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  1. JJR512

    Emerson N-SAR Rescue Knife

    Some of you may be familiar with the Emerson brand of knives. They make high-quality, very highly respected folding knives that tend to be of a more "tactical" flavor. Indeed,my big part of the history of EKI (Emerson) is connected to Navy SEALs, who come to Ernest Emerson for custom knives...
  2. JJR512

    Nebulizer outlet bent back

    Today at an ER I saw another crew with a patient using a nebulizer. The corrugated outlet tubing was bent gently such that a U-turn was formed, so that the exhalation was actually directed back at the patient's own nose. Some tape was used to hold the tubing in that shape. Why was that done...
  3. JJR512

    Pt with urine problem

    So here's a photograph of the MDT in the paramedic unit I was riding last night... Probably the weirdest call I've been on yet, although I'm still somewhat new at this.
  4. JJR512

    D10 vs D50

    I believe I have read some comments here in the past about D10 being better than D50. In my EMT-I introductory class next week, we are going to start getting into diabetic emergencies, including the administration of D50. We do not carry D10 here in Maryland, but I'd like to know why some of...
  5. JJR512

    EMS Committees

    This question is intended for those of you who practice EMS as part of a volunteer fire organization. Does your volunteer fire company or department have an EMS Committee, and if so, what are the responsibilities and duties of the company? How is it organized, how many people are on it? How...
  6. JJR512

    Tungsten ring removal

    Here's something I saw on another forum. Tungsten is gaining popularity as a material for wedding bands, because it is extremely hard, which I suppose represents the strength of the bond of love or something like that. Anyway, its hardness poses a problem for EMS providers because it is too...
  7. JJR512

    Accepted into EMT-I introduction program

    I just found out I was accepted into my county's EMT-I Foundations program, a sort of introduction to ALS concepts. It is the first part of their full EMT-I program, which will be followed with an EMT-P component. This first part will be seven sessions throughout the rest of the year. The main...
  8. JJR512

    BP Sounds

    I have been getting some conflicting information on auscultating blood pressures lately, and how to interpret to Korotkoff sounds. One of my fellow EMTs at my station (let's call him John) became concerned when I was unable to auscultate a BP on two different patients. Because I've only been...
  9. JJR512

    Not quite my first death, but close

    From http://columbia.patch.com/articles/savage-collision-sends-one-to-shock-trauma I was on that ambulance. Three days ago I heard a grapevine report that life support would be terminated the following day, and the patient was not expected to survive. I have yet to experience a patient of...
  10. JJR512

    What is EtOH anyway?

    I'd like to share a bit of info I recently learned. I think we all know what EtOH is. It's alcohol. Most, maybe all of us knows that it means ethanol, the specific kind of alcohol in alcoholic beverages (as opposed to, say, isopropyl alcohol, another kind of alcohol found in rubbing alcohol...
  11. JJR512

    Hot and cold packs

    What are the instant hot and cold packs good for? I was originally going to also ask specifically which to use for a suspected strain, but figured I should just check my protocols first. But I don't recall the Maryland protocols saying much specifically about sprains. I did search them, and...
  12. JJR512

    Making pants water proof or repellant

    I ran a rescue in a summer squall yesterday. I'm talking torrential downpour. My pants are the 5.11 EMS Tactical pants. I'm not sure off the top of my head if water repellancy was an original feature of these pants, but if it was, it's worn off by now. Is there some product I can use to make...
  13. JJR512

    Emergency Response Training, LLC ...any good?

    http://www.onthetrailfirstaid.com/classes.html This is a local company offering wilderness EMS training (WFA). Not knowing what to look for in wilderness EMS training, I don't know if this company looks good or not, so I'm looking for input. I think some of the other companies I've heard of...
  14. JJR512

    Esophageal Airway

    I like to watch reruns of Emergency! whenever I can, which are shown daily on the RTV (Retro Television) network at 3pm (check local listings). On the show, they frequently talk about an "esophageal airway". For example, Johnny or Roy will contact Rampart and the doc there will instruct the...
  15. JJR512

    Sick/Not Sick: A Guide to Rapid Patient Assessment

    http://www.jblearning.com/catalog/9780763758769/ I'm wondering if any of you are familiar with this publication and can offer any opinions about it. Or if you're not directly familiar with it, what do you think about it after reviewing the description and sample cases. Is it worth buying? (I...
  16. JJR512

    Kissy kissy

    I have mono. And what a wonderful time to get it, too. I've got my final EMT-B practical exam tomorrow.
  17. JJR512

    Severe headache during/after sex

    Recently observed on a call for a male patient, age about 40. Wife called 911 for her husband who was having pain in his head. Turns out he started having pain in his head while they were having sex, but kept going. At the moment of orgasm, the pain got extremely intense, and he essentially...
  18. JJR512

    Abnormal BP sounds

    The other day I was auscultating a BP and heard something weird. I started to hear a high-pitched ticking or clicking in the 140s. This was a sound similar to what you'd hear if you tap a pen on a desk. But at around 110, I began to hear the more typical low-pitched thumping, which I heard...
  19. JJR512

    My Christmas Time Warp

    I've been scanning and enhancing old family photographs lately, and came across this one that I'd like to share. It is from 1953 or 1954, when my mother was six or seven years old. This is the family Christmas tree for my grandparents, mother, and aunt, at their house in Danbury, CT. Merry...
  20. JJR512

    Maryland begins replacement of Med-Evac helicopters

    Read the rest here: http://www.miemss.org/home/LinkClick.aspx?fileticket=6_w4gTi2zrc%3d&tabid=36 More info on the AW139: http://en.wikipedia.org/wiki/AgustaWestland_AW139 (This article is copied text from the December 2010 edition of the MIEMSS newsletter, a PDF delivered via email...
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