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Richard B the EMT

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Everything posted by Richard B the EMT

  1. I think a word is missing. Do you mean you DO want to be shocked, or DO NOT?
  2. Re the bumper sticker: Check for kits to print one's own bumper stickers. I feel sure there are still some available, or there might be a program to do so from one's own computer and printer.
  3. Considering that most chips, no matter what the variety, are cooked in oil/grease, that is no surprise. I wonder if the camping gear companies know this, for their fire starter supplies?
  4. I don't know who I am quoting, possibly Yogi Berra, but...
  5. To borrow the movie line yet again, "Explain this to me as if I were a 5 year old child." Admittedly, I don't really know the physiology too well for the need of a "recompression chamber", except that, in the case of a diver with "the bends", nitrogen bubbles normally dissolved in the bloodstream, cause poor circulation and physical pain, as, on "surfacing", the bubbles expand. The chamber takes the patient "back down" to depth, from which, the chamber crews slowly bring the patient back to normal surface pressure, allowing the bubbles to be slowly reabsorbed harmlessly into the bloodstream. If the patient is tubed, would that not simply be a direct way to introduce O2 to the patient's lungs? With the O2 concentration probably being different than what I'd deliver in the ambulance, what is wrong with having a patient on a vent in the chamber? Despite my time in the EMS field, from 1973, as an EMT doing the BLS level, I have never been to one of these chambers, so I have no idea if the compressed atmosphere within them is just compressed room air, or O2. If compressed with an O2 atmosphere, seemingly a BVM would suffice as the simplest vent available. Could someone from PADI, or with Respiratory Therapy training set me up with details?
  6. A Truck (the ambulance), an ambulance Team, and a Traumatized patient. One of them?
  7. There is also the issue at the rehab centers themselves, something about the person showing up while not under the influence. I believe this is to show the individual wants to be cured.
  8. In New York City in general, not just EMS...
  9. Well, that must be new, or at least not come into Queens or Kings County areas that I am aware of.
  10. 100 years? You must be ahead of schedule.
  11. While deplorable that they travel by the local EMS so much, at least they have real diagnoses. What I want to have fines imposed on, are those who use the EMS to get to the hospital, then run away to across the street to eat in the fastburger place.
  12. With a nod towards celticcare that we are now going over international borders with the training, I will remind some here, that in the US, the precardial thump was the way one started CPR after determining Airway, Breathing, and Circulation. It underwent many changes from when I first learned CPR back in the dark ages of 1974, to the current 2009. If your training in New Zealand has you doing the Precardial Thump, per your protocols, then for Pete's sake, do the thump. Mine are, as indicated, different. So... There is NOBODY here that can say if the American Heart Association CPR is ahead of "the curve", or if the New Zealand Resus Council guidelines CPR is ahead of "the curve". I'll follow MY guidelines, celticcare will follow the local protocols (and I'll be in Scotland afor ye {where did THAT come from?}), and we'll hope for a good outcome for our respective patients.
  13. Wish Central has granted the snow melt, but with all that melt-off water, you live too near the Levies of the Red River in Fargo, North Dakota, and the river has not reached crest level yet, and is still rising. I wish all that water is gently distributed to all farming areas to assist the farmers in growing any and all foods needed to feed the world, without floods, without erosion, and without having any area suffer a drought while another gets too much rain. (Scubamedic, I'm still awaiting the answer as to if I can get some of that fudge?)
  14. Wish Central, again! "Only"3 years? I've "only" been 20 years with my Lady J, after that infamous 9 year engagement to Debbie from Teaneck NJ. Just have them NOT follow my examples! I'll keep it simple. I wish your brother and significant other of "only" 3 years all the happiness in the world as husband and wife, with as few or many children as they think they can manage without going nuts, or driving each other nuts.
  15. I concur with that assessment. I have heard, even before the advent of the SAED, of EMS people, even ER/ED Doctors, being fooled by artifact showing normal sinus rhythm on the EKG screen, when the patient was, in fact, in asystole, discovered by checking for a carotiod pulse that was not found.
  16. Perhaps it is because I watch a bit too much television, but if, in the scenario of 2 DOAs from each other's firearms, with a bunch of dinero, dinars, yen, kopeck or dollars laying around, along with other weapons, and drugs, I won't be taking any samples. The money is trouble, as it might be Mafia, Cartel, Bloods, Crips, Latin Kings/Queens, or someone else's, who would kill you, your family, your dog, and even your goldfish, for having taken the money. They'd even dig up the remains of your great grandmother from the graveyard, and shoot her to spite you.
  17. Wish Central again approves, but with the consequence of the higher pay resulting in the higher tax bracket, subsequent raised tax bill, and what you have left, you discover was invested (or was it?) by Bernie Madoff! By the way, could I have some of that fudge? I wish I could lose the weight needed to fit the "Height/Weight" charts, or gain the necessary height to match the weight. (That would make me, like, 8 foot something?)
  18. I bump this up with the question:
  19. Please note that Hunter Ambulance/Ambulette Service, and Hunter EMS, are separate, unaffiliated services. Note also, that one of those services listed, locally is called "Trans-SCARE". Transcare, AMR, and, I think, one other not listed, are under subcontracts to certain hospitals to provide both BLS and ALS ambulances and crews to the FDNY run 9-1-1 system in NYC (within the 5 counties that make up the city), marked with both the hospital and the service provider's names on the sides of the ambulances. Some hospitals provide their own BLS and ALS ambulances and crews, also marked with the hospital's name on the side, to the NYC 9-1-1 system, also. Hunter EMS is a 9-1-1 system provider in Suffolk County, NY. As noted here, and elsewhere in EMT City, FDNY EMS is union, the hospital based ambulances are also union, but a different one than FDNY EMS. The subcontracting ambulance services are, as far as I know, without any union representation. (I'll suggest you look up community-based Volunteer Ambulances operating within NYC, either with the site's search, or Google it.)
  20. ...What crotchitymedic1986 said in his posting of the AHA standards. I'm BLS, and do that, even with the SAED.
  21. Put it on my account... On account I'm not gonna pay! (lol)
  22. I had one last year, simply because my doctor told me, as I am past 50 years old, it was time for one. Prior to that, I had been getting a blood sample taken for some kind of testing to similar purpose. I did, at the time, kind of wish for an adult "Pampers", or whatever that alleged diaper supposedly worn by the jealous lady astronaut when she drove across the country to confront her "Love Rival". Turns out I didn't need it...much. I did wear old clothing, while in transit to and from the testing facility. They didn't knock me out, they only applied some local anesthesia, although I had no idea what they were showing me on the TV monitor as they did the procedure. I add my wishes for a quick recovery and adjustment to whatever follows the surgery. Remember, John "The Duke" Wayne was wearing a colostomy bag for about a decade and was still making movies almost to the week he died.
  23. 1) Failure for no long board patient restraint to hold it in the vehicle. 2) Failure for the attendant not being restrained, and falling out of the truck as well. 3) Failure for the driver, for the jackrabbit start, resulting in the unrestrained back board patient and unrestrained attendant falling out of the truck. 4) Failure to MYSELF, for laughing so hard at the misfortune of the back boarded patient and attendant falling out of the truck, with no regard for whatever injuries they received in the fall.
  24. Wish is authorized, per wish central. The conditions, howerver, are that she never directs it in your (Joseph's) direction, indeed, you always get the reverse, to the 10th power! I wish Terri would get her Flight Paramedic (even with the full knowledge it ain't gonna be me).
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