spenac

WOW, so ya'll have the same EMS system that we in the USA have.

So it's ok to cheat since everybody else is doing it? :twisted: To original poster, sounds like you got into a worse than usual system. Here is what I do at my second service. People start talking about others, I turn up TV, I go read a book, I start discussing meals, I go walk around the ambulance, etc. Now I am an experienced healthcare provider, so even though I am new there, I have maybe more freedom than you do as a newbie. The other day there were 9 people at shift change started laughing and it was because they realized that while I like fun at work I avoid the BS gossip. They jokingly said at least if we want him to leave us alone all we gotta to is start gossiping. But they then said they wish more people would do the same so things would be smoother.

I will need to find some unbiased studies. Honestly I have not heard much about Seattle, but Boston I have heard much bad about. But I will try when get a chance and find some studies not funded by the citys, if you know of such please paste some links. In my opinion still seems resources could be better used.

Rid really liked your post. Thankfully my medical director has some of that forward thinking. We do say no to people. Tell them to go get some over the counter meds or to go see the doctor if they still feel bad in the morning. We actually are allowed to administer some over the counter meds as well as administer some of the meds in the drug box wait around to see no adverse reactions and go back in service. This may mean being on scene for an hour but thats 3 hours less than our transport turn around times. EMS must move forward as healthcare providers not as taxi drivers. The vicious cycle of transport all callers regardless of need must be broken. We must establish a system that educates it's providers well enough to as you said triage, treat and release, and only transport those with a real emergency.

Perhaps they have progressive selective spinal immobilization protocols? But it would seem they still violated all of them I am aware of. But I have no knowledge of the system over there. I would like to say it would be better not to double post. We are all busy bodies on here and read all the other countries posts as well. So we would see origional post and comment if we wanted to.

Holy crap I got a complement on a statement. What do I do now? :wink: Thanks

And the best way to ensure proper care is to have 2 people that can do more than put a bandaid on a booboo. With 2 paramedics there is always somebody that can take over or help when the need arises.

-10000000000000000000000000000000000000000000000000 Have you read the post at all. :roll: Paramedic can assist other Paramedic. Take turns driving, doing paperwork etc. Oh well you now have 3 posts go enjoy chat.

watch

I believe you would my friend, I really believe you. And I would be right there with you. Guess thats why when we disagree we really disagree cause we're both hard heads like that.

Please search volly or volunteers and you'll find out why no love. How does that have anything to do with why basics and intermediates should not be on 911 ambulances?

Well since you insist on not reading the question, thank you for the waste of space. Sheesh. Clearly he says patients that just need rides. You are what I have been griping about. You have gotten the darn taxi driver mentality. If a person has an Emergency, they need the ambulance. Very few of the non emergency transfers that are done even remotely need an ambulance. There are vans available to transport the bed ridden. There are taxis that can get granny to the doc and back for a check up. As I see fire in your name I give your opinion even less credit than everyone elses posts. Have a nice night fire taxi driver.

Why can a community van not pick up this lady, why take an emergency vehichle out of service for this. She hopefully has home healthcare, or is in nursing home. CBEMT I am very caring. If you or your family were hurt or ill you would be glad to have me there. I have shed many a tear with patients and or family members that I have told there is no more can be done. But EMS is EMERGENCY, it is not TMS, TAXI and Medical Services. Sorry there are other options that would work and be much cheaper to the tax payers that foot the bill for most of these calls.

CBEMT I had to say seems like a waste of resources. Send this truck, maybe have this one enroute just in case, and if complete BS call still another to transport. If all trucks were staffed ALS no need to be sending vehicles all over. EMS is really simple but to many try and complicate it. Simple, why do I say that, cause within a short time on scene you should tell them no or load and go. Also if all were staffed with educated paramedics maybe more medical directors would feel comfortable allowing your service to deny transport to the I sneezed last week so want to go checked out tonite patients. So tell them no or load and go.

My view has been posted often as you'll see in a search. But in a nut shell, you have to be devoted to do either well. You will end up neglecting one or both. The scriptures talk about not slaving for 2 Gods, same principle applys. Do one or the other and be the best at which ever one you choose. I do not blame you for looking at a big city fire service, usually good pay and benefits.

If patient needs no medical interventions enroute to any location, they should not be in an ambulance. IMHO most ambulance services that do that type of work do so because it is so easy to defraud the government. These patients could be safely transported by a taxi, but based on some comments, taxi drivers are all some people on here are anyway.

Ah almost earned a little respect but then you used the V word. If you think it takes supermedic to say no to a guy that wants transported to lunch you really are just a taxi driver wanta-be. Oh welcome to EMS. I am happy to help the youth that don't think they're GOD. Basics and Paramedics look to work with me. I teach, I work, but I also tell you how it is. When I was growing up more than 30 years ago a wrestler used to say "I talk the talk, and walk the walk". And thats me, I don't go with the crowd, I go for whats best for my patients and at times thats educating them by saying no. Maybe thats some of your problem you need to be told no. Open your mind young grasshopper and I will teach.

You should look at some of the outskirt towns. Please don't say it's to far to drive. I drive 3 hours each way to work at my second service, which may soon become my fulltime service. Again focus on quality education. Look around at Angleton, Freeport, etc. Drive a little and find a good service. Please don't go Fire if you want to do EMS.

Well if you had more EMS experience than the underwear I am wearing I might consider your argument. But as it is every statement you made is BS. First I have authority to deny transport. I feel that anyone that feels every caller that asks to be transported even if it's just to go to lunch needs to get out of EMS and just get your taxi permit, you'ld make more money. Before I got my EMT-I I thought I could properly decide what was ALS or BLS. How wrong I was. When and if you last longer than my socks in EMS and get some education you will see I am right. It scares the hell out of me kids barely shaving if shaving are making the call pretty much on who lives and who dies. Go grow up, get some education, and send me money for new socks and underwear.

Please do not go fire / ems. There are numerous paid services near houston. Check out JEMS, Texas EMS, EMS, etc mags. Fire has no business in EMS. Don't look for training, look for great education programs.

Did you mean why would one prefer "not" having ALS only units? Definitly BLS are not trained or educated enough to decide what needs ALS.

Thank you for proving my point. You have proven that an EMT-b or EMT-I have no business deciding who needs ALS. So hurry go get your paramedic before the law changes. Have all trucks respond with 2 paramedics. Maybe with all Paramedic staff they would be able to deny BS transports thus more than saving enough money to cover the extra cost. Plus with time and education people would learn that hey you can put a bandaid on yourself thus lowering call volume.

Sorry I got you confused. I will try and help all I can. I really am nice and helpful when you get past the old grouchy side of me. Really we should stop using all these letters and spell out for two reasons, 1. visitors and students such as yourself and 2. there are a lot of regional variations. Now to gripe at Dust as he has been a big proponent of not using acronyms, so I say whats up with that my friend? :wink: Can you please spell out for our future paramedic and for me to? What or who is "RM"?

dark

Im still not quite sure what the different acronyms mean so maybe you can clarify for me? ALS and RM in particular. Also Im not quite sure if the FD does first response or ALS (still not sure what that means)...but I will ask my friend and get back to you on that. Mike