Richard B the EMT

I was monitoring, to see what someone else would say first.

Was this because of Trauma? Also, can you, or anyone, provide a link re this firing?

While in the coin operated laundry center, I was approached by a woman I know, from that laundromat. She wanted my opinion, as an EMT, on something. She is just 40 years old. She just lost a bit over 100 pounds by dieting, and admits she is a bit of a nervous person, with a slight case of GIRD, but is otherwise in reasonably good health. She complains of a small patch of skin moving at the notch of her collarbone. Her doctor(s) say it is nothing to worry about. She is awaiting new medical coverage, and won't be able to see another doctor for at least a month. On my observation, I actually had to have it pointed out to me, as the affected area is so small. It is the size of a pinky fingernail, and does pulsate in time with her pulse. I restate that she just lost weight, and did not have either Gastric Re-Sectioning (Stomach Stapling) or "Lap-Banding". She states that, although there is no unusual sensations in the area of the pulsations, the fact that she is having them, is "driving her nuts". She is on prescription Zantac for the GIRD, but noted the pulsations prior to starting the meds. She denies taking any other meds. X-Rays are negative for anything. Her doctor says that it is a common and harmless condition. While emphasizing that this was outside my expertise (I'm an EMT-B, working BLS), and that my opinion could not be held to specifics, I mentioned a guess, labled as such to her at the time, that the pulsations could have been skin formerly supported by body fat, now a bit loose because of the weight loss. The observed pulsations could be caused by normal blood vessels moving with her pulse, causing the overlying skin to do the pulsations. I suggested having the new doctor, under the new coverage, send her for a Doppler or Sonogram of the affected area of the neck and upper torso. All here know I have been in EMS from 1973. In that time, while I have seen JVD (Jugular Vein Distention) and the Tracheal Shift associated with a collapsed lung, I never recall having seen the skin at the collarbone notch pulsating as hers is, Again, her doctor says that it is a common and harmless condition. 1) What is it?2) Is it potentially harmful?3) Has anyone seen anything similar to what I describe? 4) What other medical advice could I have given? (No suggestions of running away when someone asks medical advice of me when off duty will be entertained)

Admittedly a bit of a side step, but why didn't I find out about the side effects of Viagra/Ciallis and Nitro from my agency, and instead, find out as a part of a bit in a Jack Nicholson movie?

I found this on a cold Google search, for Oklahoma Native American EMS Association. I don't know them, have never spoken with them, but they are the first link on my search of Native American EMS to not show an error message on trying to link to them. Perhaps they can better answer your question(s) than I could, as I only dated a Navajo girl over 30 years ago, way before dating my Lady J. http://onaemsa.com/index.html

KKK-A-1822? What letter update are we at? Last I think I remember, we were at KKK-A-1822-G.

I think the reference request is for gainful employment. Volunteer ambulances in NYC are charity affairs, as in they pay in experience, but nothing to actively put food on the table. I am removed from the private services from June of 1985, so I don't have any current information. I worked for 5 of them prior to my employ in the municipal sector, and only one of them still exists, but now in the hands of the adult "kids" of my former and late boss.

As my signoff says, remember that my local protocols might be different than yours, due to town, city, county/parrish, state/province, or country rules and regulations. Always follow your local stuff as one item of mine will be more advanced than yours, and another might have yours being the advanced one. Anyway, have fun here, and welcome aboard.

Area 51? Silent helicopters? Don't forget hangar 18, then. Or, the ultimate stelth aircraft, Wonder Woman's glass jet?

I would be enroute back to (preferably) the sending hospital, requesting Paramedic intercept on the way, at minimum. PUHA? Would I be correct that would translate to Pick Up Haul Arse?

Damn, girl, I thought you were over that fever?

1) Series observation- I know of no helicopter that is that quiet while doing a "Hot Load" (loading while the blades are still turning, if memory serves me correctly), or even on the inside during flight. 2) Would YOU be looking for a live turkey to be killed for you, while on duty and in uniform? Going to put the bird into a side compartment during the tour? 3) Tyler and Boone discuss Turducken, a mix of turkey, duck and chicken, as alternative for a turkey or ham. While I've heard of Turducken before, the concept is so...yuck...I wouldn't partake of any. 4) Rabbit turns down Marissa's invite to meet the "wild cousin"? WTF? 5) Putting a frozen turkey into a deep fry cooker is not recommended, as indicated by the resultant explosion. Also, on some Food Network show that was on in the restaurant I ate at a few days ago, I was informed that the Underwriters Laboratories safety people refuse to give any sort of safety rating on any deep fry cookers. 6) Must be local protocols, again. I'm restricted to 1st, 2nd, and 3rd degree burns, but have been told not to use any reference to a 4th or higher degree burn. 7) Tyler has not mentioned to his folks he's gay. I wonder if they'll show a family reunion when he does? 8) Rabbit again try's picking up the intern. Interesting line she uses: 9) Nancy uses visual and touch to diagnose a torn meniscus? I had to fight for the NYC law department to authorize an MRI to determine mine, as it doesn't show up on regular X-Rays. Does that mean Nancy is actually Superman's cousin, AKA Supergirl, using her X-Ray vision? Also, "on the count of three", reducing a dislocated knee (actually on the count of 2!)? 10) I like that cultural line of a thin red thread tying soul mates together by the ankles. I wonder if my Lady J and I have something like that, even though we're neither Chinese or Japanese (I'm a Russian-German-Polish American, and she's Sicilian/Italian American)? 11) Rabbit seems to revert to character, and accepts the date with Marissa's cousin. 12) The captain yells "Everybody, Wait!" to announce the impending MCI of the plane crash? Possibly realistic. 13) Alameda Naval Air Station must have different protocols for jets without landing gear down than JFK. No foam on the runway as a lubricant and fire retardant for the crashing aircraft? ( Going by memory, I really don't know of they do that at JFK, either) 14) For an active Naval Air Station, I saw neither sailors, Marines, or any security placed on the SFFD personnel, while they were on the military reserve. 15) I restate my liking of the colored tarps for assisting Triage. 16) Rabbit and Nancy get into what I know as "Proximity Suits" to actually get into the burning aircraft to perform the search for the baby's mother. I donno, wouldn't Fire fighters do that, and bring the body (or corpse) out to the paramedics? 17) Mommy defibbed twice, and immediately allowed to sit up and hold her baby? I don't think so. 18) Can anyone in the military advise me if they'd allow a civilian aircraft to make an emergency landing on the reserve? It was too quickly done, as I see it, but I don't know how it works in the real world. 19) Of course, Boone invites Tyler to dinner. (Anyone else notice Boone didn't advise his wife he was bringing one more to dinner?) 20) Rabbit goes against type to blow off the date with Marissa and cousin. 21) It telegraphed itself that Tyler would use Boone's family for rehearsing how he'll eventually tell his own family he's gay. 22) Rabbit just shows up at Nancy's family dinner, and gets invited in. Real or Reel life? 23) It seems all the regulars ended up with some kind of Thanksgiving dinner, even if Glen and the Intern just have turkey sandwiches. 24) Rabbit and Nancy kiss. I guess the writers are going to keep us in suspense as to what is going to happen to this couple. Is that a thin red thread binding them at the ankles?

As I see it, with all points seemingly valid, is there's a bunch more bugs in the alleged system to be worked out.

If this actually happened, Ruffems wouldn't have had time to hit the send key. However, I LOLed.

The e-newsletters of the Homeland Security's Emergency Management and Response Information Sharing and Analysis Center (EMR-ISAC) refer to all LEOs, Fire Fighters, and EMSers as "Public Safety Sector" personnel. Perhaps the laws should be changed, that anyone hurting or killing any within these groups get the same penalties, no difference if a Cop, Fire Fighter, EMT or Paramedic. Similar laws have been enacted, at least within NYC, that can result in someone assaulting an EMT can be imprisoned for up to 7 years. Older laws on the books would already net that for assaulting a NY Transit Train crew person or bus driver. Great, now my worth is equal to Ralph Kramden.

Looking to see what commentary the network's website had on it, I looked up the show. There was none... But... "Greg", the budding author partnered with "Nancy," has a "blog" on the show's site.

Following this type thought, I shudder to think of how chicken soup is made!

Third Watch was a good EMS/FD/PD show until it's last 2 seasons, when the EMS and Fire story lines became more of a support for PD than a partner. It just became a cop show with a small side of EMS and Fire.

I previously mentioned my involvement with the FDNY's BioPOD, used for offering H1N1 Vaccine to uniformed FDNY members, 11-05-09 to 11-08-09. An admittedly unscientific aspect of this was, only half of those who reported to the BioPOD sites accepted the vaccine. (I go mine.)

Continuing on 1EMT-Ps suggestion, here is the link to the New York State Department of Health -Bureau of Emergency Medical Services. http://www.health.state.ny.us/nysdoh/ems/main.htm

Sarah1985, I see no indication of where you are, geographically. If you are in the United States, by telling you that you are not allowed to take the class, the person denying you entry, and the training agency, possibly, and probably, could be sued for discrimination. I do, however, put into the mix here, as I think has already been mentioned, the person denying your entry might have been trying to protect your fetus, as also already mentioned in this string. I would suggest you keep some kind of written log of the events related to this, including what your regular and OB/Gyn doctors say about what potential harm, or lack of, your taking the classes would bring to the fetus. I am "working hurt" at a "light duty" posting in my employ by the FDNY, and have to get a doctor's clearance to take a Continuing Medical Education (CME) class next month, which will involve me doing CPR on the training dummies. Does your training agency ask for some kind of "ability to perform without medical compromise" paperwork? If yes, again, see what your doctors say. If cleared by your doctors, and still ahead by a good period of time before your delivery date, but still denied, then it will be time to talk to the lawyers as to how good a case you might have against the training agency. On consultation with my mother (at age 55, I am the youngest of 3 children), she suggests if the pregnancy is near the delivery date, that, if possible, you postpone entry into the training until after the birth. We understand that we don't fully know your situation, and all this remains at the level of suggestions and guesswork. Keep yourself and the baby healthy.

Ain't that the dinkum oil!

This page is located on the NYC.gov Web site at http://www.nyc.gov/html/doh/html/pr2009/pr073-09.shtml FOR IMMEDIATE RELEASE Press Release # 073-09 Wednesday, November 18, 2009 MEDIA CONTACT: (212) 788-5290 Jessica Scaperotti/Erin Brady: PressOffice@health.nyc.gov Health Department Announces Launch of NYC FluLine Starting Thursday, New Yorkers with symptoms of influenza can consult a nurse by calling 311 November 18, 2008 – As part of a continued effort to prepare for the peak of influenza season, the city will launch the NYC FluLine on Thursday, November 19, the Health Department announced today. Through this service, 311 operators will provide concerned New Yorkers with information on what to do if they or a family member feels sick with flu-like illness (fever with cough or sore throat). Callers with symptoms of influenza will be connected to registered nurses, who will provide information and advice on whether to seek care. For concerned patients who don’t have or can’t reach a regular health care provider, NYC FluLine is an alternative to standing in line at a hospital emergency department. The call-center nurses will not make diagnoses or prescribe treatments, but they will advise callers about whether to see a doctor or stay home. When necessary, on-call nurses will refer people to clinics, facilitating timely treatment while preventing unnecessary visits to emergency departments. Operators at 311 will not direct emergency calls to NYC FluLine. “The city is activating the NYC FluLine to help New Yorkers decide if they need medical care for symptoms that might be a sign of influenza,” said Dr. Thomas Farley, New York City Health Commissioner. “If you think you might have influenza, and you can’t reach a regular health care provider, try calling NYC FluLine before going to an emergency room. It may save you the time and cost.” New York City is currently experiencing less influenza activity than the rest of the northeast region, and levels of reported illness are far below those seen during the H1N1 outbreak of spring 2009. But the H1N1 virus is circulating, and the Health Department’s surveillance systems show that influenza-like illness has increased steadily since early September. Though the current rate doesn’t approach that seen in May and June, it is well above normal for this time of year. The number of hospitalizations and deaths has also risen since September (though both numbers are still low), and prescriptions for antiviral medication have risen sharply in recent weeks. Despite the signs of increased H1N1 activity, the Health Department has yet to see any uptick in seasonal influenza this fall. Vaccination is the best way to prevent either infection. Each virus requires a different vaccine, and each vaccine is recommended for different people. Here are the priority groups for H1N1 vaccination: Pregnant women Anyone 6 months through 24 years old People 25 through 64 who have chronic health conditions that make influenza more dangerous People who live with or care for children younger than 6 months Health care and emergency medical workers For more information about influenza – and New York City’s influenza-related services – please visit nyc.gov/flu. Information is also available in all languages through the City’s 311 system. ### Copyright 2009 The City of New York DOH Home | Contact Us

I have 2 things that are a kind of trigger for me. One is a burnt teddy bear, as I saw at the scene of the Eastern Air Lines Flight 66 crash, in June of 1995 (113 killed), and sometimes enclosed stairwells, as I and my Lady J were robbed at gunpoint in the stairwell of the housing project she then lived in.