scubanurse

It is very sad. Even more so in light of all the problems Metro is having. Safety inspectors were almost hit and killed not too long ago, the MCI back in June, and a plethora of other safety issues Metro is having. They need to get their act together.

http://www.nbcwashington.com/news/local-beat/Metro-Worker-Killed-on-Tracks-82667477.html Two Metro workers were struck and killed by a piece of equipment on the Red Line around 1:45 a.m. Tuesday near the Rockville station. The Metro employees, both males, were struck by a high rail truck, a large truck that is equipped with special wheels that allow it to drive on the track when electricity that usually powers trains is taken down. "Something went horribly wrong this morning and they were struck by the vehicle," said Metro's Lisa Farbstein. One worker, 49, died at the scene. The other worker, 68, died at the hospital. The identity of the employees, both automatic train technicians, will be released after next of kin have been notified. Metro’s Safety Office notified the National Transportation Safety Board and the Tri-State Oversight Committee of the incident Tuesday morning. Red Line service has been shut down between the Shady Grove, Rockville and Twinbrook stations. Metro will provide free shuttle bus service. Metro said customers should expect long waits for bus service as a bus only can carry about 50 passengers while a six-car train can carry about 800 passengers. Customers are encouraged to avoid the Shady Grove and Rockville Metrorail stations, if possible, and to use the nearby Twinbrook and Grosvenor-Strathmore Metrorail stations to catch a train. Red Line alternative Metrobus routes are the Q6 from Shady Grove to Wheaton or the Q4 from Rockville to Silver Spring. There has been a series of fatal accidents and mishaps on Metro since last year. The worst was a June crash that killed eight passengers and the train operator. Two other workers were killed in separate accidents last year. Last month, a team of inspectors were nearly hit by a train that Metro officials say was traveling too fast. Three workers were hurt in November when a train returning to a northern Virginia rail yard hit a parked train.

I think you'll find most people replied here: http://www.emtcity.com/index.php/topic/17449-news-feed-suspension-ends-for-nyc-emts-in-bagel-shop-incident-jemscom/

You get an error message from the machine ( we only accept quarters) And out pops a chewed up pen that ran out of ink

You get a brand new motorcycle ... just miniature... pops in a quarter

Lying to patients isn't always wrong. There are some native american tribes who hold the believe that the person who is dying can not know that they are in fact dying. They believe that this would cause the patient to give up hope and therefore stop fighting and die. When it comes to the topic of what is ethically and morally "correct" for a situation, there is no right or wrong answer. Multiple factors come into play, such as their religious and cultural beliefs, their emotional maturity to handle a bad situation, and other beliefs the patient and their family may hold. It is not the providers opinion that matters in cases like these, it is what the patients belief is. Under the ethical principle of beneficence and nonmaleficence, in a case like the OP presented, lying to the patient to get them to go to the hospital, would not be bad. As both your motivation for lying to the patient and the outcome of getting the patient to the hospital to receive proper treatment would be good, you're covered under both utilitarianism and deotonlogy, the two big ethical theories when it comes to medical ethics. But then again, Kant did argue that it is wrong to lie regardless of the consequences. This is why I love ethics so much!! My personal view point is that if it is to prevent harm to the patient and to benefit the patients health then it is okay to lie.

As far as accelerated courses go... I don't really see the problem with them in general. This summer I am planning on taking several accelerated college courses. One is 2 weeks long and meets for 4-hours 5 days a week and the other is 3 weeks and meets for 3 hours 5 days a week. Under some of the arguments I have read, because I am taking an accelerated communications course and literature course, I won't have the education I should have? I don't see the logic in this. If it is still the same hours as a full semester, what is the problem with it? I know a few programs, the one I am in as well, who do two 8-week quarters instead of a 16 week semester and you only take 2 classes at a time but still the same credit hours as the 16-week one, essentially an accelerated college semester. If it is still meeting the hour requirements, what's the big deal with how those hours are broken up? Back in the day, I took a 5-week EMT-B course. 5 days a week for 5 weeks and I was done. I passed, and I think I was a pretty competent EMT and went on to be a pretty good I. If the education standards are being met, what's the big deal? Now if this is an argument about what the minimum standards are, that's a different story. I think EMT-B's can be a great asset to an EMS system. I think the ideal ambulance would be 1 medic and 1 basic. Not every call needs ALS care, (I'm thinking 2am nose bleed call where the bleeding has stopped) and not every call can go BLS. I have seen this type of system work well in a busy 911 area. Basics have a place in EMS, and more than just chauffeuring the medic around. Just my 2 cents for what they're worth...

Welcome to the city! Jump on in and have some fun we're mostly good people who don't bit

I found flash cards that I made rather than buying were really helpful for learning muscles, bones, nerves, and blood vessels. I don't know how in depth your program will go, but the act of writing out the muscles origin, insertions, and actions was really helpful in memorizing them. It sounds silly, but we also would draw on our bodies the muscles of the forearms and legs. Coloring books help too... the princeton review one was pretty good and helpful. And just repetition. The more you look at the stuff, the better you'll be and don't wait till the night before the exam to study. Spend 30 minutes twice a day if you can reviewing the stuff. Good luck!

I'm so sorry about this loss. My prayers to his family, friends, and co-workers.

I feel the same way...I've learned to pick my battles here and this one seems like it has deviated from the original posters question and turned into a personal battle.

I'm also in Denver and would be happy to help you guys out if I can. Best of luck to you!!

Eydawn is right... I'm at Regis now and even their accelerated program has a little bit of a wait and it's difficult to get into, your grades have to be super good. I have a friend who is looking at UNC nursing because she didn't get into the last two years at Regis (her GPA was really close to a 3.0) but was told even though she has the pre-requisites, she would have to be on a wait list for a few years. As far as paramedic programs, I know a lot less about these, but do know some of the big hospitals offer the P program and pump out medics pretty fast...might be worth looking into since you already have some background education and not just a brand new EMT. Good luck!!

I am in Denver... while I don't practice EMS anymore I believe that is correct. Denver recognized EMT-P and EMT-B. I'm pretty sure I/85 would get you a B license... I can ask my boyfriend though and he can get the correct info and a phone number for you. I know as a B he can do IV's and blood draws and a few other things.

He's stateside thankfully right now but many of his friends are there right now, he has heard from a few (see below). If anyone would like to contribute to the relief efforts click on this link: https://american.redcross.org/site/Donation2?4306.donation=form1&idb=5338275&df_id=4306&JServSessionIdr004=9unadokrh1.app234a "Coast Guard cutters are on their way, DOD SAR ships and Medical ships are in transit as well. American personnel are confirmed dead and many are still missing." Some limited info he could give me.

I am also glued to the news... hoping all of my brothers close friends in Sud-Est and other small villages around Haiti are okay. My brother has spent a good amount of time in Haiti building boats and just learning the culture. http://web.mac.com/geertvanderkolk/iWeb/homepage/Haiti%20Project.html

EMS is EMS... you will still treat someone with chest pains the same way regardless if you are rural or urban. Protocol is protocol. Now if you're super rural you will have more time with the patient so it may seem like you are providing different care, but you're still following the same chest pain protocols. Nitro, Oxygen, ASA, Morphine, Monitoring... You will still treat a trauma patient the same way, ABC's, spinal precautions, etc... so I really don't see where you are trying to go with this whole urban vs. suburban vs. rural... And quite possibly I could be wrong, but I've worked urban and suburban and wilderness and I used the same knowledge in all three, just a few modifications for location and distance from a hospital...

I don't get it either? I think the idea that with NIMS it should be possible to go anywhere and work? But that is not really the point of NIMS..its for inter-agency cooperation and structure I believe... did you have a question? Or was that just a statement of fact?

wow and eww

Fred, thank you for those resources. I recently outfitted my parents medic kit for a 3-year circumnavigation on a small sail craft. They will be traveling in countries with very limited medical resources and on waters between land for several weeks. They both have CPR and First Aid training, but as you are aware, that will only get them so far. They have quick-clot, KingLT, burn kits, and plenty of small bandages. It's hard to prepare them for everything, but they have a Wilderness Medicine book from NOLS and I made a little quick reference book for them. The big things they will run into are fractures and head injuries from falling from the mast, lacerations, and burns from engine fires. They have the silverlon burn kits and such. They also have several Epi-pens in case they encounter some funky marine life in their adventures. Anyone interested they have a blog about their adventures. http://sv-grace.blogspot.com

Sorry, can't help ya much there. I know a bit about off-shore medicine for Sailing and trans-atlantic/pacific passages but not so much what you're looking for. Good luck!

define marine? USMC? or like aquatic and boats?

The only pictures I have of crashes is from the Every 15 Minutes programs I used to participate in. I have a few cool action shots from that of me "intubating" a trauma code, and on scene doing triage. My mom loves these photos as they're all she has of me working, and we had photo releases from everyone in the photos/video so it was a great opportunity to get some cool shots of me working.

http://www.emtcity.com/index.php/topic/17045-trauma-%2310/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16990-trauma-episode-9-11-23-2009/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16921-trauma-episode-8/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16862-trauma-episode-7/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16812-trauma-episode-6/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16742-trauma-episode-5/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16661-trauma-episode-4/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16954-trauma-revived-after-cancellation/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16872-trauma-may-not-air-remaining-episodes/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16524-somebody-doesnt-like-trauma/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16768-nbc-cancels-trauma/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16671-saved-and-trauma/page__hl__trauma__fromsearch__1 http://www.emtcity.com/index.php/topic/16670-trauma-versus-roy-and-gage/page__hl__trauma__fromsearch__1 Just a few threads about this to get you started

My boyfriend has a gshock that does elevation (good for CO where we live), temperature, and the time stuff. He likes it. Personally it is big and clunky for my taste but he's a guy so I guess it is more acceptable for him.