Comments for Medic 22

Comment on Ambush. by Timothy Clemans

Timothy Clemans — Tue, 09 Mar 2010 19:33:40 +0000

“Tim, unfortunately what you have proven is that KCM1 is an agency that is afraid to let their medics treat, not that they are the best in the country.”

I now understand that KCM1 isn’t all it’s cracked up to be.

“they don’t remember your medicine, they remember how you made them feel.”

Great quote. Remember to say that the next time a kid in his mom’s base basement says prehospital pain management is waste of time.

Comment on Ambush. by Medic 22

Medic 22 — Tue, 09 Mar 2010 14:04:12 +0000

Thanks for chiming in M3. I’ll admit, I did get a little hot over this topic, but I find it frankly insulting that Timothy can criticize ALS patient care without any experience. The Zofran for nausea or Morphine for pain are two simple ALS procedures that we can and should use to care for our patients. Thom Dick said, “they don’t remember your medicine, they remember how you made them feel.” If we treat all of our patients with compassion, treat them as if they were family, then we are always doing the right thing.

Comment on Ambush. by medicthree

medicthree — Tue, 09 Mar 2010 13:44:19 +0000

I added to the discussion, medicthree.com

Comment on Ambush. by medicthree

medicthree — Tue, 09 Mar 2010 13:10:29 +0000

Tim, unfortunately what you have proven is that KCM1 is an agency that is afraid to let their medics treat, not that they are the best in the country.

Doing CPR one time and having a few ride alongs is not the same as working the streets. I’m sorry.

Comment on Ambush. by Timothy Clemans

Timothy Clemans — Fri, 05 Mar 2010 11:04:03 +0000

Medic 22, thank you for taking the time to write your side of the story.

I was very very wrong about the amount of time it takes to get pain meds in the ED. One study showed it takes an average of 75 minutes after triage in the ED to get pain meds.

“As an example, I think pain management is a huge issue that medics in King County will not touch.”

KCM1 paramedic Michael Damm at King County Medic One has been trying to bring pain management to South King County for 11 years to no avail.

“Sorry Kevkei, I forgot to address your last paragraph “DAMMEDIC, Although your MD may be correct that nobody has ever died from pain, I must say they are not a patient advocate and I am curious if they would say the same thing if they or their family were picked up and didn’t receive adequate analgesia. It’s always okay for them as long as they aren’t the one affected.”

I can’t agree more with you! I have been battling this topic for 7 years to no avail. At one point we had our agency MD on board yet the other program MDs in the county voted against it! Again, “nobody ever died of pain” was just one reason. Another was/is the potential abuse issue, especially with fentanyl compounded by the fear ketamine could be stolen off the trucks by youngsters for their Rave parties. Subsequently, our patients receive a proper induction via etomidate but very infrequently the administration of diazepam and morphine post intubation (only a few of us religiously use the agents). What you end up with is a patient who doesn’t remember undergoing paralysis and intubation but wakes up being paralyzed and intubated on a bumpy ride to the hospital.”

“He’s never ridden on an Ambulance. Never touched a patient.” Since when is doing CPR during a Medic One ride along not considered touching a patient and not riding on an ambulance?

Comment on Incidental update by Timothy Clemans

Timothy Clemans — Mon, 01 Mar 2010 03:50:21 +0000

Wow that’s a shocker. I did not see this coming. Just remember you you’re good at one thing many aren’t, namely interviewing. It just so happens the interviews are the most important part of the hiring process.

Comment on Be back soon by TransportJockey

TransportJockey — Sat, 27 Feb 2010 17:12:27 +0000

Concentrate on school. Everyone will still be here when you get back.
And I know how you’re feeling. I split up with my fiance and lost my job when I was in medic school. Probably a part of why I need to do it again.

Comment on Be back soon by Theresa Jones

Theresa Jones — Sat, 27 Feb 2010 02:29:52 +0000

Good luck and God Speed and much peace to you. You are in my thoughts and prayers. Take care. Nursing school did just about the same to me. Remember to come up for air every now and again. Take care.

Comment on Be back soon by totwtytr

totwtytr — Sat, 27 Feb 2010 00:11:08 +0000

Best of luck. Paramedic school puts tremendous stress on your personal relationships, not to mention trying to work at the same time. We’ll be here, hoping you can find a way to resume blogging.

Comment on Be back soon by the Happy Medic

the Happy Medic — Fri, 26 Feb 2010 23:46:02 +0000

I’ll have radio put us on your runs.

Take your time, we all need it now and again, jsut make sure to make noise when you get back.