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I don't have pictures thank goodness, but....We responded to a rural area of our already rural area. On the way to the call I told my partner that we were goign to have to park the ambualnce ont he road and walk the gurney down the 300 ft long 75 foot elevation drop driveway because there was no...

They may not be tryingto wash anyone out. Dragging someone down a ladder like that is all about technique and strenth. It is a mind over matter thing. You have to get over heights and the fact that you are outweighed. The person that you are bringing down the ladder has their butt catching on...

I married into the profession. Thank-god. My wife grew up in the house of a forest service FF. Her dad was gone most of the summer and she understands. My wife also spent a season as a CDF FF and was a "whacker" right along with me when we got out of high school and became vollies together. We...

hand raised I have had 3 seperate times where we did triage in real life. All three times it fell apart and never really seemed to take off and work like it does in training. One time we had a seasonal fire guy very upset at us ambulance folk because "we let him die." Referrign to a pt. who was...

try the AHA website Anytime that I have questions regarding cardiac care and why we do something I look in the AHA website. The entire 2005 guidlines are online and provide some great insight into why we do things the way we do. http://circ.ahajournals.org/content/vol112/24_suppl/

get the nitro on board Gotta say that I give nitro before the IV on an very regular basis (read almost always). If someone has chest pain I ask the basic PQRST questions, ask about allergies and sexual enhancing drugs, grab a BP and then the ASA and nitro is started. In the system I work in we...

not much I have learned over the years that I enjoy my day much more if I carry jsut a few basics in my pack/vest. I used to be the guyt hat carried everything all the time, however now I carry some gauze, 4X4's, CPR mask, OPA's, Tape, Wire ladder splint, band-aides gloves, scissors, zip ties...

The best bystander trick that I like is when they are standing right in front of the wrecked car waving you down. Walk up and say "is it this one?" and point to the non-wrecked car.

maybe not a bystander How about when you get a brand new fresh out of school EMT partner. When we would get a good stat call, I would poke my head through the window to the front and say, " I am a little scared right now, can you hand me that paramedic text book." It was great to watch the...

We use LP-12 monitors and obtain 12 leads when needed. If I am jsut puttign someone on the monitor I will use the chest and abdomen as this seems to reduce the amount of artifact that is picked up. If I am going to perform a 12 lead then I place the limb leads on the limbs as indicated in the...

There are many employers that provide Employee Assistance Programs (EAP) for their employees, mine included. Our EAP is contracted out to a private company that deals with personal issues all the time. They have the resources to help you cope with the death of a pet, to a miscarriage, to being...

Hmm.... I like it. Do you have a link?

we do these all the time I did LDT for years as a private ambulance EMT and Paramedic. All of our LDT's where 3-4 hours round trip. A moderate amount where 6-7 hours and I have done around 10 over the course of 8 years now that where in excess of 12 hours round trip. Now I have to honestly say...

what do you do when it is empty. Is it disposable?

I haven't seen a bottle with a built in cylinder? Do you use these? What do they look like. Here is a little useless trivia for everyone. Did you know that all gas cylinders have a certain amount of "holes" in a certain pattern. That way a chlorine regulator can't be used on an O2 tank and...

Our haz-mat team has a tester that can test whether or not it is actully Morphine. This can be done while it is still in the bottle or in a syringe. Doesn't cost anythng for the test except for cost of the machine itself. However the machine is used for many many different things and we would...

We start our refresher "on the hill" training in about a month. It doesn't really start snowing in the central sierra until after thanksgiving. But maybe we will be lucky and be skiign by holloween again. We did that about three years ago and it was an awsome year.

I like the old school cascade tobbogon poster...we also have long wait times for MICU's to make it up the hill. on storm days or busy holiday weekends sometimes an hour plus. Other times of the season much like you with 20-30 minutes. I have always felt that this is the best job in the world it...

It is amazing to watch the mexican nationals come walking out of the burn!!

pxis sounds interasting. I am familure with the in hosptial types, do private providers use these also? Do you perform all of your restock ie.dressings, c-collars, epi, etc. out of the pxis?