CBEMT

Your protocols don't apply everywhere. Not all areas require Medical Control contact for refusals.

http://www.wfsb.com/health/20592120/detail.html

The only reason my father doesn't have his boss's job is his lack of a degree aka piece of paper. But being the head of sales for a multi-million dollar company is nothing to sneeze at either. Certainly not with a high school education and a few years in the military. 30 years of experience in his industry (starting on a delivery truck) got him to where he is today. A retired engineer probably won't find EMT-Basic work intellectually stimulating, but he IS retired. There's nothing wrong with going into a field he considers worthwhile for reasons most of this board considers beneath them. Last time I checked, this was still America. I'd rather have this guy on the truck with me than some 19 year old punk with delusions of grandeur and 2-3 years of (bad) driving experience.

Speaking of wrong reasons for being in EMS....

Dude! I hadn't even looked at his personal info, but reading through the post I was thinking, "Where the hell is this? Maryland? Pennsylvania?" I almost asked in my post too.

Wait- ANY hip injury is a fly-out? Oh boy.... Moving on. This right here tells me she has zero business being a crew chief, preceptor, whatever. If the new kid wants to do a rapid trauma, whether the patient "needs" it or not, let him do the rapid trauma! It doesn't cost anything for cryin out loud. You needed the experience, and she denied it to you. Fail. Again with her failure to lead. If she's the crew chief, and she's making patient care decisions, why is she letting you request additional resources? It doesn't matter, technically, that it was the right call to make for the situation. If she's in charge of the truck, and is taking charge of patient care, she shouldn't be letting the new guy call for help. Either be in charge, or don't be. Fail. That said, it doesn't sound like things improved a whole lot once the medic showed up, which is always unfortunate. Bad BLS followed by bad ALS does not typically result in positive patient outcomes, except by dumb luck.

Yeah that's the thing, it sounds as if they're going to loan it out to the local departments for the bubble. The only way they could ever make their money back is if nursing homes and hospitals decide to use it, but who's got the money for that these days? Even if they got takers it'd be years before it paid for itself.

Ask him if the IAFF supported the ORIGINAL National Scope of Practice document. Argument over.

The laws in your state don't apply everywhere.

That's actually a good point- if you get plowed playing Ricky Rescue at an MVA without a vest (and possibly even with a vest), good luck to your survivors getting your PSOB benefits. Or even any regular life insurance you have. Hope the chubby was worth it.

Video story

Good thing they were caught- that could have turned into an MCI!

So the way I see it, a borderline yellow/green, two reds, and two greens. Put the bird in the air. Package Bobby and Billy. Air is taking Bobby, and Billy if they have the capability. If they can't take both, put Billy in the van with the medic and the equipment you have and start driving towards the ALS unit once Bobby's care is transferred to the flight crew (ie don't sit around watching them take off. Once Bobby is being carried to the bird, you're out of there). If nobody has a car that can be used to transport Johnny, Zack, and Andrew, they'll have to wait until the van can come back for them.

I dunno about RSI though. Sounds like a case for CPAP, IMHO (*listens for Vent's pounding footsteps on her way to tell him how stupid he is....*).

Water main breaks, wires down... whatever somebody calls 911 for that isn't a police problem, gets shunted to the FD in most cities.

Happens every day here. Do-gooders with cellphones don't realize the skell they're calling for is on the same street corner every day. Hence why some of them end up at the ER 5-6 or more times a week. If I hauled every person with ETOH on board in on the offchance that they have a lurking head bleed, I'd do precious little else. CYA medicine is part of the reason healthcare is such a disaster. Head injury + booze, yes they go. If they can walk, talk, and don't want my help, have a nice night.

Won't last long. The first ones on the bus post-takeover will be the first ones looking for an engine bid when the next new hire group (who were required to be paramedics as a condition of hire, of course) comes in. Congratulations, you just used one of the most disastrous Fire-EMS mergers in history as your evidence.

Don't have one.

Knock 25 years off of that, and that's much of my weekend. If alert and oriented, vitals check out, blood sugar checks out, there are no interacting medications or concerning medical history, no ongoing profuse vomiting, and the history of his ETOH intake suggests his BAL has likely peaked, we allow the patient to sign a refusal. If I believe that the patient is incapable of understanding what a refusal of care means, and doesn't just want me to go away, I will transport.

Oh, how cute. He actually thinks its patient/customer care that the fire department is interested in.

I know. I can't tell if the mayor was fishing for a harsher punishment, a lesser punishment, or something else entirely.

http://www.southcoasttoday.com/apps/pbcs.dll/article?AID=/20090819/NEWS/908190340 Try that.

We have a "don't transport" list on the wall in dispatch at my part time job. 100% transport, with some contract nursing home emergencies, no primary 911 responses. Typically what happens is a methadone patient that usually goes to treatment via wheelchair van will start calling to request ambulance transport for [insert nonsense complaint]. After a while, Medicaid will stop paying for their BS trips, and they can't/won't pay for it themselves.

Oww. I'm getting chest pain just looking at it. How were the vitals?

I find it hard to believe there's any SPECIFIC reference to EMS subscription services in the insurance law. I have to believe that this an interpretation of language by government bureaucrats.