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  1. emtfarva

    Selective c-spine - would you c-spine this patient

    In some cases I agree with you on EMS in the field clearing C-spine. In this case I do not. Even though the Pt is CAOx4, he is slow to respond and details change. I feel either he is faking, he has something really wrong, or something is going on besides the MVC. But you bring up a good point...
  2. emtfarva

    Selective c-spine - would you c-spine this patient

    Epi, I was thinking that, but i would let the Doctor take the hit if there was something major wrong with him. And plus from what he said about the MVC, I would have boarded and collared him just on MOI alone... Like I said I have boarded for less. And yes, all those Pt's have had C-Spine...
  3. emtfarva

    Selective c-spine - would you c-spine this patient

    I have been burnt before. My partner and I have not boarded someone that fell from standing and ended up having a C-2 fracture. He had no pain, or couldn't tell us he had pain due to the fact he didn't speak english. Now, if we think that there might be spine damage, we c-spine.
  4. emtfarva

    Selective c-spine - would you c-spine this patient

    Nope, but every head bleed that we have taken to Boston required a C-collar and a board, not by our choice, it was required by ER Doc. I would have just because he had head pain. Thats the way I roll. I have boarded and collared for less.
  5. emtfarva

    Selective c-spine - would you c-spine this patient

    I would have used C-Spine precautions... I would have let the Doc take the responsibility to clear him. Just by the fact that he was slightly altered, I would think head bleed. (I tend to think the worse case). Did you take VS? I am wondering what they were. I would guess that you might have...
  6. emtfarva

    laryngoscope blade question

    I know with millers and macs, they are used differently... Millers are used for trauma and kids... Thats all I know...
  7. emtfarva

    transporting drunk people

    Nope, not in region 5. As for the ALS/BLS thing, ask your dispatch when they call to ask for ALS or BLS. That way the ALS crew doesn't use their god-like powers to just take the young drunk person to the hospital. I forget what college you go to. (that is just a dig on the crews up in that...
  8. emtfarva

    Writing at speed

    It took a long time to learn how to write in the ambulance. I find that if you go with the bumps and stay loose it is a bit better. What killed me was the turns. But, I don't have that problem anymore, I have to re-learn how to type in the ambulance. Along with typing, balancing the lap top on...
  9. emtfarva

    Writing at speed

    That is what they made faxes for.
  10. emtfarva

    transporting drunk people

    It all depends on whats going on and the patient. If I think other drugs are involved, maybe. If the Pt is alert and has a patent airway, I would say, BLS. If the Pt is unresponsive, I am going to say ALS. I have seen a person, just today, that had a BAL of over 500 and it was just like she...
  11. emtfarva

    In which I learn where the horn is...

    LOL... I could see the mall cops coming over with there little flashy light car and asking you to leave... Haha... I love how they all think that they are real cops... BTW those trucks you guys have are awesome... I love the colors... but they are huge!
  12. emtfarva

    How old were you?

    25, I feel old.
  13. emtfarva

    Diving accident video

    I guess i wasn't the only one. I was eating while watching, thought it was gross, but oddly did not have the urge to throw up, and couldn't take my eyes away.
  14. emtfarva

    Your Repeat Customers?

    Psych..... I would say the most repeat customers I see are Section 12's (MA speak for psych Pt's). Other than our normal IFT Pt's. Most common is CRF. As for our 911 calls, could be anything... Mostly again Psych, DM, Falls, SOB, Psych, oh yeah, Psych.... BTW, You are like the closest person...
  15. emtfarva

    Need Help Finding a Job!! EMT-b Suggestions/Tips???

    Ambulance companies are aways looking for paramedics, but my feelings are to be a good medic, you need to be a good EMT. In my experience, I find the greatest medics I have seen have been an active EMT for at least 1 year. As for the job, I am not sure if AMR is around were you are, but they...
  16. emtfarva

    Percussion pacing

    like a per-cordial thump?
  17. emtfarva

    Taser maker: Don't fire it into someone's chest

    So, when they aim, they should not aim for center mass, which is the largest area on a person's body?
  18. emtfarva

    Percussion pacing

    I should say, Chest compressions
  19. emtfarva

    Percussion pacing

    It sounds like CPR
  20. emtfarva

    Private Hospital dictating Pt care

    JP, I have been told, even if you drive on to hospital grounds, find out you are on the wrong campus, and then drive off the grounds to the right one, you have broken EMTALA laws. A good example of this is would be the Boston Medical Center. You have the Boston City (Harrison Ave) and the BU...
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