The Pentagon’s 26 page Brownie and Oatmeal cookie recipe has gotten plenty of press lately….  If you haven’t seen it, please read some of it and understand why the budget is not balanced, the war on terror is failing, and the sky is now falling.

Somewhere in the middle of all of this crap it says this…

3.3.2 Brownie preparation. (NOTE: The contractor is not required to follow the exact procedure shown below provided that the brownies conform to all finished product requirements in 3.4.)

If that is the case… wtf is is this entire thing about?

Also, any Military document that says “fluffy” is a giant waste of my time…

a. Whip eggs in large bowl on high speed until light and fluffy.

Now quit wasting my tax dollars and get back to work…

In the time since the American Heart Association has begun advocating Compression Only Layperson CPR, I haven’t really heard and stories of confirmed success. While we all know that layperson CPR tends to be inadequate and layperson CPR breathing tends to end up in the stomach, there has been little to indicate that the outcome was any different than before.

Well, JEMS has a story that might just give us some hope that the AHA did the right thing. CNN has the full story. There are some interesting facts to consider in this story. First, the patient was a 33 year old female–not a likely case for sudden cardiac arrest, under most circumstances. Second, she was otherwise healthy, with no known cardiac history. Third of importance to me is that her husband is a Sheriff’s deputy–While he says that it was “different” that being at work, there is little doubt in my mind that his training and experience helped in some way. Fourth, but maybe the most important thing here–a skilled dispatcher walked him through CPR–Compression Only CPR. All of these factors are important.

Lets examine what we can–33 year old women rarely experience sudden cardiac arrest. When they do it is usually caused by other (known or unknown) serious medical conditions–cancer, immune disorders, cardiovascular disease, etc. Initially it was uknown what caused Kathie Harden to die for 18 minutes that night. Kathie being just 33, her husband actually waking up just prior to her losing pulses, outstanding Dispatch direction, quick EMS response, and skilled hospital care can all be thanked. After her initially recovery it is found that she contracted a flu-like virus that attached itself to the left side of her heart, deteriorating heart muscle and function until the Right side of her heart could no longer function. She now lives with an internal cardiac pacer/defirilator.

After arriving at the hospital, Post-Arrest Cardiac Hypothermia was used to cool Kathie’s body to abnormally low temperatures. This is useful in protecting heart and brain function. It allows the body time to repair and recover before trying to fully “restart”. Initially neuro exams did not look good, but after just a few hours Kathie had started to show signs of improvement. After 18 hours Kathie was back from the grips of death. Theraputic Hypothermia was discontinued. She was soon on her path to recovery and “life went on”.

So here’s the thing: what saved Kathie? Was it Compression only CPR? Was it her skilled husband? How about fast EMS response? Her age? All signs indicate that all of these factors were essential to her survival. Most Certianly the Flagstaff EMS Calltaker that helped Scott pound on his wife’s chest that night deserves more than just a little credit. Arizona has worked hard to increase Cardiac Arrest Survivability and this is proof they are winning the battle. Keeping callers calm while giving them the tools to prolong life until destination care can be provided is no easy task and the fine people in EMS call centers everywhere need to be given credit.

Does this mean Compression Only CPR is the end all of Cardiac Arrest Care? Obviously not. Kathie recieved several rounds of CPR and several shocks from the AED brought by EMS. In the end cardiac drugs(epi) and defibrilation saved Kathie. But without early Compression only CPR it is certain that the tools EMS brought with would have had little chance to obtain ROSC.

I’d like to congratulate Flagstaff EMS Dispatch, Scott Harden, and the men and women of Flagstaff Medical Center EMS for providing outstanding care to Kathie that night. Every one of them did their part in saving a life–something that sadly most of us rarely get the opportunity to do, despite our profession.

Bad.

I should clarify. The SERVICE at HuHot sucks. I love the food, but I do damn near all of the work, so I SHOULD love it. I get the bowl, pick the meat and noodles, grab the veggies and mix the sauce. What do they do? Take entirely to long to put it on the “grill” and push it around for a while. Only to hand me back my plate without so much as an “enjoy your meal”.

Yup. Service at HuHot sucks. Seriously, every time we go to HuHot we think this. Well, HuHot. I’m done with you. I’m breaking off this on again/off again relationship. I’m sick of waiting 10 minutes for my soda refill(especially since I used entirely too much Kung Pao…Yow!). What is so god forsakenly hard about bringing me a bowl of rice and keeping my god damn soda full? I can get better service from Dairy Queen. I’m sorry, but your food is NOT so good that it makes up for exceptionally crappy service. To make matters worse, this visit was at 2:30 in the afternoon. There were a measly 21 people in the restraunt. There were no less than 7 employees present. 3:1 ratio and you still can’t do your job?

I don’t get it. So… I’m done with you. I’m done with your crappy servers who can’t figure out that their job is sooooo simple. Greet me. Ask if I have been here before. Ask if I’d like to try an over priced appetizer. Bring me rice. Bring me soda. Keep soda full. Bring me Check. Cash in. That is IT! You might wonder why you never get tips? Well… this is why.

Goodbye, HuHot. I hate you.

kthxbai.

Called at 0700 for a a Man Down. As we near the scene the update indicates it is a 93 year old woman in her driveway, confused and cold. I honestly expected the typical fall, and, it being 60 degrees out, she was likely a bit chilly….

What I FOUND was actually much more serious. We found a woman, lying on the driveway, wet clothes, and COLD. Very cold. No longer shivering cold. Cardiac dysrhythmia cold. She could tell me her name, and that was it. Neighbors had found her while out walking, and told me she lived alone in this huge old house in the old money neighborhood of little big town.

She was cold. Seriously cold. It is August, we’re not supposed to have hypothermia cases… but a few things left her little chance… She weighed… soaking wet, might you say… 80 pounds. I suspect that even without the dampness she would be damn cold. I suspect she has been down a long time. She has abrasions on her hips and shoulders from dong what some call the “crappie flop”. Further, at 0700, it is rare to find an elderly fall victim fully dressed. She had jeans, blouse, and shoes on. Most of our early morning fall victims have their pajamas on still.

What got me was that she was wet. Not damp, but soaked. No sprinklers near, no pool. I KNEW she had been out since 10pm last night… in the middle of a 3/4 inch downpoor. Poor thing had laid in her driveway, alone and affraid in the middle of a god damn thunderstorm. Then laid out all night, till a passerby noticed her–and I don’t know how they did! She lives on a secluded street up a bendy driveway. Lucky, if you can call her that.

In the field we can do little for cases like this. Warmed IV fluid, blankets, and heat packs in the arm pits is all I had. Fortunately it is a short jaunt to the ED.

Guess her core temp….

84.7 degrees. Yup. Thats cold. Beyond Stage 3 hypothermia. She was in V-Tach(which we did NOT treat due to temp), respiration of 9, but her eyes were open, almost as if they were trying to say something to me….

I’m not sure if she survived. Often times Stage 3 Hypothermia ends in Organ Failure and cell death. This call just goes to show you that you can’t walk into a call close minded. It is flipping August and I just ran a severe hypothermia call.

http://www.youtube.com/watch?v=0v_85tAey9s

Taken from Amateur Scientist via www.everydayskeptics.com

Patricia Phillips of the Oklahoma Crime Examiner has posted up some great new news about Trooper Douche Bag Daniel Martin. He has been suspended FIVE WHOLE DAYS without pay!!!! Whoooopeee! You’ve gotta read the letter she has posted.

Martin Letter

Fox23.com also has news up that Mr. White is suing Trooper Martin. Dumb ass. Read the letter and head over to Patricia’s story to leave a comment. Tell her I sent ya! The letter is hard to believe. I will post up a comment or two in the morning!

FOX23 has new information in the case of the now infamous confrontation between an Oklahoma Highway Patrol trooper and a paramedic.

The paramedic, Maurice White has filed a civil lawsuit against Trooper Daniel Martin; accusing him of using “unreasonable force.”

Nearly two months later Trooper Daniel Martin remains on administrative leave.

The trooper pulled over the ambulance after he says the driver failed to yield to his cruiser, and he was upset, accusing the ambulance driver of “giving him the finger.”

He is seen grabbing Maurice White and putting his hand around his neck while a patient was screaming inside the ambulance.

The paramedic, upset that the Highway Patrol has taken no action against the trooper is now suing him for damages in excess of $10,000.

White’s attorney tells FOX23 “We just want a reckoning and accountability”.

Fox news reports Trooper Martin has offered an apology to the family of the woman who was inside the ambulance at the time.

Martin’s future with the highway patrol is still in question. His case, in the hands of the Chief of the Highway Patrol.

http://www.youtube.com/watch?v=Zj91eeoFOBk

I am not even going to go there. What a crock of shit.

http://www.youtube.com/watch?v=-wxPnJlJoFo

Dave Statter has provided the youtube link to this video…

If you have been hiding under a rock up to this point, head over to STATter911 for a full update on this.

I only have one question. Why did the medic exit the ambulance right away when the dumb ass Oklahoma Highway Patrolman pulled up behind them?

Further, vengeance is a piss poor tool for LEO’s to use when deciding who to pull over. How many times does a cop have somone “fail to yield”? Does he freak out and pull every one over? How often do motorists Fail to yield to ambulances? I think we should be authorized to do the PIT manuver on vehicles that take longer than 3 seconds to yield.

An ego can be a dangerous thing.

Sources:
STATter911
Rogue Medic

your assessment is going to be spectacular when….

I have some great partners. I’ve also got some really, really crappy partners. Some of them just know what to do. Others need me to hold their hands while they take a crap. Some just can not figure out what being a partner means.

So……

A partner is:

-A friend who shares a common interest or participates in achieving a common goal

-A member of an intimate relationship

-A member of a partnership

-A business partner

-Partner (business rank), a member of a law firm or accounting firm which is formed as a partnership; sometimes senior employees of the firm may have the title "partner" (e.g., "salaried partner") to indicate a profit sharing status; salaried partners are distinguished from equity partners, who own the business.

-A participant in a partner dance

Things partners should NOT do…

-Throw you under the bus every chance they get

-Use you in a piss poor attempt to further their own careers

-Kiss your ass after doing so

-Ask you for favors after doing so

-expect you to do them favors after doing so

-expect me to NOT give them a reciprocal bus-throwing-under

-Expect me to NOT succeed and leave you bloodied in a ditch off a dirt road in Idaho.

Seriously. When the oldest person at your station is the most immature, idiotic, and pigheaded dumb ass staff member, you know you’re in a ginormous cluster fuck…

Oh, and some things you should not try to tell me that you are "allergic" to:

-Epi. Seriously? You’re adrenal glands are going to have to disagree

-Sugar. Specifically Glucose. You’re fucking kidding me, right?

-Ammonia? You do understand the difference between an allergy and a hypersensitivity? You get that NO ONE likes how breathing in ammonia makes you feel…

-Right?

-PS… since you are allergic to ammonia, sugar, and epi… what would you like me to do about your "allergic reaction" now that you are in anaphylactic shock? Fucking black magic?

-If you are allergic to sugar why are you drinking a humongo gas station Reese’s Capafrapasugarladencino?

The pediatric dose of Benadryl would actually give you MORE Benadryl than the adult dose… based on weight. F-tard(that is me restraining myself.)

How in the HELL did one small company with 8 full time employees end up with a concentration of 3(THREE) people with the same set of nearly impossible allergies? 

You are a walking, crazy talking, plumb fucking nuts train wreck.