scubanurse

http://www.facebook.com/pages/NEMSA/107416879364?ref=ts

Big congrats!!! that's a nice milestone for you guys and you deserve happiness

I was extremely offended by his comment and being upset because he didn't get his weekend leave and implied that it was okay for rapes to occur. I agree Richard, even one, especially on a military base with people charged with the duty to protect and serve this nation, is too many.

Have you been back to Gernmantown recently? You'd be amazed at how much it has grown... they have a new station too, 22 that's brand spankin new and really nice at 118 and Clopper Road.

You can opt to not sign the tobacco free contract though in Montgomery County and I know a few who do, but they will not be covered for any lung related illness under the county health plan. And if they develop anything related to the firefighting, it is negated by the fact that they smoked so they would not be covered under workers comp. I know a few people who did chew on the job, but would get rid of it for a call when it came through so they would not run into the problems aforementioned.

RIP Tread... you were a great resource and friend on here and you will certainly be missed.

Cool! One of my best friends is an army nurse at Ft. Campbell right now...she deploys in September though. Whereabouts in Maryland? I grew up in Bethesda right near DC. Welcome to the city... it's a pretty neat place to hang out and get some good information Kate

I second that... having had to fly multiple times after surgeries... take the wheelchair. It helps avoid the bumps of other passengers too and you get priority boarding so you can go on before everyone else and avoid the bumps again. Sorry to hear that happened Feel better!

so I take it EMS is not your REAL occupation? Your post did not answer any of the questions asked of you and made little sense, to me at least.

haha I did my medic ride-alongs with them during my I class out of MedStar at WHC... not too bad... I only rode with other graduates of the same program though so they were pretty decent medics...

http://www.nbcwashington.com/news/local-beat/Medevac-Crash-Victims-Family-Sues-Government-92358454.html

Well first I would shoot at the kidneys. then the lower intestinal area, then take out the throat then the face and heart... Having knowledge of anatomy helps I figure I could disable someone with a shot to the abdomen, and then if I really needed to kill them throat, face and heart are next...logical I think?

True... CO is a gun friendly state... I did have one guy in MD though try and get my number at the gun range... he seemed to like my shooting...although that probably should have scared a sane guy away since I have a funny way of shooting the body targets

Multiple times with my current guy

If not... it's online...

I've always had male PCP's my whole life and have had mixed results with them. Some are easy to talk to and be honest with and other's not so much. My actual PCP in the practice back in MD was an ass who would spend <5 minutes with you, and when I got my diagnosis of a genetic disorder from Johns Hopkins, he didn't believe it and actively tried to challenge the diagnosis. There was a younger doc in that practice who was the pediatrician but would see young adults too who was very very good and thorough and picked up on the joint problems I was having in one visit with him, while 10 years with the other PCP revealed nothing. As for women's issues, no way in hell would I have a male doctor check out down there. I appreciate that there might be some good male OB/GYN's out there, but I just would not be comfortable with them examining me. From my experience, the older population does seem to have a problem with female doctors. Mostly I think this is because when they were younger, women just weren't common as physicians. Elderly gentleman seemed to have an even bigger issue because often questions of prostate and male urogential problems would come up and it was viewed as improper for them to discuss this with a perhaps younger woman. When my grandfather was still alive, he was a WII and Korea veteran and very set in his ways, we had to take him to a psychopharmacologist to get his dementia and anxiety medications situated and she happened to be a female doctor just out of residency (the type you want in such a fast changing and evolving field) and he just sat there and asked her if it was past her bed time yet and told her that little girls shouldn't play dress up in men's clothing. Granted he was in the middle stages of Alzheimer's at the time and just a crochity old man, but still he just had zero respect for her. Took him to a urologist who was a man in his 50's and he answered the doctors questions with absolute respect and honesty. All in the same day too... it amused my aunt and my mom and just confused me completely. I do remember when I ran with a male partner and it was a male, I would ask if the patient would feel more comfortable with him doing the exam and some would say yes. I've also been on calls as a basic where the female was not comfortable with the male medic placing the 12-lead cables so they stepped out of the room briefly and I placed the leads and did the 12-lead for them and then they came back into the room and the patient was much more at ease. In EMS and medicine in general, patient comfort should be one of the higher priorities. After the critical points of course. The patients and their families call us at what could be their worst time in their lives and their stress and anxiety level is already very high, we do not need to add to this by making them uncomfortable. Sometimes the gender issues are unrealistic to resolve on scene, but when possible, taking that extra step to see if the patient would be more comfortable with a provider of their own gender might go a long way in opening the communication between patient and provider and provide essential links and information to patient care.

WHEATON, Md. (WUSA/MCP)---- Detectives from the Montgomery County Police Collision Reconstruction Unit are investigating a fatal collision that occurred early Sunday morning. Around 2:21 a.m., 4th District officers were responding to a large fight in progress. An officer who had arrived on the scene of the fight needed assistance and requested that additional officers respond. During the response to this call, an officer was involved in a single-vehicle collision. The preliminary investigation revealed that a 4th District patrol officer was traveling on westbound Randolph Road approaching Denley Road. For reasons still under investigation, the officer's 2003 Ford Crown Victoria left the roadway and struck a tree in the 3000 block of Randolph Road. Other officers responding to the fight call stopped to assist him and summonsed Fire/Rescue personnel. The officer was transported to Holy Cross Hospital where he succumbed to his injuries. The officer was a seven-year veteran and was assigned to the midnight shift. Detectives from the Collision Reconstruction Unit are asking anyone who was on the scene and may or may not have witnessed the collision to contact them at 301.840.2435. http://www.wusa9.com/news/local/story.aspx?storyid=99543&catid=158&GID=YzAey754/pfPgWn7/EW3Gala1obLxwGErnAsowtRf0A%3D Please keep his family and the MCPD in your thoughts this Easter Sunday. Second LODD involving a vehicle collision in the last 5 years for Montgomery County.

If he was 17...I believe records of minors are sealed and unless they get a court order NR can't access it... I'm not 100% sure though.

Okay guys... there really is no need for name calling... Can we try to be mature enough to have a discussion about this without resorting to name calling and bickering? And medic_texas... I believe direct name calling like that is against the forum rules so I'd just mind your manners.

It sounds as if the LEO's denied access to the patient as even the Sheriff stated that the fire crew was on scene before EMS and they were DENIED access to treat the patient??? So they weren't just standing around twiddling their thumbs they were trying to treat an injured patient.

Ben... I seriously think you need to re-read that article. It sounds like the firefighters arrived first, fairly common in a lot of areas not just in CO, and the cops decided not to let them evaluate the patient. Who are they to turn away trained EMS providers? They are on the scene as Law Enforcement Officers NOT EMS. The firefighters should have been allowed to evaluate the patient and decide if they were needed or not...NOT the LEO's. Now, if the ambulance was already on scene, then the LEO's should have still allowed the fire captain (not the entire crew) to enter the scene and speak with the medical officer in charge to see if their services were needed...and from the article, their services were in fact needed. This was way out of line and should not have been handled the way it was on scene, but rather back at the station between supervising officers, not the personnel in the field as this matter extends way beyond the field and into the bureaucratic nightmare. The arresting officer should be placed on administrative leave pending a further investigation into charges of hindering a 911 call and potentially a false arrest. I would believe that the fire officer has some grounds in civil court against the arresting officer pending the outcome of the investigation. This situation was handled so poorly it is embarrassing. Politics should NEVER get in the way of providing patient care and in this case, it seems that it did. It seems the article was updated, the patient suffered a broken neck... I would think that a 2-man EMS crew would need all the help they can get to properly backboard and secure the c-spine in this case. And it states again, that the EMS crew did in fact transport but not after needing to call back the 2 other firefighters who were sent off by the cops. So how are the LEO's right here?? They cleared the fire crew without first checking with the treating medical team?? Since when did LEO's become the bouncers of calls? If anything, they shouldn't be inside because their presence alone can upset a domestic violence victim even more, not really the presence of a trained medical crew. Ugh this situation just rubs me the wrong way, and Kiwi... They were needed... so you statement of is false. You "hang round" until the EMS crew clears you not some (from the article).

http://www.thedenverchannel.com/news/23025872/detail.html Ok...so some are scared fire will take over EMS...but who is going to take over fire?

Thank you! I don't see the big deal people have with dredging up old posts... as long as its still on topic there shouldn't be a problem. As for dealing with first responders on scene... as long as they aren't causing harm I appreciate the extra help and I'm sure the patient appreciates someone being there fast and calming them down. But if they're freaking out like one previous poster commented, then PD can make themselves useful and escort them off scene. Personally I have stopped a few times, the worst being when I saw a bicyclist struck by a box truck in DC and thrown about 50 feet into the intersection. All I did was throw gloves on and did a jaw thrust while holding c-spine, but it opened his airway until EMS got there. Granted this was DC so I don't know how well he did after I left the scene, but when I left, he had an opened airway and was breathing. The police and EMS seemed to appreciate me being there since everyone else was just standing around not doing anything.

Does anyone believe that since more will have the insurance and opportunity to see a PMD, that the stress on ER's might in fact go down? Right now ER's are flooded with "non-emergent" problems because people can't afford to go to the doctor and they know that the hospital will work with them or even just ignore the bill whereas a PMD would send debt collectors and harass the patients for money. Also, with some sort of government control over insurance companies, we could see the cost of services go down. Right now say a private insurance company states they will pay 50% of what the doctors office or hospital bills them because that is what they seem fair. Say the hospital needs to charge $1000 for every ER patient just to make a slight profit (because lets face it, healthcare will never be a non-profit organization), they know that if they charge the insurance companies that $1,000, they will only see $500 in the end. So they raise their ER prices to $2,000 knowing that the big insurance company will then pay them their $1,000 that they need to cover operational costs and the costs of those who won't pay or don't have big insurance covering their asses. If there were some sort of government regulation on the COMPANIES (not the individuals), like there are regulations on banks and auto manufacturers, then we might actually see the cost of healthcare come down in this country. The effect on EMS will vary throughout the regions, as it does now with the economy. Some will see benefit, while others may not. It is no different than the effects we have seen over the last 8 years or so with the economy falling to pieces and the unemployment rates so high.

It's my opinion that the spirit of this discussion has diverged from what was originally intended. It is no longer a cool-level-headed conversation between professions and emotions are running high on all fronts. Let's all just take a deep breath and see this forum for what it is, an internet forum. Is it really worth getting your BP elevated to debate with anonymous users? Wouldn't your efforts (on both sides of the issue) be better served taking action (non-violent of course) to express your views. There seems to be a lot of talk lately, but very little action to do something to alter this course of history.