CBEMT

Local media might be interested to hear your side of it. Always helps to get the cameras and pens on your side.

Tell the UAW to give up absurdities like the job bank , and maybe the Big Three would be able to get back into profitability again.

That's great. The crew that transported Rosenbaum was one EMT-B and one EMT-Enhanced. I can't recall ever seeing any NREMT-"E" test.

I'm still trying to figure out why we care if stipend-earning personnel can be considered volunteers or not. :?

It would be a good idea for tourniquets regardless of what condition the lower extremities are in- they are NOT written off just because a tourniquet is applied!. Bleeding that can't be controlled by direct pressure (like, say, if the bleeding site is trapped in a Farm Machine of Death) is good enough reason to go that route. Kill the power, apply tourniquets if bleeding is still active and heavy, oxygen, titrated fluids, pain relief, blankets, extrication by qualified personnel.

:shock: :shock: :shock: BLASPHEMER!!!!

Well, all I know is that every incident named in the article was perpetrated by a paramedic.

Ok, I'll bite. Which one does EMTCity decree is worse? Speaking for myself, in addition to my fulltime EMS job, I work usually one, sometimes two duty shifts a week at an EMS service that pays a per-call stipend. Being "on duty" is not required to get said stipend, if you come in from home you get the same amount. Cutoff is 4 people per call (ie a code) or per patient on multiple patient incidents). Assisting at the scene but not actually going on the transport also qualifies for a payment. Stipends are disbursed quarterly. Taxes are not taken out, we have to report it as "independent contractor" income.

And your proof of their NR status is.....? I, on the other hand, have documentation showing that Maryland does not require NR certification for ayone, let alone BLS providers. Or are you of the opinion that DC Fire/EMS exceeds state requirements?

If the police are not already present, request them as the body becomes their responsibility once I make a Determination of Death. I do my paperwork, leave the carbon copy with an officer, and leave.

Pay me. The Rosenbaum crew was a BLS truck. I believe the female member (the one who chose the transport destination based on where her house was) was an "EMT-Enhanced" or something equally stupid.

Which post are you referring to?

I work for a JCHAO-covered entity. During every winter inservice, the RNs and MAs have a specific "clinical competency" that they all review together and then demonstrate, documenting same for JC. Last year it was using their glucometer. We ran an intubation competency station for the MDs (not that they'll ever do one, and most haven't even attempted one since their residency).

http://www.urbandictionary.com/define.php?term=pw3ned I read the quoted comment as being anti-firemedic, and responded with that in mind.

See how it ended.

The quote came from one of the reader comments to the story, and pw3ned is interwebz-speak for "owned."

I don't think it has anything to do with lack of education or skill on the part of the Collier medics, I think it has everything to do with being able to assist their own medics because the FD is now heading towards BLS-only.

PW3NED

Which is why the school I teach at instructs the use of two straps crossed over the shoulders. When done properly you can literally stand the board on the head end and the patient won't budge.

First post and you're already hanging your agency's dirty laundry out? How did you ever lose a popularity contest. :roll: All you're doing here is inviting a world of hurt down on yourself and volunteer EMS in general. Congratulations. :?

http://www.naplesnews.com/news/2008/dec/06...scitated-monda/

Yes. Next question? Look, the worst COPDer I ever had was gray and damn near unconscious when we found her. Why? Her discharge paperwork from the hospital listen oxygen as an ALLERGY. The MD note stated that the reason she'd been sent in in the first place (unresponsiveness) was most likely due to be being left on O2 all night. So therefore the nursing home was heretofore ordered to not administer oxygen unless the patient could be monitored (common room etc). SNF RN: "Her orders are for no oxygen." Partner: "Yeah... that ends right now." We started her out on 5lpm, partner had her weaned to 1lpm by the end of the 10-minute transport. By the time I pulled the stretcher out she was smiling and waving at me. ED RN: "Any allergies?" Me/partner: "Oxygen!" ED RN: *priceless facial expression* Me: "Don't look at me, your doctor wrote it!"

VS-what?

I would think that pre-hospital, there's bigger things to worry about in general t than whether or not the O2 has some water vapor in it.

Like Doc said, the kid needs to be out NOW. If you don't plan on making that happen, HIT THE ROAD. Somebody's neo-natal team will be more than happy to pay the ED a visit and scoop the kid and transport, with their expertise, personnel, and equipment, back to whatever capable facility they came from. I transported such teams all the time. But they can't do that if the baby died because you decided to play Doctor onscene for 20 minutes. This is NOT a normal code and can NOT be treated as such.