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Old 11-08-2012, 08:37 AM   #31
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Well Hosejock, since you're the resident expert with all the answers, why dont you create a sticky post on the proper administration of first aid and the use of the equipment. I know I could learn a lot from someone like you, that is if you can find the time to get off the couch in the TV room. Just keeping it real.

I would suggest taking a First Aid and CPR course, your local community college , Red Cross or EMS station may have the classes in your area.

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Old 11-08-2012, 11:12 AM   #32
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Well Hosejock, since you're the resident expert with all the answers, why dont you create a sticky post on the proper administration of first aid and the use of the equipment. I know I could learn a lot from someone like you, that is if you can find the time to get off the couch in the TV room. Just keeping it real.
Listen dude, like I said in an earlier post. I'm not trying to be an ass, just realistic. I've been in the fire service/EMS field in a big city for over 20 years. I have seen what works, what might work, and what might not have chance in hell of working.

Like I also said earlier, you can be very highly trained at the paramedic level. But if you don't have a sponsoring agency/doctor, then you just can't practice your medicine. As the good samaritan law varies from attorney to attorney, you would only be covered for the basic things that any other citizen might do. The good samartian will NOT cover you if you choose to intubate somebody just because you know how.

And get off the couch in the TV room? What's that all about? We don't have couches at the fire house...just lazy boy recliners.

Keepin' it really real...er

Edit: I see you are a whiny fire fighter/paramedic trying to stir the pot. Nice work. High five.

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Old 11-08-2012, 01:04 PM   #33
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Listen dude, like I said in an earlier post. I'm not trying to be an ass, just realistic. I've been in the fire service/EMS field in a big city for over 20 years. I have seen what works, what might work, and what might not have chance in hell of working.

Like I also said earlier, you can be very highly trained at the paramedic level. But if you don't have a sponsoring agency/doctor, then you just can't practice your medicine. As the good samaritan law varies from attorney to attorney, you would only be covered for the basic things that any other citizen might do. The good samartian will NOT cover you if you choose to intubate somebody just because you know how.

And get off the couch in the TV room? What's that all about? We don't have couches at the fire house...just lazy boy recliners.

Keepin' it really real...er

Edit: I see you are a whiny fire fighter/paramedic trying to stir the pot. Nice work. High five.


The only pot i'm stirring is the crock pot with the beef stew for tonight’s dinner. My issue is with you insinuating that any of the posters (holiday inn Express doctors or years of experience) stated that they were better than the common jeeper for having training or ever suggested that any provider (experienced or not) perform any skills outside of their level of training or certification. As an experienced provider I certainly don’t need a lecture on the legalities of my scope of practice and what it covers (it not the point of the thread). I, as well as other posters carry well equipped first aid bags, as well as an AED. I do so with the blessing of my medical command physician. As I would hope any provider does. Your comment with the statistic that only .02% of people survive a cardiac arrest may be accurate but it lends itself to telling people not to get involved because it won’t make a difference so why bother trying (or getting involved). I don’t see the point of lecturing those who are involved in emergency services, when you have the opportunity to educate those who have a need/ or desire to learn from you and your experience.
Be safe, sorry about the couch comment- I just couldn't pass up taking a shot at a truck/ engine guy.
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Old 11-08-2012, 01:32 PM   #34
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The only pot i'm stirring is the crock pot with the beef stew for tonight’s dinner.
mmmmmmm....beef, it's what's for dinner! .....wait....your medics cook???

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I do so with the blessing of my medical command physician.


Most do not know they have to have this. This is why I am trying to warn them not to get too far in over their head or it could be very bad. A fresh EMT right out of school with no sponsoring agency could be a very bad thing!

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Be safe, sorry about the couch comment- I just couldn't pass up taking a shot at a truck/ engine guy.


You be safe too. No worries, my skin is as thick as a crocodiles!

All in all, I like the fact that people want to help others on the trail. That is great, I think we all want to help. I'm just trying to state that 1) be smart about it, and 2) the best thing after providing for airway and bleeding control is to get professional help.

I am not saying you are not "professional" help due to your line of work. What I am saying is, activate the EMS service that covers the area you are in. If you pulled up on a MVA in your city while off duty, would you tube the guy and transport him to the hospital just because you had the training and some handy supplies? Or would you provide the care you could while also calling 911 to get assistance?
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Old 11-09-2012, 01:00 PM   #35
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Nice discussion. IMHO a first responder is more likely to save someone having an MI in the field with quality BLS, rather than using advanced techniques on a major thoracic or abdominal trauma. A good kit with bandages and the like for minor trauma is nice to have. The BP cuff can actually be used as a nice tourniquet to prevent exsanguination from an extremity vascular injury (when used appropriately of course). Other than those basics, the best way to save someone is timely transfer to a trauma center for definitive care. Going nuts in the field with a scalpel is likely to create more damage to a person who will live anyway despite your efforts, or needlessly mutilate someone who unfortunately will die despite the best efforts after transfer to a hospital.

And I did stay at a holiday inn express last night....
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Old 11-11-2012, 10:16 PM   #36
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BLS before ALS no matter what! and....BLS is something that anyone with a few hours of training can receive. So we wouldn't have to worry about going above our level of practice or practicing medicine without a sponsoring physician. Just my .02
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Old 11-12-2012, 09:13 AM   #37
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training is the best tool in your med kit----that being said every kit needs tampons..
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Old 11-12-2012, 08:55 PM   #38
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training is the best tool in your med kit----that being said every kit needs tampons..
Remind me not to go wheelin where you do, lol.
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Old 11-12-2012, 10:12 PM   #39
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Quote:
Originally Posted by hosejockey61

Listen dude, like I said in an earlier post. I'm not trying to be an ass, just realistic. I've been in the fire service/EMS field in a big city for over 20 years. I have seen what works, what might work, and what might not have chance in hell of working.

Like I also said earlier, you can be very highly trained at the paramedic level. But if you don't have a sponsoring agency/doctor, then you just can't practice your medicine. As the good samaritan law varies from attorney to attorney, you would only be covered for the basic things that any other citizen might do. The good samartian will NOT cover you if you choose to intubate somebody just because you know how.

And get off the couch in the TV room? What's that all about? We don't have couches at the fire house...just lazy boy recliners.

Keepin' it really real...er

Edit: I see you are a whiny fire fighter/paramedic trying to stir the pot. Nice work. High five.
Well my years are bigger than your years in the medical field (in addition to being more).

Laws don't vary by attorneys, rather state by state if you're worried about good Samaritan laws. And as long as you are operating within your realm of your training you're fine (which according to everything I have read thus far in this thread the things being suggested don't exceed basic EMT which don't require operating under anyone else's license).

Thanks for calling me out on my taking my family on a vacation staying in a hotel rather than a wall tent (which is normally where we spend vacations). If makes you feel better you could belittle me for going only to the Hilton when traveling to Colombia because it's the only 5 star Hilton...but apart from being envious I don't know what that has to do with anything.
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Old 11-13-2012, 10:33 PM   #40
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Laws don't vary by attorneys, rather state by state if you're worried about good Samaritan laws. And as long as you are operating within your realm of your training you're fine (which according to everything I have read thus far in this thread the things being suggested don't exceed basic EMT which don't require operating under anyone else's license).
Obviously I was being fecitious, but in the end when you get sued, the attorneys are the ones that will string your butt up and let the jury know you were the one responsible. And yes, even as a EMT basic, you need to have a sponsoring physician for anything invasive i.e. IV's, meds, airways etc.

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Thanks for calling me out on my taking my family on a vacation staying in a hotel rather than a wall tent (which is normally where we spend vacations). If makes you feel better you could belittle me for going only to the Hilton when traveling to Colombia because it's the only 5 star Hilton...but apart from being envious I don't know what that has to do with anything.
Ummm...not belittling anybody. There was a commercial out here for a long time where...well, just watch and then you'll get what I mean by the "Did you stay at a Holiday Inn Express last night?" comment...lol








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