spenac

In the band aid station we call ER they can not even find a manual cuff. Not to long ago I took a patient in either severally hypo- or hyper-tensive. Don't remember exactly. Got into the room patient was in bad shape had not responded to treatment in ambulance. Well the automatic BP showed severe opposite of what we got manually. The ER rent a-doc orders some drug to deal with what the machine said BP was. I on behalf of the patient spoke up and said Doc thats opposite of what we got both manually and with automatic cuff, wouldn't it be good to take a manual BP just in case. Surprisingly I was not removed from the ER and he said oh yea lets do that cause it's odd that it flip flopped. So off the nurses go looking for BP cuff. I finally just went got mine from ambulance and let the Doc take manual BP as nurses still had not made it back. Sure enough I was right. They never did find the manual BP cuff. Patient made it but would probably be dead if they had gone on automatic cuffs reading. I like my auto cuff on stable patients, but I never treat based on it. If it shows something or if patient seems to have change in condition I get a manual BP to be sure. Just my half cent worth of thought.

pigs ( pride, integrity, guts )

donut

You might search this site. There has been some discussion about this. Welcome to the site.

loops

Right on. If we do not have the ability to think, to make decisions, and just transport everyone our image will always be viewed as a taxi driver and no more. That is the sad fact, we can change everything else ever discussed here and elsewhere to improve our image but then still transport every stubbed toe and the public will still view us as taxi drivers rather than healthcare professionals. Sad fact that everyone seems to blind to see. IN MY OPINION TRANSPORTING EVERYONE THAT CALLS HURTS OUR IMAGE MORE THAN VOLUNTEERS DO!!!!!!!!!!!!!!!!!!!!!!!!!

I've found if a persons not interested it's boring. Let's hope this guy fits your idea instead.

http://www.cmt.com/videos/brad-paisley/158728/online.jhtml Song and video says it all.

lime

snot

crap

Please do a search here for study guide. Welcome to the site.

pit

wing

right

in

under

france

Been there, done that, got the T-shirt. Spent a lot of time and money developing it too. :occasion5:

OTHER THAN EDUCATION, In Your Opinion, What Is Holding USA EMS Back? What is keeping us from being viewed as professionals? What is the main reason if you have more than one? Is it fire involvement? Is it our lack of identifiable uniform? What do you think is holding us back? Please don't bash anyone for their opinion, I really want to see what besides limited education is behind us being unable to advance as a profession. In my opinion I think what holds us back is that we have to transport all callers. We have lowered ourselves to nothing more than taxi drivers. Do you see Doctors doing heart surgery just because the patient say's hey I woke up this morning and well I think I want a triple by-pass? I am all for having people dialing 911 if not sure if it is an emergency, but after we evaluate we should be able to treat and release or deny transport if it can wait for them to buy over the counter med, put ice on it, wipe their nose, or they can safely go private vehicle to the ER or their doctor. Until we can say no to people we are nothing more than low paid taxi drivers and will never be looked at as healthcare professionals.

If your going to do it do it right and go for the KEG abs.

plastered

assteroid

my

Fred, like your post. That is basically what my medical director has done. We do lots of treat and release. This statement will start a firestorm but we are allowed to administer several meds and advise patient to follow up with their own doctor. We also can take someone to the clinic here if it is open and they agree to treat them, but normally they say they are to busy, plus I feel bad taking somebody there because I wouldn't take a stray dog to be treated there. Now at my second service no matter why the person called we are required to make at least 3 attempts to convince them to go by ambulance to the hospital. But most calls are within 5 miles of the hospital and maybe 5% are more than 15 minutes from it. I really feel like a taxi driver on most calls there.