Leaderboard

What about the pts where there are no witnesses? I agree, you should collect as much info as you can but with an intoxicated person you need to take everything with a grain of salt. How do you decide if they are a danger to themselves? Being intoxicated automatically means you cannot make proper judgements. There is a reason why it is illegal to drive a car, fly a plane or take care of patients with alcohol onboard.

Questions, patient history, bystandards, family members, quick trauma assesment,ect. I see where you are coming from ERDoc, but it is subjective to the provider. Some are straight load and go and on the way get all the history and stuff. I myself would rather get that done on scene and decide if transport is necessary. I know we live in a suit happy world and anyone would be quick to make a buck but I still believe in personal freedoms too. If the patient doesn't want to leave, all vitals seem normal (minus the etoh), and is not a danger to themselves or others I do not see the need to take them out of their home and to an ED where they are just going to sleep it off on a cot somewhere.

This is funny ! well almost. So one needs time with ill patients with ~ 120 hours of training and you call this "clinical experience" ... can you not see the glaring error's in the educational philosophy alone ?

No one should go straight from emt to medic. You need time in the back of a bus (ambulance) by yourself with a patient in need to have the clinical experience to make you ready to be a decent medic.