Saturday, December 16, 2006

Kodak moments...


Who should be checking who's blood pressure?

Pretend you care! Run, medic, run! Run for the camera!
At least he's wearing gloves.

Friday, November 10, 2006

REMEMBER HIM???

Search deep into your brain and pull up your Katrina Archives....... do you guys remember the night we were down on the street corner by the Hampton trying to figure out what the hell we were going to do next? Remember the guy that was coming down Convention Center Blvd in the very large truck and it seemed like everybody suddenly had a large light bulb hovering above their heads? Remember how a couple of people stepped into the street to stop the guy and once he stopped, we talked to him and he said he would bring us wherever we wanted to go, but in the end, none of us left with him? WELLLLLLL........ I just happened to be reading last Sunday's paper, and there in the Living section was this huge write up about a guy named Paul Guerra (no relation to me) who used his big truck to rescue tons of people who were stranded right after the storm. I thought to myself, another hero.....good job! I continued to read and on the second page of the article, he mentioned about how he had so many memorable things happen to him and he goes on to say how on one night, he was driving down Con. Ctr. Blvd and he ran across a group of EMT's..."there must have been 100 of them". He said that they were in town for a meeting before the hurricane. I guess he thought we were all down here for the EMS Expo. Anyway, he said that one of the EMT's who stopped him had an M-16, and that he knew he better stop because his shotgun was no challenge against an M-16. I thought that was kind of funny. Anyway, go read the whole article. He makes a couple of references to EMT's, and the whole story is actually rather heartwarming.

Saturday, November 04, 2006

Bad Idea!

Someone is selling their old uniforms on Ebay
http://cgi.ebay.com/ws/eBayISAPI.dll?ViewItem&item=200042576233&ssPageName=ADME:B:EF:US:11
and on craigslist
http://neworleans.craigslist.org/clt/226646418.html

I really don't think this is a good idea. For one thing, this is a uniform that's only worn by a few, those who earn it. More seriously, who the heck is buying these items and what are they going to do with them? This is just the thing that can pose a serious security risk for various events around the city. EMS basically has carte blanche as far as access into virtually any building or event in the city. Anybody wearing a uniform (with less than good intentions) would pretty much have the same access anywhere with no questions asked.
In addition, you know that there are those freaks out there who think of themselves as some sort of hero, the ones on scenes who say they're EMT's when in fact they've never had any kind of training at all. If such a person was to "treat" someone while wearing this uniform, how would it reflect on us, especially if there was some royal screw-up on their part? In addition, New Orleans EMS may hold some legal responsibility in such a situation.
Would you expect to see NOPD selling their uniforms to non-police? Of course not; you can imagine the havoc that the fallout would create. For the same reason, I'd encourage y'all to never give or sell your old uniforms to civilians, and if you know who is involved in this practice to please advise them to stop!

Sunday, October 01, 2006

MAST in NOLA

MAST Ambulance has a page on their website about providing mutual aid right after the storm. They have up a slideshow of about 200 pictures that you can either watch or preview and scroll through. There are several photos with our personnel and units, especially towards the end.

Thursday, September 28, 2006

EJGH ER

I am just curious if anyone else feels as if EJGH ER deliberately makes us wait when we bring in our patients. I have heard from Fitz that, on numerous occasions, he has heard or been told by many of the nurses there that they cannot stand N.O. EMS and try to punish us by putting us on the wall Code 77. This could be isolated to night watch only or to a select few of the nurses there but I have definitely had some of the worst experiences there as far as unprofessionalism is concerned. I know some other crews have had issues with this ER in the past and that some may have been written up. I am just absolutely disgusted with EJGH ER and cringe at the fact that if anything serious, God forbid, happens to my family, unfortunately EJ is the closest facility to their houses.

I brought a patient there lastnight who overdosed on 45 Klonapin, intentionally, and felt it was in the patient's best interest to transport to a hospital with psych capabilities. After "hospital shopping" for about 15 minutes, the decision was made to transport to EJ....against my better judgement. To make a long story short, I was second in line to WJMC EMS who were traiaged and sent to a room. Then AMED, who came in after we did and was a BLS truck, was triaged before us for an elderly female with n/v and also received a room. Then immediately after this, nurse in charge of triaging saw that we were the only ones left and walked off. It took about 50 minutes for them to even look at my pt. My pt was triaged and still we sat in the hall. This whole time there were 3 beds open. It eventually took them a little over 2 hours to give us a bed that had been available since we walked through the doors. Also, about 40 minutes before we got our bed, EJGH EMS rolled in with a stable SZ patient and was sent directly to a room without any questions asked or being triaged, once again, skipping us.

This is also another thing I have been witness to on several different occassions....They will make us sit there for 20 minutes before being triaged (on a slow night) and EJGH EMS rolls in and gets right into a bed. Their offload time is about 3 minutes every time.

They are punishing our patients because its "us" that is brining them in. I will be writing my incident up soon. I am just asking that you take notice and report any unprofessionalism that you may experience. Also, if you hear of another crew on your watch being treated like this, please ask them to write it up too. This will never change if no one speaks up.

Thankyou for taking the time to read this

Monday, September 18, 2006

Saturday, September 16, 2006

Funny break

I know this isn't EMS-related but I saw this posted on a nursing forum and I wanted to share it with everybody. We could all use a laugh these days, I think.

These are actual entries in hospital charts that were posted publically to remind people to pay attention to what they are writing. Fitz, are any of these yours??? ;-)

1) The patient refused an autopsy.
2) The patient has no previous history of suicides.
3) Patient has left white blood cells at another hospital.
4) She has no rigors or shaking chills, but her husband states she was very hot in bed last night.
5) Patient has chest pain if she lies on her left side for ove a year.
6) On the second day, the knee was better, and on the third day it disappeared.
7) The patient is tearful and crying constantly. She also appears to be depressed.
8) The patient has been depressed since she began seeing me in 1993.
9) Discharge status: Alive but without permission.
10) Healthy appearing decrepit 69-year-old male, mentally alert but forgetful.
11) Patient had waffles for breakfast and anorexia for lunch.
12) She is numb from her toes down.
13) While in ER, she was examined, x-rated and sent home.
14) The skin was moist and dry.
15) Occasional, constant infrequent headaches
16) Patient was alert and unresponsive.
17) Rectal examination revealed a normal size thyroid.
18) She stated that she had been constipated for most of her life, until she got a divorce.
19) I saw your patient today, who is still under my car for physical therapy.
20) Both breasts are equal and reactive to light and accommodation.
21) Examination of genitalia reveals that he is circus sized.
22) The lab test indicated abnormal lover funtion.
23) Skin: somewhat pale but present
24) The pelvis exam will be done later on the floor.
25) Patient has two teenage children, but no other abnormalities.

Tuesday, September 05, 2006

Flipflops and Socks

I find it amazing how suddenly we embrace an option that allows us the opportunity to slack off. "Weekend Uniforms?" Just what the hell is this all about? Why if given the option wold we happily dress down like the rest of these slack ass services? When I firsr walked into this place we laughed at all of the t-shirt wearing, can't find an iron, boot unlaced sorry excuses for medics. Now here WE are happily wearing a t-shirt just because we can. How bout a little pride? Not only in yourselves but in the service that we are. Let the people who run code 3 to a fallen out PEG tube have their silly little polos. I for one think we should strive to present an image that all the other sub-par services can't match.
If you want to wear to wear you three buttons, more power to you. Just know that it makes us that much more alike everyone else. I remember a time when I was proud to see that starchy line down the middle of my shirt sleave. And I'm still proud to see it there today.
We all need to remember where we came from, how little we had, and how much we did with it.

Saturday, September 02, 2006



Hey check out this photo from the compound days that's up on David Naccari's website promoting "Katrinalaya," his song about, well, you know... Pretty cool that he chose this picture for his website!

You can check it out here, or click the picture above to see it on the katrinalaya.org website and read his story. And the song is cute too.

Tuesday, August 29, 2006

Sunday, August 20, 2006

ON A POSITIVE NOTE...

Welcome back Luke and Kim. It is so nice to have y'all with us again. Now we need to get Scooter back :)

-Susan

Friday, August 18, 2006

PETITION TO KEEP EMS CIVIL SERVICE

Apparently, some nimrod/s have gone or been going to Dr. Stephens (the man who could give two sh**s less about us) and requesting to be back under the Health Dept. . For those of you who don't already know this....Dr. Stephens has and will sell us out in a heartbeat. This could MURDER us, and EMS being civil service will be a thing of the past.

So what should we do to fix this problem? To start, it wouldn't be a bad idea for all of us to fix what some people started by Emailing Dr. Saussy our concerns and requests regarding our desire to be and stay civil service under the Department of Homeland Security.

This not only shows Dr. Saussy our support for her and our service, but it will also provide black and white proof to show certain City Hall workers, if need be.

Please, spread the word to those who do not check this blog, and remember, THE MORE WE STICK TOGETHER, THE STRONGER WE WILL BE.

PAY RAISES HEARING AT CITY HALL

I have been speaking with certain members of NOFD who have informed me that there will be 2 hearings of some sort taking place next week to discuss the topic of pay raises for new fire hirees and NOPD. I was also told that it would be in our (NOEMS) best interest to be there in force (meaning numbers). NOFD is planning on being there and whether or not "we" show up, they(NOFD) will still be speaking on our behalf also.

* On Wednesday, the 23rd of August, at 1p.m. the topic of pay raises will be discussed at the Cicvil Service Comission. This is located on the 7th floor of city hall on the East side...show up early because space is limited and there will be plenty of firemen there also.

*On Thursday, the 24th of August, at 2 p.m., the city council's budget comittee will be discussing/voting on this matter. This will be located on the !st floor in the city council chambers on the East side of City Hall.

There have also been many rumors flying around about the future of our service and for those how you who care about what happens to New Olreans EMS, I strongly suggest we start sticking together and help our administration in any way possible.

Thankyou, Susan Robinson

Monday, August 14, 2006

NOLA EMS or Homeland Security EMS?

According to the Gambit Weekly, our illustrious mayor Uncle Ray has proposed a brilliant plan to increase the pay of NOPD and new fire department recruits. Yes, that's it. Left out of the plan are countless other "essential workers," the type of city workers that stayed in New Orleans during the hurricane. No explanation of why dispatchers, civilian NOPD workers, veteran firemen and, oh yes, EMS workers were left out of this plan. Juliette was just as much in the dark about such a plan as anyone else was, as it seems the mayor announced this pay plan out of the blue, without consulting anyone about it - in particular those who would be affected by it!
Here's a snippet of the article:
----------------------------
Also left out of the loop was Dr. Juliette Saussy, the city's director of Emergency Medical Services. She testified this spring before the Federal Communications Commission on the travails of city ambulance workers during Katrina. Dr. Saussy admits she was caught unaware when her boss announced raises that did not include her and her 90 employees. "I think any time you start talking about the three public agencies -- police, fire and EMS -- you need to talk to them together," she stated in published reports.

We agree. In fact, city Homeland Security chief Terry Ebbert should take those words to heart since he has asked the Civil Service Commission to transfer EMS from the city Health Department to his own command. Regarding the pay plan, it's not too late for the mayor to consider the importance of consensus building. History holds enough lessons for him on that count.
-----------------------------
In regards to the command overseeing EMS, it seems that Homeland Security would have oversight on the running of EMS, rather than the Health Department. I would imagine that EMS workers would remain city employees and civil service workers, only the command structure would change. Instead of answering to Dr. Stevens, we'd answer to Homeland Security.

Here's a link to the full Gambit article.

What are y'all's feelings on this?

Saturday, August 05, 2006

Administration Idiots (from Lexie)

I found out that administration has been checking up on the mypsace pages. I know that Barbara Ireland has a fake page to check up on people too, I haven't found out what her name is yet, im still looking . I just wanted to let everyone know because I think its shitty and totally not professional. Spanks, you're the bomb and we miss you here in this pit of ems hell!!!!!

Saturday, July 01, 2006

Congrats to EMS-SWAT!

New Orleans EMS SWAT medics graduated today! Sincere congratulations to all of them for all their hard work throughout a hellacious three weeks of training and education. They will be better people for it and New Orleans will have an even more outstanding emergency response team thanks to the efforts of Nick Culotta, Josh Hill, Russ Latimer, Keith Thomas and Keely Williams.

Strong work guys!

Tuesday, June 27, 2006

City Business article "Code Red"

Click this link to read a recent article in City Business about the current EMS situation in NOLA. WDSU covered this story its noon news today, interviewing someone from the magazine about this article. I was glad to see this topic covered on the local news, but it would have been nice if the station had directly involved one of our people instead of secondhand from a features writer. But that will be what our P.R. SOD person will be for, I guess.

Anyway, it's a relatively short and interesting article despite involving Acadian (the "backup" provider for Orleans Parish, according to this piece). Look for quotes from Chris Cruthirds about OT availability due to staffing shortages.

In the "WTF?!" department, my favorite quote was this one:

The agreement New Orleans EMS has with the Morial Convention Center requires it to find new accommodations by Friday. But another extension is likely. Reis said several possible locations have been scouted and EMS hopes to have a permanent home within a month.

White House, we hardly knew ye??

Monday, June 26, 2006

Press photos from Nola.com

20-I with Engine 25 at Carrollton/Walmsley, 2/11/2006

34-S at Fourth/Annunciation, 6/25/06

All photos copyright The Times Picayune

Friday, May 19, 2006

Paramedics Save Lives (Despite ER Staffs' Efforts)

People say we practice "cowboy EMS."
I say "Damn straight!"

So Frezel is bringing a guy who got all beat to hell to Elmwood. Halfway there he codes, and Elmwood diverts the unit to E.J. (By the way, does the trauma center accept any trauma patients? WTF?!) So Frezel arrives at E.J. with the guy in asystole. (Hey Dave, what's up with no IV's on the guy?) So we start coding him; I'm charting everything and calling out reminders like 'time for another Epi.' After 4 Epi's and 3 atropines the guy goes into V-tach w/ a pulse, then after shocking him into pulseless V-tach, then into V-fib. After Amiodarone and several more shocks, the guy is still in V-fib. Nothing's working. Dr. Creel is standing there wondering what else to do. So I hollered out, "let's give him some mag sulfate." The doc looked at me quizzically and said "Well I guess if you want to, but I don't think it'll do any good." So I told the nurse pushing the drugs to give a couple grams of magnesium sulfate.
Right after she did, and circulating it for a few seconds, the v-fib converted into a beautiful sinus rhythm with pulse and a decent blood pressure! The doc's jaw hit the floor. He said "I haven't used magnesium in years; what made you think of that?"
"Doc, I've used it a million times, and I know the shit works. Always," I replied.
"I'll remember that."

Same night: Susan brings a lady with a decreased LOC to Tulane. The patient wasn't really protecting her airway so they decide to RSI her. After pushing the succinylcholine, the ICU resident tried three times to intubate the woman, three times he only pulled back a bloody ET tube. Then Ehlenberger tried. Again, no dice (big surprise).
So Mike Condatore, one of the RN's there, said "Hey, why don't you let Greg [Gavel] try. He was a paramedic with the city for years."
The docs step aside and let Greg give it a shot. One quick attempt by Greg, and the woman was tubed!
"Uh, nice technique," said Dr E.
"How'd you learn to do that?" the ICU doc asked.
Greg answered, "Experience, Doc; lots of practice!"

2 lives snatched by paramedics from the jowls of a doctory death! Tell us more!

Tuesday, May 16, 2006

Times Picayune 5/16/06


Do you have to stick me? I don't likes no needles!



Darryl: What I think happened is the perp shot him from the back of a red car, using a 9mm, probably a Taurus. The bullet entered at the mastoid process, taking out his medulla oblongata, then did a little dance and traveled to his left hand along the cephalic vein, backed up and visited his duodenum and nicked the aorta on the way, then exited above his asscrack. Anyway, this muthafucka's dead.

Wednesday, April 26, 2006

Today in USA TODAY

Why is Donny pulling the stretcher with Melinda? Because Ashley was 10-42!!!

Donny, you better quit cockblockin' my 15 minutes, yerd.

You can read the article (mostly about Ochsner bitching about uninsured ER pt's) here.

Wednesday, April 12, 2006

recent cartoons

In the past few days there have been cartoons being passed around work poking fun at certain members of our administration. Everyone has a freedom to speech, but if you feel so strongly about these people and their actions, put your name on your cartoons, or better yet, go to them and tell them how you feel face-to-face. You may not realize this, but other people are being blamed four YOUR cartoons and that's wrong. This could potentially affect someone else's future here.

Monday, March 20, 2006

Wednesday, March 01, 2006

Fitz!

If y'all ever get bored, google "Sean Fitzmorris," www.google.com

Tuesday, February 21, 2006

NOPD has a blog too

Check it out, NOPD has their own version of the NOEMS Blog: Signal26.com

They are much bitchier than we are these days.

Tuesday, January 17, 2006