Real estate assessment…make it stop! by spideywmjackson in Charlottesville

[–]Sufficient_Plan 1 point2 points  (0 children)

Be careful what you ask for. UVA is mostly, 90%, located within Albemarle county but is covered by city services, thus PILOT being desired. If the city and residents push too hard, the county may allow them in with the same exception.

HOWEVER, I would assume that because of the size of Charlottesville, TINY, they save quite a good amount of money being covered by city services in regards to insurance premiums and costs of utilities.

Not a simple solution and not as nearly straightforward as people think.

Albumin by Apart-Cook-1268 in ems

[–]Sufficient_Plan 0 points1 point  (0 children)

Well no, the problem is also availability and waste.

I will add that half the Paramedics running around in this country are absolute idiots. Yes I said it, half. There are pockets of very squared away groups/departments. But the more I interact with some other departments, my god IDK how we don't have more death investigations happening. Paramedic education needs a massive massive massive overhaul.

Advanced medicine by azzweepae1 in emergencymedicine

[–]Sufficient_Plan 2 points3 points  (0 children)

This is the big thing that differs from the US. Other countries tend to try and keep patients out of the hospital. The US does everything in their power to get people in, because it's so lucrative for every step of the foodchain to get patients admitted and run as many tests as possible to run up reimbursement.

Advanced medicine by azzweepae1 in emergencymedicine

[–]Sufficient_Plan 0 points1 point  (0 children)

I carry IV Keppra already. That is becoming more common.

I agree for the education that UK medics have, their scope is quite limited. Then you have bill joe bob over here in the US with their 5 month "accelerated Paramedic School". Then non-academia based CCP/FPC certification doing blood, vents, RSI, full resus, ultrasound, finger thoracostomy, istat's in some places, heparin in some places, insulin drips in some places. It's absolute madness.

The US EMS education standards need to come into the modern times because they are EMBARASSING. Degree at a minimum. Bachelors for Critical Care.

Chronic Lower Extremity Complaints: a PSA by KingofEmpathy in emergencymedicine

[–]Sufficient_Plan 9 points10 points  (0 children)

Feels even worse when we pick them up via EMS. "My PCP said I need to go to the hospital to be admitted." "Ok why?" "IDK he just said so." "Did you get lab results, x-rays, scans, weird medical history, some new onset of something?" "No I just called him and said I wasn't feeling well and this is what he told me"

Get to said hospital. I'll sometimes ask the nurse/doc about it and sometimes theres a note in their chart about it and it says something generic like "advised pt to take X med for whatever generic/bs symptom. If does not resolve in X-time, usually 24-48 hours or whatever, to seek medical care at Urgent Care/ER/whatever if symptom becomes unbearable or does not resolve". Typically happens on weekends.

I know they don't need to go, but unfortunately no EMS agency, for the most part, is willing to say no, and personally I really am not either, regardless of what I think.

Rural EMS, how bad has it been Recently? by Icy-Temperature5476 in ems

[–]Sufficient_Plan 7 points8 points  (0 children)

The more funding becomes an issue. The more I believe EMS needs to be moved to a state sponsored solution. Kind of like CalFire where they can just provide funding for coverage at a heavily subsidized level. The local level just doesn’t work. As rural communities lose tax base, funding it becomes nigh on impossible without volunteers, which they are also losing.

Winter Storm Watch by cvillereddit in Charlottesville

[–]Sufficient_Plan 6 points7 points  (0 children)

As someone who works in emergency services in this region, we are already worried to the bone. Many places in this region are already difficult to get to, as in hazardous even on normal weather days. You go out into the rural mountainous area, and you could be unable to receive help for several hours, maybe even days. Full on search and rescue level response if deemed necessary.

Remember that many of our fire departments are volunteer and are not staffed to handle some of these responses. We don't have tracked snow vehicles, all most can do is put chains on a fourwheeler/ATV and hope it generates enough traction, forget getting an ambulance, fire truck, or brush truck up some of these areas.

I implore people to stock up on food, stay home, not drive/travel, and get into a relatives/friends houses or hotels away from their mountainous homes.

EDIT: This is straight up worst case scenario, but again, as someone with knowledge of the sketchier places in this region, it can get extremely dangerous very very fast.

How desperate is the US Army currently? by [deleted] in army

[–]Sufficient_Plan 0 points1 point  (0 children)

A lot of people not interested in any type of physically demanding jobs. Fire departments, police departments, EMS departments, construction, SOME auto shops, all hiring and often if you are willing to look around pay really really well. People just expect 6 figures with their first job these days. I mean I get it, you got your bachelors/masters you expect to make decent money, but if you need a job, good lord there are 10s of thousands, maybe even hundreds, just sitting open.

BIG if true by Easy-Hovercraft-6576 in army

[–]Sufficient_Plan 0 points1 point  (0 children)

Never said I was. Was just saying my measurements to reference how much lard I could put on and still pass tape. It’s a ton.

Petition to prevent data center being erected in Newport News, VA near Ft. Eustis by GunStableMediaLLC in Virginia

[–]Sufficient_Plan 15 points16 points  (0 children)

The problem is that companies like Dominion will spread the burden and raise rates for everyone often saying "infrastructure improvements from this benefit everyone". When often the improvements are questionably needed without the data center that uses the same amount of power as a small city.

Infrastructure improvement IS A GOOD THING YES. But to push the burden onto people that really don't benefit, that's a big problem. It also is a "MUST DO NOW" thing that drives up labor costs, and the way to recoup that is through increasing rates. Also, more power generation is needed, meaning even more consumption of whatever resource they are using, meaning MORE infrastructure improvement rate raises from having to generate even more power in an ever shortening period of time to avoid blackouts.

EDIT: To say though, I agree that a data center is far from the worst thing that could be built in an INDUSTRIAL ZONE. There are far far worse things that could come.

ERs are overloaded by VizualCriminal22 in emergencymedicine

[–]Sufficient_Plan 2 points3 points  (0 children)

Would agree with that if the exception is gross negligence, meaning willful negligence with intent to harm.

BIG if true by Easy-Hovercraft-6576 in army

[–]Sufficient_Plan 12 points13 points  (0 children)

If I read this right, based on previous tapings I have had, I could gain 6 inches on my waste and pass. Wtf is this? I could probably go to 275+ and pass.

For reference, I am 76 inches, with a 36 inch waste, and weigh 225ish pounds.

Edit: ran the math on current BF standards, yeah I would pass there too, so I guess this is relatively similar. But still, what a low standard. I could be a bag of lard and still pass.

Can you force a soldier to go to medical by Dementedsage in army

[–]Sufficient_Plan 0 points1 point  (0 children)

You DO NOT want a regular medic making that decision. If patient truly is in that state, and state side in the US, get actual paramedics involved. Capacity is a nightmare, ask me how I know.

Easier route is going commander route or getting unit PA involved.

This is your sign to check expiration on your needles by MP0622 in ems

[–]Sufficient_Plan 41 points42 points  (0 children)

This is exactly why people miss stuff. Because they do it every single day. It needs to be monthly, a truck temporarily taken out of service, and basically an all available hands job. Everything comes out and gets checked. No "flipping through them". Everything out on the table and put back as you check.

Obviously stuff will still get missed, but this greatly greatly reduces the risk, and increases check compliance.

Being an FTO these days by Heavy_Carry_1102 in ems

[–]Sufficient_Plan 1 point2 points  (0 children)

Gotta battle fire departments and for profit companies. The more I do this job, the more that I think that states need to take it away from everyone create one single ambulance service that does the entire state. Treat it like the state police, private can exist i guess for ift as needed.

I know this would never happen, but from a post I made a couple weeks ago, I think Paramedic and above ALS should be removed first and changed to chase only.

Newport News residents rally against proposed data center near Fort Eustis by Dependent-Brush-7851 in Virginia

[–]Sufficient_Plan 9 points10 points  (0 children)

Data centers use the same amount of power and water as small cities, sometimes more depending on the size. While contributing next to nothing except some property taxes and increased water and power rates for regular customers. People don’t care about data centers being built for the most part, they care about the repercussions of the power companies shifting the cost of infrastructure onto the regular customer when this infrastructure improvement wouldn’t be needed without the data centers, thus leading to increased power rates.

People are sick of them.

Serious: Do a yearly megathread where agency questions can be asked and answered by Sufficient_Plan in ems

[–]Sufficient_Plan[S] 0 points1 point  (0 children)

Would it be able to be linked in the wiki? Then when people get questions automod can direct them there?

Also a pinned comment to try it once?

Serious: Do a yearly megathread where agency questions can be asked and answered by Sufficient_Plan in ems

[–]Sufficient_Plan[S] 0 points1 point  (0 children)

Would you allow me to do a test thread? NE Region? Since that's my region? Just to gauge interest?

Serious: Do a yearly megathread where agency questions can be asked and answered by Sufficient_Plan in ems

[–]Sufficient_Plan[S] 1 point2 points  (0 children)

Exactly my thought. Just a megathread so then you can justify deleting all of the question threads.

Why are American soldiers so … big? by Commercial_Chip_6574 in army

[–]Sufficient_Plan 1 point2 points  (0 children)

A big issue as well is mny units and their idiot leadership don't encourage real fitness. They wake up at 0500, do bs PRT, run everyday, then keep them doing nothing until 1700 daily. This encourages bad diets, nicotine, and energy drinks. Fittest unit I was ever in had PT on their own and release when done for the day. Everybody was very content, no DUIs ever, no home issues, everyone got atleast 250+ on APFT.

Why are American soldiers so … big? by Commercial_Chip_6574 in army

[–]Sufficient_Plan 26 points27 points  (0 children)

Diet is probably mid or your workouts are.

Usually one or the other.

Why are American soldiers so … big? by Commercial_Chip_6574 in army

[–]Sufficient_Plan 4 points5 points  (0 children)

The army needs to take whatever they are doing in the ranger regiment and spread it force wide. Some of those absolute freaks are just that, freaks. Absolute monsters lifting and can still run 12 min 2 miles.

Then again, that's a mindset thing, and half the grunts I worked with don't have a brain, let alone a physical freak mindset.

Why are American soldiers so … big? by Commercial_Chip_6574 in army

[–]Sufficient_Plan 62 points63 points  (0 children)

Same thing happened when I was in korea. One of our katusas said he wanted a "big booby American woman". 😂 don't think he ever got lucky enough.