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  1. EMT-P633

    What's the best way to do a BP on a snowsuited patient in extreme cold?

    Open parka, move 1 arm out of the sleeve, apply cuff. close parka. (assuming your cuff has the trigger mech. with the gauge on the trigger) route trigger/guage through either the neck or wrist opening. and use XXX/P. toss a couple hot packs in the arm pits for good measure on rewarming after...
  2. EMT-P633

    ABD Distension after Nitro???

    I think the Repair to the AAA came undone. Or Due to the patients many cosmetic surg. along with her medical surg. there may have been an overlooked nick to the bowl. the NTG dialated the area and caused a rupture. due to the weakened scar tissue? Or What would you guys think about...
  3. EMT-P633

    Babies!

    One so far, normal as could be. It was moms 4th or 5th delivery. so it came and went pretty quick.
  4. EMT-P633

    First in bag

    Where I work, we carry a fully stocked jump bag with 2 rounds of cardiac meds. Its a good idea we dont get caught so to speak, But our bags are a bit over stuffed with overkill. Thats ok tho. My overeager EMT partner loves to carry it. (by the way he is young and a volly FF)!!!!
  5. EMT-P633

    "Moral refusal" to provide care provisions

    How is this not illegal? I thought all medical biological waste had to be disposed of under controlled measures? Like an incinerator or the like, not a roadside camp fire.
  6. EMT-P633

    Say goodbye to your career

    Agreed 100%
  7. EMT-P633

    the 100% directionless thread

    Really? I love winter. I would much rather be in sub zero temps then 100 degree temps. There are to many things to list that you can do to stay warm. but you can only get so naked to stay cool.
  8. EMT-P633

    Clearing C-Spine in the field

    two sided coin: On one hand the child may have been more at ease with limited C-spine control, and actually moved around less. then trying to struggle against the restraints and causing an injury. Sedation? certainly the MOI was there to warrent full c-spine. If there was no apparrent head /...
  9. EMT-P633

    Help me understand this.....

    speculating here: wouldnt the balloon have been to tampenade the bleeding? apply direct pressure from the inside of the uterus? or provide an internal support for the uterine wall?
  10. EMT-P633

    Green Medic vs. Veteran Basic

    Speaking as a "rookie medic" I work with a "Vet basic". and neither of us could be happier. My partner has been in EMS for over 25 years. I have been a "medic" since August of 08. Granted she can not do the skills I am allowed to do. She can most definetly suggest her opinion in what is...
  11. EMT-P633

    Bilateral tension pneumothorax? Oh my!

    One thing you need to remember, besides everything Ridr has already said, "Not all of your patients are going to live. Some will die, some of them while you are looking them in the face saying I am doing all i can....."
  12. EMT-P633

    how long......(medics only)

    Speaking as a medic who has just recently been out of school. I was in the same place you are, Class was nearing its end, You are washed with mixed feelings of alot of knowledge, mixed with inexperience. While I sat in the lectures I felt I could fix the world, Had all the answers to the...
  13. EMT-P633

    No Transport = No Fee?

    We only charge for transport, base rate + milage. We then only get paid what insurance pays out. If the bill is say $750.00 and insurance only pays $350.00 we basically right off the other $400. If the patient does not have insurance, we send them the bill but our billing department is very...
  14. EMT-P633

    I passed.

    Congradulations!!!
  15. EMT-P633

    We make good party conversation!

    lol sorry bossy, I couldnt resist answering those!!!!!!!
  16. EMT-P633

    We make good party conversation!

    Going to tell a story on my old Fire chief, If he were alive right now, he would cuss me then grin that toothless grin and toss me a beer, for telling this story. Its ironic humor that we as EMS can appreciate. The general public wasnt quite so amused. It was in the summer of 1997 and I...
  17. EMT-P633

    Self protection question

    Kind of the same here in TN. As far as the state is concerned. It is legal to carry concealed firearms on an ambulance. How ever they (state EMS board) does not in any way recommend carrying of any weapon. They have chosen to leave the actual policy to the individual services be it local gov or...
  18. EMT-P633

    Trauma Assessment and Medical Assessment

    That is one of the differences from the school / test world and between the real world.
  19. EMT-P633

    This is how crazy salaries are...

    If all the rescue squads, and EMS is privately funded, how you stock your units? who bought the tools for the rescue trucks? I know the U.S. gov pays a considerable amount in impact fees to the local / state gov for the naval base there, I think you guys should rally the troops so to speak and...
  20. EMT-P633

    Statpack wanted

    thanks guys will look into these.
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