spenac

Honestly I have never even noticed my patient was pretty. If they really need the ambulance I'm to focused on patient care. If they really do not need the ambulance but have enough going on that I will not say no to the transport I am to busy doing vitals and paperwork to notice. Perhaps I tend to look at my patients as I do a broken piece of equipment and just focus so much on fixing that I do not take time to notice non pertinent information. I have had other people say dang your patient was hot and other than my notation that they were female I had not noticed.

And first time someone is fired for violating that policy everyone else will comply for now on. Seen it.

A problem with claiming asystole as a reason for not working a patient is under current ACLS guidelines, which many protocols use, asystole is to be worked. You do not shock it but you do CPR, EPI, etc. If this patients relative that has not seen her for 75 years comes out of the woodwork and takes you to court and you say only sign of death was no pulse and asystole on monitor you just lost as current guidelines say work it. Some services no longer print a strip because asystole is not criteria that counts as death. ?Do I agree? No but that is what is considered standard of care in court so better make sure you meet standard of care.

I disagree with banning. I agree no talking or texting while driving, while with a patient, or while in the hospital. In fact often my cell has become the link to hospital or even dispatch when we have radio problems or out of radio range. This is again a case of one size does not fit all. If you are in a service that runs none stop entire shift the above would mean you would never use phone for personal use. In my area though why should my 2-3 calls a day keep me from being able to use my phone. Almost no blanket statements work in EMS.

Worst spinner I have ever seen is a long time Paramedic, some call him Dust. :twisted: But seriously one long term Paramedic is the worst spinner I have ever met. Even very minor calls he gets so worked up scene times are extended. Patients even get freaked out.

Glad I made it to that statement before I completed dialing for the special padded ambulance for you. You know the one that comes with the pretty white coat with extra long sleeves. :twisted:

I'm over 90miles to the nearest hospital and have never done a rolling code besides when multiple patients and only did that less than10 minutes as had multiple patients in various states of dying. Triage required we let him stay dead and try and keep the others alive. Rural EMS should more than any other service have no rolling codes. Get ROSC then take them to hospital. If not call the funeral home. You had pulses so ROSC, yes transport and continue working. But no pulse, i.e. no ROSC we aint rolling. Lose pulse and need more CPR get the driver to stop and assist till pulse returns then continue. Pulse does not return run a complete code then turn over body to funeral home. Driving dead people L&S is putting way to many people at risk.

Wow Crotch multiple final comments who woulda thunk it? :roll: And again you try to leave no option but agree with you or agree we are lazy idiots. Your options are wrong!!!!!!!!!!!!!!!!!!!!!!!!! Your conclusions are wrong. Get over it. At least your previous final comment left it basically we agree to disagree which was a much more intelligent way to leave when you have been proven wrong multiple times in this discussion that should have been locked on page 1.

I assure you I am at least as dedicated and probably more dedicated to my patients than you as a volly will ever be. Do not try that crap. For ever we heard this I can present the I heard that about vollys. I have chosen to focus my entire attention on my EMS profession so my patients only receive the best. You as a volly can not say that. Yes there are some scum paid people but I again can tell you I have seen some real scum volunteers.

Sadly no DNR and no evidence of death legally she would have to be a full code. Asystole is not considered proof of death w/o the some other evidence of death. Work her on scene. Run the code per protocol including ACLS meds. No ROSC after 20 minutes she is covered and we allow funeral home to take her. ROSC we then transport her to the hospital while monitoring. While I would not want what appears to be such a lack of quality life apparently she and/or her family feel different since they do not have a DNR so she will get my best efforts to abide with her wishes to live.

Not enough info to make that call. Perhaps the nurse is confused about her breathing or she just heard an agonal breath. Is there dependant lividity? Are the contractures actually rigor? If decision is to work her we work her there and if no ROSC we let the funeral home get her. There are no rolling codes.

Crotch drug wasting witnessing is a completely unrelated subject. A supervisor does not need to be called. 93.9876543210% of all medics do their job properly. Fire the other just over 6% and problem solved. If a patient does not need to go to the hospital there is no need to convince them to refuse, just deny them transport. Then write up as a denial. If patient needs to go to the hospital but refuses then let them sign refusal and we go help people that needs us and want us. IMHO you have shown that you were not a paramedic but probably someone that hates paramedics, possibly a fire emt, that or your experience was for the worst service in the world.

$110 thats why.

I had a patient that carried his own, but have not heard of a service carrying. Might not be a bad idea.

There fixed it. Remember no rolling codes. They are dead so do not risk everyone else rushing to the hospital.

People always comment how calm I am on even the worst of scenes. They all say wow nothing affects you. Some have accused me of being completely calloused. Well inside I may be scared beyond any of them but I learned very early on if you appear calm and sure of yourself even serious patients seem to do better. Perhaps my being calm makes them think hey must not be as bad as it seems. Who knows? But I have had to send a couple of people back to the ambulance so they could regain composure. There is no freaking out on my scenes.

Nope thats reserved for the grown ups sorry. :shock:

As a far south Canadian I have never found any problem with the big 3 paramedic books. :?

Play nice children or the celebration party is cancelled. :twisted:

Well 97.342516% tend to agree with your finding brent.

If you are doing CPR you should not be going down the road. That means there are two of you to work the code. Yes a third makes it easier but is not required. Yes I have seen as others here a doctor with one or two peopel work a code. At some point more people start being in the way.

First there should be no rolling codes. So that means there are two EMS professionals available to work the code. If you need help call another medical professional not a firefighter. Fire should not be in EMS thus your right there should be no fire medics, but that is another discussion. There is no point transporting dead people endangering all the living people in the ambulance and in your community. If they have a return of circulation then one medic can monitor them to the hospital. Is it just me or am I the only one that has never worked a code in the field with more than me and my partner? No return they are covered there and funeral home comes and transports.

Welcome back. Your right some patients that really need to go say no. Nothing we can legally do. Some people that do not need to go should be told no. We are not taxis and should not allow ourselves to be used as such.

All I have to say is WHY? Ok I'll add more. There is no need for fire on a code. They fight fire. EMS does prehospital medicine. Unless you restart the patients heart no reason even to need a driver.

Welcome to Paradork status. Congrats. Maybe in a few months I can join you as a Paradork. Clinicals in Jan/Feb if weather allows travel to the sites.