"Skip Kirkwood said:
And that's the clincher. We've got to get out of the mindset that our scene needs to be totally safe--in part, because our day-to-day scenes aren't (as already noted). I ran into a medic just the other day who was…"
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dr-exmedic
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dr-exmedic's Discussions
Bonus link: occupational licensure
5 Replies
Started this discussion. Last reply by Skip Kirkwood May 21, 2012.
Potential GPS interference
6 Replies
Started this discussion. Last reply by Dale Loberger Sep 8, 2011.
IO for naloxone?
28 Replies
Started this discussion. Last reply by Rogue Medic Apr 15, 2011.
dr-exmedic's Page
Latest Activity
dr-exmedic replied to Skip Kirkwood's discussion Are your community's law enforcement and EMS agencies prepared to work together effectively in the event of a "rapid mass murder" attempt?dr-exmedic replied to Adam Bernarde's discussion ketamine in the field"Scott RB said:
It's just like any other medicine: it has its up and down sides, and times you use it, and times you don't. I like it, it's one of my favorite drugs, and sometimes I use it on patients as well. ;)
I don't…"
dr-exmedic replied to JEMS Web Team's discussion Long Wait Times"Skip Kirkwood said:
Hopefully just a "mini-reg," which is basically get their name and DOB so you can get them into the computer system (and connect this visit to their medical record, if available), then go back and get…"
dr-exmedic replied to Nicole Reino's discussion Will the Legalization of Marijuana in Wash. and Colo. Allow for Better Care?"Are people lying about their pot use to you all that much? I've never really had anyone that I suspected of it *not* admit it, and I've had plenty of people cop to it even when I didn't suspect.
Of course, since MJ doesn't…"
dr-exmedic replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????"I suppose if I were just supervising a midlevel I could see 10/hour...but then when I said those 10 pts were "seen by a doctor," they would literally have been seen. Glanced at, more like. Interesting."
dr-exmedic replied to Justin Tilghman's discussion Regionalization: The wave of the future?"It's pretty much a matter of time in many places, though everyone trying to protect a fiefdom can slow it down some (or a lot, depending on local politics, which is why my county has 1 PSAP, while Cuyahoga Co OH has 47).
It doesn't have…"
dr-exmedic replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????"
Please tell me you just made that number up. Either that, or I'm going to be extremely jealous of how much support your docs over there have that they can see a pt and not have to spend any time on documentation etc. :)"
dr-exmedic replied to Kevin's discussion AMR physical agility test..."It may vary by region--the only thing I remember is several lifts of weights that were meant to represent lifting a patient from floor to stretcher, stretcher to height, etc. This was ca. 2003 in Akron, OH."
dr-exmedic replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????"Methinks not everybody's gotten that memo, yet:
http://www.thenation.com/article/170413/stopped-and-frisked-being-fking-mutt-video
http://boingboing.net/2012/07/07/police-recruitment-videos-from.html
Yes, that is an actual 50-cal M2 machine…"
dr-exmedic replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????"Skip, you missed the joke--I'm quite aware that parents don't give formal financial lessons to their kids; it's the informal curriculum that kids are picking up on. ;) Hence paramedic school would be way too late to catch them.…"
dr-exmedic replied to JEMS Web Team's discussion Blanket Trouble for Detroit Medic. Your Thoughts?"Yeah, if you're talking to the media, you really need to be dressed. At all. Preferably nicely, not in your dirty "Coed Naked EMS" T-shirt, but just getting out of the bed would help you make a better point.
When someone told me…"
dr-exmedic replied to BRENNAN BLACKWELL's discussion WHAT MAKES AN EMS PROVIDER A TAXI DRIVER/AMBULANCE DRIVER, THE TYPE OF CALLS YOU RUN OR YOUR ABILITY TO PROVIDE PATIENT CARE????"
Unfortunately, that's a course that most people take at home while growing up. We need to hit people a bit earlier than that if you want to make a difference. :) After all, I know more than a few doctors who are living paycheck to paycheck."
dr-exmedic replied to Nathan's discussion Spinal Clearance. Do we even need to be backboarding people? I say NO."Incidentally, the motion capture study I mentioned previously did actually get published, though not in one of the big journals. Full text available here."
dr-exmedic replied to Nathan's discussion Spinal Clearance. Do we even need to be backboarding people? I say NO."Nathan said:
The only reason to use a backboard is during pt movement. Once they're not being carried any more, any stable device will do, including a standard mattress--if you'll notice, your local trauma center removes the backboard…"
dr-exmedic replied to Neil White's discussion Forum Manners"Neil, I don't know if they can create a "sticky" thread with this software, which isn't really "forum" software in my mind: no way to "jump to first unread" and other niceties of proper forum software.…"
dr-exmedic replied to Nathan's discussion Is it Ethical that urban healthcare is often better than rural healthcare?"Skip Kirkwood said:
And that's where centralized protocols shine--in overcoming local medical directors who aren't conscientious and patient-centered. Ours in PA require 12-lead and ETCO2 monitoring capability on every ALS ambulance,…"
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Comment Wall (4 comments)
- At 12:44pm on February 21, 2011,
Nathan said… - I know what your referring to in the PICU. Kinda a cpap for infants. Though the flow rates are usually much lower than 15lpm. I though it was interesting however in this article that there actually seems to be a transient increase in o2 sat even during apnea!
- At 9:32am on July 9, 2010,
Mike Rubin said… - The first half of "Functions of the Basal Ganglia" was a little hard to follow, but the second half made a lot of sense. Thanks for the link.
- At 3:27pm on September 20, 2009,
Ken Westby said… - Youtube video was great ... I would slow down your commentary blurbs however, they come and go a little fast.
- At 2:56pm on July 25, 2009,
mike said… - doc please contact me about your you-tube video..the Seattle arrest survival rate is not based in 100% fire response.....King county is included in that study I believe which is also serviced by KC medic one (3rd service ems)
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