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Old 02-22-2007, 22:16   #28
Eagle5US
Quiet Professional
 
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Join Date: Jan 2004
Location: Tampa
Posts: 2,536
Unhappy A different point of view...

Quote:
Originally Posted by The Reaper
Hey, guys, it is okay to disagree with one another, let's just keep it professional and based on facts and experience.

TR
Clear Sir,

I do believe I stated my point in a matter of fact manner, that was somewhat reserved, when it came to my actual emotion regarding this subject.

But since it has been brought it:
SouthernDZ:
You do not have the keystone on MIEMSS: I too worked there in the 80's. I have also worked at University Shock Trauma in Syracuse, and at Harborview Shock Trauma in Seattle, AND on the Trauma Teams at Tacoma General, and St Joseph's Regional, and at Mary Bridge Children's oh, and here in Iraq at various locations as the only provider. Big deal. I am not the newest knuckle to bump the stairs, albeit I wasn't old enough to begin working EMS until 1982. If you want to compare resume's, trigger time, and medical experience / training, background, fine. But I don't see the point. I will stand on my reputation and credentials.

On that note, you may be impressed with your team time statement-but you should know, by now, that statements as such hold little weight in this environment. Chest pounding is not something that has been necessary on PS.com. The majority of us here have significant time in the community in one respect or another.
Sinc there is nothing in your profile, I am making the assumption that you either, are or were, an 18D-which then leads me to the conclusion that unless you progressed further in your medical education-you still have quite a bit to be able to learn. As we all do in medicine until we finally stop practicing.

If YOUR coping mechanism is that "pain is the patient's problem". I think it sucks. If it is yours, than own it fully and please do not offer it up to any new folks coming up through the course. They come here for information and need to see that others, such as myself, have the ability to disagree with your statement on "how they need to be" in order to be successful as an SF medic. THEY can decide for themselves how THEY want to qualify their handling of patient pain. I hope they choose a route other than yours. But that is, as you stated, my perogative.

As mentioned before, medicine is a practice which allows some leeway on how people do the same things differently. The way it sounds, I wouldn't approve of the way you practice if I were your patient. Glad that isn't something that I, my friends and colleagues, or my family currently have to worry over.

Quote:
Originally Posted by southernDZ
Tt isn't always in my power to alleviate such; therefore it might be best to be dispassionate about what you have to do and soulsearch about "how you could have made it a little less painful" later. I would've loved to had that kind of time but I was a little busy trying to keep them on active duty.
Very dramatic statement to the unknowing or uneducated. Many of us have had the triple amputee patient with respiratory burns and an RPG round stuck in his chest with only a swiss army knife, popsicle stick, super glue, and silly puddy to treat him. That is not what this is about. Being a medical professional allows me to know what needs to be done with compassion, and actually prevents me from being "dispassionate" or having the need to soul search.

It wasn't long ago that hypotensive resuscitation was blashemous in the medical community either. Everyone is always learning.

Eagle
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.

Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04

Last edited by Eagle5US; 02-22-2007 at 22:37.
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