TylerHastings

Dust there is so much to say but right this minute I don't have time to type it all out. Between my two majors I have very little to actually peruse the forums like I used to. The one thing I do want to say is thank you for everything. I will post more after this evening because tonight my college is closing the national collegiate premier of The Phantom of the Opera. I love ya man ("not in the homo way, not that there is anything wrong with that") and take care.

Cyn, I tried one of those 12 week things...and it didn't work they teach bare minimums. Anyway a college program may not give you a perfect shot. I have listened to these same conversations that you have and I still made the mistake of trying this accelerated program bit...now that I have seen the error of my ways I have to thank AK and a few other people whose usernames are escaping me right now. I am working on not just one but two degrees I am double majoring in Tech Theatre and Paramedicine.

Hey Mobey, I maybe overthinking again...but what was the patients quality of life prior to this event?

Hey Eric....take a look at this thread amigo...This Thread...

Football as the rest of the world calls it tends to be a very show boat sport that individual is mostly just sticking with the energy level of the game....do I agree with what the "medic did not really" but do I think he deserves to be bashed...no.

I don't want to threadjack here crotchity but...If we are going to report consensual sex between two minors are we going to report consensual sex between a minor and a adult....for example in CA if one half is 18 and the other half is 17 then the 18 y/o is guilty of statutory rape...even though it was consensual....is it truly a crime if both parties are within a reasonable age of each other?

So after much hashing out of this call in the chat room...I would if I were an ALS provider get a written order from the doc ordering the transport...advise patient and family of all negative outcomes up to and including death. I would load the patient while providing stabilizing care and get on the horn with the receiving hospital as soon as possible asking the MICN to keep a doc available for consultation as needed. Then i would start to pray this guy didn't die. I need to add a couple of things to this post...Thanks Mobey Tcripp and Katie for hashing this out with me and helping me to better understand this also thanks for helping me start thinking outside of my BLS comfort zone and thinking as the ALS provider I will be in the future.

Rest in Peace good sir thank you for all you have done.

For us doing something like transporting an unstable patient 2 hrs away under my protocols would require a written order and in some cases this one I am not so sure about but some cases it would require a CCT unit. I suppose if the DNR is a simple Do Not Resuscitate or if it is a full on advanced directive.

I would feel that unless I witnessed the verbal recension of the DNR that you should not provide life sustaining care in the patients current state. The way that I have always understood a DNR to work is that it is a legally binding document, the only way it could be rescinded is if another legal document revoking it was presented, the daughter had either medical or a durable power of attorney, or the patient states their wishes in front of you and another credible witness (eg. your partner, or the doctor). The patients daughter may very well concur with the plan however in absence of said power of attorney there is no legal power that the daughter wields. Now as far as the transport is concerned...as a BLS provider in my case I would refuse transport because I could not provide reasonable comfort measures based on the patients current needs. If I were an ALS provider I might consider the transfer to the "city" HOWEVER I would have the family be prepared for the worst case scenario and understand that the patient may not make it through the transfer. As far as the nurses statement "Dr. says he would like you to stabalize him and get him to the city ASAP.", I would not do any such thing with out a WRITTEN ORDER because as we all know if it is not written down it did not happen.

Hey Nikl, Welcome to the looney bin...er City...like TCripp said now you actually have to get up and not complain about it.

At least ya finally got them right lol I think this is worth a shot aaron!

YOu will need your NREMT card in order to be certed in CA and then you will need to get your DOT stuff to be able to drive. That should do it seeing as CA finally got smart and went to state cards rather than having to be county by county. Oh yeah you also will need to be live scan fingerprinted.

I think that a few other folks just might like it as well....

Sorry Richard I shouldn't have abbreviated it and usalsfyre you are right it is Rural Metro.

Doesn't EMS also fit into R/M somehow as well...

OH man happy that was amazing and funny.

Ugly, I can't even imagine...as I stated in my post I was not in EMS yet but to this day I still have a hard time watching footage regarding that tragic day. I was working at a summer camp which I work at frequently a few years ago and one night on the off day between sessions the staff turned on a movie in the dining hall and it was World Trade Center with Nicholas Cage and a few others that I am not remembering right now. I started to watch it and as things started to get moving in the movie I had to walk out and cry. I to this day have never seen that entire movie. Now I told you that story to lead into this I am not a man that cry's easily at least not usually and while I was reading your story I cried. If we ever run into each other out in the big bad world, I would be honored to sit next to you and buy you a drink. Herbie I can not agree more with what you have said. I too live close to what could have been a high profile target I live very close to a major Naval Air Station here on the west coast, and you know there is something very eerie going on when all you hear is F/A 18 Hornets going afterburner over you and that is all you hear...our roads were dead and our skies were empty. The thing that hit me the most is that we have a major rail line through my hometown were trains pass through at least once an hour that day and for the next three days we never had a single train go through, talk about eerie.

I had to pick my self up off the floor I was laughing so hard at this.

Bah Humbug I wish I could give staff a reputation point...Mike I think that is literally the best post of this entire mess....and I think we can also say you have killed the thread now.

I had not heard of this as a statewide tax I had only heard of it being thought about in LACo. This is slightly ironic since LACo has the most man power available of most of the SoCal departments.

I don't remember being taught those core values all though this rookie did take his class a whole 5 years ago now. Yes we are supposed to have all of those however that is with respect to our PATIENTS and each other but I guarantee you out in the field if you do something to endager the life of someone or you make a wrong statement your partner is going to blast you all the way to hell and back again. The compassion part only goes so far when you make an error of judgement like the OP has done. You may not agree that it was an error in judgement but it was in the opinion of those who have more time in rank than you and in some cases those who have more time in rank than you have even been alive. I just admitted I have been an EMT for a whole 5 years now I still make mistakes as we all do but I listen to the constructive criticsms that I recieve and become better for them. That is what is called Accountability...gee isn't that one of those five value things. See Accountability also means to be liable for ones actions, since you studied English I won't go find display the definitions here but feel free to click on Accountability to see the definition, I feel that as members of this website we are all trying to hold the OP accountable for his actions. Now back to compassion, got sidetracked, yes we as professionals are supposed to have compassion and for the most part we do, however sometimes it just doesn't show as much as it should. With that being said I would like for you to work just 3 years on a busy 911 system dealing with all of the scut then come back and show us all of your compassion. I guarentee you will be at least a little bit more like those of us who have been here a while. We can if they made a mistake however this incidence was not a mistake...this was showing extremely poor judgement. If this had been just a simple mistake I suspect that most of the members on this forum who have posted to this thread would in fact be a lot more willing to forgive. However, as I said above the OP showed poor judgement in this case not just simple mistakes. I would strongly recommend that for this individual a ethics class would be in order. If you have noticed the OP has not returned to this thread or for that matter to the website since he (Dude) posted this thread. Kristina if I remember right you are from Sac I won't bet on it but that is what my memory tells me. Go to work for AMR or another company up there and after running for days and days on end come recite your core values to us and tell us that you still believe they should be applied to your partners, all of your partners 100 percent of the time. Edited twice for spelling and grammar