Recent content by phildo

Most likely a no patient here, depending on who is supervising. If I get a refusal or not, I instruct the individual to 'Avoid sleeping in public view.'

A jailer called us because a new inmate "was afraid to be in jail." No kidding. A little city traffic ticket/failure to appear jail. And we had to take the poor scared individual.

I've had patients with BGL of 52 who were GCS 3. I have functioned with a BGL of 27.(felt a little light-headed, checked it after dropping off my patient) If they are able to talk and obey commands, give it orally, then watch them eat a pb&j and drink milk or OJ.

If you've ever been instructed by the owner not to take equipment into a nursing home on a full arrest because "it scares the other residents." If you've ever been fired or threatened with firing for writing up things you see in facilities, ie. no CPR, no oxygen, you name it. If you've ever...

Come on, we need people. You apply online, but don't rely on the HR dept. Call the office so the manager knows to look for you. 409-880-3922 Tell them you applied and when so that they can ask hr about you. We have really good benefits. 90/10 bluecross blueshield. TMRS retirement. If you...

Did you work for David Phillips? We heard the green machine bought him out. PM me.

Horace Small is an excellent brand. Expensive, but then you get what you pay for. My wear pr*tu7f7f. They fade and wear through in embarrASSing places.

In 23 years on the job, I can think of 5 patients I worked in full arrest who left the hospital on their own power and resumed their lives the way they were before. 1 was a trauma arrest that lived, despite the small community hospital's best efforts to kill him.

Have his family keep cake icing in a tube at hand. Cheap, effective. Tastes better than the oral glucose (have you ever tried it?)

I check a BGL on just about everyone. When I don't, its usually a trauma alert that has me up to my @ss in alligators and even then I'll check it if everything else is done. I remember a sick call from over 10 years ago. N&V, no D x 5 days. Went to the doctor that morning, left with a dx of a...

If someone is unresponsive to verbal or light tactile stimuli, they get a modified jaw thrust. It is a very strong stimulus (have your partner try it on you) which serves a legitimate clinical need. No response with that, they get an NPA, then intubated. Fakers come alive with the jaw thrust...

I've heard WCOEMS is a great place to work. It was one of the places I was checking out when my city was threatening to privatize. Other really good places are Montgomery County, Harris County ESD1, San Marcos/Hays County (close to Austin). Good retirement, good benefits. I also found the...

Necloc!!thats it!!

Back in the 80's in Port Arthur, Texas, we had 2 piece extrication collars that were the best I've used before or since. You put the front on first, then ran the velcro strap behind the head. Then you put the back part on. It was taller than the front by quite a bit. and it rendered the wearer...

Get your RN BEFORE you get locked into a full time schedule in Fire or EMS. Hire on as a firefighter, let them pay for your emt-b cert, then challenge the paramedic exam. Then do fire full time, nursing on your off days. You'll have much better benefits and retirement in fire service than in...