mvfire8989

For anyone who may be interested in starting to lose weight the physiology of metabolism is helpful/interesting. As far as balancing calories taken in versus how many we use, by far the most efficient way to lose weight is by eating less. Only 15% of the calories we burn each day are from activity. The other 85% we have no control over. So while exercise is very important, it is equally or more important to eat a healthy balanced diet. So you want to lose a pound of fat? Here's the math. 1 pound of fat is 3500 calories, so to lose that pound you must either increase your activity level to burn that extra pound or cut out 3500 calories. Cutting out 500 calories a day (7*500 = 3500 ) puts you at a 1 pound a week loss. This level is generally accepted as a safe amount of weight loss. Stay healthy and stay safe!

I agree that they stayed on scene too long, I'm just saying that the outcome wouldn't have been different if if was an paramedic on scene or a doctor. No one should be "staying and playing." Her survival rested on access to definitive care in an OR.

I don't think that having a physician on scene contributed to her death, it was the failure to arrive in an OR in a timely fashion. If the ER docs tried to medically manage in the hospital the outcome would be the same. The additional expertise that the physician brings is only valuable if there is a reason for an extended on scene time, and they have additional tools/meds at their disposal.

I would imagine that there are not many limitations. Scope of practice limitations do not really apply to an MD.

I completely agree with this. I asked the question to see if by licensure FD828 was implying a lifetime ability to practice as a medic without any further testing. I am a medical student now, facing 3 more years of education to get my M.D., followed by a minimum of 3 years of residency to receive my full board certification and medical license. At that time, I will still need to retest every so often to maintain my board certification, as well as a CME requirement. I don't see any traction for changing the medic to something that would not require testing.

Could you elaborate on how a licensure would be different from the current certification process?

I see your point with that. However, for the most part having an intimate knowledge of that medication will not affect your patient care at the EMT-B level since you won't be addressing the underlying conditions it the field. It is far more important for the ED to know what meds the patient is on than it is for you to know their action.

While I think that its normal to feel uncomfortable as a new EMT, refreshing on the way to a call is really not the way to go. You owe it to your patients to be a competent provider before you respond as the EMT on a call. If your VAC is pushing for you to ride solo before you think your ready that is something you need to address. As far as medical histories go SAMPLE should be about the same for all of your patients. Your OPQRST questions really don't change either. The basis behind that is to get an idea of what is going on with the present illness, and one of the best ways to do that is with open ended questions if you listen to your patient they will tell you most of the pertinent details you need to know. Just remember your ABC's and use some common sense when your getting a history and you will be fine. - Josh (EMT-B, MD Candidate, NYMC)

Date is in the title of the post - 10/6/11

If you break the window you can then open the door. (Remember the doors presumably operate once unlocked in an undamaged car) I think it goes along with the whole try before you pry thing they teach us all in FF1 lol.

Is there a refresher available?

To me it seems like a good idea to allow as many people to apply as possible, and then progressively narrow down the applicants until you select those who are best qualified. But... I guess we could just select our firefighters and police officers based on who can fill the application out the quickest, that would be a much better system.

While that may sometimes be true, some of our money is making a difference. This program for example does have mechanisms in place to ensure that our tax dollars are being well spent. My link

You are correct that about the amount of foreign aid. The point I was trying to make is that it is a tiny portion of the overall budget. Our non-defense discretionary spending, where all of the budget cuts are being proposed amounts to about 15% of the total budget. The total budget proposed for FY2012 is $3.69 trillion, 15% of this is $500 billion using round numbers. We could eliminate this completely and STILL be running a deficit of $700 Billion dollars. (total projected deficit is around $1.2trillion) Eliminate all the foreign aid you want we still won't be making any fundamental changes. If we attack some of the entitlement spending, then we would be in a much better place to expand domestic spending where we need it. Food for thought: My link

Might want to check your facts before saying that it is an appalling amount. Foreign aid is actually a very small portion of the budget. We could eliminate it entirely and it wouldn't make a dent in the deficit. However, it could cause more expensive foreign policy issues down the road. Check these out: Surprise! Americans want to 'slash' foreign aid – to 10 times its ... Obama’s 2011 Budget Proposal: How It’s Spent

Rest in peace captain. My condolences to the family and friends of Capt. Iaccino.

May Firefighter Patrick Joyce rest in peace. A Hero in every sense of the word. God bless the family and friends of FF Joyce. Let us never forget his sacrifice and may we learn from the his life and death of selflessness, service and sacrifice. "When you pass through waters, I will be with you. And when you pass through the rivers, they will not sweep you over. When you walk through the fire, you will not be burned; and the flames will not set you ablaze." -Isaiah 43:2

RIP May your service not be forgotten.

#123210

If you are certified in New York, contact the PA Dept. of Health and it is simply a matter of filling out the required forms and sending a copy of your certification to receive reciprocity in PA. The process only takes a few weeks.

Thoughts and Prayers for a full and speedy recovery.

Troop 271 Mahopac Falls 2007

I don't think shears would cut through a steel blade.

I completely agree. Scandal occurs regardless of these politicians ideology and policy positions. Making the link between a party and the likeliness of some kind of scandal occurring is completely unfounded as others including mfkap stated. The discussion over this event should only concern Gov. Spitzer as an individual, not if he has a R or a D associated with his name. Lets discuss this without our own partisan biases.