tator55

Way to go, you just violated patient privacy. Have fun forking over the cash.

You shouldn't have to use spell check, just learn how to spell and type. For example, this is a Website, also known as a Site. Not a Sight. Thats basic, elementary English. We now return to your regularly scheduled thread.

Station i work part time at has 3 basic ambos run from two stations: Station 27: A27 B27 Station 1: A1 Medics in that county are by number Medic 1- Medic 9 (i believe thats as high as they go now) Medic Supervisors are Identified by ALS Prefix IE: ALS 21 is a supervisor.

That's a job for a Non-emergency Medical transport Company.

No thanks, I love volunteering, and I can speak clear English, so obviously i do not qualify as a taxi driver. Then you are obviously a supermedic compared to what we have in Delaware. They cannot deny a transport, nor can any EMT, regardless of level. ALS can BLS release, in which case the Basics transport on the ambulance, and the medics get back in the suburban and go back to quarters. Great way to encourage new people. "I am older, therefore what i say goes, no discussion" Dont ya love where the system is going where people who want to join in are discouraged by people dumping on them all day? So obviously my argument has some type of substance to it, since if i was older (not a better EMT, just one with more time) you would consider it? In the county I'm from, medics who treat BLS like dirt don't last long. They either leave or learn to respect us.

I am quite able to determine if ALS is needed on my call or not. There have been time i have canceled ALS because they were not needed, and there have been other times when i have requested ALS or asked ALS to step up their response because it turned out to be a more serious call than dispatched. How is denying transport a sound policy? You don't want to transport a BS call as a Medic? Fine, leave it to BLS transport. Thanks for proving my point. I don't prefer ALS only transport units, thats the whole point of this discussion. Yea, I do in fact believe that BLS crews have the ability to detect that there is something wronger than what it seems on the surface. Do i have to know exactly what condition it is? No, but if it exceeds my education as a Basic, then i will get on that radio and request an ALS response. Basics have the tools to determine if an ALS intercept is needed. They are called training, brains and equipment. If any vital sign is remarkably out of the normal range, with no good reason apparent (i.e. elevated heart rate for someone who twisted an ankle while running i would not call ALS for), and i would not hesitate to ask for ALS and expedite transport.

On a run where they are actually needed.

WHAT? Your question makes no sense. Its my belief that ALS QRS is a much more efficient use of resources.

NO. Its an incredibly wasteful system in my mind. 2 medics to transport someone who has been throwing up for a day? Where is the point in that? 2 medics to transport a lil old lady who fell off her chair and has a small bruise on her forearm? again, where is the point? EMD should be able to determine the seriousness of a call, and disptach the appropriate level of response. If it is miss-EMDed, the basics on scene will recognize that and ask for an ALS intercept. IMHO, having only ALS transport units is a waste of money and resources that could be put to better use.

Lack of a true national standard. Sure we have Nationally Registry, but if that was a true national standard, we would have no need for state cards. Protocols vary by state, which i think is holding us back. Make protocols, education and Basic/I/Medic abilities standard nationwide.

Us, unless we were slow getting out and the medics beat us in.

as an emtb, i would work the code until arrival of ALS, its then their decision to continue working it. I cannot see not working a code unless their is a valid DNR or obvious death (beheading, onset of rigor mortis ... etc.)

Varies by state DE: EMT-B can carry oral glucose Can administer if patient possesses: Nitro pills EpiPen Aspirin MDI Just found out in NC, Basics cannot do any of that, at least in the county I'm in.

If i am not comfortable with a patient, if it just feels like something is wrong that i cannot pinpoint, then yes i would call for an ALS intercept. Worst comes to worst, they clear me and get a BLS release out of it. Thats the way i was taught to do it.

I would say stick to the book on this one, more O2 can hardly hurt them, unless they are COPD (am i thinking of the right illness?), and even then it would take quite a while to cause serious damage.