Monday, February 29, 2016

Jokers: Smoke Detectors

Since people deal with so much anger and sorrow in their lives, I thought I would include some jokes shared among the EMT, Paramedics, Police Officers, and Firefighters. This one was shared with me from one of our very own Fort Worth Texas Firefighters.

Little Johnny's preschool class went on a field trip to the fire station.
The firefighter giving the presentation held up a smoke detector and asked the class: "Does anyone know what this is?"

Little Johnny's hand shot up and the firefighter called on him.

Little Johnny replied: "That's how Mommy knows supper is ready!"

Sunday, February 28, 2016

Fort Worth P.F. Chang Bistro review

Our EMS family is on a quest to find the best Asian restaurant near me. Why does it have to be near me? Well I'm the mom of the house. You know what they say "Happy Wife..Happy Life!" Since we were in downtown Fort Worth, Texas, we decided to stop into the P.F Chang's China Bistro on Throckmorton.

This local Asian restaurant offers a great atmosphere for people who like an open dinning experience. Though the decor is orient inspired, it offers a modern look to local clients and hungry business clients. I have to say that I almost felt under dressed at the establishment. It almost inspired a person to be wearing business casual or to dress up to have a night on the town.

Though our order was to go, we had a great friendly greeting from the hostess. She was quick to take our order and made sure we felt welcomed why we waited for it. She even checked the order before handing the times over to us. Which I thought was an improvement to most to go orders. Some restaurants just seem to hand you the bag and be off with you.

What do we like to eat?
Miso soup
Spicy Tuna Roll
California Roll

What are we looking forward to trying?
Pretty much everything on the menu. Of course well be heading back home to blog about each and every morsel. How can a person not want to try everything when the head development Chef thinks like this about food.

"Culinary creativity is really important to me. I like to see people have fun with a dish, and bring their own experiences and memories into the recipe."

P.F. Changs may not be a local family owned restaurant but they may become one of the top favorite Asian restaurants near me.

Saturday, February 27, 2016

Paw Paw Liqueur Store Grill is not for Diabetics

It's hour 7 on a twelve hour EMS shift. Your blood sugar is low and the headaches are coming on. Your stomach is sending off fireworks like it's 4th of July around the work. It's screaming "Feed Me!" You could stop into Paw Paws if your on Lancaster in Fort Worth, Texas. The Liqueur Store holds a grill that offers up different items for every taste bud.

I can say that I have had everything on the menu. I have to say that my favorite menu items are the burgers and the chicken strips. The chicken strips are not your normal small strip of chicken inside a lot of breading. 

Paw Paws also offers up these items for under $5
Burger Baskets
Chicken Patty Baskets
Fried Catfish Sandwich Basket
Fried Catfish Basket
Philly Cheese Steak
Onion Rings
Fried Chimichangas

As you can see, Paw Paws isn't really a place for those with Diabetes.

The good news is that depending on who is on the grill, you can get a large salad made up. I personally like to order chicken strips and a large salad. It's not the greatest Diabetic meal but it's the best choice at this grill when your in a rush.



Friday, February 26, 2016

Joker: No stone unturned

The congregation of the small stone church decided that the stone which formed the step up to the front door had become too worn by its years of use, and would have to be replaced.
As a sign of the faithfulness of members over the years, the stone had a pronounced dip in the middle, well-worn by parishioners entering and leaving the chapel.

Unfortunately, there were hardly any funds available for the replacement. Then someone came up with the bright idea that the replacement could be postponed for many years by simply turning the block of stone over.
 
They discovered that their great-grandparents had beaten them to it.

Thursday, February 25, 2016

Joker: I'm not going to call you that!

The manager of a large office asked a new employee to come into his office.
"What is your name?," was the first thing the manager asked.
"John," the new guy replied.

The manager scowled. "Look, I don't know what kind of a namby-pamby place you worked at before, but I don't call anyone by their first name! It breeds familiarity and that leads to a breakdown in authority," he said. "I refer to my employees by their last name only - Smith, Jones, Baker - that's all. Now that we got that straight, what is your last name?"

The new guy sighed and said, "Darling. My name is John Darling."

The manager said, "Okay, John, the next thing I want to tell you..."

Wednesday, February 24, 2016

Food Review: Fort Worth Five Guys Burgers

We were going to celebrate and do a restaurant review at another location. It didn't work out to be a good thing for the other establishment. My friends and I walked around the corner and decided to try Five Guys Burgers and Fries.

When you walk into the Sundance Square location, you might not think that the restaurant is open. There are supplies and free peanuts hanging out at the front door. The decorum is almost a car hop red and white. I wouldn't be surprised if I would find a jukebox at one of the five guys burgers and fries around the U.S.

So are the burgers worth the price tag of $3-7? My answer would have to be an astounding yes! When I bit into my double cheeseburger with grilled onions and grilled mushrooms, I was in ground beef heaven. The patty size is not like most places where they start out at a quarter pound and end up with an eighth of a hamburger patty. I honestly believe five guys uses three quarter pounds of beef before they put it on the grill.

Don't want to take my word for it? You just have to read all the write ups on the wall about five guys burger and fries. The newspapers aren't the only people raving. Reviews of customers are up the wall in great graphical colors! It's a restaurant I will be going back to.

Tuesday, February 23, 2016

Fort Worth Jimmy Johns

Business is booming in Downtown Fort Worth Texas. Just recently a franchiser opened up a new Jimmy John's sandwich shop. Our family had a long day of job searching and appointments, so we decided to give the place a try.

I have to say that I like the feel and decor of the establishment. It seems that Jimmy John's is trying to mix freshness with cute funkiness. There are unique and strange sayings on signs throughout the seating area. The staff is young and friendly. Speaking from experience this can be a good thing or a bad thing. Young staff members like to slack off at times.

Jimmy John's is a great break from Subway for a family that is on a budget. The ingredients are fresh and the sandwiches are made to order. I simply wish that the staff members would have followed through with the menu items because my sandwich did not include the freebies that come with all the subs and clubs.

I had the country club and my husband had the hunters club. Both were good choices from Jimmy Johns menu. I just wish they would have added the extra freebies which would have made it more enjoyable.

So all in all, if your looking for good subs and club sandwiches then check out Jimmy Johns. Lesson learned: Make sure you tell the staff exactly what you want on your sandwich.

Sunday, February 21, 2016

The You Rock Award goes to.....

I thought I would create something fun on The Diabetic Medic to celebrate all the people in EMS and Public Service that go above and beyond the call of duty. For now it will be given out weekly to a man, woman, or team that I think is ultra cool. If life gets really busy in the EMS world, then awards might be given out daily! 

I need your help though. Contact Diabetic Medic if you know an Correctional Officer, EMS Dispatcher, EMT, Nurse, Paramedic, Police Officer, Sheriff, or team that needs recognition.

So many men and women do their job day in and day out. They put their lives on the line 8, 10, 12, 24 hours a day to help others. It's time to give them some recognition even if they think they are just doing their job.

Today's YOU ROCK award goes to The Mysterious Fireman of Omaha, Nebraska! His Captain just had to take some time to brag about his battles with Diabetes. The man is in insane health and goes out each day to help others. To struggle with something and still constantly think of others rocks in my book!


Saturday, February 20, 2016

You may not think that you are changing the world

You may have moments as a Paramedic, EMT, Police Officer, and Nurse where you don't think that you are changing the world. It can seem like a blur when a night can be filled with over 10+ scenes for your partner and yourself. 

Helping one person may not be changing the world but you are changing the world for that one person.
Each person we come into contact with is an opportunity to change a life. Sometimes we just don't know exactly how we affect a person while we are on and off the clock. The opportunity may not even be the Pt. or person that you are in direct contact with. You could change the life of an innocent by 
standard on the scene.

I'd like to use my own life for example. When I was a kid, I didn't always want to be a medic. I was raised by Police Officers, Security Guards, and Fireman. I didn't want that life and stress when I was younger. I wanted to be an Accountant. I wanted to do peoples taxes because I was chasing after the money.

Then one afternoon, a 16 year old was the first person on a scene and it was bad. A woman had speed around the corner, blew a tire, and wrapped her car around a telephone pole. I only knew the basics but I did what I could. I made sure someone called Emergency Services and made sure that the woman remained conscience. 

As I watched the scene, how everyone worked together, I was hooked. I wanted to save lives for a living. I was caught up in the net of EMS when one of the local Firemen walked up, shook my hand and thanked me for stepping up to the plate.

So when your feeling like crap about your day. Try remembering why you became an EMT, Firefighter, Paramedic, Police Officer, or Nurse. You never know when your words or actions could change a persons life for the better. We may have a specific title but we are the fathers, mothers, sisters, brothers, medics, counselors, and advocates to the world.

Friday, February 19, 2016

Fort Worth Kolache Shoppe on Hadley

Are you asking yourself "Where are the great family owned restaurants near me?" After a bad experience with one restaurant, our EMT family decided to walk up the street to have breakfast. We had no idea what we would find but we are glad that we took the little culinary adventure. The family owned restaurant that we found is called The Kolache Shoppe.

The Kolache Shoppe is an interesting mixture of antique store, bakery, and cafe. The business has been owned by the same family for nearly four generations in Fort Worth, Texas. Though the decor is a large screen television, several fast food tables, and a surrounding of antiques, the restaurant is a nice place to sit down to have breakfast or lunch.

It's located at:
The Kolache Shoppe
6724 Brentwood Stair Rd, Fort Worth, TX 76112
(817) 457-0071

What should you try at The Kolache Shoppe? The pastries and Kolache of course. Every pastry and Kolach is baked every morning. Your senses are hit with warmth, baked goods, and cinnamon scents when you walk into the cafe. If you don't know what a Kolache is, then check out the picture on this post. It's a pastry that has a sour dough taste that can be filled with pretty much anything. 

Don't forget to try the burgers and the soup of the day. Everything is made fresh daily. Even the hungriest burger lover will be happy with The Kolache Shoppe burgers. Add a side salad and you'll have a great lunch time meal. 

The best thing that I love about The Kolache Shoppe is the people. This is an area family, with an area business, who go to an area church, and are involved in their area. The cafe is really about community where your greeted sometimes by name when you walk through the door.

Thursday, February 18, 2016

Food Review: Trader Joes Honey Roasted Pumpkin Raviolli

Last night I was looking for something easy to cook for dinner and thought I would stop by Trader Joes. The store usually has some great new items each time their fearless flyer comes out and I don't mind being a little fearless with food myself. Will hubby enjoy Trader Joes Honey Roasted Pumpkin Ravioli? I guess another bag at $3.49 is in order.

Trader Joes Honey Roasted Pumpkin Ravioli are soft pockets of blended pumpkin, honey, molasses  brown sugar, ricotta and mozzarella cheese. Trader Joes suggested that some browned butter in a pan would be a sauce to be served with these raviolis. I would also like to suggest a sprinkling of grated Asiago cheese. Even though the Trader Joes product is filled with the flavors of fall already, the sprinkling of cheese really brings home that rustic flavor.

At first, I wasn't keen on trying the Pumpkin Ravioli. When fall rolls around, it seems that everyone has some kind of pumpkin item. Everyone also tends to go to the sweeter or dessert side of pumpkin recipes. My fear was that this was going to be the case with this Trader Joes product. I was fearful that I was going to end up with a bowl of sweetness wrapped in pasta dough.

Thank goodness that was not the case. The Trader Joes Honey Raosted Pumpkin Ravioli actually turned out to be a decent meal. Along with a small salad and some fresh bread, this meal produced one happy full tummy.

Wednesday, February 17, 2016

How to cook warm blue crab bruschetta

Are you looking for an easy crab recipe that is full of fresh ingredients, textures, and taste? Let me share how to cook warm blue crab bruschetta. It's a shellfish recipe full of Italian flavors and summer ingredients. If your unable to find lump blue shell crab, canned lump crab or chilled diced shrimp could be used as a substitute.

Start the Appetizer recipe with:
4 cups peeled, seeded and diced Roma or plum tomatoes
1 cup diced white onions
2 teaspoons minced garlic
1/3 cup olive oil
2 tablespoons balsamic vinegar
1/2 teaspoon dried oregano
2 tablespoons sugar
1 pound lump blue crab meat, check for shells
1 1/2 teaspoon kosher salt
1/2 teaspoon cracked black pepper
1/3 cup minced fresh basil
2 baguettes, sliced and toasted golden (I like to use a little bit of olive oil on the slices to give it a really golden color from the toasting.)

Combine tomatoes, onion, garlic, oil, vinegar, oregano and sugar in a slow cooker. Cover and cook on low for two hours.

Add crab meat, salt and pepper. Stir gently to mix ingredients, taking care not to break up the crab meat lumps. Cook on low for one more hour.

Once done cooking, fold in basil and serve on the toasted baguette slices. 

This recipe will make 16 servings or two appetizers per person. You can also serve the warm blue crab on melba toast, whole grain crackers, sour dough slices, or in appetizer service spoons.

Tuesday, February 16, 2016

Dinner Recipe: Mixed Vegetable Stew

Do you want to know how to cook mixed vegetable stew. It's another meal at the PNS shelter. Though the concept of mixed vegetable stew is great, the shelter made it too salty. Actually a lot of foods at the shelter are too salty. Sometimes I wonder if they are in cahoots with the local hospital to earn income.
What you will need to cook mix vegetable stew:
four ounces of beef shoulder per person, one potato diced per person, one large bag of frozen mixed vegetables, a quarter of an onion diced per person, one bay leaf, salt and pepper to taste.
So a family of four would need a pound of beef shoulder, four potatoes, a large bag of frozen mixed vegetables, and one large onion diced.
Cut beef shoulder into chunks and brown in skillet. Transfer stew meat to a large pot and cover with water. Bring heat to medium and let simmer until meat begins to break away in strands of beef.
Add potatoes, onions, and the large bag of mixed vegetables to pot. Cook on medium until potatoes are tender. Add salt and pepper to taste.
Alternatives to how to cook mixed vegetable stew:
Add a can of tomato paste and sauce to the pot while cooking
Add a can or jar of gravy to the pot, you can also make your own with butter, flour, and beef juice
Serve meal over cornbread
Serve meal over steamed white or brown rice
Serve meal over spaghetti squash

Monday, February 15, 2016

Food Review: Fort Worth Oliver's Fine Foods Texas Caviar

What do you think of when you think about the word "Texas Caviar". As a classified Northerner, Texas Caviar was a new term to me. I had stopped into Oliver's Fine Foods for a bag of vegetable chips. I saw that the staff had set out several new dips for the day and I had to get a sample of each.
It's a shame that they didn't have any packaged "Texas Caviar" out or I would have bought some on the spot. Oliver Fine Foods isn't fishy caviar but a marriage of fresh ingredients that make up an enjoyable bean dip.
This bean dip is unlike most because it offers a mixture of diced tomatoes, green pepper, onions, jalapenos, and black eyed peas. It offers a mild spice to the taste buds. One could compare "Texas Caviar" to it's cousin Pico de Gallo.
Though this Oliver product is a little pricy per pound. The price does seem normal for most of the items in the store. I could see using this Texas Caviar as a dip, nacho topping, and replacement for salad dressing.

Sunday, February 14, 2016

Lunch Recipe: Sweet And Sour Romaine Salad

Soon the weather is going to be hitting triple digits around the U.S. I know during this time I'm always looking for ways to make cool meals that don't take a lot of time in the kitchen. Large salad, like the Sweet and Sour Romaine salad, are always on the menu in our home.

So how do you make a Sweet and Sour Romaine Salad? The dressing is a light red wine vinegar which blends really well with the blue cheese and strawberries that are in the recipe.

Dressing:
1 cup canola oil
1 cup sugar
1/2 cup red wine vinegar
Salt and pepper to your preference

Blend all ingredients together with a whisk until sugar is disolved.

Salad:
1 head of romaine lettuce, chopped
1 cup sliced strawberries
4 green onions diced
1/2 cup walnuts, coarsely chopped
1/2 cup crumbled blue cheese
1/2 - 3/4 cup of the dressing

Toss all ingredients together in a large bowl and serve.

Saturday, February 13, 2016

Fort Worth Oliver's Fine Foods Guacamole Burger

Instead of doing a restaurant review as a whole, my husband and I thought that we would write about each meal that we had at a specific location. We had a few extra dollars to spend a couple of days ago. We both decided to stay out of the shelter a couple more hours and eat at Oliver's Fine Foods.

This Fort Worth, Texas location is located in the middle of the Sundance area of the city. The location looks like it could have once been a bank and recently was turned into the restaurant that it is today. The location is open and airy. I enjoy the fact that there is plenty of seating and they offer large comfortable bench seats for those of us that need a little more cushion for our tushie. You can see the layout for yourself at:

Oliver's Fine Foods
415 Throckmorton Street
Fort Worth, Texas 76012
So did we enjoy the Guacamole Burger? If your the type of person that would like to spend $8 for a quarter pound hamburger then I would say have at it. My husband and I both agreed that the meat was seasoned with way to much salt. When a person bites into a hamburger they should taste the richness and grill of the meat. What a person shouldn't be tasting is the aftertaste of saltiness in a hamburger.

Will we be going back to Oliver's Fine Foods? This location is a great place to pick up things for lunch if you are in the downtown area. I can see why they cater to the hotels and businesses. I'm looking forward to buying a few things from Oliver's deli. On the other hand, if my first experience there was a not a good one, then I'm a little skeptical about trying the other things on their menu.

Will Oliver's Fine Foods draw us back for their biscuits and gravy breakfast? Will we dare try this restaurants breakfast tacos? I guess you will just have to wait and see. I would love to hear your opinion of Oliver's though. Do you think we should spend any more time at the place?

Lunch Recipe: Bacon And Jalapeno Grilled Cheese

Did you know that April is National Grilled Cheese Month? Everyone loves the classic grill cheese and tomato soup. What I have found is that people in Texas are doing it bigger and spicier than most. The Wisconsin Milk board is even having a 2013 Recipe Showdown.

The weekend chef offers up a mixture of gooey cheese, bacon, and spicy jalapenos to kick off your tastebuds. You can find a photo slideshow of the recipe at The weekend chef!

What will you need to make Texas grilled cheese with bacon and jalapenos? Each sandwich is a mixture of:
1 cup shredded soft cheese
1/4 stick butter
2 slices Texas toast
1 1/2 slices bacon
1/2 jalapeno, thinly sliced

If your looking for more of a smokey flavor from the jalapenos then try grilling them or saute them before you add them to the recipe.

Friday, February 12, 2016

Dinner Recipe: Spicy Orange Chicken

What's for dinner tonight? Tonight is going to be a very simple night. I thought I was going to do leftovers but when I saw what was left over in the refrigerator, I decided that I wanted something a little more healthy. So tonight we are having Spicy orange grilled chicken with rice.

I had posted on Facebook that my husband was revolting over my control of the finances when he sneaked in a bottle of Panda Express orange sauce. I'm more of a brown sauce or teriyaki sauce type of gal but the bottled Panda Express sauce is not bad. It has a nice balance of heat and sweetness. Plus I like the fact that you don't have to use a lot of the sauce to get a nice coverage over your meat or chicken.

What you will need to make spicy orange chicken and rice:
1 bottle of Panda Express orange sauce
chicken breast
steamed white rice

Marinate chicken breast in the panda express orange sauce for at least one hour. This usually only takes a quarter of the bottle for marinade. 

To start the rice, make sure that you rinse the white rice to insure that the rice doesn't stick together while cooking. Keep rice warm in pot while you grill the chicken.

Grill chicken on medium high heat until pinkness is gone and chicken is tender. I personally like to baste the chicken breast with more orange sauce while it's cooking. Be sure to never use the marinade as a basting sauce to prevent contamination of your food.

Place rice at the bottom of the plate, slice chicken when done and place on top of plate. Drizzle any juices that may be left in the pan over the chicken and rice.

Side dishes that would be great with this would be:
Steamed zucchini, eggplant, and bell peppers
Spinach salad with water chestnuts, shredded carrots, and red onion
Steamed snow peas

Thursday, February 11, 2016

New Dinner Recipe: Family Night Burritos

Are you asking yourself tonight "What's for dinner?" If that commercial we all hear from the beef industry comes to mind then you are right. Beef is what's for dinner at Two Married Foodies. I'm in the mood to try new recipes, so tonight I thought I would try family night burritos. I obtained the recipe out of Crock Pot magazine October 2009 issue #44.

It's a great recipe to try if you like spicy and tender meat. I was a little hesatent because my husband normally doesn't like foods that have a lot of heat. Each individual can always cool the heat from the salsa down with things like sour cream, guacamole, or extra rice in the family night burritos. I really liked this recipe and this is one meal that I will be making over again. I may even plan to make a whole bunch of them and put them in the freezer. This way if my husband and I are working long hours then we won't have to worry about cooking.

What you will need to make family night burritos:
1 boneless beef chuck shoulder roast (2 to 3 pounds)
1 Jar or 24 ounces of home made salsa
8 flour tortillas, warmed.

This recipe makes 8 servings. Suggestive toppings are dice black olives, shredded cheese, sour cream, salsa, diced tomatoes, diced onions, guacamole, diced green onions.

Place roast in slow cooker and top with salsa. You will want to cover the pot and cook on low for 8-10 hours. 

Remove the beef from the slow cooker and shred with 2 forks. Return to cooking liquid and mix well. Cover and cook for 1 to 2 hours longer or until heated through.

Serve shredded beef wrapped in the warm tortillas and let your family top with the ingredients that they want.

Wednesday, February 10, 2016

What if the DNR can not be found?

Recently I posted my answers to the EMT Refresher notes on "Do Not Resuscitate" advance directives. Sometimes an EMT will go on a scene where the family members say that there is an advance directive but the actual paperwork is not present. Do you follow the wishes of the family members or do you do your job as an EMT?

It's my belief that an EMT should always follow protocol for the state that they work in. Consider initiating treatment to the patient immediately.

Contact medical direction for instructions on how to proceed. Be sure to tell them that there is no advance directive available but the family members say that the patient does have one.

Continue treatment until the problem has been resolved.

 

Tuesday, February 9, 2016

Pt. says "I don't want to go to the hospital!"

Yesterday during my EMT refresher, we talked about advance directives. At times an EMT will arrive at an accident and the patient will not want to go to the hospital. There have been times in my career where I have demanded, stomped my foot, and urged people to go to the hospital.

A competent adult who can prove orientation to "person, place, and time" can deny consent of treatment. The patient must be informed of all potential risks and possibility of death. Even if the scare of death doesn't move them to seek treatment, then try to persuade them.

Make sure the patient is competent and able to make rational informed decisions.

Consult medical direction as needed or follow local protocol.

If the patient still refuses, clearly document what was told to the patient.

Document what the patient response is and have him/her sign a refusal form.

Before you leave the scene, encourage them to seek help if other symptoms occur.

Monday, February 8, 2016

EMT Refresher: That's just private

I'm actually glad this topic came up in the EMT Refresher notes. There are many times when someone sees an ambulance and ask what is wrong. I've seen my co-works tell the person who is inside the ambulance and why they are there. This result in a large cringe on my face. Personal information is just private.

The things that an EMT has to keep confidential is the emergency care the person is receiving, patient history, physical assessment of the patient and treatment of the patient.

So what happens when an EMT goes home and they just want to vent. Legally we are not to speak to the press, family members, friends, or other members of the public about details of the emergency care that we give a patient. Even though I have slipped too and talked about patients to my loved ones, I never use their name. Personally, that too feels like a breach of privacy.

Any information given out by an EMT requires a written release form signed by the patient or a legal guardian of the patient.

Sunday, February 7, 2016

EMT Refresher: Patient drop off

The past couple of days my EMT refresher has been talking about the legal ramifications of the interaction between an EMT and the patient. What happens when other people get involved? How do you protect yourself when you are transporting the patient to the hospital or transferring them to an Air Ambulance?

I'm going to discuss how an EMT can protect themselves legally during a transport and transfer situation.

The important thing to do is to use the medical facility that is closet and can treat the patient. Do not bypass a medical facility that is able to treat the patient unless directed by medical direction, patient or predetermined protocol.

Obtain full and clear report of patients condition from first responder if you are the EMT on scene. Obtain a clear report of patients condition from EMT if you are the medical staff at the facility or Air Ambulance.

Ensure that you are able to provide the level of care necessary during the transport and it is within your scope. If not, obtain assistance from ALS.

Obtain the informed consent form signed by patient or legal guardian if you are receiving the patient.

Obtain the written certification of transfer that includes the transferring physicians name and address, facility receiving the patient and the reason for the transfer.

As an EMT, know where you are going and take the quickest possible route.

 

Saturday, February 6, 2016

EMT Refresher: Can all patients be potential organ donors?

As an EMT you will come across hundreds of men and women who are organ donors. Can a patient immediately become an organ donor once the coroner is called on scene? Unfortunately the answer is no. There are a lot of rules that need to be followed when it comes to dealing with an organ donor as an EMT.

A signed donor card is needed as legal document.
The individual is patient first and then donor. Let's not forget to treat them with the respect that all patients deserve.
Hospital staff and patient family has final say on if the organs can be donated.
Communicate with medical direction that you possibly have an organ donor.
It's the physicians responsibility to determine death
Hypothermic patients can not be declared dead until rewarmed
Patient must be absent of pulse, breathing, and breath sounds
Patient must be completely unresponsive to any stimuli
No eye movement or pupil response
Absence of blood pressure
EMT must check for no reflexes.

Thursday, February 4, 2016

EMT Refresher: Responding to a crime scene

As an EMT or Paramedic, you will be called out to crime scenes. There will be times when the Fire Department busts down the doors and a crime scene is found. What happens then? Let's discuss special considerations in responding to potential crime scenes.

Recognizing a crime scene requires a high index of suspicion. A potential crime scene is any scene that may require Police support. As an EMT, be sure to take one way in or out. This will cut down on crime scene contamination and protect you on scene.

Touch only what you need to touch and inform Police what you have touched.

Move only what you need to move to protect the patient, inform Police of what you moved.

Do not use crime scene telephone unless you have permission from Police. Though with everyone having a cell phone, I don't see this being a problem. The only time it may become a problem is if you need a land line or company policy requires that you do not use your own personal phone for work.

In absence of Police permission, move the Patient only if Patient is in danger. Police will escort the Patient to the Ambulance or Coroners truck.

Observe and document everything

Do not cut through holes in clothing that may be caused by stabbing or gunshot wounds. It's always easier to cut along the hemline of clothing.

Do not cut through a rope or tie knot. The rope and tie may contain evidence that is essential to the case.

Do not cover patient with sheet.

If crime is rape, do not wash the patient with any solutions.

Wednesday, February 3, 2016

EMT Refresher: When to make the call to Police/Coroner

As an EMT or Paramedic you arrive at a call that isn't your typical physical trauma or illness. There are times when an EMT or Paramedic will need to call law enforcement or medical examiner/coroners office. You will be surprised at the amount of times that both have had to be called. At times both will have to be called at the same time.

The reason an EMT or Paramedic should call is:
Homicide
Suicide
Violent Death
Crash related deaths
Sudden Infant Death (SIDS)
Dead On Arrival

Tuesday, February 2, 2016

EMT Refresher: Crime, Coroners, and Cops Oh My!

On the gritty streets of Fort Worth, Texas an EMT will get a call that runs her/him right into a crime scene or DOA. There are going to be decisions that your going to have to make at that very moment. How should an EMT respond at a crime scene. What should a Paramedic report to the local Law Enforcement Officers?

The next three EMT refresher notes as the question:

Identify situations in which law enforcement or the medical examiner/coroners office should be contacted.

Discuss special considerations in responding to potential crime scenes.

Describe situations in which the EMT may be mandated to make a report, such as suspected abuse, crimes, and infectious disease.