Just Plain Ruff

I understand your thought processes Dwayne and I too would be concerned if my mortgage or groceries were on the line. Instead of making it hard on the competing company which it sounds like that ambulance service is there to stay, why not collaborate on things. Instead of making their lives miserable why not find ways to increase participation and the like. Remember, they can make your life as hard as you try to make theirs. If it turns out that both services cannot play well in the sandbox together then petty differences often hurt no-one but the patient. I feel this guys and his co-workers pain but unfortunately they are going to have to find a common ground in the great land of parkville and work together. I would bet that their call volume is not going to greatly decrease because now that the park rangers have double the work load they cannot be available for every call. I wish his service the best though.

good info.

nice little supplemental education piece for you all. http://users.rcn.com/jkimball.ma.ultranet/...Pages/N/NO.html

that is true doc, the meds are medical personnel but I think you need to be able to prove you are a medical personnel either during the emergency or close after. Especially if you are the one to divert the plane to a airport not specified in the flight plan. I wouldn't want to have that responsibility of diverting the plane but I would do it if I had to. With the 100K+ miles I fly every year or so it's only a matter of time before I am put in that position. Let's hope it just happens on a flight I'm not actually on.

being a felon being a sex offender stealing from a patient in the past terrible driving record that is just a few for prior to the interview In the interview lying cussing bragging that you are the best emt out there and you have saved more lives than Jonas Salk and his vaccine(you get the idea) Wearing jeans and a t-shirt burping farting lying(oh did I say that already) arguing with the interviewer answering the interview questions inappropriately I've seen all these and more when I was on the hiring team at AMR in Independence MO about 10 years ago. M

Don't think of it as Competition - think of it as augmenting patient care. More providers = more resources (maybe not as qualified though) And I do not have a problem with a Federal service working a wreck on a highway that runs thru their land. If they are closer than you are then why are you complaining. Other than the bottom line of dollars is what makes me think you are complaining, not the other way around. You've heard the old adage "you can't fight city hall" well you can't fight uncle sam. What's good for the patient is good for everyone if you ask me.

AK I too treated a patient on a flight in Detroit. We were on the feeder runway waiting for clearance and the announcement came over needed help I offered and went back to the patient. There was a physician on board and this patient was in true trouble. The doctor insisted on laying her down with fulminant pulmonary edema. Our flight had been waiting to take off for over 30 mins. The physician also wanted to give her low flow Oxygen. I identified myself and asked why she wanted her to lay down and the doctor said that this was the best course of treatment. I politely argued and we can to an agreement, a nice passenger sat behind the lady and kept her at a 45 degree angle. WE opened the oxygen, put the AED on her and I was getting ready to get the ALS kit out with the IV when the flight attendant told me the ambulance was pulling up. At no time did they ever tell use detroit EMS was on the way. We originally thought we were going to take off. The medics came on board, took over care, took my report and they weren't really wanting to hear what I had to say and I said ok you an figure out all the stuff that happened later. I was already in firstclass but i was told I could be given extra frequent flyer miles or other perks but I refused. I was told by someone that if you accept perks or free flights then you become a defacto airline employee and if the person sues then you can be named since you feasibly are an employee If you are not considered a defacto airline employee then the good sam act applie but it doesn't apply if they consider you an employee of the airline.

Situation 5 For the rare and uncommon transfer/response which time is of the essence and no other transport is available there are the situations which only a very few select, most experienced few are deemed qualified. They may be known in other areas as other names but we called them "Kamikaze" runs. When a doctor pulls you aside and asks you that even with stopping time, you can average over 85 mph, then you know he is wanting his patient at the other facility in the quickest time possible. This type of transport does not fall on the skills of just the driver, but by the entire crew. One must realize that at those speeds, something like a flat/blow would be no recovery. A passenger is a must up front to be a second set of eyes and to be able to help determine which lane of traffic should be the most efficient. The above situation should NEVER NEVER NEVER happen. A kamikaze run is absurd and I hope that the poster was being facetious.

I am going to be flying home tomorrow. I will ask the flight attendant this question If my memory serves correct the flight attendants are trained to recognize certain medical conditions and provide care such as oxygen and stuff but as for anything further like getting into the medication kit falls outside their level of training. They are also supposedly the only people on the plane that are supposed to operate the AED. According to one flight attendant it's most airline policies that the attendent is the only one who can operate it. As for the medications you had better be able to prove you are a medic or healthcare provider or they probably won't let you help. But I will find out all this tomorrow night.

Dr. Marcus Welby Trapper John MD House Hawkeye Pierce Charles Frank Sherm how many others can we mention?

another of our young who was the focus of a 5 course dinner. We again on this forum have eaten one of our young. She unfortunately felt offended enough to possibly leave the forums. sad. I for one am helping her as best I can. How many others offered to help?

but suicide attempts that are just that attention getters is really what some people are after. This is what makes it hard on the system. You get someone who does this for attention and it takes up a resource that should be out there dealing with patients who really need them. I'm not saying that the patient doesn't deserve ambulance transport and if they indeed did do something that could harm themselves if left to it's own device then by all means take care of them but if this is their way of asking for attention then that's the double edge sword. I always went by the old ER rule that the bigger the tube to pump the stomach and the more noxious you make it for the patient the less likely they will do this stunt again. For those who are simply begging for attention I gave em all the attention they begged for in the form of a large Ewold or Stomach tube. Restrain them from pulling the tube and it sends a message. I have no problem making things very noxious for those who simply made the statement that they took a bottle of pills after their boyfriend broke up with them. Most of the time these people do this to make the significant other feel sorry for them and that sorry sap will come running right back to their arms. Something that they intended anyway. Well sorry young lady, NO your boyfriend cannot ride in the ambulance with me nor can he stay with you in the ER room while I remove the stomach contents and see that there are no pill fragments in there when there should definatly be some. If you took the pills 30 minutes ago then they should be in your stomach still. Sit back, enjoy the tube and then enjoy the 15000 bill that you will receive for an overnight ICU stay and subsequent psych facility stay. For those of you question my empathy, don't I've seen it all and the person who does this to get her boyfriend back doesn't deserve my sympathy or empathy.

Dammit dwayne, you are right again. I've literally treated hundreds of "attempts" and of those I can count on both hands a maybe a toe or two those who really did want to die. You are right, they will find a way. Of those who really wanted to die I would have to say that the majority did eventually find a way to successfully end their lives. I know of at least 6 patietns who I ran who attempted but failed(some terribly failed re: shotgun blew jaw and teeth out) and others who took enough tylenol to end it but were found early enough. if they want to die they will die somehow - intentionally usually.

Dwayne, it's amazing how things work out. Keep working on this kid and I'll bet he will be a partner you will want to work with.

You might want to practice what you preach. 5 spelling errors, and numerous punctuation errors in a 44 word post.

Just as I suspected as the NYP's reputation.

but doesn't that defeat the zero to hero concept we have now? Get rid of the EMT level and what are all the complacent people out there gonna do?

Incoming

who resuscitated this horse?

Guys guys guys, they didn't say what he was being treated for. This is the New York Post that if I remember right does not really have a good reputation in NYC. Correct me if I'm wrong. I seem to remember that the NYP is considered by some just another version of the Enquirer and the like but I might be getting my papers wrong. Anyone from NYC want to clarify the reputation of the Post? but I digress on to the rest of the post. What if he was being treated for assault and the injury was to his jaw to begin with. they never said where the emt hit him, they said it was the head. So could the jaw have been already broken. Plus, why are we taking the side of the dirtbag who got hurt before we hear the other side. If the cop saw nothing wrong with the treatment then who's to say what actually happened. Again, we are taking a 7 sentence news article as gospel and not getting the rest of the story. This seems to be a consistent theme on this forum. We get a small news story and right off the bat we assume that since the EMT was accused or since the medic, firefighter or police officer has been accused then that person needs to be drummed out of the service. Put this situation on the other shoe - YOUR SHOES and how would you feel about the responses here or anywhere in the news. We are so caught up in the blame game or laying of fault that we cannot see past the new article. Now, if this indeed is true and the emt or medic really did injure this guy then he has to answer to the suit and take responsibility for his actions. But until it's proven or we get more info then we cannot make an informed decision as to who is right and who is wrong. Remember - this is a civil case filed not a criminal case. No criminal case seems to have been filed. Give the judgement a rest until the rest of the story comes out.

why is this funny? Sounds like with the gun guy you could have just as easily been working a trauma code. Suicide is no laughing matter and to make fun of it trivializes it.

HOW DARE THEE QUESTION THE GREAT ONE - DUSTDEVIL Off with your head.

and always at least 10-20 percent of the total bill depending on quality of service

if he was restrained face down how did the medic hit him hard enough to break his jaw. and if the cop saw it and did nothing then I'd think that the officer saw no wrong doing. or was the cop merely taking care of one their own? Full of holes, yeah, full of holes. Let's let this one play out before we make judgements.

I'm special too but I don't act like I am. When I read the comment about being special I immediately thought of Stuart from SNL also. What a touchy feely goofball post