Guest guest Posted October 11, 2000 Report Share Posted October 11, 2000 In a message dated 10/11/2000 03:17:40 PM Central Daylight Time, barry.sharp@... writes: << At the risk of getting burned, I don't think the argument is if our Texas paramedics are intelligent enough to know each and every term in their protocols. Obviously, if the can get through paramedic school and be cleared to practice by their medical directors they are smart enough in the field of paramedicine to be very effective in providing the technical skills and competency's needed as emergency health care providers. >> Oh, you won't get burned, because that is not the way he wrote the post. I totally agree with your statement. This is a must in any profession. I have people that study day in and day out and continue to educate themselves. I have an EMS manager that demands excellence and education. We are constantly in class and M & M sessions, improving ourselves and learning from our mistakes. And that is what Gene Gandy's post was - a mistake. I have always admired Gene's intelligence and his drive to make EMS a Profession. I totally agree with most of his humor and his wit. But this is a little more than that. This argument is bordering on who is intelligent and who is not. Those with an LP or those without. I have stayed on the sidelines (and will probably wish I still had) for a long time, because the same arguments go on and on and on. You cannot argue against an education because there is no argument. But do not start putting down people who are continuously educating themselves and do know what other professions are doing for interventions, and why we do this and that, in case there is further treatment down the road. I have 30 EMTP's, of which 4 or 5 are LP's. In a few years I hope that number doubles, but I also have 25 of the best EMTP's around that will never see an LP due to age, family, retirement, etc. They all push for higher education and they also know that many of you are already treating them as inferior. You can deny that, but with many more posts like Gene's, I may have to agree. Gene is an educated adult, that wants only the best for all of us, but may have gone over the line here. Maybe if he rereads his post he may agree or just come back and argue as usual. Andy Foote Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2000 Report Share Posted October 11, 2000 In a message dated 10/11/00 2:56:44 PM Central Daylight Time, rachfoote@... writes: << In a message dated 10/10/2000 10:31:07 PM Central Daylight Time, wegandy@... writes: >> Gene: If I didn't know ya betta and was nu to this post, I'd take this post sereous in it's spellings! Good thing I knowd ya be an educated man with sum sense! Yur frend, Glenda PS: Spell check had one heck of time getting through this post (LOL) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2000 Report Share Posted October 11, 2000 << Good Lord, Man, you suggestin by yore post that Paramedics need to know terms like " hemanopsia " and " ataxia? " You must be one of them " edjikated fools " like some folks here in Texiz are awantin us to be I for one do not think Gene was trying to be negative about anyone's understanding of words we were taught in class. I think he was trying to be humorous and at the same time point out that some of us may have forgotten them and that it shows more professionalism on a report if we use these words in place of the common everyday words. By the way, Gene, gotta look up hemanopsia unless you give me the meaning. " Hema " means blood " an or a " means without and but what does the " opsia " mean? Not fooling around, and not too proud to ask for help! Any chance it means without blood? Just call me confused or best of all STUMPED! Got to go look it up! Glenda Glenda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 11, 2000 Report Share Posted October 11, 2000 To: egroups From: rachfoote@... Date: Wed, 11 Oct 2000 15:55:27 EDT Reply-to: egroups Subject: Re: [texasems-L] Fwd: Rapid Transport In a message dated 10/10/2000 10:31:07 PM Central Daylight Time, wegandy@... writes: << Good Lord, Man, you suggestin by yore post that Paramedics need to know terms like " hemanopsia " and " ataxia? " You must be one of them " edjikated fools " like some folks here in Texiz are awantin us to be. Us good ole boys kin start a IV on a Snake-acrawlin-in-the-dark-on-a-muddy-road-an still chug a -Lite. Don't unnerstan why we need no edjikation. By tha way, y'all do alligator rasslin in yore off times? Gene Gandy, JD, LP, OTRC (Official Texas Resident Cynic) >> Next thing I know, Gene will be telling my paramedics that they don't know what those words mean because they didn't go to TJC or some other college. I believe in all the education you can get, but I don't for a minute think that my paramedics don't know what those words mean because they have no LP by their name. I know cynicism and your starting to make people think we are all ignorant EMTP's. This is no way to win this argument and no matter how much tongue in cheek you try to muster, there are intelligent Paramedics that do know each and every term that we ask of them in our Protocols. At the risk of getting burned, I don't think the arguement is if our Texas paramedics are intelligent enough to know each and every term in their protocols. Obviously, if the can get through paramedic school and be cleared to practice by their medical directors they are smart enough in the field of paramedicine to be very effective in providing the technical skills and competency's needed as emergency health care providers. The question is, do we know enough to know what we don't know and how to find the answers to what we don't know? (Or in the case of some, do we care that we don't know what we don't know?) As a health educator, I am in a new profession. But in order for us to establish ourselves as a profession and not just an outcropping of what nurses, docs, theraptist and nutritionist do when they aren't doing an intervention, we had to prove that we knew something they didn't know. Something that was " our " field of expertise. This required knowledge (to identify the questions) and research (to find the answers). Education is the key to being able to a) identify the questions; find the answers; and c) create an identifiable body of knowledge specific to that field that can stand up to scrutiny under the brightest light. -------------------------- eGroups Sponsor -------------------------~-~> Get FREE long-distance phone calls on Tellme! Dial 1-800-555-TELL, say " Phone Booth " http://click./1/9532/9/_/4981/_/971294146/ --------------------------------------------------------------------> Barry Sharp, MSHP, EMT, CHES Education Specialist Office of Tobacco Prevention & Control Texas Department of Health barry.sharp@... Check out the coolest tobacco sites on the web: www.ducktexas.com www.dontgetburned.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2000 Report Share Posted October 13, 2000 Well, then, there now, Steve, I guess ya didn't know us lawyers only drink Shiner Bock, now did ya? I agree that Lite needs to go back into the horse it came out of, but on Paramedic's pay, cain't nobody afford better. Gene In a message dated 10/12/2000 19:47:15 Central Daylight Time, pikeemtp@... writes: << Subj: RE: [texasems-L] Fwd: Rapid Transport Date: 10/12/2000 19:47:15 Central Daylight Time From: pikeemtp@... (Steve Pike) Reply-to: <A HREF= " mailto:egroups " >egroups</A> To: egroups Gene, I am highly offended by your post. As a lawyer, I thought you would know and follow the law. Everyone knows that the Preamble to the Constitution of the State of Texas requires true Texans to chug Lone Star, not Lite. Lite is only legal for consumption when received directly from Detroit,in the same shipping crate as the new motor for a pick 'em up truck, and only then if consumed by the driver of said pick 'em up while travelling on a designated farm to market road. Steve Pike [texasems-L] Fwd: Rapid Transport Good Lord, Man, you suggestin by yore post that Paramedics need to know terms like " hemanopsia " and " ataxia? " You must be one of them " edjikated fools " like some folks here in Texiz are awantin us to be. Us good ole boys kin start a IV on a Snake-acrawlin-in-the-dark-on-a-muddy-road-an still chug a -Lite. Don't unnerstan why we need no edjikation. By tha way, y'all do alligator rasslin in yore off times? Gene Gandy, JD, LP, OTRC (Official Texas Resident Cynic) In a message dated 10/10/2000 21:45:39 Central Daylight Time, SnakeJ19@... writes: << Subj: Re: Rapid Transport Date: 10/10/2000 21:45:39 Central Daylight Time From: SnakeJ19@... Sender: trauma-list-admin@... Reply-to: <A HREF= " mailto:trauma-list@... " >trauma-list@... </A> To: trauma-list@... Mike, Lets remember in my reply that I am a Paramedic in Florida... With that being said almost if not the entire state is covered completely with ALS first response, which aleviates most of the problems that you run into. With that being said. I read through most of the reply's you have been getting regarding your decision to use lights and sirens and have found no-one use the term " Stroke Alert " . In my department every call that comes into 911 is answered by a ALS unit responding to the call. Once on scene particuarly with a CVA patient you would have to evaluate the patient and rule in or out " Stroke Alert " criteria. The INCLUSION criteria for STROKE ALERT is: 1.Patients must present to EMS within 6 hours of acute ischemic stroke symptom onset. 2. The patient must exhibit any one or more of the following clinical presentations: A. Aphasia B. Ataxia C. Hemiparesis D. Loss of sensation E. Quadriparesis F. Diplopia G. Dysarthria H. Hemanopsia IF THE PATIENT PRESENTS WITH ANY ONE OF THE FOLLOWING EXCLUSION CRITERIA THEY ARE REJECTED OUT OF THE ALERT CRITERIA 1. Current use of oral coumadin 2. Use of heparin in the previous 48 hours. 3. Another stroke or head injury in past 3 months. 4. Major surgery in the preceding 14 days. 5. G.I. or Urinary bleeding withing the last 21 days. 6. Recent myocardial infarction. (3 months) You should consider bringing up to your medical director something of this sort of protocol that could lead down the path of figuring out what is a " load and go " and was is not. Protocols simular to this would also establish BLS/ALS guidelines that could help you determine is this sort of call out of my scope, do I need ALS? And just to throw in another twist I currently teach and instruct EVOC certified through VFIS and consider guidelines such as these essential to EMS to assure proper use of lights and sirens. Good Luck, Tibbets EMT-P, B.S. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2000 Report Share Posted October 13, 2000 No, it doesn't automatically make you licensed. If you're currently certified as an EMT-P you have to send $100.00 and your transcript(s) along with an application to TDH. Then, along with your bachelors degree in WhatzitEver, you can be licensed. Gene G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2000 Report Share Posted October 14, 2000 Shiner Bock??? You're killing me! Corona with a lime..mmmmmm. Although I just about have to save up to buy it! Ken [texasems-L] Fwd: Rapid Transport > > > Good Lord, Man, you suggestin by yore post that Paramedics need to know > terms like " hemanopsia " and " ataxia? " You must be one of them " edjikated > fools " like some folks here in Texiz are awantin us to be. Us good ole boys > kin start a IV on a Snake-acrawlin-in-the-dark-on-a-muddy-road-an still chug > a -Lite. Don't unnerstan why we need no edjikation. By tha way, > y'all > do alligator rasslin in yore off times? > > Gene Gandy, JD, LP, OTRC > (Official Texas Resident Cynic) > > In a message dated 10/10/2000 21:45:39 Central Daylight Time, > SnakeJ19@... writes: > > << Subj: Re: Rapid Transport > Date: 10/10/2000 21:45:39 Central Daylight Time > From: SnakeJ19@... > Sender: trauma-list-admin@... > Reply-to: <A HREF= " mailto:trauma-list@... " >trauma-list@... > </A> > To: trauma-list@... > > Mike, > > Lets remember in my reply that I am a Paramedic in Florida... With that > being > said almost if not the entire state is covered completely with ALS first > response, which aleviates most of the problems that you run into. > > With that being said. I read through most of the reply's you have been > getting regarding your decision to use lights and sirens and have found > no-one use the term " Stroke Alert " . > > In my department every call that comes into 911 is answered by a ALS unit > responding to the call. Once on scene particuarly with a CVA patient you > would have to evaluate the patient and rule in or out " Stroke Alert " > criteria. > > The INCLUSION criteria for STROKE ALERT is: > > 1.Patients must present to EMS within 6 hours of acute ischemic stroke > symptom onset. > > 2. The patient must exhibit any one or more of the following clinical > presentations: > > A. Aphasia > > B. Ataxia > > C. Hemiparesis > > D. Loss of sensation > > E. Quadriparesis > > F. Diplopia > > G. Dysarthria > > H. Hemanopsia > > IF THE PATIENT PRESENTS WITH ANY ONE OF THE FOLLOWING EXCLUSION CRITERIA > THEY > ARE REJECTED OUT OF THE ALERT CRITERIA > > 1. Current use of oral coumadin > 2. Use of heparin in the previous 48 hours. > 3. Another stroke or head injury in past 3 months. > 4. Major surgery in the preceding 14 days. > 5. G.I. or Urinary bleeding withing the last 21 days. > 6. Recent myocardial infarction. (3 months) > > > You should consider bringing up to your medical director something of this > sort of protocol that could lead down the path of figuring out what is a > " load and go " and was is not. Protocols simular to this would also > establish > BLS/ALS guidelines that could help you determine is this sort of call out > of > my scope, do I need ALS? > > And just to throw in another twist I currently teach and instruct EVOC > certified through VFIS and consider guidelines such as these essential to > EMS > to assure proper use of lights and sirens. > > > Good Luck, > > Tibbets EMT-P, B.S. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 14, 2000 Report Share Posted October 14, 2000 My bad, Gene. I forgot that a when the bill mandating Lone Star went to conference committee, the state senator from Shiner added that home brew to the bill. However, I was under the impression that barristers only drank liquids more sanguinous in nature!!! Steve Pike [texasems-L] Fwd: Rapid Transport Good Lord, Man, you suggestin by yore post that Paramedics need to know terms like " hemanopsia " and " ataxia? " You must be one of them " edjikated fools " like some folks here in Texiz are awantin us to be. Us good ole boys kin start a IV on a Snake-acrawlin-in-the-dark-on-a-muddy-road-an still chug a -Lite. Don't unnerstan why we need no edjikation. By tha way, y'all do alligator rasslin in yore off times? Gene Gandy, JD, LP, OTRC (Official Texas Resident Cynic) In a message dated 10/10/2000 21:45:39 Central Daylight Time, SnakeJ19@... writes: << Subj: Re: Rapid Transport Date: 10/10/2000 21:45:39 Central Daylight Time From: SnakeJ19@... Sender: trauma-list-admin@... Reply-to: <A HREF= " mailto:trauma-list@... " >trauma-list@... </A> To: trauma-list@... Mike, Lets remember in my reply that I am a Paramedic in Florida... With that being said almost if not the entire state is covered completely with ALS first response, which aleviates most of the problems that you run into. With that being said. I read through most of the reply's you have been getting regarding your decision to use lights and sirens and have found no-one use the term " Stroke Alert " . In my department every call that comes into 911 is answered by a ALS unit responding to the call. Once on scene particuarly with a CVA patient you would have to evaluate the patient and rule in or out " Stroke Alert " criteria. The INCLUSION criteria for STROKE ALERT is: 1.Patients must present to EMS within 6 hours of acute ischemic stroke symptom onset. 2. The patient must exhibit any one or more of the following clinical presentations: A. Aphasia B. Ataxia C. Hemiparesis D. Loss of sensation E. Quadriparesis F. Diplopia G. Dysarthria H. Hemanopsia IF THE PATIENT PRESENTS WITH ANY ONE OF THE FOLLOWING EXCLUSION CRITERIA THEY ARE REJECTED OUT OF THE ALERT CRITERIA 1. Current use of oral coumadin 2. Use of heparin in the previous 48 hours. 3. Another stroke or head injury in past 3 months. 4. Major surgery in the preceding 14 days. 5. G.I. or Urinary bleeding withing the last 21 days. 6. Recent myocardial infarction. (3 months) You should consider bringing up to your medical director something of this sort of protocol that could lead down the path of figuring out what is a " load and go " and was is not. Protocols simular to this would also establish BLS/ALS guidelines that could help you determine is this sort of call out of my scope, do I need ALS? And just to throw in another twist I currently teach and instruct EVOC certified through VFIS and consider guidelines such as these essential to EMS to assure proper use of lights and sirens. Good Luck, Tibbets EMT-P, B.S. Quote Link to comment Share on other sites More sharing options...
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