Just Plain Ruff

NO Freakin way will I do something like that.

ok, medical control gives you orders for pain meds but his pressure is only 70 systolic. Medical control asks you to call them on the phone. (yes your cell phone works out where you are at) You call them and the physician asks how long it's going to be before you get the guy free. You answer at least 30 minutes or so. The physician then asks how comfortable are you in considering field amputations? The guy is going to die if you don't do something the physician says. What is your response? (this is where I was going) I guess I could have just asked it but I wanted to preface this with a real life scenario that may happen to you in your lifetime career as a medic or may never happen.

If anyone out there has a samsung rant phone please contact me off list. I have a question for you.

I R tha Skillzingest

my thoughts are that if you are paid at all, be it a stipend or a call by call basis, you are not volunteer. But that's just me.

I believe that the newsfeed is set to pull EMS stories in. Not the admins fault nor the newsreaders fault that our profession is laden with no good, back sliding, bottom feeding, troll loving, sexual assaulting, child molesting, scum bag dirt holes. EMTCity company excluded of course.

no I don't really know anything about combines, nor does my partner on this particular scenario. I'm goin somewhere with this ok. Fire arrives and they find that they do not have the tools to get him out. Their grant never came in for the tools to do the job. So just for shits and giggles they don't know much about nothing. They are a small rural fire department that sees maybe 10 rescues a year and 9.99999 out of 10 are car wrecks. They are also very territorial and will not allow any other department in for at least the next 45 minutes to an hour. His pressure is crappy - about 70systolic, pulse rate 135 and resp rate 36. He's pretty scared. What else do we want to know now? Oh two other things 1. the temperature is about 87 degrees in the shade 2. He's stuck about mid-thigh. You can see about 4 inches of his thigh and nothing lower.

Well said. well said

his legs are hamburger, the bones are crushed but there is a significant amount of tissue still in there. There is no way you are gonna get him out till at least fire gets there.

read my original post - NO Helicopters - just consider that you are in the eye of a hurricane and the next bout of weather is coming fast. But seriously there is no hurricane - just terrible weather. NO HELICOPTERS guys I know we rely on them entirely too much but.;...... NOPE nada, none no no no helicopters. Power is OFf to the combine

I have a simple question that need not drizzle down into the vollies and paid road. If you are a volunteer and you are paid a stipend then are you really a volunteer?

I'm with you mobey, GI bleed The ER obviously did an H&H - what were his hematocrit and Hemoglobin? I'll be getting the blood ready sir. But why in the word was EMS called to a patient in the ER? Is this for a transfer?

But you basically did just denigrate basics here. I don't know the numbers but until you can prove that the majority of the molesters are basics you need to back the truck up and hold on a second. That was a generalization that should not have been made.

you arrive on scene to find a array of farm equipment all around the scene. There are 5 combines, 7 tractors and a plethora of other pieces of equipment but you are motioned over to a very large combine with only the head of the victim seen. You approach the equipment and you see a 75year old male trapped in a combine at about the mid-femur level. There is a large amount of blood on the ground and splatters of blood inside the combine. You also notice that you see both femurs protruding from the thighs. The patient is still conscious but incoherent. Fire is 13 minutes out and the combine still sounds like it's running but not loudly.

You respond 30 miles outside of your base for a man entrapped in a piece of farm equipment Weather is crappy and there are severe thunderstorms all around your area and no helicopter pilot in his right mind would attempt a flight in that weather. Your hospital is a 76 bed facility with a 10 bed ER. No orthopedic surgeon nor trauma surgeon is available today. What do you want to know. By the way, there will be a lively discussion with this one I'm sure.

total subluxation of c3 and c4 ha ha

this scenario about in field C-section on a full term patient is indeed true. I've seen pictures of the kid the medic delivered. His mother was dead and he had two physicians who backed him up. This happened a long time ago so circumstances are different now than they were back then.

This was not my quote

I disagree with the outside of scope when talking with your medical control. There have been times when I've talked at length with the physician on the phone about what they are requesting me to do. Does that make my practice out of scope.

I guess I'm one of the cowboys but it would depend on the situation. If I was a super medic with paragod syndrome I'd also perform brain surgery with a pocketknife and a cordless drill. "Thank God for Black and Decker"

I think the original poster came here for sympathy yet got a dose of reality or reality as EMT City see's it. He's gone away never to post again.

YAY YAY YAY, I guessed it was a harness injury woot

They call that sadomasochism Terri I'll take the family night package (I'll sell what I don't use on Ebay) take or leave a busted up pickup on blocks with 3 feet tall grass growing under it.

call the cops question You have a incurable fatal disease, you are asked to write your last lecture for videotaping for posterity What is your topic?

I am not issued PPE(bunker gear) so I'm not about to start cutting very very sharp metal with jsut a pair of ems pants on. We have three really good extrication crews that help us out on calls and we like it that way. My responsibility is for the patient. You have you and your partner on the ambulance - who of the 2 crew members are gonna pop the door or peel the roof. Or do you add a 3 man crew on a rescue truck that is run by the EMS Agency. Regardless, you need more than 2 people on scene to do it all.