CBEMT

http://www.theday.com/re.aspx?re=6765ffc5-...49-1ebbb69855b3

http://www.heraldnews.com/news/local_news/...t-EMTs-retiring Fall River is sort of an interesting system. Fall River Fire "owns" them, but they are single-role, non-FF providers wearing (I think) different uniforms and responding without fire apparatus (unless the call comes in as a cardiac arrest, interstate highway accident, or requested by EMS onscene). They are housed in the fire stations, go in with the ffs on meals, etc. VERY unusual for a fire-based service, they have a smattering of part-time paramedics to help fill the shifts, and use private ambulances for backup. I have a friend working for them. A very progressive-minded paramedic, he's happy with the quality of care they are providing in Fall River.

"You have the right to remain SILENT..."

How could I have accepted her refusal? I'm too uneducated to know better. :roll:

Please match each rank with it's ICS command post assignment: Chief, Deputy Chief, Assistant Chief, Captain, Lieutenant, Sergeant, Officer, Firefighter, EMT, Paramedic.

The problem with spaceflight is that I cannot fly in space.

Yeah. I've been reading that the baby machine "chips in" to buy toys for all the little gremlins, and the grandmother "chips in" to buy them food, clothes, diapers... you know. Those extras.

The reason I get insulted is because you assume that the patient used some buzzwords, convinced me that she knew what she was talking about, and outmaneuvered me. Because you're the all-knowing VentMedic, you assume I'm some half-wit who can't out-debate someone on the medical severity of their condition because I'm just some schmuck without the VentMedic Seal of Approval. Newsflash, missy. I have a degree, I know how to talk to patients, and I know how to get someone into the truck. I also know that there comes a point when none of that is going to budge an old battleaxe who'd rather sit in her apartment and wheeze than be transported. The difference between us is I know what I don't know. I fully realize I'm not an RRT or even a full paramedic (yet), but I can tell you as THE ONE WHO WAS THERE- this broad was NOT MOVING. Not for me, not for you. This thread would've gone quite nicely if you weren't such a judgmental @#$%ing know it all.

Welp, I guess that tells us everything we need to know about this one now doesn't it.

That he went to high school for 5 years.

ICS FAIL! ICS does not designate an agency, or even an individual or a rank, as Command for any particular incident or type of incident. Local protocol will usually determine that, but asking what the Incident Command System says about auto accidents is a major failure to grasp ICS 100 concepts.

As far as a helo ride, looking at the map it'd be a really quick flight but it may not be THAT long of a ground transport. We have to be 30 minutes out by ground before we can consider HEMS. And even then, until recently the pad wasn't even at the hospital- resulting in an ambulance trip to the ER, thereby extending total transport time.

I'm not trying to be argumentative here, but I have a hard time understanding what about this situation you see as complex. The reason I've reacted so strongly to your posts is that you're acting like this was an EMS-initiated refusal or something. I don't know how many different ways I can explain that this is not what happened. This post is my best effort.

http://www.islandpacket.com/news/local/sto...ments_Container

http://www.wickedlocal.com/cohasset/news/x...h-ALS-equipment

http://www.newsobserver.com/152/story/1395706.html

http://www.kansascity.com/340/story/101987...ments_Container

You tell me. 20 calls a year is enough for a full-time paid double paramedic truck, according to this board. :?

Maybe you can find time in between snide comments to explain how a mighty all-knowing paramedic like Vent forcibly transports alert and oriented patients so that they can get the physician assessment you're so sure they so desperately need from thousands of miles away? I'd love to hear what else I can do better since I'm clearly so incompetent. How help me Vent, help me! :roll:

I know there's several county-based third service EMS providers in Florida- didn't we used to have someone here who worked for one of them? I can't for the life of me remember the name of his agency. Not Sunstar, I know that. Edit: found it! http://www.lee-ems.com/ems/

Yeah, and I'd still put money that those doctors and nurses would still see more acute patients per shift than many NYC EMS crews would in an all-ALS system.

I'm surprised you can see us mere mortals from the saddle of that horse, Vent. I did the best I could with what I had- a patient who wanted some albuterol and a little attention, and who refused to be transported or even leave the damn house under any circumstances. No matter what zebra medical condition I tried to scare her into the truck with.

You people realize that if FDNY went 100% ALS, you'd probably end up with paramedics going for entire shifts or even longer without ever seeing a real ALS patient? Do you have ANY idea what kinds of things people in New York City call 911 for?

No shit, Sherlock. And Are you going to apply physical restraints and carry her to the ambulance in order to accomplish that? Because I'll be out on the sidewalk speed-dialing the Department of Health.

In all seriousness, I'd bet any money it's a cultural thing- near-absolute adherence to authority and all that.