Leaderboard

I'm sorry there mikey, I was trying to give you the benefit of the doubt, but your half-assed justification and back-pedaling makes that impossible. You made a completely ignorant and innapropriate suggestion; deal with it. You suggested taking punitive action against a bad partner by backboarding ALL trauma patients. This would indicate that you know that ALL trauma patients don't require a backboard. Trying to bring up some made up numbers to make your comment disappear doesn't work. You suggested taking punitive action against a bad partner by transporting ALL hypoglycemics, suggesting that you know that ALL hypoglycemics don't need transport. Your clear lack of medical knowledge (5 minutes of death? Really? How about more hyperbole?) and an apparent inability to examine a patient is nothing more than another smokescreen for your bullshit comments. The first 4 things you suggested were fine, good advice actually. But when you start telling people to treat patients innapropriately and potentially harmfully because you don't like your partner you are nothing more than a hack who should be fired and barred from ever touching another patient.

First of all, to triemal and everyone else who quickly felt the need to attack my position: I have not seen your suggestions! Of course it is easy to lie in the weeds and just be a sniper. As far as backboarding: You are right 95% of the time, but every service has had that 4-5% that ended up with a c-spine fx, skull fx, or brain bleed that presented as NORMAL and were left behind or were not backboarded until the ER staff did it -- post xrays/scans. If I put one bullet in the chamber of a gun and played russian roulette, I can argue that I only have a 1 in 6 chance of death, but their is not a person in this room that would take those odds. As far as diabetics, think about it --- a few minutes ago, the patient was within 5 minutes of DEATH. Yes you gave the magic medicine that saved the day, but under what pretense are you assuming that the hypoglycemia was not due to infection or other metabolic problems that you can not find with a b/p cuff and a monitor (Oh, I know, its due to the very lucid response to questions you asked the patient who was near death a few minutes ago --- Or is it due to the glucometer and supplies in your ambulance that you trust so much). Ask any ER Doc if they will discharge a hypoglycemic patient, after just administering an amp of D50. No, there is a reason that lab work is done, prior to discharge. If my family were being treated, I would rather not have the average medic who gets a refusal on 50% of their patients. Regardless, we are off on a tangent here --- please get back to the original question, and give the OP some advice. We can argue in private messages about my positions (whether real or tongue in cheek). Lets not hijack the thread.