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On a side note, no one has ever jumped out of my bus. I disavow any knowledge of anyone who MAY have had the rear door opened and been held by their neck halfway out the door after they kicked a female medic in the stomach, who was in the back with me... While heading to the hospital with the...

Oopsies! Watch carefully and critique... http://www.nbcwashington.com/news/local/Man-Jumps-Out-of-Ambulance-on-Beltway-391437841.html

The other night here was odd.. very odd. I actually wrote on the logs "The space above intentionally left blank. Zero critical patients, zero flights, zero hospital notifications."

Yea, rapid downgrade to alpha and "give Panadol or buprofen for pain" on the splinter. Actually, I wouldn't even be downgraded... CCP would never be dispatched for a splinter unless there was reported serious bleeding or the splinter was the size of a 2x4 or larger. Sitting in as the Clinical...

Which has been amusing to me... working where I am, and currently in the communications center I frequently use the line "In Soviet Russia, CCCP consults you" when calling Alpha (EMT-I) ambulances or CCPs with whacky 12lds or good mechanisms...

Distance to hospital can affect it assuredly.. however, that also has to take into consideration extent of injury/ life threat/ stability also. IV paracetamol isn't going to be as likely then for the infusion time (and let's face it, the ER immediately DCs it and throws it out.) Don't really...

Yeah, one of my buddies was using PA protocols and the hospitals were not expecting the extra medications (especially above the command line), or things like CPAP, calling codes in the field, etc... Doctors yelling, and calling NJ, and PA then flipping them the metaphorical bird and emailing...

My options include: oral paracetamol (yup, "tylenol"),oral buprofen (yup, "ibuprofen") IV paracetamol, inhalation methyoxyflurane (penthrox), fentanyl, ketamine, midazolam (not a pain med per se, but can potentiate analgesics and take the hysterics out of it as well as give a little amnestic to...

When you want to kill more patients than you want to take care of... Ya might be burned out. When your personal coffee consumption is more than Juan Valdez can carry... you might be burned out. When your personal alcohol consumption is enough to even intoxicate Hasslehof,... you might be burned...

...which for Sandy, what very amusing for a few PA friends of mine who went and had hospitals giving them all sorts of flack for following PA protocols, some of which were MUCH more aggressive than what they were used to. Heh.

I've known several who went from field EMS to support medical for MedCor at different locations. None of them have had anything bad to say about the company in general.

If you choose to attend the UMBC course in person, just consider starting a liver detox program before the course. There isn't enough caffeine and migraine strength tylenol to endure two weeks of death by powerpoint without risking liver damage. Good course though, just two weeks of embrace...

I know more people looking to eject from Californistan for Texas than vice-versa...

Bikini season, Cheerleader season, Halloween costume season, Deer season. Preferably add in a "bigger, tougher game" season somewhere.

Nah, I'm bored to (bleeeeep) at work tonight and have 7 hours to go... But I'm not "new thread" bored. :)

https://www.hamad.qa/EN/hospitals-and-services/Ambulance-Service/About/Pages/Vision-and-Mission.aspx

Courtesy of a quick google... some light reading. http://www.jems.com/articles/2010/01/study-compares-passive-oxygen.html http://www.resuscitationjournal.com/article/S0300-9572(12)00792-7/fulltext...

I was usually in just a shirt, no jackets/ fleece/job shorts until it was like 40F out. Which is now amusing, seeing as I drove to work with the windows down today and am thinking "I can soon take the top off my jeep!" as it was a comfortable 102F today...

A trick picked up from some funeral home people: A tiny dab of Vick's vapor rub under your nose. It may seem counter-intuitive, but it's strong enough to overpower most stenches for a little while. Generally works on crispy burns, gangrene, decomp,... Your mileage may vary. When in doubt...

Caffeine is the most critical drug on the ambulance. If it runs out, ... be afraid... of your partner, or the paramedic. But seriously, well... no, that is serious. Your belt should not resemble Batman's. Although I will accept this in the event you have flashbangs, a rocket launched...