spenac

I've heard it used both ways. There have been a couple of posters come on here talking about ghetto medicine that actually gave EMS a bad name. They had bad attitudes, were obnoxious, etc. Made me think of Dustdevil but uneducated and bad personality. :shock: I have also heard some use as another posted as a sign of respect for where they work, much like most people that know me want me as their attending if they injured or ill at the end of nowhere. So just as some rural medics are looked down on because lack of call volume, some ghetto medics are looked at as burned out has beens, others though are highly sought after. So see hard question to answer.

I've seen the OB discussion. They will deliver in the ER and ship mommy and baby to another hospital for recovery, or ship by ambulance before delivery if not dialated beyond certain point(which is stupid as some women go from 1 to 10 in minutes). Makes no sense if all goes well with delivery just send them home but thats another discussion. 2 hospitals in a 50 mile radius wow that would be nice. If thats rural what is mine? Nearest hospital is 90 miles from our community of over 6000, plus at least another 6000 people in the county, some over 2 hours drive by ambulance to the hospital. The next hospital is 154 miles away. And both hospitals are bandaid hospitals not major trauma centers. Nearest level 3 is about 250 miles away. Nearest level 4 is 350 miles away. Nearest helicopter is now 45 minutes away once airborn, but they allow 20 minute launch, so really over an hour out. Used to be no helicopter to could reach us w/o refueling.

You slay me dude. But honestly no one should touch another person or persons belongings, heck even if it ends up funny 99% of the time I would not want it to haunt me for the 1% it goes wrong. Just because fire fighters or even your EMS department has done things like that for years does not make it right. Also when one of the increasing number of lawsuits being brought against EMS hits your service you can bet the lawyer will use the lack of professionalism at the station to help win his case when he questions whether you actually did a professional job with his client. I do apologize though for my rude address to you. Despite my disagreeing with your actions I should have done so much more professionally. Sorry.

I'm offended. :roll: But actually medicare used to provide a form that patients were to sign if they insisted on ambulance transport even though it was determined that ambulance transport was not required. In paraphrase the patient signed a statement that they would pay the full bill if in fact medicare did deny payment. This form actually became more of a financial contract that allowed services to use more serious bill collecting methods. Not sure that it is still out there or if something like that is still allowed. Now days I'm in charge of nothing but making sure my patient gets the best care I can provide.

Darn this topic wasted my time. :twisted:

Jaxsage, As a provider that does have right to refuse I have to say the examples you have provided do not give me much comfort in your ability to properly decide which patients should be transported. Some items you mention such as ammonia inhalants in your example was abuse, even if faking. Did you transport the kid after he admitted it was a fight rather than a bite? Honestly a fight is more reason to transport than a bite as many injurys do not show up immediately after a fight. Just saying the way you are presenting the ability to choose right is not coming out very well. I have the right to deny but honestly it is not used often because as others have chastised you there are way to many variables. And as to common sense yes common sense says the guy that just wants a ride the 90 miles to our nearest hospital for lunch should be denied, but if you search my topics when I brought up denying him others brought up many possible reasons he possibly should be transported. Will I continue to deny some callers? Yes, but with the input I have gotten here from other professionals, I take that responsibility much more seriously.

Here is some basic lab value info. A search of that site might land you more. http://www.scribd.com/doc/8003379/USMLE-Normal-Lab-Values

Yes sir.

In defense of Dwayne he is capable of some very good posts so don't ignore him. In fact me and him have had some very rude knockdown arguments. But in the end we have so far been able to walk away still friends.

Also medicare and medicaid are tightening the belts and EMS is getting less. Honestly if your patient isn't going to die w/o ambulance transport, odds are w/o fraud your not getting paid.

Actually you made it where if we did not agree with one of your idiotic choices we were negligent. That is not discussion. That is setting it up like you are always right. Actually we have been denying patients transport for decades and guess what no one died from it. There are more deaths because ambulances being delayed because they transport all callers and people dieing waiting than there are people dieing because people sign a refusal of transport.

Cold brother, cold. Funny but cold.

Perhaps you should take your own advice as all your topics are geared to force people to agree with you, no matter how wrong you are.

Bite me. Oh yeah that artical was already posted somewhere. Besides somewhere because of all the idiots lately I changed my mind. I concede 99.9990865231% of EMS people are not educated enough, smart enough, have enough common sense and in fact many are just to lazy to trust with that responsibility. So there is no point in keeping an option available for the two us that have the ability to handle it. :shock:

No problem. You know me I'm never vocal about anything.

Darn pharmacist wouldn't fill it. Now what? :wink:

Another reason practical jokes should not be done. One practical joke leads to another. Each bigger and eventually someone gets harmed.

See that could be funny because it should not have wet you enough to still be wet by the time you got to a patient. Now what if you had a radio or other electronic device in you hand and it got wet? Hmmm or the floor gets wet tone drops and someone slips. Well as you see I am so pissed about the other idiotic pranks mentioned by others that I can not even began to think of fun. I really should just leave these forums and perhaps EMS.

Actually it just cost that person money as they drive to the mechanic. Or even worse they are distracted by it and hit a child running across the street. I'm glad it is clear that you have no desire to be professional by your own statement. So why don't you leave the profession to the professionals.

LOL You are silly today.

It will not open for me. But if its what I think its a great idea.

Voice of experience? :shock:

So how many would keep working if the state/county/city said there is no money to pay you but we will reimburse as soon as we correct the problem in hopefully a month? Would you take the chance and keep showing up? Would you be able to survive or would you have to jump ship and find another job?

My thoughts exactly. If they can eat let them eat.