protocols that permit pericardiocentesis (and loosing favour, btw) and WAY beyond the EMT student level) Most seriously a Paramedic or EMT can do jack **** about a murmur or gallop, although understanding the problems associated with abnormal heart sounds can be helpful and very interesting. SO hit the books and best do your homework or AK will bust your hump OUCH. A sample of what is available with a simple Google search. http://www.stethographics.com/main/physiology_ls_introduction.html (I dislike the fine crackles in this one but overall a good audio, fine creps better described as rubbing your hair between fingers) One of the reasons I support Littman ... and YES I know I will receive the rath of annie , but they do support their products AND at conferences and such they actually teach <insert smiley with tongue sticking out> http://solutions.3m.com/wps/portal/3M/en_US/Littmann/stethoscope/education/heart-lung-sounds/ Once again there is no need to spend huge bucks "just to look good" friendly advise, pick up a set of tubes that you will not cry over loosing ... just saying. cheers Reason for edit (for Dwayne) I forgot ABSENT HEART SOUNDS as they are kinda significant.

Whats EMT Life ? Here I thought one HAS NO LIFE when one voluntarily joins the ranks of EMS ? cheers and welcome

A Question: Say you wanted to invest in the opening of a gay bar next to the proposed mosque in NYC. After all, to our 'Great One', It's all about constitutional rights and tolerance of others isn't it? Or would it be insensitive to put one up next to the mosque given their beliefs against homosexuality? Greg Gutfield To Open A Gay Bar Next To Ground Zero Mosque To Cater To “Islamic Gay Men” http://ibloga.blogspot.com/2010/08/greg-gutfeld-to-open-gay-bar-next-to.html No, this is not a joke. In fact, it is instead one of the most brilliant pieces of provocations in recent years. Greg Gutfieldfrom Fox News’ Red Eyeannounced today via his blog that he is actively speaking to investors and plans on opening a gay bar next to the controversial mosque being built near Ground Zero in New York. To make matters worse (better?) the bar will be specifically designed to cater to homosexuals of the Islamic faith. God, this is going to be an exciting block. Here’s Gutfield’s entire post which he will expand upon during tonight’s Red Eye: “So, the Muslim investors championing the construction of the new mosque near Ground Zero claim it’s all about strengthening the relationship between the Muslim and non-Muslim world. As an American, I believe they have every right to build the mosque – after all, if they buy the land and they follow the law – who can stop them? Which is, why, in the spirit of outreach, I’ve decided to do the same thing. I’m announcing tonight, that I am planning to build and open the first gay bar that caters not only to the west, but also Islamic gay men. To best express my sincere desire for dialogue, the bar will be situated next to the mosque Park51, in an available commercial space. This is not a joke. I’ve already spoken to a number of investors, who have pledged their support in this bipartisan bid for understanding and tolerance. As you know, the Muslim faith doesn’t look kindly upon homosexuality, which is why I’m building this bar. It is an effort to break down barriers and reduce deadly homophobia in the Islamic world. The goal, however, is not simply to open a typical gay bar, but one friendly to men of Islamic faith. An entire floor, for example, will feature non-alcoholic drinks, since booze is forbidden by the faith. The bar will be open all day and night, to accommodate men who would rather keep their sexuality under wraps – but still want to dance. Bottom line: I hope that the mosque owners will be as open to the bar, as I am to the new mosque. After all, the belief driving them to open up their center near Ground Zero, is no different than mine. My place, however, will have better music.” .... Anyway here are a few 'Proposed' name ideas for bar: "Outfidels" "You Mecca me Crazy", "Turbin Cowboys". ..... Here are a few other contenders: 30. Honor Drillings 29. Jihard 28. Filthy Omar’s Rusty Trombone 27. The Arabian Queen 26. Dune Biters 25. Goat's Night Off 24. The Pink Prophet 23. The Leather Burqa 22. Git Mo 21. Pig in a Poke 20. Sheiks & Freaks 19. Sodom and Gonorrhea 18. Osama Bin Dover 17. The Exploding Goat 16. Weapons of Ass Destruction 15. Alla Assbar 14. Anderson Cooper's Apartment 13. The Sticky Prophet 12. The Sphinxter 11. Grind Zero 10. Nuclear Fuel Rods 9. Hassan's TestostoRoom 8. Turbuns 7. Bunker Busters 6. The Tali-bone 5. Al-Jizzera 4. The Gaza Stripper 3. The Sandy Gerbil 2. The Camel’s Hump 1. Hide the Minaret

Agreed: For example when evaluating a murmur's the "quieter" the murmur the bigger the leak ... just saying as if in EMS we can do anything about incompetent valves in the first place, and attempting to report what grade of murmur does raise some eyebrows. I have a selection of tubes but always rely the II classic. Why ? .... Because it fits in my back pocket and I can sit on it without too much discomfort, cardio can most times just be a nuisance and another point ... if I loose a set, I not going to cry AS much. Thing is: Shiney expensive new tubes have a tendency to sprout legs and walk away. I etch my name on the inside of the (diaphragm side) kinda sneaky and under the diaphragm hidden till one is sorting stuff out from messy call, as those plastic name tags are easy to remove. That said: I know of a shiny new Medic that has a $600.00 set of recording cardio tubes hanging around his neck at all times, well "SUPER DAVE" as we call him, is proof positive that the more you spend does not equate to ability or knowledge or experience. cheers

Lets just imagine for a minute that the funds that are donated to this cause, that those funds could be used to a far more noble cause ? I post this while watching SU2C thats: Stand Up To Cancer. Yet instead to prevent Lawyers bulling our site that is dedicated to sharing of EMS information and directly pertaining to our culture. Just look at the same situation for example in cancer, cardiac, CPR, stroke and a host of other illnesses and the research that is done and openly shared to prevent death and suffering. We that are health care professionals simply can not fathom that this selfish act by a news paper conglomerate. For SHAME Wronghaven you truly SUCK !

Ever see a King or Combi used in ICU ? Ever see a #4.0 King Tube ? It appears that once again plastic technology wins over education, practice and proven experience ... and then the second procedure exposing the patient to increased possibility of aspiration. This debate is noting to do with "old school" or "egos" it has do do with what is the best and safest procedures, but it does have a LOT to do with marketing and studies based on less than stellar services. cheers

So now Lets Fan the Flames ? Look on CNN and +++++ others and the commentary on this latest development. http://sify.com/news/us-commander-in-afghanistan-asks-church-not-to-burn-quran-news-international-kjhvkregddd.html This is beyond a shadow of doubt, directly result of the proposed "Building a Mosque" near ground zero, so good job to those that supported "freedom of religion" over wisdom. sheesh !

SOLD! For my "collection".

Sorry short on time: http://www.gaems.net/download/drugcalc.pdf This pdf link is free and perhaps a little review wouldn't hurt ?

Words from Kevkie a respected member of EMT City, but worth modifying (a titch) and re posting, you would never find this advice in a search. One could print that out and hand it to your "new partner" at the end of your next shift, I doubt it would hurt. Perhaps its too late in the process as their sounds to be a bit of a trust issue ? I would suggest that you ask the "trainee" to constructively critic himself and use "good listening skills" yourself. That said: If the trainee is ignoring your advice you are the FTO and this ain't farking high school its your responsibility to maintain high standards, even though some times one does have draw a line. Oh shucks where are my manners WELCOME to EMT City ... EMT FTO AND let us know (good or bad) how things turn out. cheers <reason for edit "addition of credit" and info for Dwayne he gets unglued if I forget that>

Is an apology is in order? Perhaps a tad bit too sarcastic and premature response from myself. Most sincerely I really don't wish to rain on anyones parade or dream(s). I have pondered about this first post a bit so I have to ask where are you located and is it possible that English is not your first language as I have friends in the Caribbean island's that would ask just this type of question. I am still astounded how well they run their volunteer services on little more than the change in their pockets for petrol. In todays economic age to start a service in North America is not as simple as stocking an ambulance, there are many of services that are finding it very difficult to keep afloat. Start up Capital, then a Business Plan for Banking Credit (unless one is independently wealthy) Insurance, Regulations pertaining to the state/ province/ territory or parish. Staffing, Training , QA/QC, and finding an MD willing to back you all come before ordering "kit" on-line. So a question, are you located on the North American Continent gtl if you are not please PM me and I would be pleased to provide numerous equipment list(s) that I have developed for off shore use and how too make spine-boards and make cravat's out of bulk cloth . cheers

I too can remember that day, in my day it was not formal classes it was get in the "Bonnie" we have a "TRIP" .... and its been quite a ride. So Welcome: To the best and worst that you will ever experience in your lives. A big thumbs up for enthusiasm (and a green one each) Please ask away to all the ole guys and gals on the site its good for all of us, we are pretty much world wide on EMT City with advice even from upside down land(s) and even Kanukistanians are tolerated. And besides who doesn't like Jello ..... EH ?

My thoughts exactly, I somehow fail to see that the request by gtl is realistic or even deserves lip service well other than try: ambulance"r"us@sillyness.com .... website. cheers and good luck. Now back to: Do You Think You Can Dance .

I would say this is exactly what the civil rights lawyers are attempting to suggest, got to love the "BIGOT" card played whenever the remotest trace of a perceived violation of a rights issue. Taking that just one baby step further is that the polls are saying than New Yorkers (70 % of all denominations) are Bigots then ? Quoting Chief Billy Goldfeder: "It's not a religious freedom issue, but one of deep respect." http://www.ems1.com/ems-news/869057-religious-freedom-and-dying-responders/ I think a poll should be taken in the moderate Muslim community sans influence from their Iman and ask if they believe this move is supportive in their goal of acceptance and tolerance ? Oh yea maybe not as that would could "mob rule" again ? <sheesh> Here is a link to what occurs when a dispute occurs when the respects of others are disregarded. http://en.wikipedia.org/wiki/Oka_Crisis link to pics http://www.google.ca/images?hl=en&q=oka+conflict&um=1&ie=UTF-8&source=univ&ei=gbhuTL6dLcm1ngeIofjbCA&sa=X&oi=image_result_group&ct=title&resnum=4&ved=0CDgQsAQwAw&biw=1280&bih=640

Those terrorists rats with wings are every where. Most seriously, I would document the failure of proper safe guards by the village idiots helpers, so when there is burning wreckage on the runway and the airport shut down to medivac the injured out Happi can at least say she tried. cheers

Try this site .... http://emergency.medicine.dal.ca/ehsprotocols/protocols/ParamedicEBPCourse.cfm or contact http://www.gov.ns.ca/health/ehs/faq/ or try Troy (of all things east coast) http://legalizelifesaving.ca/LegalizeLifesaving/Intro.html Or maybe PM OwleyMedic.

Agreed you have done your homework their rock slippers. The BC jurisprudence exam is 25 questions (on-line) after the proper ID and confirmation of "registry" or licencing from another province recognized under the AIT agreement. Getting the Licence is a cake walk coming from AB ... going the other way and having to deal with the AB College ... I can only imagine. ps and its just 100 bucks ! Getting hired in BC other than industrial is somewhat more complex seeing as the BCAS has exclusivity (presently ) and the postings for ACP are no where near as numerous in opportunities ... then there is the union stuff in hiring, being seniority in the hierarchy (of which there is no cross border recognition) Oddly enough the CCP level (according to BC licencing) is not up for reciprocity which is quite intriguing .. I personally enjoy a paper challenge. cheers

Unfortunately the government is now involved from the neighborhood crime watch to your President, and this proposed building has hit dang every mainstream news media in the world. Even Obama has now modified his juxtaposition on the WISDOM of this proposed building and its location. BUT At the end of the day in this discussion one must ask themselves just one question: Have the "moderate" Muslims accomplished what they have supposedly set out to do ? That being; promote peace and understanding for their religion, demonstrating the sensitivity and tolerance of others. Masha'Allah

http://chestjournal.chestpubs.org/content/136/5/1316.abstract I thought that this study is timely and pertinent. Paracetamol / Tylenol has one of the highest incidents of use and abuse. cheers