Happy Fourth of July: Would you like to have Financial Independence?

June 29, 2017 Comments off

 

Read on and learn how you can get a free copy of The Downwind Walk and an invitation to a attend a free seminar for taking action by July 4th.

Fourth of July is a day of celebrating freedom and the American dream. Although our country guarantees us freedom of speech and pursuit of happiness, financial independence is up to you.   CLICK HERE for information and stop falling further behind.

Would you like financial independence and not have to depend on overtime or a second job?download (4)

Are you falling further behind the more you work?

I am sickened by the fact a lot of people are waiting tables and making 80 or 90 bucks for 8 hours work.  These waitresses have to also tip the bartender and the bus staff. Even if you have a good job you have to do overtime or work a second job to get caught up.  How many of us in EMS are working overtime and trying to pay bills.

How do you feel when your hours are cut, or overtime dries up?

Many people are feeling the harder they work the further they fall behind. People with 40 hours a week jobs have their OT canceled because the business is slow or your company is over budget.  This is why many Americans feel a lack of control. Other people are controlling your income making opportunities.  Are you feeling the harder you work the further you fall behind? CLICK HERE  to learn how to earn more money and stop falling behind financially.

Financial independence.

Think about it.  How would it feel to be in control of your income and have the freedom to enjoy life?   How would you feel to be able to make money without having to do overtime or work a second job?  Is it really necessary to work and do overtime to make ends meet?  How would it feel to work from home or the lake while others are driving to and from work every day?  We both know people that spend 2-4 hours a day commuting for a salary and career. I recently read an article which said, “Americans Spend 1.1 Billion Hours Commuting to Work.”  Why?

Click Here to find out how you can start making more money and do less over time!!.

Reality Check

I am not advocating quitting your job and drinking the cool aid.  I am suggesting that there are easier ways to make a living and not have to kill yourself with overtime. I am suggesting that you could have a business that generates automated income for you and give you freedom.  CLICK HERE for information and start your financial independence.

I remember working overtime on the ambulance and making $150 after 8 hours of overtime and paying my taxes.  I loved working but the reality was I was working by the hour.   I once was talking to my partner who said he was only 10K behind in credit card bills

I replied, “Dave that is like 70 shifts of overtime, providing you do not charge more on your cards.  That would be 2 shifts a week for 35 weeks if you can get the OT”.

“Shit, Steve.  That sounds bleak when you put it that way.”

“Also Dave, there is the interest.  You are probably doing another 15 shifts just to pay the interest.”

 

 

Easy Money?? No Such Thing.

I can remember friends of mine doing “easy overtime working at the beach or being a patient at the academy.   I made some serious money teaching EMT’s and paramedics.  But I still had to work 3 jobs and teach in the evening.  My daughter once asked me, “Dad why do you work so hard?”

I told her I did not have to but we would not be able to go to Disney and the beach each year.

She said, “That’s ok dad, keep working.” LOL.

I see many people advertise on-line that they make 7 figures and work from home.   Advertisers show you their expensive cars and big houses.  How would you like to pay isn’t that a more reasonable goal?

These is no easy money in life.  There is seldom money made “While you sleep”.  But, you can get ahead if you leverage your effort and get some automated income streaming cash into your bank account.

 

Consider putting in the work to create a product line and sell them for money that was collected while you were doing other things.  Yes!*It is possible to have a business and attain location, time and money freedom.

I am talking about starting out with modest goals and making a monthly income that makes life better.

Rather than making overtime salary when it is available.  Consider making $40 to $100 per sale from your on-line automated business.  Say you could do that to make a grand or two a month.  Would that make you smile and feel like you’re in control? How would it feel to be home with your kids more often?

It can be done.  I get quarterly checks on the sales of my book, The Downwind Walk: A USAR paramedics Experiences after 9/11.   I also get checks for teaching I do as an instructor.

I have worked hard for my money and occasionally I have used leverage to make a lot of money for speaking at conferences.  But I cannot get these jobs all the time.  Maybe once a year tops.

I am able to sell books and train people on-line regularly.  I want to show you how to do this also.

Chances are if you are on-line using Facebook, WordPress, YouTube and Pinterest, then there is a model of business for you.  If you like to teach and write a book, you can speak, write and make money helping others.

“I can’t make products and write books! “  Not many of us can.  We have limited time and have obligations.  How would you like to license products that have proven success and receive commissions for every sale you make?

My Offer to you-

I would like you to take an on-line class, spend some time watching videos and making decisions to see if this business model is for you.  I will even see to it there is a coach to talk with you and see what strengths you have (That is like a $500 value).

 

 

There is more –to honor Fourth of July I want to help 74 EMTs and paramedics start their own business. (get it 7-4, Fourth of July?)

If you sign up for this course and pay the 49.00 fee I will also give the first 25 people a signed autographed copy of my book along with a digital panorama photo featured on my web site, http://www.downwindwalk.wordpress.com. ($30.00 dollar value)

AND I will throw in for free 5 of my professionally edited EMS mastery lectures.   ($50.00 value, easy.)

AND I will invite the first 25 people who sign up for this by 07/04/17 an invitation to an in-person training seminar in the New York City Area where I will personally teach you how to start a blog, auto-responder sequence and sell products online.

 

There is no easy money.  I am not guaranteeing you a 7 figure income.  But, I will guarantee you can start your business and start an independent cash flow for you. Kind of like your own cash ATM!    CLICK HERE for information and start your financial independence.download (5)

I am being generous because I believe this is a good opportunity for you to start your financial independence, I am tired of seeing people working too hard while there are ways to help make income and enjoy life a little bit more.  We all know how unpredictable life can be.  Do you really want to spend all your time working?

 

“What do I do next?” 

  • Click on the link below
  • Sign up for the course
  • Pay the $49 dollar fee and take the course. Send me an e-mail with your receipt and address to mail the book to.   (stevenKanarian@gmail.com, topic “Financial Freedom”chopper)

After you have paid for the course and e-mail your receipt will send I verify you finished the course, I will send you an autographed copy of my book, The Downwind Walk, the podcasts and the panorama photo.  I will notify you of the in-person conference location and date.

So basically I am giving you a couple of hundred dollars’ worth of training, books podcasts and lessons for $49.00.  Oh yeah and a coach who will walk you through the steps and help you determine your goals.

 

CLICK HERE:  http://tinyurl.com/y7qe8qc2    and join the list to get your presents.

 

 

 

 

 

 

 

Categories: EMS Mastery

Narcotic Overdose Mastery

Narcotic Overdose Mastery

Lately, news about the number of heroin overdoses has churned up in my moind some lessons I learned while working as a medic in the Bronx.  I want to share these lessons with the new generation of EMT’s and medics who are hitting the streets.  Some of the lessons are about administering Narcan and others are about interesting calls we handled with some strands of EMS system history intertwined.  Experience is the greatest teacher, but learning from others speeds up your path to mastery.

Naloxone Actions:

Medications work by connecting with a specific receptor site.  Think of a receptor as a dock for a boat, a parking spot for a car or a lock waiting for a key.  When the medication fills the receptor site the interaction stimulates the desired effect. In the case of Heroin or narcotics, the desired effect is CNS depression, anxiety relief, pain relief and sedation.

An antagonist is a chemical that slows or blocks the effect of a medication.  Naloxone is an active antagonist which will push out narcotics from the receptor site and remove the narcotic and stop the effect.  We think of the classic respiratory arrest patient and the dramatic effect of naloxone. After a patient receives naloxone he starts to breathe, regains consciousness and then sits up. I call it the classic ‘wallet sign.” They wipe their face and then check for their wallet. 🙂

Naloxone is a narcotic antagonist that removes a narcotic like heroin or methadone from the receptor sites on the brain.  Blocking the receptors allows a dramatic recovery from unconsciousness and respiratory arrest. There is a good example of this in the movie Bringing Out The Dead, based on the Novel by Paramedic Joe Connelley a Manhattan paramedic.

 

What does a narcotic OD look like?

A serious OD will be the classic slow pulse, slow respirations, and cyanosis. The surroundings of the patient often include a candle or match, spoon with drug residue a tourniquet in place in the arm and in severe cases the syringe will still be in the patient’s arm.  You may also see that bystanders have poured ice down the patients pants in an effort to wake them up.

What is not a narcotic OD – dilated pupils, powder under the nose, bounding pulse, high BP and agitation.  This is probably a Cocaine overdose.

The continuum of the disease. —

Contrary to what people believe a narcotic overdose can cause tachycardia at the early onset of respiratory arrest.

Signs of an early respiratory arrest secondary to narcotic OD—pinpoint pupils, respiratory depression, pale skin, and tachycardia.

In severe cases, a patient will have unconsciousness, agonal or absent respirations, a slow pulse (bradycardia) and cyanotic skin.

Dose:

Naloxone is supplied in 1, 2 and 10 mg Ampules, Bristojects and pre-filled syringes.

Dose: 0.4 to 2.0 mg up to a maximum of 10 MG. Usually titrated to the response of increased respirations. Always follow local protocol and wear gloves when dealing with patients suspected of an overdose.  Be prepared to support ventilations, suction the airway and in some cases CPR may be required.

When giving naloxone administer according to protocol and observe subtle changes like respiratory rate change, skin color change, drying of the skin, pulse increase and return to consciousness.

Precautions:

Naloxone does not work on cocaine and marijuana.

Naloxone can make a patient vomit, give them the shakes and also put him into withdrawal if given too rapidly or in too large of a dose.

Q: Why does Naloxone make some people get violent when they wake up?

A: A patient may go into withdrawal when s/he receives too much Naloxone.

 

Respiratory Arrest:

Ventilation of patients in respiratory arrest is more important than giving Naloxone. Ventilation with an oral airway and a bag-valve-mask (BVM) is the indicated treatment for a person in respiratory arrest from a narcotic overdose.

Q/A? Can ventilation alone wake somebody up from a Narcotic OD when they are in respiratory arrest?

A: Yes. Ventilation alone can return an overdose patient to consciousness and spontaneous respirations. Home remedies:

Treat and transport or call 9/11 if you are a bystander or first responder.

 

Administering Narcan is a great experience when your patient wakes up and survives.  However, your safety always comes first and I recommend giving Narcan slowly and titrating to respirations.  I quite ride to the hospital with a breathing, dozing patient makes for a is a great day.

Next post will be some Narcotic cases.  Stay tuned.

 

Please share this post.  

If you read to this point, drop me an e-mail and I will send you a free copy of my book, The Downwind Walk.  

E-mail me at stevenkanarian@gmail.com  

Subject Line: Free Book  (valid for first 5 people who do it.)

 

 

Categories: EMS Mastery

Home Business Summit

May 7, 2017 Comments off

-Are you tired of working overtime to make pay off your debt?

-Would you like to stop having to work a second job to make ends meet?

-What are you missing at home when you are working?

-How hard is it for you to save money for a vacation?

The Big question: What would you really like to be doing? Skiing? Hiking? Traveling to exotic places? Would you like to be able to get your car or boat of your dreams?

Problem: we are all sold on the idea that we can work an hour for pay, work 40 hours and you make full time pay.  You can work more hours for overtime.

I found that working overtime lead to the idea that I could charge things and then work later for the money. This cycle of charging and working is very hard to get out of.

Would you rather earn money for your time or your value? 

Click Here:  Learn how to make more money and do less overtime!!

I have found other ways to make money based on my experience and knowledge rather than work overtime.  I have written two books which bring me residual income, I speak around the country and earn money sharing my knowledge and giving uplifting speeches.

I found it pretty nice when I was making $500.-1,000 for an hour presentation!

Find A Home Business Summit near you. Click Here now!

Watch this Video to Learn More>>>>>>>>>>>>>>

Home Business Summit Locations:  Travel and Deduct the trip!

What I learned: I can make more by teaching, writing and speaking using my value rather than have to work a second job.

If you want to make money based on your effort and value rather than trading hours for dollars you have to find a new way to make money.  Starting your own on-line business is a great way to make money. You can learn from the experts how to get started.

Categories: EMS Mastery

The Downwind Walk Podcast for my Readers!

October 15, 2016 Comments off

I would like to share a podcast with you about wat it was like to work at Ground Zero and deal with 9/11 as a first responder for the FDNY.

I will also be sending out information and videos in upcoming posts about visiting Ground Zero and some of the stories from 9/11.

Please Click Here to get the podcast and take the Downwind Walk with me !

Have a great day and do something awesome in memory of someone we lost on 9/11.

 

Steve K,wtc-destruction_flag1.jpg

Categories: EMS Mastery

How to Make Money Without Doing Overtime-

September 26, 2016 Comments off

 

My Top Tier Business: MTTB 21 Steps System is MOBE’s premier commission generating system. Discover how to get $1,250, $3,300 and $5,500 commissions deposited directly into your bank account without ever making a phone call.

 

We Are Willing To Bet $500 That You Will Succeed
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  • How average people with no prior experience online are depositing$1,250$3,300, and even $5,500commissions
  • A simple 21 step system taking you through the master plan to massive paydays with ease
  • The secrets behind how the system has generated over $25 Million in the last 12 months
  • How you can easily tap into this system in just a matter of minutes
  • All this and much MUCH more!

Click Here To Get Started 

Categories: EMS Mastery

EMS in the Summer of 2016: The Country is Hot and Our Streets are Boiling Over.

August 9, 2016 Comments off

“Hate Takes Too Much energy.” PO Montrell Jackson, Slain Officer, Baton Rouge Police Department   Beep! Beep! Beeeep!  “EMS Unit 5, are you in-service? EMS Unit 5 at 15:10 hours. Beeep!” You…

Source: EMS in the Summer of 2016: The Country is Hot and Our Streets are Boiling Over.

Categories: EMS Mastery

EMS in the Summer of 2016: The Country is Hot and Our Streets are Boiling Over.

July 28, 2016 Comments off

 

“Hate Takes Too Much energy.”

PO Montrell Jackson, Slain Officer, Baton Rouge Police Department

 

Beep! Beep! Beeeep!  “EMS Unit 5, are you in-service? EMS Unit 5 at 15:10 hours. Beeep!” Your dispatcher quips. Time for you to sign on and go in-service.

Something is not right.  Something you really can’t put your finger on is bothering you.  You have checked your ambulance and are getting ready to go in-service.  The checklist is done, you have ambulance call reports but yet there is something lingering in the air. There is something stopping you from going in service and putting the vehicle in drive. “Did I forget to check something? Did I forget my radio? What is it?”

This summer is different.  Sure it is another hot July, the cities are boiling over but for God’s sake, they are killing police officers without warning.  There are some horrendous things that happen in the world that we take in stride and go on.  Once in a while, however, there are events that really make us stop and think.

“How do we go out into the streets and provide care when they are killing police officers without warning?”

In Dallas Texas there were 5 police officers murdered during a public demonstration.  These five officers were gunned down by a sniper during a protest.  How do we as EMT’s and paramedics go out into the streets when violence can erupt in a gun flash killing police officers without provocation?

I know there are soldiers who are facing much worse conditions in Iraq and Afghanistan. But this is our homeland, this is where we live.  We are supposed to be safe. This is our home! Unfortunately, the senseless violence and retaliation at home are not new.

I thought the August 2007 shooting of 4 college friends in Newark, New Jersey was horrendous.    But it seems like violence keeps happening and the body counts keeps rising.  (Read about the Newark shooting here:  http://www.liveleak.com/view?i=a61_1186417476)

Officers Wenjian Liu and Rafael Ramos were murdered in what investigators believe was a crazed gunman’s ­assassination-style mission to avenge Eric Garner and Michael Brown on December 20, 2014,  in Brooklyn NY.  These officers were sitting in a marked police car during a terrorism response drill when they were murdered.

On June 5th the deadliest mass shooting in U.S. history took place when a gunman killed 49 people and wounded 53 in the early morning hours of June 12 at Pulse nightclub in Orlando, Florida. (Read about the Pulse Nightclub shooting: http://www.cnn.com/2016/06/12/us/orlando-shooting-timeline/index.html )

It feels like the war is here in the streets of our country. Actually, there is war in our city streets. We live in a different world now.

How do we as EMT’s and paramedics go out into the streets and provide care when there is so much unpredictable violence. How do we go out in the streets when police officers are being murdered in the street in Dallas, Texas while monitoring a protest or in Brooklyn, New York while staffing a terrorism drill?

In past decades there were risks from responding to a shooting, crime in progress or a large fire.  But we as responders were not targeted.  Now police officers and responders are being targeted during down time between calls or in situations you would not suspect violence.

How do we go in service and help the public? 

I was working in the Bronx in the summer of 1988 when we were very understaffed and short on   vehicles. People were waiting an hour for an ambulance and we were in the news daily, the public met us with criticism and anger.  We went out and did our jobs, because we were the system to those people we met.  Eventually, the system improved and things got better.  We overcame tough times by focusing on our actions and our patients.

During the tough times, we stayed the course by being tough and doing our job, kept focused and did our job.  We learned to diffuse anger and focus people on the problem at hand. 

My partner would say, “What is the use? People hate us and we can’t get any slack from them.”

I replied, “Don, we can get through the day by doing our best, focusing on our patient and showing them there is some good in EMS.  To the people we meet today, we are EMS.”

By concentrating on our job at hand, our safety and persevering in tough times we can provide emergency care and feel good about the impact we are having on the public.   We are the public service to those we meet, make the difference by being the buffer.  We can help diffuse tensions and attitudes by being the buffer, acknowledging their concerns, get them to focus on the matter at hand.

When you operating in the streets keep your eyes and ears open.  Stop, Look, Listen and think.

During your daily responses follow you instincts, vary your response routes and approach common call locations from different directions, use different entrances. When you have a problem call for backup and a supervisor.  Worst comes to worse leave the scene and regroup at a safe location.  It is a good policy to talk these issues out with your partner before you run into a problem.

“If real trouble erupts, I will meet you back at the ambulance if we are separated.  If we are in a high-Rise I will meet you in the lobby.”

Safety Rules to Live by and Stay Alive by

  • Stop, look, listen and think.
  • Communicate with PD and Fire, share information.
  • Consider stopping down the block to evaluate situation and wait for other responders
  • Remember to use hard cover to protect yourself. Examples would be a rock wall, a building.
  • Stay out of line-of-site of a shooter.
  • Think Big. Choose a distant location when staging vehicles and responders.

To learn more about responding to terrorist incidents read: The Downwind Walk: A USAR Paramedic’s Experiences after the Terrorist Attacks of September 11, 2001.  Check it out at:   http://amzn.to/29FCd4f

I have always found the worse the conditions the tighter EMS and PD get.  We are in this together and in the end, we are all people who want to make it to the end of our shift.   I call the effect of worse conditions in the street bringing responders and people together The Downwind Effect.  On September 11, 2001 people from all levels of income, color and different services were all covered in dust and depended on each other to survive, they were all gray and dust covered.  They were united.

In tough times like these EMS can be part of the solution.  We can demonstrate professionalism and care for the public.  Caring does not only mean patient care but also basic courtesy and kindness to the public when circumstances allow it.  An old partner of mine opened my eyes to the fact we don’t have to defibrillate or intubate to make a difference.  George would say, ”Those emergencies ae rare, we can help the public every day.  Kindness means more to them than ALS, plus we don’t have to re-stock.”

Steps for diffusing anger and resentment:

-Demonstrate Respect  

-See the person, not the actions and words.

-Listening skills – reflect back to them what you hear them saying.  Show concern and understanding

-Focus those involved back to the current problem at hand.

These times we are experiencing are history in the making.  We are working in times when the country is evolving and democracy is being tested.  Our number one priority is to stay safe, stay alive.  We have to stick together with police in fire in dire situations.  We are all brothers and sisters.  We also have a commitment to help the public, show respect and listen to their concerns.  We do not have to solve their problems, just listen and acknowledge.  We can complete the circle by focusing them on the situation at hand.  People who see the big picture see humanity, not color of uniform, ethnicity or wealth.   We are all people who live together and have to interact with respect.

Stay safe, keep your eyes open and be prepared to help people.  Now go in service and make a difference!

The words of Police Officer Montrell Jackson seem to sum up the problem of the Summer of 2016 very well, “Hate takes too much energy.”

I personally think there is more good in this world but hate has a better press agent.  The actions of many can outweigh the negativity of a few.

To learn more about responding to terrorist incidents read: The Downwind Walk: A USAR Paramedic’s Experiences after the Terrorist Attacks of September 11, 2001.  Check it out at:   http://amzn.to/29FCd4f

About the author: Steven Kanarian is a 25 year veteran of the FDNY EMS, Educator and author and speaker. StevenKanarian@gmail.com, @MedicMentor.

 

 

 

 

 

 

 

 

 

 

 

Categories: EMS Mastery
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