ONEEYEDMIC

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Posts posted by ONEEYEDMIC

  3. Posted · Edited by xfirefighter484x

    http://www.policeone.com/airborne-maritime/articles/3555704-Jail-for-man-who-aimed-laser-at-Philly-police-chopper/

    PHILADELPHIA - Lt. Anthony Ginaldi and Officer Christopher Clemens were on patrol in a police helicopter and approaching a landing near Northeast Philadelphia Airport on April 30, 2008, when a green laser beam was aimed at the aircraft.

  7. Posted

    While the person whom Barry is using as an example was completely inappropriate...it does make you wonder why they felt the way that they did. If they didn't know who Barry was or his background then they are operating on prior experience more then likely. So I can see it both ways...the provider was inappropriate...but may have had some negative interactions which led the behavior..right or wrong. And while nice in a utopia, you can't always trust the people next to you. I have more times then I can count know that I was given a vital sign that was not accurate, the only difference is now I know by face who I may not ask nor listen to all that much.

    Bottom line is this..if I were to walk in to your scenario Barry...I would have still gotten another BP...but probably in the ambulance...if I did ask for one in the place....I would have simply explained that due to I intended to administer medications and one that is BP dependent, that I wanted to one more good grasp on what it is. What am I really saying...in the end...its my call to give a medication...and its also my responsibility for its administration and what can occur once I give it. IF it makes me feel more comfortable to get one....then get over it. But I can say that I wouldn't have handled it the way the other provider has. The other thing I want to point out..is that while I am a huge advocate for fire based EMS....there are still many firefighters who could care less about EMS and don't do their jobs to the fullest or think they know how a paramedic job goes which is BS. Do it the right way or don't do it at all. I'm fortunate enough to work with guys who see the heart attack just as, or if not as important as the AFA.

    I can't tell you how many times I have been on some sort of EMS call and gotten baseline vitals, minus the BP, Patient HX, etc.... and relayed that to an EMS crew whether it be and AMB or MEDIC and have them look at me like I got 15 heads. No I don't wear a "I was a medic patch" on my uniform but certain key phrases should tip you off that I may have a clue. This happens all the time with others as well. Now I could just get patient info for my report and sit there in my pockets and watch, but I don't. It's funny when the sh*t hits the fan and low and behold the COP is spiking a bag, opening and intubation roll and doing other stuff. I guess all those episodes of EMERGENCY paid off for me.

    I guess my point is, you never know who you have in the room with you to help!

  8. Posted

    How many times has anyone RMA'd a diabetic after given Insta glucose, glucagon or even D50? BITD(back in the day) that happened all the time. Sometimes after the patient was semi-conscience or even unconscience. As much as we tried to convince them, they refused. Call Medical control advise them and be on our way. It is the same scenario here. You give them the cocktail, they wake up and are pissed cause you took their high and refuse to go. Of course you know you will be back there soon, same with the diabetic!

  9. Posted

    It's pretty simple. Your damned if you do, and your damned if you don't! I know what I have done and would do, just can't tell others what to do. I guess follow your gut. Who cares if you get sued. Can't get blood from a stone right? The end result is that all patients on either scene are tended too!

  10. Posted

    I heard about something going on in Irvington but couldn't find what was up. Just found the article and all I can say is at least he was courteous enough to leave a note. I am gonna assume that the PD was on scene first, so was the note taped to the drivers side window? Was the tub of chemicals in a spot where first responders could observe them? I haven't really heard of this as a method of suicide here in the States until now. You wonder now about copy cat suicides and the patients not leaving any signs and 1st responders getting injured. This may be a class that all 1st responders should attend!

  11. Posted

    If a patient is in asystole and given IV Narcan with good CPR, then their chances of survival increase greatly.

    IV Narcan is different then nasal narcan. It absorbs in a much different way, and has been proven to save lives without significant side effects.

    Regardless, there is bad heroin going around, and every tool should be used to combat this. It's not our place to judge these people for what they have done to themselves, but we're not God either. It's not our job to judge people- it's our job to save lives. And this will give the patient that extra edge where time is critical, so why isn't this being done?

    People who have gone through these bad heroin going around situations know....that you sometimes even run out of Narcan because there are so many....I remember this situation happening in Yonkers when I was an EMT.....we responded to the projects on School Street several times on one shift for the same thing.

    And the correct way to titrate Narcan is enough so they can walk to the bus......

    Or if the ER staff is really mean push it fast as your backing inti the bay so the pt showers the staff with puke! Well that's what I heard anyway! ;)

  13. Posted

    No disrespect intended..but that is a traffic control issue not a legal one.

    I will continue to perform my duties as always...cautiously and with due regard and file this law with the one that requires your headlights when you activate your windshield wipers.

    I actually enforce this law because it pisses me off when headlights aren't on! Many people break the law in bad weather because they think LEO's don't like getting wet. What's a little water when you get to see the look's on the driver's face!

    PFDRes47cue, FDNY 10-75 and Just a guy like this

  18. Posted

    I think that's been the case for a while though. I would say that dramatic uptick recently is due to the fact that due to the economy more people literally have nothing more to lose than doing crime and fighting/shooting cops.

    I have to agree with you! Nothing to lose and no respect! An off-duty officer was killed this morn I believe in CA! It has to stop!

  21. Posted

    If I knew I wouldn't get in trouble I would stomp on those stupid clip boards! Any info you need you can obtain on the way to the ER or in the ER themselves. Unless it's gonna be a DOA or RMA, there is no need to get patient info inside a residence. Although I have been out of the EMS game for awhile, I have seen a big decline in ALS and BLS skills. One used to have to be a pretty seasoned Medic to work in a fly car system and now I guess it's who know in that system that gets you there. As for the BLS, I have no idea what is going on. I was always taught BLS before ALS!

  23. Posted

    This is a great topic and something I talk about all the time. As an EMT for 21 years, 9 of which as an EMT-I, I have seen such a decline in the quality of new EMTs. I am not sure if it is do to poor instruction, and people being "pushed through" the class, or it is Medic "dependency" (or a combination). I have always told my members that the best way to learn is by doing - the more calls you do, the better you will become. I have heard EMTs waiting on scene for the Medic to show-up - I always say, do what you have been taught and trained to do.

    I admit, when the Medic system first came in to our Town, I had a difficult time with it. I went from running calls to driving the fly car. It was very frustrating to get up in the middle of the night, go to a call and either just stand there while the Medic "did his/her thing" and not say a word or give you any info, except for "can you find a garbage can for this stuff" and "who's driving my car". Things have improved greatly; I guess it just took time for them to realize the capabilities of the EMTs and for me to not be intimidated by them and be able to work with them.

    Our Corps has abolished the CME program for recertification. We encourage people to take classes, attend lectures, get any further education you can. But when it comes to the basics, everyone should go through the skills and sit for the exam. If you can't do that, then you have no business being an EMT.

    Except of course for Wed nights! That Medic guy was Awesome!

  24. Posted

    I hope nobody is counting Catholic School as a private school! I know for a fact that Catholic Teachers get paid crap! After tenure, public school teachers are making more than most cops in Westchester at top pay! I wish the Catholic school system paid like that!

    27east likes this