spenac

Actually for basic does not scare me. All basic course is first aid. You are taught skills no real education behind it. Sorry no offense to basics intended.

LOL Join the club, seems very similiar and his first several posts were on that idiots topics.

I've gotten frustrated with calls and even vented prior to getting on scene. Once on scene though the patient gets my best efforts. Did the doctor give bad patient care? In fact even if the doctor or myself is cold to the patient does not mean we did not treat correctly. You can give great care w/o becoming friends with your patients.

bump as similiar topic just started

Mike good points. Get you combitube or other ready. Get the cric kit ready. That way if things go bad you can get patients airway.

OK here is a twist you go alone to a room with both patients while your partner has gone to call for another ambulance as nursing home failed to tell dispatch they had to patients. The nurses and other nursing home staff have all disappeared probably out on smoke break. You enter room and both are in exact same state, down 4 minutes as confirmed by monitors that show asystole began 4 minutes ago. No DNR. What do you do? Oh and when you realize you hit alarm thinking it will get nurses etc to respond but it instead locks all doors and it will take 15 minutes for anyone to reach you. You also have all drugs and equip for code and defib.

I made a topic on this about a month or two ago. Surprising some thought they were a required service so they felt job was secure. :roll:

Well Ruff while I to enjoy the right to say no at one service, seeing some of the crap lately in the news that other EMS people have done I am beginning to swing more towards most really do not have the education or the common sense to work under such a weighty responsibility. Maybe we really all should just haul all callers even the one that just wants to go eat lunch. Hell I don't know anymore. I am disgusted with the things people in our field are doing. Sometimes makes me think I should give up and leave. I also would like to see this posters form that they have signed when they deny transport as opposed to the patients refusing.

Well sadly I guess I must apologize to Ventmedic. No odor of alcohol, Zero on breath test. Yet EMS did not decide this guy needed medical care. I mean of course unless theres more to it than the news reports. If most in EMS are as stupid as this seems I guess I see more of Vents disgust with EMS. http://www.jems.com/news_and_articles/news...ictim_sues.html Family of Detained Stroke Victim Sues Steven Mayer The Bakersfield Californian 2008 Dec 16 BAKERSFIELD, Calif. -- A Bakersfield surgeon handcuffed and forced to wait more than an hour for treatment after suffering a massive stroke last year is suing the Bakersfield Police Department, Hall Ambulance, the county of Kern and others. The case could cost taxpayers millions in damages. The November 2007 incident represents a series of monumental blunders by police -- who may have believed Dr. Mohamad Harb was intoxicated -- and paramedics -- who should have overruled police and immediately taken Harb to a hospital, said Steven Gibbs, the attorney representing the doctor and his family. The stroke has left Harb unable to practice medicine. The 58-year-old neonatal intensive care specialist and sole provider for his wife and four children spent two months in a coma before waking to a life in which he had to learn how to feed himself again, Gibbs said. City and county officials said they haven't had a chance to review the lawsuit. A spokesman for Hall ambulance did not return calls for comment. Harb was driving home that autumn evening after finishing a 12-hour shift at Kern Medical Center when his Mercedes suddenly veered off 24th Street, according to the lawsuit. Bakersfield police arrived minutes later to find Harb still wearing his surgical scrubs. He was disoriented, had urinated on the sidewalk and vomited on his shirt. Harb was given two alcohol breath tests, both of which registered zero. Medical tests later showed Harb had suffered a life-threatening stroke, yet the first Hall ambulance crew called to the scene left, according to the company's own reports, leaving Harb sitting on the curb drooling, his eyes glazed, one shoe off and lying in the gutter. Registered Nurse Mehgan Coffey was passing in her car when she recognized Harb. She pulled over, identified herself as an RN and told police she had spent the entire day working with Harb. At her insistence, a second ambulance was called to the scene. An incident report by a Hall employee suggests the first crew couldn't evaluate Harb because he was in handcuffs. But Coffey and veteran paramedic Mike Danaher said paramedics must insist on taking critically ill patients to the emergency room, even when police are reluctant to cede control. "Police are looking to you for information," he said. "There is no way I would let a police officer take that patient." Though not connected to the possible delay of treatment, the county was added to the lawsuit, alleging KMC personnel applied pressure to the Harb family to essentially pull the plug on Dr. Harb. The family also believes Harb's confidential medical information was disseminated to non-treating physicians.

Congrats.

Welcome.

You know that for whackers EMS is their personal life.

Again this is a stupid idea. Restrict use when with patients and when driving. Other than that it is no ones business. Now I do think if talking you should be mindful not to disturb those around you. I do agree with crotch that I do not want to talk to your girlfriend so keep it down. Step outside away from me.

Thats how many final comments now for this one topic? 99.99999999999876543210% of final comments are not final comments it would seem. :wink:

And since you are not going to be driving a code you can join your partner and that makes 2. Never said 1 person CPR. There are 2 people on the ambulance. No rolling codes means both people are free to work the code. :wink:

I answered I would work the little old lady. So guess what I also would work the kid.

That they are in lust with my money? :?:

Good RSI discussion. Since it can be the difference in life or death for our patients make sure you are prepared. http://emedicine.medscape.com/article/1097...chealIntubation [web:3a1e81ccd5]http://emedicine.medscape.com/article/109739-overview#MedicationsforRapidSequenceEndotrachealIntubation[/web:3a1e81ccd5]

Age is not the determining factor. The biggest texter in my company is older than me by at least 10 years. In fact all 5 of the 40 full and part timers that are older than me use their phone more than any of our younger people. Now rather than ban policys such as no use when driving or with patient. No using them when you are eating with your partner. Just some common courtesy for the most part.

Sounds like maybe he's offering to allow you to crack her chest and use internal heart massage to attempt to revive her. :shock:

I'm with Mobey just let them hug a pillow. Then that helps them feel better, perhaps even a little placebo effect. Never used anything but the pillow. Now for advanced you may even have to chest decompress, but you'll get that when you are getting your paramedic degree.

Would you please post your protocol for denying patients that do not need transport? Thank you. I would solve it by running and hiding. :shock: Just kidding let me see more money, more ambulances, just say no to taxi rides, I could go on and on.

They may even be looking at more part times or shifting more fire medics onto the ambulance and basically slowly cutting EMS specialist out of the picture in order to save money, screw quality. By adjusting schedules w/o input they hope that the specialists will just quit so they, that is the government, avoid firing thus saving money on unemployment benefits. Perhaps I'm wrong but .................................... I worked with a city that when they took over EMS from a private hired everyone at or above wage rate they were at. 3 months later with no notice beyond budget discussions on agenda list they cut all our pay and refused to hire more people to fill the positions open. After the dust settled they extended the number of hours before overtime was paid. Then they , oh yeah I quit so the rest would be 3rd party gossip. I am there part time on a negotiated wage but not in the official loop.

Darn I thought this was a joke about short people.

Vent thanks for the education. These are the types of things I enjoy seeing from you. Sorry I have gotten sideways with you on a couple of topics lately.