spenac

Wow the nerve of the new guy calling out one of our longest time members. Anthony you were much more polite than I would have been. I probably would have been banned if the idiot had pulled that crap on me. I do agree though that know the drugs on the USDOT site and should be good. Also recall what class drugs end with might help decipher what type of drug if you don't recognize the name.

Heres a generic one not from my service. CANCELLED CALLS PROTOCOL 1. The decision to transport by EMS should generally be based upon medical necessity. If the pt.'s condition could be possibly compromise in delay in care, that person should be tx by EMS. Several factors should be carefully evaluated before a final decision is reached: a. Age b.Chief complaint including MOI or NOI c. Immediate hx including the possibility of substance abuse d.Associated symptoms e.Past medical hx f. Appearance g. Level of consciousness h. Vital signs i. Appropriate physical exam 2. If after careful evaluation there is a decision not to tx by EMS, the situation should be explained in detail to the pt. and to any appropriate family member, guardian, nurse, or other legally responsible person. All area of the assessment specified above should be documented. A clear statement of the reasons for not tx the pt. should also be documented. The decision not to transport should be based on the consensus of all medics present. If there is no consensus then the pt. should be tx. 3. If the pt. decides not to be tx, and in the opinion of the medic tx is indicated, a complete explanation of all possible consequences should be given to the pt. and documented. The pt. signature should be witnesed by a neutral person if possible with the date and time indicated. This form is inadequate by itself; careful and complete documentation in the narrative report must be completed. The medic should asist the pt. with finding alternative tx. 4. Particular attention should be placed on pt's mental competency. 5. (More stuff concerning documentation) 6. If there is any doubt concerning whether or not the pt. should be tx., then that pt. should be tx. Alternative tx. is only indicated in cases where it is clear that the pt.'s health will not be jeopardized or where the competent pt. refuses tx. (Note: this means that even if we refuse a pt., we must still arrange alternative tx. if the pt. is stable enough to go that route. We have a private ambulance service that we would call that would take care of this patient for us. Using those guys help free up ALS units in the county.) 7. All adult pt. with atypical chest, upper abdominal, shoulder or upper back discomfort should be tx to the hospital for further evaluation. 8. All pt. who received aerosol treatment for any reason should be tx to the hospital. (Note: any patient that we give any sort of medicinal treatment to we tx. to the hospital). 9. All pt. under 18 and who has not been emancipated should be tx to the hospital unless a parent or responsible adult is present to assume responsibility. 10. Children less than or equal to six months of age, regardless of complaint or results of assessment, should be tx to the hospital. (Note: this indicates that if the parent refuses to let the infant be tx., they should sign a form releasing us from liability). 11. Families sometime call EMS for evaluation or tx of pt who are expected to die. They do not necessarily intend or desire that the pt be taken to the hospital. Pt. who are known to be terminally ill, and who have valid out of hospital DNR orders, do not need to be tx to the hospital if medical control agrees that the situation calls for comfort measures only. You are not required to tx. pt to the hospital if approved by medical control unless family requests further hospital management. 12. Hyperglycemic pt. with blood sugar equal to or greater than 400 should be evaluated by the hospital. They may go by POV if they are well-appearing with no other indication for tx and they have reliable tx. Transport all others. 13. Pt. with significantly abnormal vital signs must be tx for evaluation: a. Adult with systolic BP <90 or > 220 b. Adult with diastolic BP <60 or >120 c. Adult with heart rate >110 d. Adult with respiratory rate >24 e. Anyone with air room O2 sats <93% f. Pregnant pt with systolic BP >140 or diastolic >90

Wow some rude and uncalled for posts because someone chooses animals over humans and someone else chooses humans over animals. Shame. What a sad state we are in. I'm ashamed to be part of this group anymore.

Was this a good one?

Nope gotta use mesquite and make your own coals. Becoming a Daddy is frying your brain old friend.

She's only 80? Darn I've been nice to her cause I thought she was over 100.

I will congrat you if you give me all the answers.

LOL we think alike.

Well guess you are just in it for the money not the patients as we all know only vollys care about the patients. Congrats on the job.

Maybe they will charge those that used the ambulance with murder or attempted murder because people may have died when they were falsely using the ambulance.

If only as much effort was put into making the services professional NJ just might have a chance. But well never mind you all no my opinion.

Don't you mean 2 week course? As to books look at ebay.

I'm not a vet. If it ain't human I ain't working on it. If the idiot human owner refuses my care unless I treat the animal, let them sign the refusal of care. They made the educated decision to choose animal life as more valuable than their own and can live/die with their choice.

I think doctors and Paramedics that with hold pain meds for no scientifically sound reason should be made to suffer. Then they would be quicker to consider patients comfort.

More reason not to go to Memphis.

LOL I didn't think vollys cared about money?

I think only idiots drive like idiots. Idiots do not understand that they are driving a top heavy roll over waiting to happen, long distance braking brick, that is structurally not going to protect anyone in the patient compartment. If they don't slow down with a gentle word they get education with an IV bag upside the head. If they do it again they are reported. To many join EMS so they can play race car driver. Time to grow up research has proved the few seconds saved going fast do not affect patient outcomes the majority of the time.

Ruff I pray all goes well and you guys get much joy to help with coping with the heartache of time gone by.

Wonder what other education they fight against? http://www.cbs7.com/news/details.asp?ID=12030 End of Volunteer Fire Departments? 4/27/09 CBS 7 News Staff April 27, 2009 One new piece of legislation could bring an end to many West Texas volunteer fire departments. Dallas Area Representative Yvonne Davis put in 2 sections to House bill 3390 that would require the Texas Commission on Fire Protection to increase minimum educational and training standards for volunteer fire fighters. Although it sounds good on the surface, it would require personnel to receive nearly 350 more hours of training and force departments to buy new equipment. Many volunteers have full time jobs and may not be willing or able to commit the time and may not be able to be on staff anymore. Howard County Volunteer Fire Chief Tommy Sullivan says it could bring death to some departments. “It'll really be detrimental to the county, not only Howard County but all of them in West Texas that volunteer firefighters are their fire protection,” says Sullivan. Sullivan is encouraging everyone to contact their local Legislative representative and ask them to re-examine the bill.

No different than government funding a study of why dead gold fish float. Just more high quality use of tax payer money.

Many states have organizations. Take Texas it has one http://www.texasemsat.org/ but of the 55000 EMS people only maybe 5000 are members. If all would join then they could make some noise as a state but also to back a National organization. But sadly EMS is a joke and no one will do more than talk tough on forums. If we want to talk tough and get recognition we have to organize, not unionize.

Darn I didn't make the cut. Maybe they will get someone in there that will help them be at the lead of what the future of EMS will be. Perhaps even requiring higher education for the Paramedics that work under their license.

So I move v1-6 over to right side how will that change the things seen on my 12 lead? Will it change my QRS, etc? What does it actually tell me?

Looks like fire screwed up again. Guess they needed to get back to their recliners. http://www.lasvegassun.com/news/2009/apr/2...r-man-who-surv/ "Allison said an ambulance crew also arrived on scene and told the paramedics the man had a pulse and was breathing, but the paramedics had already called the Clark County Coroner's Office." "But they are functioning as firefighters," Allison said.

OK help a student learn the differences. Start at the basics and go deep for me. What physical differences, what EKG differences (maybe post a strip showing), what is going to differ in treatment? No this is not homework as I have completed my Paramedic course except clinicals. I actually did a paper on this but now want more, don't want no mistakes when I'm the Paragod in charge .