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Translated: What? No more 10 codes? You gotta be weathering me? Are you hit and run-ed up in the head? What ending tour of duty made that vehicle registration information decision? That's just bomb thread wrong man. What's the estimated time of arrival world coming to? Repeat. Unable to copy. I'm not sure if you were trying to be funny or not. But this is kinda' exactly the point of no more 10 codes.

I think a lot of people have dissected this enough so I will be to the point. In EMS your going to be in a lot of "questionable" situations that the decision will be out of your hands, and it is going to tick you off. It is what it is. What I want you to take from this is you only have to account for you. Did you act ethically? legally? morally? Could you have done anything to change the outcome? You have to grow some thick skin and let things roll off your shoulders. Decisions of others (i.e. supervisors, managers, etc) that guide your direction are owned by them, not necessarily you, and they have to answer for good or bad decisions made. If you did what you felt was right, then there is no reason to get pissed. All you can do, is do what you know is right. Whats right for the patient regardless of healthcare status (i.e. hospice), Right for you as a provider, and right for the company you work for. Beyond that let it go. I think I covered everything. If not Dwayne or Artickat will either add it for me, or scold the crap out of me. One of the two lol (just kidding)

Always a pleasure.

No resp distress or complaints of trouble breathing. His neck does appear symetrically swollen. When you palpate the neck you can feel subq emphysema. Maybe, maybe not. Thanks for playing. HR 108 RR 16 BP 142/88 93% on room air No JVD No edema Has a hx of bipolar and schizophrenia Pulses/BPs equal bilat EKG sinus tach with a rate of 110 with nothing abnormal

I am generally uncomfortable taking culinary gratuities from patients but do it every time. In the culture I live in it would be considered belittling to the giver to not receive their gift. Often we are offered bananas, mangoes or what ever fruit is in season. Water on a hot scene is not a problem. In fact I have asked for a drink on many occasions when It is needed and the on scene time is prolonged. If we are working rescues that extend beyond mealtimes, communities will often bring us lunch which must be received for the same reason mentioned above. I have never abandoned my post to receive a gratuity and would frown on anyone who did.

Nothing. In fact, we've got medics and they don't. If I am correct, the only reason they were requested is because they are out of the town that the requested hospital is in. That's about all it amounts to. We were 10-22'd because the family requested the other service. Our director told us to continue because of what we believed the nature of the call to be. First responders were requested to leave the scene also. I had radioed to said first responders for pt info when I found this out. And yes, my county still uses 10 codes. It's all good. I was more then comfortable continuing to scene despite what dispatch had said. I did NOT feel comfortable being cancelled when we were the closer unit. I didn't know if the family of said pt realized that they were delaying care at the time of dispatch. My thinking was that there was a pt that needed care and it was being delayed for some reason, unbeknownst to me. Honestly, maybe "pissed" wasn't the right wording. Off job stress is wearing (having temporary custody of a three year old when my youngest is nearly nine does that too you!) Thick skin is mostly intact. Sometimes I have to just let it out because husband is not a fan of hearing me rant. Sometimes I can also be guilty of the oft begotten disease of foot-in-mouthitis. I don't offend easily for the most part os it's all good.

Dear Paramedic Mike, You're not sure if I was trying to be funny??? What, you think I actually looked up those numbers? I thought my blatant mockery was evident. But, maybe not. Thank you for bringing this to my attention. I’ll have to kick my derision up a notch. I hesitate to ask, but, how did you translate the numbers that I made up? And just for the record, weather, hit n run, tour of duty and whatever else you put, was not the words I was thinking about when I made it all up. There’s only four 10-codes worth using anyway- 10-7 on scene, 10-9 10-1 in service-returning to quarters and 10-4 OKEE DOKEE. Oh maybe one more, commonly expressed as "What's your 20?" which most often meant, "Where the f#** are you?" OKEE DOKEE

interesting post, i'm a EMT in Philly with a transport company where probably 75% of our PT's are hospice and let me tell you when you have to deal with hospics nurses,facilities,social workers and family its an extremely stressful situation. There are so many people involved in it that things can get screwed up real easy. One being i come across full code hospice PT's all the time and that causes alot of confusionon who to call and also hospice PT's sometimes use the same ambulance service all the time, respite care, hospice at home who need to go into a facility for a test,injury etc. Alot of issue's do come up from the family because of different beliefs they have and may not be the PT's choice, i come across that ALOT. my best advise dont get wrapped up in it, you wont get anywhere and your only gonna beat yourself up over it and remember not all hospice are DNR so i think you the right decision was to continue in. i think i got your post right so hopefully this helps

To Paramedic Mike: WHAT? No more 10 codes? You gotta be 10-13ing me? Are you 10-57’d up in the head? What 10-42 made that 10-28ing decision? That’s just 10-89ing wrong man. What’s the 10-77ing world come to? 10-9 10-1, Mike-The Big 10-4