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  1. E tank

    the 100% directionless thread

    Better watch where you spill your beer, Spud... https://species.idaho.gov/aquatic-species/snails/
  2. E tank

    PTSD/unprocessed trauma

    "PFA certifications" are offered by organizations from the Red Cross to the VA. Their emphasis spans from COVID-19 related issues to PTSD in combat veterans. There are specific LE/fire ems/ victims programs that go by the TIP moniker (trauma intervention program) in some parts of the country and...
  3. E tank

    PTSD/unprocessed trauma

    The term is newish, but the intent and purpose exists under different names. It is very much a part of the CISM discipline. A distinction needs to be made here and that is CISM should be considered the process and body of knowlege of assisting with critical incident stress but a CISD (that is...
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    PTSD/unprocessed trauma

    So...that was pretty morose...we save way more than we don't...but we focus on the dead sometimes more than we should or have reason to...it's just that each fatality has that much more significance than the last and each success doesn't seem to have the cumulative effect as the fatalities do...
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    PTSD/unprocessed trauma

    It is odd...I'm always amazed at the vast (apparent) difference of the coping of different providers to the same event. Some just seem to "have it all together" and others...not so much....no correlation in intelligence, clinical skill, maturity...whatever...one person is ready to quit the job...
  6. E tank

    PTSD/unprocessed trauma

    That has got to be really tough for you guys and it's a big reason why some more forward thinking departments have seminars dealing with this stuff where spouses are invited. Once spouses are clued in on the realities of day to day ems/fire/police work things can get a lot better. In the...
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    Assignment Ideas

    No one ever played EMS Jeopardy! ?
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    PTSD/unprocessed trauma

    Not talking to family members was a mistake I made. Just couldn't bring myself to do that but it wasn't because I thought they wouldn't handle it. I had it in my head they wouldn't understand, which is true to some extent, but understanding, I later realized, isn't really necessary. It would...
  9. E tank

    Still alive?

    There's a general term called "Lazarus Syndrom" where this type of thing happens. When it does happen (pretty rare) it is not uncommonly in someone with end stage COPD where they arrest for one reason or another and aggressive resus efforts result in dynamic hyper inflation of the lungs. Bigger...
  10. E tank

    TXA

    Why did it get heated? They didn't approve the protocol, their medical director did. Just ask for the documentation/ rationale and supporting literature for it. I'm curious myself.
  11. E tank

    Regarding EMT-B schooling and it’s relation to real world medicine

    EMT school is just an orientation to the actual training which is on the job after certification.
  12. E tank

    Incorrect AED pad placement for lay responder First Aid/CPR/AED class

    In the hospital OR and different procedural labs, the pads are put anywhere they don't get in the way of the operation or x-ray imaging...as in both pads in nearly the same plane on the patient's back. Definitely off label placement and would really surprise instructors that hammer correct...
  13. E tank

    thoughts?

    I think we agree...but thats the intention of this pilot program...to not involve the police at all right from the dispatched call. And there is no police presence on these teams.
  14. E tank

    thoughts?

    Right...they don't have any less or more chance of encountering a potentially violent patient...but this is part of the 'defund' or really, re-allocate police resources sentiment. That is defined by an intention to not send police to these calls. And it's San Francisco. That what has happened...
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    thoughts?

    Unfortunately, I think the motivation here is less a more efficient response to a chronic and expensive problem than it is a political gesture, and therefore poorly thought out and perhaps inefficient. It's coming out of an initiative to move resources away from the police and so the idea is to...
  16. E tank

    Hellenic Coast Guard's new Ambulance boat

    Sheesh...all that and it can take only one critical? It says "twin stretchers" whatever that means, but where does it go? For that kind of effort you'd think there'd be more than one patient bay.
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    PTSD/unprocessed trauma

    When I was coming up in the early 80's, I was still a teenager. The EMS/Fire/police culture had no idea this stuff was even on the radar. There was awareness that some Vietnam guys were imploding but that was attributed to that particular war. All the while our parents were dealing with alcohol...
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    thoughts?

    In San Francisco there used to be a unit out of (DPH) I think that would transport drunks/junkies to the hospital. But that was after the police or medics got there and called them. Can't remember what it was called...some catchy acronym like SWEEP or HELP or something like that. I'll think of...
  19. E tank

    PTSD/unprocessed trauma

    Really depends on the individual, of course, but what I've observed is what happens over the course of a career. Stuff happening at home that isn't seen to be associated with unprocessed trauma seeps into family/marriage life and really takes a toll over time. Stuff like short fuse syndrome or...
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    thoughts?

    San Francisco pilot program diverting SFPD from alcohol/drugs/mental health calls for assistance https://www.sfgate.com/news/bayarea/article/Street-Crisis-Response-Team-To-Replace-Law-15476580.php

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