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  1. HCEMS

    Blood pressure help

    The ticking/clicking sound that you are referring to may actually be you slightly moving the stethoscope or the pt moving his/her arm which grinds along the diaphragm of the stethoscope. Best thing I can tell you is to keep practicing and train your ears and before you know it will be second...
  2. HCEMS

    New Ambulance Dilemma

    We are looking at buying two new rigs for the county, however, we are stumped on which ones to get. Ford is offering now the V10 gas engine for their ambulances versus the diesel which dissappoints me because I dont believe that a gas engine would be a good idea for an ambulance especially for...
  3. HCEMS

    Protocol V. On-Scene Judgement Calls

    I would like to see the PCR form that your B wrote out after the run. I would have to think that your Medical Director would be pretty upset if he the B didn't right down any vitals at all. The B did not perform good pt care nor does the hospital have any trending to go by with the vitals. I...
  4. HCEMS

    Are you Volunteer or Paid?

    Technically I work on a volunteer service right now. Its kinda messed up how it works. Our service covers a rural county that has about 20,000 people in it but its a 32 mile by 30 mile county so its fairly large. We have a small hospital located centrally within our county where they employ...
  5. HCEMS

    How would you feel about this?

    I can't say as though I disagree with posting scores of the top ranking students in the class. In my opinion it is a way to congratulate those who have worked hard in order to achieve those goals and it gives the students that aren't doing as well motivation to try harder. I do disagree...
  6. HCEMS

    Your patter for assessing orientation

    I usually ask the basic three questions....person, place, and time. However, sometimes with geriatric pts I switch up the time with event or ask something that might be more likely for them to know because if they live in a nursing home or have assisted living where they maybe don't care about...
  7. HCEMS

    Anyone else work in a "correctional setting"? (Jail, prison, "crossbars hotel", etc)

    I am a Correctional Officer for a Sheriff's Department in Illinois. Know exactly what you mean
  8. HCEMS

    Illinois tactical medics?

    They are starting to incorporate tactical medics into Sheriff's Department SRT/SWAT teams now. You might look into bigger counties that are densely populated for instance Cook County in Illinois. I haven't heard anything about Illinois State Police though as far as tactical medics in their SRT...
  9. HCEMS

    Proper way to move the gurney with a patient on it.

    We consider it better patient care if we transport them facing forwards.....and then turn them around when we load.
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